ADHD in Adults: What the Science Says by Russell A. Barkley, Kevin R. Murphy , Mariellen Fischer

By Russell A. Barkley, Kevin R. Murphy , Mariellen Fischer

Offering a brand new point of view on ADHD in adults, this compelling e-book analyzes findings from significant reviews directed by way of top authority Russell A. Barkley. Groundbreaking info is gifted at the major impairments produced by way of the sickness throughout significant sensible domain names and existence actions, together with academic results, paintings, relationships, overall healthiness behaviors, and psychological wellbeing and fitness. Thoughtfully contemplating the therapy implications of those findings, the booklet additionally demonstrates that present diagnostic standards don't competently replicate the way in which ADHD is skilled by means of adults, and issues the way in which towards constructing larger standards that middle on government functionality deficits. available tables, figures, and sidebars encapsulate the learn effects and strategies.

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Example text

Unfortunately, DSM-IV had been published before these aspects of the field-trial analyses were completed and published, so the age-of-onset criterion was retained solely by default. Last, to our knowledge, no evidence is available in the literature suggesting that onset of ADHD symptoms at or after age 7 years results in a qualitatively or even quantitatively different disorder than cases of ADHD having the earlier recommended symptom onset. The fact that some prior studies have reported a mean age of onset of initial ADHD symptoms as occurring between ages 3 and 4 years does not automatically argue for inclusion of a precise age-of-onset criterion into a diagnostic system for ADHD but only that ADHD, like retardation, appears to be “developmental,” arising early in many cases.

However, the range of symptom onsets around this mean is substantial, the reliability of parental identification of this precise onset is questionable, and the diagnostic or conceptual significance of a precise age of onset remains unexamined and unjustified (Barkley & Biederman, 1997). Furthermore, the early age of onset found in most studies of children with ADHD may be due in part to method artifact; it arises by virtue of studying clinic-referred children who, almost by definition if not by default, have developed their symptoms in childhood.

ADHD in adults is frequently described as having coexisting oppositional defiant disorder, conduct disorder, antisocial personality disorder, and psychoactive substance use disorders, as noted above. , 1990). , concentration difficulties, restlessness, increased speech, acting “on the go”) are also symptoms of other disorders, particularly anxiety, depression, and mania. It is unclear if these DSM symptoms adequately differentiate ADHD from other adult disorders or how other disorders might manifest when they co-occur with ADHD.

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