| ‘About the Authors sn Now vreetigin ane ‘CongressicnalSceace Fellow te U.S, Senatetiom 1962-198 Chas ‘Tesk Hows for Nationa Healt Care Ref Dr Reka has ecezee reds frm ach 3 he Nati ee Fraud ous, She hes e204 Cor 1 Ceram scaly, ‘the sour of Coxumonty PSycloiogy. anc the Jaume of Pruny Pavencon ané cores ob He entd of Diresire of ray nowsectls urpnietios. Dr. Rekol Ms a yoru reseuct aries, and haps hat tel wh cal ise igh risk fr oxpchogaticlog. arands ut Deporte wy sche Eto ofthe on Inervenion Oreos a He has pati Tescontpsychonurhology- De Bib ao serves ala sabgominte oo he asesimen eof previ avdalces (or ata Dr, Bouin aio scrcs a Chaise the Beat of Scisms AT associction Advances in Paychatherapy ~ Evidence-Based Practice and fee puacceoveted covtaung edenon. Rat a he Rok thar heya pa 8 sompact nd casy-te-fll a ored a Attention-Deficit/ Hyperactivity Disorder in Children and Adults Annotte U. Rickel Cervell University Medical ogo, Now York City, NY Ronald T. Brown College of Heath Protessions, Tepe Univesity, P acelpbia, Pa HOGREFE BYLibearg of Congres Catslging in Publica isurilable vi te Livary of Congres Mare Datebose under te LC Conmet Munber 1096957671 ‘brary and Archives Conaen Catelgaieg tn Futsendon Rivka, Armee ttle vay acer in ire and adults Atte Rieke, ReneldT Brew, syy--eridens> 96d race) alrefrenes, ISBN oO SISIT IIE 1. Annt-lecit yneretiviy donee 1 Drowns Rencid% tT HL sei S06 AOUSI2 2607 5is5 88 2006, 90626255 © 200" by Hegre & Fiber Publis Cover illasusion by Klas Geen, PLRLISHING OFFICrS Usa! ote & Huber Putcher, 875 Masel Avent, “th Hoos, Cambridge, MA 02139 [one (86) 82364725, Pax 97) 254057S, Resi deloGAhpub com EUROPA: Hogue & Hue: Publisher, Rahacwag 16 37085 Otainsee, Gee Phone 449 553 AE, Pac Mi £51 495058, E-mail hoahhpabe SALES @ pisTemUTION USA: ogre & KuderPubhishess, Castner Servees Deparment, 39 Ammbeeweod Pade, EUROVE, OTHER OFFICES CANADA: ogre de Huber Puls, 1583 Bayview Avente, Tout, Ono MG SR SWIIZORLAND: Hourefe Hiker Publics, Tugzone Sian, GUI1900 bey 9 rete 8 ¥ ‘ecorpecled snd fon, LSA, and in Obogen, Lower Savon, 20 part ofthis beok cay be epmndace stoned in 4 eel ester: by any means, lea ‘witen person ‘segs. inany form ot : inaflning, mecwding o° eosin, vitiut ited an Hou in the USA TSkN ovzn.ag037 472 8 Preface Mrgercaiy Dior (ADHD) «connote fetbionen! cane fc 9-40 ancora toma Re aorta dg in mej, ADE cel anont ee ‘uel ae tae tetaacinsetne salen ores ae For iacance, Rake, Szobee, Polansy, Seam sad Tresxaina (2005) performed mot-aralysis of cata pertain to diagnasic pattems oF ADHD in Brea and notes pattem ef fala comtnuity andicomorbity tes similar to thust observe it other develope vauztses. Beviranmentl fests uch at slesicom size and cults! backgrounds may. howeren iadvenoe ‘oazhers appraisals of tase sudents who are Wemitied 8s hevingssnigtoms sssacated wit ATHD (Ravey, Olson, MaCourie, & Cates, 2003), Those nso may icfluscce the couse of the alsorder, Gnfotucaaly. cher bing at ADMD aera cules a alanis groups, Cleaty, ‘anise destined for (luc investigation sre ae no stags vonoeing erhieslr ford, but thers evidence thal peeps of colar tae poorer Seces O ApOpLar sects Jortte disor and hee? rosive esse feweve A IHD swentons, aud then ‘whother ADAD il bs Fa ckildhood. If fo unteated cau Jed to fxeandl Tews i elu ts peers, The dearer re sani ‘shee ADHD is comorbid wih ct Ihave a oiftrent course cr oven a mee gland prognosis [Latey, MeEumelt & Leeber, 2000), An ADHD hilé finds it 4G culpa etend and pk up or sovial cuss Tn or {eft uated ADED doe ot “go away" and eon hve sulbstutiel averse constyces for he Bosavse ADHD isa ctyuni: Hsowdec and places chitdren en aoleste high nk fora ratber of functional imatinments, zeta rast Lea cauliple domains of funcining, and te iniemented {over 80% stl enlmc to evidence syruptamg ofthe disererinatescerce (Paarock & Sivn, 2900) «adleven adulthood [Barley & Conner, 2005), slough the dlsoeer cay be more “cant Iiestyle choices 1.5 Differential Diagnosis Thete wre several piyshintie and physioal dieneéars that shave aome of the signs yupioas of ADHD dat ved ro be considere by tie practitinsr, “The 12-10 hughliakts te imporuroe of sina disgnentsextegory that hae ceapresces cho paychobogical profile of aa iadivideal, wheres practiioners being the DSM ten dagnos> patients vith multiple disor ¢ , 2000), een giving Hee there are several stxmocbie disondes hat has dilfevtes with ewmceutatiog, may, overlap wich other ineraising belvions suck 15 depression, aries and snake stress disor (FTSD), oa Tlusescod iq Tbs 2. Though nay ‘eases Dc ADHD renin urtesiet or inert identi other indivdls ine bey suffer Bom ADHD, shen it let ey a perience symp is assoshued wih wher Uiscrdc leading aavely oF ceession, thaw some cl tigratzed by the posit of ax ly diver: tron the feelings ath often anproprias far divas with ADHD, fe acace tt viduals wihout the disorder aso way feign sprypioms Lt on ‘bla such accommodalions. Arar differential feature botween ADHD ar oer psyehinus dcerda & the onitiations | predispes on, ius and for sane over af thence, ADHL (except foc th sfsonies (ODD), conduct sien (CD) share vome eotntion sore sbamnto: AHO often ‘omertid wth nar yeti sodas ADHD emptor (nay cept thote of deprston, sey ara post. Atoumate sta ‘eden1 with increasing ant ‘oda baknior smray tae: ‘ympioms te ADH Adore tn fychotheagy tent an Dey Hyoeractvgy Dod ich at impulsive Behavior, ioteaptng otha, dtiuley waiting ote’ um, et, Yue OU axa Symploms of incessantly seve enisocal bebatice 4 we rove fium ADHD '9 