The ADHD Weekly Blog from ADHD Experts

  • Driving and ADHD

    Zheng Chang, PhD; Paul Lichtenstein, PhD; Brian M. D’Onofrio, PhD; Arvid Sjölander, PhD; Henrik Larsson, PhD. “Serious Transport Accidents in Adults With Attention-Deficit/Hyperactivity Disorder and the Effect of Medication: A Population-Based Study” JAMA Psychiatry. doi:10.1001/jamapsychiatry.2013.4174. Published online January 29, 2014. This study examines the association of adult ADHD with transport accidents and potential effects of ADHD treatment. The authors note that transport
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  • Non Pharma Overview

    There are several very effective drugs for ADHD and that treatment guidelines from professional organization view this drugs as the first line of treatment for people with ADHD. The only exception is for preschool children where medication is only the first line treatment for severe ADHD; the guidelines recommend that other preschoolers with ADHD be treated with non-pharmacologic treatments, when available. Despite these guidelines, some parents and patients have been persuaded by the
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  • “Does Pharmacological Treatment of ADHD in Adults Enhance Parenting Performance?”

    Waxmonsky JG, et al.  “Does Pharmacological Treatment of ADHD in Adults Enhance Parenting Performance? Results of a Double-Blind Randomized Trial.” CNS Drugs (2014) 28:665-677. This study examines the impact of pharmacologic treatment of parents with ADHD on their parenting performance.  It has long been observed that parental ADHD reduces the efficacy of parenting behaviors and is often associated with higher rates of comorbid problems in their ADHD children (Hinshaw et al, 2000) and
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  • Myths About the Causes of ADHD

    Myth: ADHD is caused by poor parenting or teaching. Parents and teachers are popular targets for those who misunderstand ADHD. This myth posits that ADHD would not exist if parents and teachers were more effective at disciplining and teaching children. From this perspective, ADHD is a failure of society, not a brain disease. Fact: ADHD occurs when genes and toxic environments harm the brain. Blaming parents and teachers for ADHD is wrong. We know from research studies that many parents
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  • Atomoxetine and the Treatment of Executive Dysfunction

    ADHD Patients with Executive Dysfunction: Atomoxetine vs Placebo Studies Although they are not included in the formal DSM-5 criteria for adult ADHD, studies have shown that clinically significant executive dysfunction can occur in one-third to one-half of all adults with ADHD. Executive functions are a set of neuropsychological parameters including: 1) working memory, 2) awareness of one’s self in the environment, 3) higher level cognitive functions of prioritization, planning and time
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  • Micronutrient Treatment

    In contrast to a large literature demonstrating the effects of medications for adult ADHD, a small but growing literature is beginning to document the value of naturopathic treatments. A good example was recently published by Rucklidge et al. (2014, British Journal of Psychiatry, Epub). These investigators evaluated the efficacy and safety of a micronutrient formula comprised of vitamins and minerals, without omega fatty acids. It is the first double-blind randomized controlled trial to
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  • ADHD in Older Adults

    Just as there have been concerns about the treatment and potential increased societal burden as we improve disease recognition with adolescents recently diagnosed with ADHD aging into adulthood, there are similar concerns as middle aged adults recently diagnosed with ADHD become older adults with ADHD. In fact, the largest percentage growth in stimulant prescriptions in the last year is in adults over the age of 50 years of age (Adler LA. ADHD in Older Adults. Paper Presentation at the
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  • Adherence to Stimulants in Adult ADHD

    O’Callaghan, P.  “Adherence to stimulants in adult ADHD.”  J Atten Def Hyp Disord. (2014) 6:111-120. This study uses a mixed-method design to investigate the factors that influence stimulant medication adherence in adults with ADHD.  The author notes that adherence rates for pharmacotherapy in adults with ADHD is reported to be less than 12% which is a significant concern for clinicians treating this population.  Stimulants have been shown to be highly effective in adults with ADHD with
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  • Diagnosing and Monitoring ADHD

    The American Academy of Pediatrics (AAP) published guidelines for the diagnosis and treatment of ADHD, which include using DSM-IV criteria to evaluate ADHD, using rating scales from multiple sources to assist in making the diagnosis and monitoring for treatment effects and side effects and inclusion of psychosocial treatment paradigms in treatment recommendations (American Academy of Pediatrics. (2000). Clinical practice guideline: Diagnosis and evaluation of the child with
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  • ADHD Success Story #4 – Brendan Montano, MD

    ADHD treatment and ADHD medications can improve sleep, job performance, reduce stress and anxiety, and reduce smoking.

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