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Current issues and trends in the diagnosis and treatment of adults with ADHD.
Attention-deficit/hyperactivity disorder (ADHD) has been commonly thought of as a childhood disorder that diminished over time. It is one of the most common developmental disorders and it is estimated that ADHD affects 5-10% of children. Two-thirds of children with ADHD will continue to have symptoms of ADHD that persist throughout adolescence. Longitudinal studies have demonstrated that symptoms of ADHD can also remain in adulthood, affecting 4.4% of the adult population. However, diagnosing adults with ADHD can prove difficult because they often find that their symptoms are egosyntonic. In addition, the development of comorbid conditions, such as anxiety, depression, personality disorders or substance abuse, can often overshadow underlying ADHD symptoms. Nonetheless, treatments such as stimulant and nonstimulant medication (e.g., atomoxetine), and cognitive-behavior therapy have been effective in treating adults with ADHD. This article reviews the prevalence of adults with ADHD, followed by a discussion of the neurobiological and genetic underpinnings of the disorder. Issues regarding the diagnosis and treatment of ADHD are also addressed.
Expert Rev Neurother. 2007 Oct;7(10):1375-90. Cumyn L, Kolar D, Keller A, Hechtman L. McGill University, Department of Educational & Counselling Psychology, 3700 McTavish St., Montreal, Quebec, H3A 1Y2. lucy.cumyn@mail.mcgill.ca
Drinking alcohol in excess can quickly become a strong addiction. While alcohol drinking may have started out as a way of socializing, once it becomes a regular activity a person’s body and brain begin to expect a certain level of consumption. A that point this behavior begins training the body and brain to expect the stimulus. The resulting addiction becomes a medical and mental health problem that affects just about every facet of life.
Other than realizing the physiological problems, when addressing an addiction related to the excessive drinking of alcohol, it is important to remember...
Let’s face it. More than likely you have the same brain and same physiology as the most prodigious genius and top Olympic athlete. Yes, an inventory of your brain sectors, organs, and muscle groups show a surprising similarity to the top performers. Yet, why haven’t you achieved such greatness? This is a question that I’ve asked for several decades. It surprised me what I discovered.
Our first obstacle is that each and every one of us is programmed to be mediocre. Think about this for a moment. Back when you were in school, two groups of people were often criticized. These were the...
Excessive worry and anxieties are so common in Western society that I sincerely doubt that there are many people who are not adversely affected by them. Do you constantly feel stressed? Do you have problems sleeping? Is your mind always hyperactive and jumping from worry to worry? Yes, you problem are handling your stress and anxieties very well.
Remember that your reactions are most likely part of what psychologists call learned behavior. This means that at some time you reacted – or over-reacted – to a situation. When you perceived it happening again, this recognition...