ODD ro CD. ‘Thar wea is sort evidence that ADE tony syoetglae ODD end CD (Newcors & Henn, 20K whem a olild preven with ODD er ws cspecaly dieu i that tuere een be isclared ‘ADHD shit we couotbld ADED and CU sed ts 2o- rmorbit presentation muy actualy appen: tbe more sevire tha ADMD than ‘whee it presents without vowoxbitiy; Thes i evidenge that CD may alte ly exacerbere or synetzizesyaptems at ADHD, and hence i ix aceseary rmarage beth di ly. There are mai the 5 success fers, cluding hempics are epecopite forall of is Suton. Data sten suggest ta careful management ofthe symptims for ADHD way ist in te toxennts foe oli coord AGsoudets, 13 Uabiltien (LD), whether djlenis,spoling, wi meth Usordes, stare a neivber of te ound ADHD eymptons 2 footy allowing intmictions or shitting fom onc-tenegleted task enor ‘bu may be ore bound up witht LD asthe owe ste to be sued Thus, coping with dyslexia may make a child mora ctanlive ead ore tbe to fl he specifie management ofa leaming as eogritive and spin eu Table 2 ‘nelapring ymplems etwees ADMD and thar payee dicoders ADHD symgtor oF ee Wana TS. cAD x xox x Faget x x Cansanty ‘onthe go" Xk x x fen tls ancessively x x x x « x K x x lairog sithdr wa 1. escription heey ulema harscr: 1.6 Gomorbidities in ADHD Patients Canoibid disorders bat may accampuny ADHD my ivciude CD (20-49% aPADAD childran), ODD (33-50% of ADHD children, ar LO Gel bat incacle andes, genecalize ate order auch maar dep ADED. Coord payehiine iscrde se comaibid may de wecestay, or they coulé poss caagement foe ADHD (Dierrn, Ferions & dserancins i devoe ses imgrtat 2 ro biker kentnea. nsrveton roggett mate eae cape, 992) ‘ppvosimately 20-25% of bile who preset wy ADHD Havo spastic sce, Tennod sed Brow (20) sser ht some chen wit setae, and ay bo ADED. or example, chess uzy include a proup of Es tat- “sow iaovuraes” the reateec ilfeent clusters of ADHD. na wih cored leneting diac cusced in che pre tha anieey and dapreaion sum have w poli elect on the chiles neti outcomes (og. exadeuie peclontarce, peerscetlizat schitrcdisoder that has beaa ince ‘adolgcents with ADHD. "Te dif aw ADHD can be eg syrloans that ‘oat be prevent in both ede ah ieval of eneepy at reed i key CIOenexcators is the eat mond ad iad. os- spot alu’ reson ont surretimas cisiptes for months For those chile ADE, Dy pervasive and ever presen ren ah presen wins ADTID ray lao Ye diagneset sane elsomers(Tanook Brown, 2000), [a fac, ss Norra, Lapey et, 1893) (ou sme wth ADHD met sit fre nen 9m with bipolar dizodar swith ene or more of Biedeminn, | aroone, Spec ‘ser Half (528) of ads arajor ansieiy dysrdo, Theneck and Brown (2000) dooeive el ety, and ex evidence dus vowveres aris stings L isons tent te ae they tive thee ‘teamarecivtere wh eomerbid ADHD rdamsity ¢0 nat benef from serrulaet medeston anda) stow fnceated sce lets comertld noes ‘lsrders are Ineivdun with ey ovarcss n Pechothersn tt tin Defy yporacttyDsar Resets bss becu inconsistent as iy how ansety disor way afte: ADHD tad he prevents af symptoms assscited lh ADED, ‘than Hoge chien sith ADHD alone is some evidewee (rum the newopsrchologicallteranu: to Sugeest eben witheomebid ADD anG arse dlisntos to mare ccrapetent els of gota 1! comestidities i imparant og thee i some evidence that elite bul mmicty tel ADHD derive ver orgoicve aed bebrvierl berocts sora imulgat medications, and report 2 greater jecieney of udvense se elite he lan, an Uo are potent for hors the = been ale. Likes, the estate diogiost behavioral signs of anit in ho present tows may iachute, bot sre mot Tinvd t, nervous manne, en psech abworenlides,Altuensk pavers ard tac ‘rs muy bo the bert infoumants regucding chines obwerable elvis aad igges effecting mess charges, Boesuse af ese pid changes, adviduxe WiADHD wha alo have comoe biddepession may excorse keprensive compen, bul Epon that fhe cepres- ‘tou Fas eat been ccnsizseut ans of che day for Oy Werks or mute. Aner jympweny of chiltea wil ADHD who lave 5 at the imponanee the effets of ues, These tsatunetion a ar ris ay esti ADALD aymatin, Individuals it ADBDD whe ate being managed wh stinulan medica ras alga have praiein es po adver sie oes of rcdicaing, 3 piysical osm, re DSM ortars for . . 4 Desciption overap hetiven depresivetemptonss andthe edvecse effets of simulaae ieuton, the soure of symyion development ary be lhe 88 se? wy ot dtlerentting between ADHD, (extent with etromaet medication, a the possi of depression In ooler ta suppor a diageusis of comerbié ADHD und dopvees ions seed te corofilly mess whsther lndllduals expenence a cen depressed affect for 140 weeks or more. Biedenvan, Feraoce, al ($990) fc that nenaly one-third (918) oF adults they mented for ADAD ret jor depressive oiorde, and Faison, Bisdermat Memnin, Wosniak, ad Speacer (1997) foud shat about 30% oF atnits with ADICD repos having experienced synplars consistent wth depression dosing shilehood. fis ale ustexorty that parr with ADEID and lepression may Ye at inscensed risk for accents and snicktelsebavior thin indsicual seth aly one of thee ciate. ut for the pres Fer sti ADHD may pose expe disaders, keds wih ADHD ste ron at te we dgs aad 2 withoul ADHD. Ty ali ita devalep 9 susaance use no individual without ADHD. Ker example Bredernn, Thisted, ind Kyan (1995) have nated tha thers w 5246 ifotime povaienes of substance ebuse conkers for these wit) ADED, end 2 27% withut ALUID) Some mividuals may ose substances ta mediccte their ADAD symptors, even has demonstated tat groups affected by the on isonet or couenet disorder with ADHD have the bis ingsome gpe ofaleoko! or drugaubetave ad to evcatully ee oitera tor a substance use disarder (Wits. Spencer, & Biederman, 2000s) Iniviguale ith ADAD nd to abuse druge mote frequently than, Eaey abuse atu nl, owe i un assectation between ae sanees and ADHD, and ADHD adolesens being wsing fgaet ut ma eater age than tet sdeolopirg post, Poreiteau. Downey, Sielsen, aad Bomerean {1995p found thal alts with ADHD Save a risk fer avotice use tht is hae Hane pester han the rik forinulividuss widow ADAD. trdividuas with ADHD may also & 0 individuals who do ADED lsu report tnving gener Slap outhes may normally developing couterpars, Wany bedsupted in ACHID report consistent prollems wi tetviduas erating cle ADUED ave alvnys semgled with falling asleep aright ec bare eesonn Uicadies ‘ld ng ADHD? offen bave trouble sling alert ey bare w sit rote as, tudes emmy re steep in feetues, even whar thoy have had an rppreprias cat Ag A See Sater ss ADHD, srzmy exeAs ADHD esach pressonasis ofan sed foe agrois ‘nd terntment Advanans in Pythathonpy. alte ton Detect pera Oboder ‘ise sleep dsotéons emong indivdeale dingnased ay ALTID. AILADED ax ssvomens shold include questous regaeding lee routines, cevtime sco ness puter: and persistence of sleep difficulties 3b well os inves pean ag lo aleoy ayuiore L7 Diagnostic Procedures and Documentation A profesional with specific aaning im ADHD as wel o the identifsatinn hee psyehintic suede should ante the digtoe, Tas tla inelae ao schoulpaychologisl, tila paychistns,developmrentalbshaniecs bedisirsins, oF debaviral nawologis, Besause te disordee is 30 encom passng snd Inport # cutnber ot domates, euch asthe home seling andthe vider actiag,rmny profesioale uae teur yppach fr either dingacsls ‘or management or bequenly bath ton such as teenparal nevis AG an ilstlon, Tannock aad Broom (2000) exournend the follwing ‘eps when assessing lo possibly of emai Auten the ch Tana development ings of academic prngves arog eu sss for taamg eisorers through resend maths that might include nemopeychological or kadivonapaychorluctoeat assesment, 4 xan comorbid viegnoses dat sso might includ depres 2, 0 low self snoeen, Tancotk ad Brown (200) aso angie that sess for mekiple rp af Accompleie evalaton for ADE’ she hnsocyebiahert coogi inerviowe and koerat i awelcat be ncicarone of searing o vision 135 lahaviorl diffauttios fet nesting wilt te individ ll formation gaibesed can br compared fo the sympromns orierie Usted ia DSMIVETR, is ako very imporant co debrmine whet ie lesson, work, oF ham: enviscornents are stissial or obactis es ist on stocabred bebaice Onfero asensinow the eld campus toch: caren aC the gical age, sag sates oe 1 Descption rescerch suggado thar seuropsychologicl ss fte- ATED or predict response 0 taunents for APH Such 1s strulant macnn (or »ceven, ee Broven & Daly, ingles, Hower, peclarmras on newopsychelugial tests oisy comtise ae len, erratk sompenent of diagnosis fer aher vomorbiditiea sich 4s le ‘files, wed & emuy ciscumstanees may Fel clitcians det ‘earning disainites and the need ar spesal salon pleco ‘cb coutapiysbalogienl encasures ae imporant for meniionae treat "eaporse, especially tesponse to stimulant 1989), asseemens olen inchade seas oF veel such a the Digit Spm Test leg., Weeksle, 1987), the Cal icra Vethal Leaming Kepler, & Cher, 19 nce Repetlion Tess (Lenk, 1998) teldren's Memory Seas (Cohen, 1997), the Bebscck Stery Reval (RaBeosk, YN}, ond ths Tes of Adelescene Language (Hammill, Bron, Parsen, Wiecertule, 1994). Other imporont rest that measure aunt iy sud working aecwory Waconsta Ciel Sorting Tee (Hers, 1448), “ne Stroop Ci ference Test (Golder, 1978), the ReyeOsverrelt Conlon Fig sc the Paced Auditory Serial Addition ‘Test (Gromwall, i977), Some oF these psyeho.agtal tems ave discussed te greater detail in Chaptee3. Tess. of areligence ard achievement show be given where thre in an ication that leaning caabitty any be invclvzc Aga Uundescote that peychelugics lets ae tether sen Fring ADH summary ACH Is 9 dower mat atect cognition ané tetanor, ard is characterinne ‘ay Aefcutes wth inaienion ardor hypercivey afer combed woh ther psychologeal condtlan,indung affective sande Feu ceordes, and eat oppor ln iet tn ard mero, The arsarttion Hf A hide Gran in acu ane adult ry Mave cs rated otd coping satel tat de Oignesing ADHD ules sclertian to Te apres ci ie DSU, However, site the desertion nae oignali i shouldbe mindful shat ADEN sesptan say be somewhat diferenyinadute‘herent sare Most chilren with "ADHD caries to-experence symptom ite Thlhood Theories and Models of ADHD ‘wenpercice sy wel a many 0 dag Mor chibond fog, Manav Rist, Sed Milo, E and toon cis tet inillyexarsinelshléen wb ADHD ‘tint woleacence and youig aeuthood have doctnacited 1 benign progeeisétirg adolescence ot ood. Actendach, Howl, MeConmh, & Starasy, (1995) hire stents eae He es se all iypemtvy ipa, aod te exe atetbonlprebloms ate alo mo els +o pose finctianal impairments. Whitruan (2003) notes that some adhlts reectved he dgncis eileen, hile ere pet using hl urine dldaood, sare dvgnosed ed uealed (or the fi teed dcepialeaion of ADIT in albood hve ay a: dows in idbood.Inestnee, hath cen xed bout wth'ADEDD ane lieved shar the eae dude, wih the dices resting & continue on: cithooe osha Theres, oe eile cansidertons parsers bei oe he order oe present thei eenendtute 2.1 Biological Factors in ADHD 211 Genetic Contributions (§urvat esearch is heing conducted to idee ADIAD. Mla sadicg sa iguing bvns aud adopted ptedispos:indiviealsto ADHD, Ferso Trypocesine tha the emsbined offers of aulple genes, yet 10 sontitin (othe ADHD disoler, Genetic eats oF ine ls affected by ADHD sre move likey vidnale een paychiati samiles feeneticists fn ius nctdemenstaved eaeality Borkiay (199tb) has presented evidece demonstrating subsants] lym ADHD, However, butte iy indica the featomision, Bulley his teviewed manber of suche awe, the gree concordunce rete apts moneeyButs Smmpertn! ta ote tas some ofthese studies may 3 ctr biases, For exainpl, parents caay percoive monorygetis ‘rin. more ie. qncoonsequects te heir ADU syuiptns secondly. isis, xzacch meats purenis reapers diflzences bemmoen dye ‘wins. Bit om sevecl rseaish cludes als demonatrae the exhtence ries, ctx loses and devatopmental biases that ae oan crn td with generis exptanetious of ADHD (Hudak, 2000), Io slien, te curent t mv of compler end accel cies of pol system, vi ning ad exe porated each of the raj synpion’s associand ‘may venti ove distdet, and, mote tmpar tome ate sociniod with exch oher's faing a 2.2 Perinatal Factors in ADHD Rescattners have identified several ertagens dng (ho peental period tat have Demassccioted wit he devslopreal of ADHD ‘those ielaie thestiecty ot mated atcoont ase cing prepeeney,nicatine use eiing orsgnency, and Jo birt weight babies. For insaace, Kopi, Sonrtow, Maden, Bock udeiah, Rech etal 2005) have identified 4 assocation erween mat aicchol omsumption daving pregnaney and ch developunent of ADHD) fet) aletol syncume (FAS) ang ttl aloaheleffs(FAS) ines OfADHD symptonns incon znd keoet, L990). (a a sample of Le82 oe airs aged 5-16, Thapsr, Fowler, Ric, Scour, wun den Bre, Thomas ot al (2005) lind tht mothes cho ubed toeeco during pregonae) were more key to dave ADHD, even when vonirallng for povextially comivunting varahles such at scil clas und bith wel Some reseerch demorataes a eee evelopment of ADHD (ex, Bros i Tore ee isa astositad x yowrs. Ta 35% sul her, and Faraone Vinh weight nel ADK, however, ae nt tal, 2004, onmental factors areribute te the ADHD phenotype, W me ascesarty ouse he Uicmder they ae esoeced a may retispastion tothe diewder, Theoretical peripce is components adress ausclivent Roeder, levels a Not, cnegiver eeatioalachiove= abuse aura. St. Sause al (2008) ‘eucalion evel sa ik for Ive coneinted a attach A theories aad Mace of ADMD 2 ‘Mary ndidaads ‘wth D0 padtowe bieh neighte smiroomeniad eos epredipeiton tabacomertid peycrogcal diodenon ake fom ld isteestment Advance inPayerathorapy AMenton Di rs iy Boner ble eltematve exphnaton tothe alice beury is tat ADD conkio- Several reseatoers lave denionsireed tee familly dyer fMaerees lhe development of ADHD. Knagik a a 2025) found that both zateral ane pateialslenlol dependency exces the 'ADED diagnosis. Parent-obild coeflie nereoes susceptible foc ceatarti disrers in oi 2 lavono, 4003), Counts, Nig, Stowe’, Rapplay, and so radited poblens sssoriated ld tnd cha hier I hace ADICD (Hu, Kmbeger, MCE, se 2065) found and teachers, wete sual ativculation and erpedenal spport nateaton and overeivity Calld cbuse seguelee reay include the developmen! of ADHD. Fox, Rou ‘Corner paycholagealdizrders reskin fim ch as capes 1. Elis, Daviss, Reise, Fleseber, até Thon (201K) reviewed date ‘utparint admissions, aud feund the: veszrent Reseach demonstaes detcesing non ears, 200%) Thowzh tas Tey ‘oy lar predispose eli rood maltectinent, sant anxleg, also affect aveatioval processzs. alsa must be peioted out that cildsen and sdolescents with ADED are at greeters for 2.4 interactions between Biological and Psychological Factors bat enviiinental fctorsean fact ta Breslau ot lmporset ts wsuggeets pte the deleerious facts of specific se be Risacied even vats in ADHD, On 4 ‘etre li hi fon tase Hndvicale seeding fa 2. Theosles an Mees oF AOHD renragy beablete exert ave thee bebavio, af Beckot Lassen (1997) provivea veusl depledin of te ceciprocal oration Fetwcen nerurant vers restric child renin practice, other toiroumetil influences ang behavioral outcoris thc aed incluée ADMD, “The modet previted by Rikel nd BeckersLaacon i impematt sit demon. sree she manny paisiays crangt which diverse vironmental ocmpencas affect child sutcomes. Summary Sh serene ec ecomngtos an an > eres Sevlopenitnevchcogy and cpanyng mata Hecate ornare et Hao agen eel. cnt 0 haves isa Fom mater vepetcartwn cnt gnc fevavir chee CEC cenoreete te esol af sore Spire sito supjr:» opens feneicetloy ts det to dlemne nowers {osha ere meterat suey or shad neers ttc mp Sawntitutadtesicns rcharatetuesofaorO infec sthemoratos fp freer ety onmen.alettsions The esearch dates ta the nay to ADHE aera layers ae veri ts enor thatmy resneh endear hove Inesliated gored and envtenmentd ccrbutors eon ah tacaaettsorec Mipove ewe Omplee Fete o ta deeper ot C20.Nos diagnoses sre mode ding the lamenary col es Diagnosis and Treatment Indications jon for 8 vaciely of reexons. Yery flee dren's sakool per aathor type of guurebice or spect ler ability oc ecgniive cisnedae Douckin, 300), Mony tah fac thaazlees for valuations ater ther caidien Teive am ADIJD dlagoods, especialy whist shes roeognize sar lutirbances tha they thmalves have sndured. Afults 'ADAD ohinge joo3 mere teyeecry, have mate rouble scm sncgirnenis ved hiv moe difoul eetumer, {986}. common ee ns where a chil ex na bas ADEID, orders, or wtethor multisk c thecnician's bast ak ie Hen le ot posi dsarders, or eves te ileal somo tis. Many ve bonh ADHD aor the ousibilty of anetier disorder are [ete for evaluation by serene lo have only ADHD, ADE evalustion is elpfl ta explain that every 7 areatofdffcuty, Though wae average age oF ing te olomentary school yeas (Shera, Car gicay whee indepe srcblens encoumier at ‘win attend prorchool ray be fered eicee, brea sora sells sch a perspectve-taking 20t igre, ve These is ‘ty ar likely to bug their wea ass to the sssesseaent sl 3. Diagnosis ane Ibwing compveas a erin rt ett by multiple inva fe the rps of ca bel porspactive with regard to bean vias tha ee se selling on svat of concirent rca biMery, HM 3eurapaychoogial ening tile conopoyetlogeal tr fy ADHD, tis ui icemivng alte: camarbitsies auch + apestc learning dksbittan, The mort procatsaboud be tsuceredsovording to the aye atthe the fient neem ores cecoting tothe DSMTV-TR formulate Cinetns should tave an understanding of Gpieak ‘ene, erotinaleeguletion, und age-appropvino bchavier "evo 3 notte functicing. For preichonler, diagneste mathels might inclode eatutalisc observations ig stitute senting sult as i 4 prescleel chssreom, san daotized inaviews and/sesel-repoet questionnaies, and peyshologial ingorten cp iavestigete the quaty of ionshigs. Pacer ed For evalua ie conserssiny mith bath Pe els, vary help wel, sth ae spouse or lr to determine om ADHD dingwusis for alts, tere amt be ing chlSwod, and supporting davctentation if srtlabla. Noodles se tho natal Inga dnencsts of the scorer several souusetePinfoation. The ieiview 8 of eenital fuparnce in dias, DED, aid in desiminiag 1d gaavity.Paychlogial testing ian cowmpoea, a8 em supply vahible ina ah aclererec 13 seal ina ying saving ADHD diagnoshs requlres an Understanding of see-appropriate behavior28 Parents ard hlekon may have ciferent viewmeirtstegtting RH symptoms ‘advances Piychethempy. Attention Deli jperactiy Scare due to thes ational problems, ADHD ctikinea muy porfonm potty these tests simply use Ihe extne ofthe 1st ai ured iaterviews alo previ impartent dat ate they off ate lie influenced by sources of information, family memes and teachers will ech have ther ond cone For intence, Efi Soby perents nave objerved. 0 hhove uo dysfunction prislely high stnesds, Ii imporanl ty remember tat ap ute fapicurrent eat Toe a disgnanis (Quinlan, 2000), and a mule feested approach 0 hasbeen Cound oe mos: use, Such an approzeludes he 3.olag ess and neatrent indications Land the subject's lean time. The instuctenes Rpsaly sie reins of emissian os wall as eres nf core en ropoted ahibit a grea qumber of eos af omiesion ané comission chan childtan vwthout ADAD. The Comnars Cortounes Pertormnve Task (CPE, i onthe ivelvor the preset acpearsinespersed among. of eonseoative of Aten TOVA) (Greening & Palamen, 1993), lonce ask that iz adnsisacel by earapater inyorves stimuli presete et oth infrequent laersal Indiv ies alent torespord to ateget ete thar apne ronteeget Tete, Ths report gourd Ly the TOMA includes scawes fe esparee tint Dr tors oF amision, crs of eacission, orl aacieipaony eco, low nee inecview with the perrons ‘ens ang agus. Te proces begs with a2 ‘who may have ADEID, The iberview stoxld ince ever pert: L. anoventew of de presencig prnblems ut thew ural, a history shat Includes developraeat | nee ‘erie, ur sosil component, staan evaletion ofbehavinns mended story of te person wha may have ADHD: investigates the prosuace af Axi TL presence of metal relada28 apres nyc apy: Aitenton Detect typeretvty Daower 3. olagnols ane Teatmentlains & A.gerismemed poyetoiogiea interview, sich a8 the Bartley ct lngewew fxn the Brow ADD sues, bs evsluaess whetber the cnt mess DSM-IV ester far ADED (Barkley 1998: Brown, 894), ‘Aa asvowsment of voguitive, aauropsfcholegizal, and academic Re tioning that fies the WAIST (We Memory Seslell, ceding and nusheratice perfornsnne test sich asthe Conners CPT cr the “The indivi dese ok specfecin ne Ds ge the sptome paced for Hopeetsc mente 3.3 The Decision-Making Process [= finsneed Clinictes shoul evluat lll tke inforrauon hey gacterdaving the assess an com oF re ggtone Lemestnore age 3? tine suas sé cerdese bea lagneslt Sf ADH. Ar import considers is | jaypasen, | tinea sex, proves to Ueemmice whether dete ie conten evidence dt aso a utile sours af intention to aie ata dagnosé thatthe aymptome ate cinsrttutinal (eg, they voce bul ol homme ant at scheol) md that thoy are verted ross afl seuirys (2g, ume ad sia. The euulntion of cot . vel cosparing ind vid i petormance oni wh ess des ged Wo assess ewovogni- Do ihe sraptamspese ‘heindividyal does net quatty Fiantlepalemerts nrmare tian | 22. | foran AOHD aisgnele Ernie onasting? aternste sues ane dagnones, ateacioual pelos, ths docs not qreessrly role oat prosense of ADHD. Given thn! he waesinent sectag isa teen comtived 1s iualized seetian fo ence sttentionl pratlems are fhequenly nt revealed in sul se tate ose Feqnentymnany alae cogatnaa in ident ie thatthesymptars arenat| yer [Taelrldual does nt asi beter atcountad oy another | Jeane | foran ADHD alge tring SES" | ateratensver ane dagnaaes, for the disandar by oxo or twe symptoms, i Irvin ica posctologit ma dima snc “styestold” ADHD a ch a of 0 seapione ae ris. Bling to “ontctocatteatinewiew diggs crteria also may require teat ithe paren cr spouse iacoro: | rorceerated a the cyaptom ace not allencompassing. Hote reer septons. | toscnet ql 3.4 Treatment Considerations ; onauct appropriate ewe © emi air ateenmart shold Skeets seemenar fra cantnutun oF en, tat ate, continuar ea arte inde — Aiagrosed with gwen BID CHO Dieguontis ForetAdsancerin eythrherepy:stortion Deficit yperactity Coded ‘ides sould develop an ineretion plan, Ie mast eases oF eheebiood ADKID, collabo with the ser, enches, ahd pares ca cee scoreless cong ‘Sormperts ore ofan a kay element of succes, a marber ry soed t peace fests se papers ering, rove tang and sméy tchaigues, Suonaty 4A eal that cintenrs estaoisn postive rppert we class and ther ard 2in o> arelatiship that emphasizes collaboration. Both cna ence bated, abhough te Treatment 4.1 Methods of Treatment While ADHD i © cbronic veuredevelopment i sommowtan guarded fregaosis (Berkley 2x], 2905), dere ere seven rescithod taatiant sppacnehes foe the divers, many of which a Aleead-based, Boimse of the bocogesety of syonplons aod nels aruong ALA Stimulant Medication ADHD tat has been steftuied © beter Wamification of giden ht rece speicsakgrouys ee ordeal Gl the et thar tere is poor aco#ss © Metal healt wees, partially oteang tose indians who have no insurance teat cnedescons with cleat nd ie far tests 25 well as che pean averse side offers of thse agents. Ln vidual xt range of reponses to red particular, tine! sttenion acl concent ‘Unéotunaray, ‘do uot exhance all of the five eswrioted pth the ADD aber, and acai patforman, Wilh se of the sewer st 3s generally seagent reimately 39% of clon wad wdlescents soapond io the einen: (Aeeaciean Accu’ of Pdiates, 2020 atheuzh2 ant medication ioe inappropriate rehire uae ‘the ag of vt patarte wth dal ‘dognesis ate fr Poycibtieapycatentun Dent ypeatsvly Dewey otter tases oC psychotopies muy prove mow ofective for ADHD ivan it is court with ensieiy sander gr depression, Fi ccentaticaid in soms shildes and adsescen (nu, i thats fea member wl ascbatinoe abuse disorder). or prcschoulvs, thers has been coniderable delat reaping the saZsy and aticary ofthe spozsorsd by the Bi yy sluly che safeyandeticaey of he stamuliisariang prescacolts. Since ha 9 onc is ot fully dovsioped in young eS, and stilens zeneraly exe that effect is unelear if thee ‘re fpf for thie young patient popwation giroa sages ae #80 ts prsscibing the ‘eatot and concemztion. Bec chsstcon cetng, . metional outcomes lu this age proup, Including seoKNR AN x fen (Shepred wal, 2000), “There bas heen consiGerable reach wo desnonstate that stulaee med cations exart positive effects nthe cove aympioms oF ADHD, partcalaly For exsrple, research has dernonsraced ty individuals mae fescr the CPT when wasted with mechylphanidae (Quilon, 2500). Wile 1s appear Io improve cin! functioning, these effets, abeit sai cant, have not ehays been einically significant Tanck & Biowa, Ont). However, few stucies have dervonstated ts effects of stinnie at imacieaton on functional componeoss of tke dso, nciuding vealemic vehievement. Although the reajotiey of soups {Ameld, 1997; Peam, 1992). Findings hve senorallysuawested cempablo rorponse among thea ine viduals celative ty eirmale Co capi (SSRIs) a stmalu metisazons safe and effsine:haweves eer pana eiteent ‘moliveion in all gation, ed sovld prosaed with specia! exc in che eae of Jal disgaoses, surcUsey Substance Abuse All medication etfnt ss, be ecrfuly mrnitoredl by eliasians Brown (2000) nates that many patients pruviee general deseriptions of medion frsponc, and advines aed 1 vceive structions in eperting Hate speci 2130 De snsi- by hes pros 2 who de not chiarve henefis rem one simulsat me: spond fe acolier A raeaaualyels of 23 stuties tac campared ions veel! few differsneas between nethyTsheridate, dexedrine, and ponoline, the prixary stimulants wsed to wenege ADED Univesity Evidence-Rosed recioe Center Group, 1999), Adverse ade effets be som pert, or juted (Me Mant none combined (addevally, and pemoline (Cylet. Bele ceseiptions of ese ‘pecific drgs flaw Selon. [is important to m0 that many ol there agoats alsa come in exuded rela foms Making once dy coshng site, rating dhe nett Foe mulepl diy doin Meanypheniate (Rist) comes iv 4,16, ard 20 «ng wl between ive ant four hous. The efees of the medication served inaboat olf au hour. The medizasion sbould be tried ws lw dose, is evalble in ndcate tat the susained release medicaon way be less effete: ncwever nid release preparstign in 20 mg tablets, Sone repels ‘many patentshave been sepestacto perf sal tia, particeanly when eveuntc nih behaviors astroamphctorsine (Devsdking) is 9 ths fongerastiag races ‘owt asthe Donedrine Sparsule. Tis preparation lst apostate lg to sen ours, and my be far aieute where ralile des thecushout the day may’ poo diffs re adherence to edison is unset i ncerepond of destesamgheran ie ae amphetamine. ei dug theapy’ for ADAD 999), Pemulige Cylon) s avaiable in 37.5 me ubles, asd ray eh ar ot sean to moth) pianidle o deatoempbor tore may 2e 9 asociation belween pelire AB CERES GR B {Use of timalant ‘etlcton must be oneavert respanieto sllmulantmedstion ‘atin, area Indica response ‘ould beceetuly Trontored ‘rug hols are reconvened 0 cerauate the oe for drones neyo en cence Labatt camper lize not be acd Wars ro ADHD, Atcmosene fleas the wangittss of wovepinephrite and Sitled 9s « aimolant stkoug’ i dove hove simulaor effort. tia owl taken lhe cnee or twee duly. It sche only meticatog that nas Red Appa! res. Modal target arckral ects Biden ssttuctuely Geant drags fo: ADHD, aud eletively eta. 2008} Iu bees presi esa 8 Sains, 2009). oa se levels of apgeoxinstely that on opti basioes (og. tahoe rings oF aciverse effete. The cose 18 san appropiate lve tion peed, the mediation should can be observed sores « zange of orvieunrls, Daring tis poo, vt family members should aiempt to bier the effets of midcstion fpughoat each dey, and compara thse obaavacion witk the strane of ote the tines bf day where tempt ta bave these time: sacks can help alleviate sou commen sic effios, such as geseoinist infamestion. Wis recomameaxi that peseribig pl «the need for moicaion and yo. For childcen vids ADI, toring the mecttion wt the begining of the sobosl yeas, Brag boli aa a rest oF sesh ctrounstaces, or If ‘he eadleation could precipitate dangavs suck 23 accidents icon ov abe (else ea, 1999) ss agents (te + ,weatmene 35 cle enidspecssanis (TCA®), including (ameter end desicais Nonpramive), ther pion (Weillura) gr elvan ving whotier medafini Pe ADHD. Foc piticns with emnerid dlagnoses, pciculaaly eomucbiity ofthe 5s dosiges throughout ine ca tose achiows consi eth ADEID, medivakon dessioas Routt be ceeched though towation berseen paves, teaches and naval pecans Before sevooe 4 medicalion eguner, be or she should undergp phy that assesces heigl puticnss, and may cange fram 2.54 hows. Based on exch persin's tue meetin, patents and heslth professions enn dee spproptate soon, Mewavos ts asots patie responses tureediaton should be sinar 10 ioge seessments Use Wo Gaga ate Lem) spoific target bohaviers dor which the nel 5 be caged, racy and cont Payhathempy alypliace ule prycholagtal sym indikcutowth Aleresson of aggrestion. cera fot be vesponsive 9 stinalan molaeheviont techies that senfoe ps Denavir appled intheclassoor at theme have Bean oun te be ery ‘fate ances tn 2ychotheraph aierlon De Hyperactinty soda ion 10 individual: with ADHD, such e¢ low elfesteam and rif fea. It cau alse ees the marta an fi whe beve ADHD. Many fox, stonalg ray refer he tha provide acessi ? assessments afta 95 “Lay suse,” Dike may tare recognized thee ents inherent characteristics, tried these ageive by ADED, such a ciffcates ac auhoat or wer, ehevior management teet- slques are eften helpil, espacial Tor younger een (Btow, 200, ane Innve boon demonstmted tobe the cerapy of ehoiee ip che managemast of synpions of ADED us wel as associated fet seeder. ADHD syupioms often provoke fanily lenge fer mainminingfverdsigs and partner relaienshipe. ADHD pacculng Skills, aad pares wih tis digoedez tnd monitoring to ensure they ate yareting in 2 consent ans hou sasfully consider bow tbe fanily environmen. ad ther relational enwatks ray alleviate wr exaceste arention and Fyperneiy- i symptoms. Aetwviomt teobmuqves ste conmsoaly used for nds with ADHD and rated he ps 3 ehaice forthe diner bax fare, Behavioethenipy mney cament of yosinye behav fe taught to parents and ray demorotra the gtomeacdegiey uf bchevio change ‘when they Bose caralgtentcespumsss for thee actions. Mattos of Bedaw= jee therapy incuce manageweat chilis Tor paconts nd fachare, coningency maungeanen (Such ws “Cite aus" acd paste eealoreement, aad tally, tha crgets social skills anf prablomsclsing, Canicteney we fllaw~ap 98 ray be help- pecuision om Ref ana ve post clave Uotaces mumeors studies tave demnoasated that boehavralinerventiors aw associated sith she eduetion of synptomns and pal onpaieneate seen seagested ta Ue efter of tightly ccatrllad behavior manageixen ace equivatent wid Aes fed bhai ont ADHD Tecinkue eserpton sxanple Posie enforcemest Prorilagewa of chia corletes an sign Dileges depenceat ment ands eamtteste onthe ale part Inyon he cunuter Tine ot hit ns stimgimpu shelyand is eeied to sit fnrclngentonpekes—for Sraleutocin th comm nance cf mnnied er 2fthe oom [rable bebo Response cost ‘wirtnaing rewards Child Yosesteetine lege conkngent nthe porarmares of thanted or prem veto. Toke econory loses sa’ geting Out of set, Cid eather instar atthe entofthe eettora aes boned wth response cos, wha chit aecconing (iorrevisy wee Breen. Antrrarcco, Dual, rated, King, Leste 2 alvin gress, Behavior therapies for children and edolesceats with ADHD €Acastepoubs, Shelion, & scodomis apd bchaviorlclasrocanintescutiars (Pua Se Parart Training 2 nyc stliss hove cxenaiod below parca vai fiance with oxen requests. ruleiluing i inclu, com ra nd ragresiv tabasion,Sodas eaiing ranangnent soot nd tome-baed ‘atervenions Avant Payhothaapy tent Defic ypeae vy Biro asvwel ss symplons msceisted With ADHD (Anasopuules, Shelton, DuPaul, & Gurveemont, 199%). After several mont of fuervenion, findings have severally tevested mocecae 19 large eles sizes Brown et al, in pres) 9 partcular larger afects have bean darnonctled vn firoionslcuiconas thao (specie synptoms of ADHD ss delineated inthe LSMAV-TR, Moroves, ike efits oF peal tetining have been Brune to be geste! in he pre? ‘of comorbis clagooses (actman, Saye, de Websters, 2005; Jensen, Hinges, Keazmey, Lenoeo, Lin es) ‘SchookBased interventions Classeooen behaves! iearveniens tare Seen widely rescued over the past 30 years, and there 122s behavioral approtahen in ‘Anumber of teemigaes are ‘wth prrentbehaviorl apptnanhes, classroom behave have typicaly targeted sympea immpainments such as dlscheying classroom ies, dstopive behav, fling to comply with lacher requests, and not geting alg with char clasentes 5 oF soe) iueryenkws in sprvial cducaioe seutigs In bit the vensive have genera ventions in sprout y ofseademie cutomes (DePaul & Eocet, 1997; Brown eta. pres. te cused on spevific dy clastooas fune~ tioning tet is conducive io academic access (eg. acatlemic proclivity, on tusk bebrvon) neber than seadsmi achievers tac has Veen assessed Over ies may resol in behavior chsage thats somiageacy mamgonont whore ingst ayonptoas are speci to behavioral functioning (DuPaul & Ecker, 1997}, I singlesubiest ragsinen approach artes 1a steetment Hoc, Mans. Jone, 2008) Bey sed gimulancausly wih pce (Gor review se2, Brown otal, ia pres), Tharsis elisinay evidenes tat wesidy sania sil glaupe way ugmemt the etote ot zoa}based and home-based istersentions (Piiner © Mef ing to the Fant eaectoaines for ADU (Brow, 2000). There do net azpesr 10 b> fc dingnoste prdietrs thal ‘ales, detrsine wer somceont W iiduul who du natexperice 8 ‘ne Stimulant reedsstin may respond w Cer aljougl thet are tne who zinply d-norespeianns the aie ‘Koes, ang Harmwez (2928) found srovernstt. 136 foune tal cesprumlns as alse bee Ioded 4 adute with ADHD, Reseerch vein rettsing ADTIO symgtarin 2007) ose dat fer the response to ADHD weal tg any sellble re eeponses to depessen, severly predicts, twestmest, Tee waits of thie eben as more coos! ed positive eafsresowmt for com Markie-Dadat (2002) developed paren inmpeove dixsupive bekavioes sta ADHD Sy smneerention Tso la irproved parenting a se probit that paren reported vet obs a Testnart 51 ing, Ache ae emer 008) fue a rong 128 penis ept necks cf ei sls aa CW ne ne errnten noe thr loots of sro, ag tess le nng eo vat aan, Atte, Hien, & Spans (199) 3 ‘iseogats Pec eck of goncalisilcy oF 8), high expecianns by the outcome of th ary to dearmine when eouching inter researched. Despite the eontalled rsestch stiies indicate bit gonsally compared smo det ssvare i thoy yee 1 the cone reauedes far ADMD reels boing reser (Amal 2001 Thous one promising sunk inert Ls neti I effects Hoa bebe vats i aloratve 1 efeacy Cegnitvethoupy ‘ha been four bectfatvetn adults 1th ADHD, but does hotappenefectire Inetdren and acolescantse—_— ‘ulant ed ation ecvely deasstoe ADD syrptoms but Tite isenown about halons term afias abana in Payee ora: tention Cafe yea tnt Disorder 4.4 Variations and Combinations of Methods Combining pssenaxopie meth psychological jarventions gy the rofered way to marae ADHO symptens. For exam, Sion, te, Spit, jens, & Pleeatman (2005) used cog therapy 1 produce rede toune among acts that were grea thax these obtsino ay raven Far pedintsic populations, however, sre sides have no: provided compe: ling dete 0 sUgpe dhe enetts of sombiued ewalmanrs of prenaacotherpy aol prychotheropy wlalive @ medicaian sone. For exemple, m a sample [DMD reosing in age Sern seven to nite yeas wh ki Gabba Fleiss, Exits wral,(2004) sscios; not ere there benef fom aero seciak sills ting ond fnetioning (leet, Afikall, Klein, Weis, Respite Kouri tal oes poe sc combiaiag medication vit psychosocial is mame elective when ihe wvarvention abo ineladen pm thacher (2003) evaluated an tere ign ag ffom 510 12 jews who scesived sense me paren ‘The iearventen prngran provided sigtt veel hehnvora and social skills inswuston, Felowingtle inerventon, the garents Te dhe grup apoded fester ADHD ssripions in et chldees a unprowed ing protic: us computed sills cekzul group who didnot tceve the “Ap NiMFL study cuted he Mulinadal Toatmert Study of Chilnen ADHD OAT) presents cormmetansive deta regarding the eMoary of cot tinct Weetmens for ADIID (GTA Ceopecnive Group, 19982, 19995), The mn 379 ehicren bebween We ages e760 1b wu yeesat The invertaul tent wantin of rains om Findings revealod that Cebavleral eatsients aad acdiction ar: ouperiee to beltviowl spprvachas sine or pleat community cae for chidier in comborbicaniey sores. Brits ess ubservcd over a period nodal ceatriest at 260 rst fe ne including eroubed fy relator 28 poor thase who were Weated with modction elon ‘eports lke suggest he subeo] bebavtos an pa nese to ralax,Ouens skillsmbo ieprove Abiko 20) etreabent cents mayoe expec: lat (Klein, Abo, Khas, Gunes, Sense, & Pollack, 1997). Seaerts wy sk have expecurring problems suc 25 leaieg poblenis or aect ve diene 4.4.1 Comarbid Conditions. Spero ea, (000) ate tate ef coer { pamacclogi movant fun] ADD, Pyne vo psi tne dgesve rth yay seer muna fom fu cae Prystarope ages: tegeteantdeaesins (TCAs), tampeune one Ein (MAb, seenve sm eps Hie yess (6.2.5 bupropion), ie tmobile dros tay Hk, ren sala ews ADKD Coa Ub End Ee tapers they soe te pcan 9 alyping sce Sonoran psig resort sia rediare tinh many nh nay conse ADED ta ben 9 cs cat {200 poacher ADD x rc ie gers ssn si th ‘Bw ADHD nya egd lls Ka ge oy el Hudson, Paadda, & Swann, 1992). * Rh Rs on & Brow 1998) reported Betacam 8 toon one (98) ea fined aioe wee xp hte os deen Di epson ancy usr owl edt we ad OND sas Sheer tn ern Fes en ‘Tron mt rv Serve teat lecunanate of hl 3| in sevaneesin Pyetotienny-AtentonDaot Myperetviy Dede, se * cary w pode osoboeduon io pass 4 hs that bose the posatbility of ancierystated 13: such 6s worry or feav These concerns: we ot prove beneficial for Bray beaten st I ectoneg tne chet ing su ie re peomleu end nyperuiity, Zar fs meson Wenner lars cul dets= sn antidaprencanm (2-2, we othr dag, Des 30" tae ck Trine appropriate relat adress caienysyeaptoms in ios welt ‘ncicate the: ahiléren sith ADHD and wo i Both MITA shy SR mmpues amcriel wth ADHD. Toned ad ts» 200 ent ik ADHD ani conor ue doris hu st bern ADD alone Jeep 2 aL, 2001) Newsom ate noted tat rina death cf episod remand Bate ntact ne TERED ase tone aabrnce we dist, heh deen tended ls ang eth es lt tals {for adults aad vet of he subrance wie dived (Wiens otal, 2000, F Me ADED rod tes, and copes tht posing both intant edition fubsnnes uae Gaorde: i vey serous. pa ‘pete foi. Psernaly, teabwoa! seul scares ps Says tot toey may ntrseL The Walestoy oP noe progeoses, Fach dserder ray cavoerbate ip soem (notase the Mik [ot whe development of subeance haven wile ADHD ace tested lt psyetesteulart Len tohave cohol ot dng 1 & Gunes ‘xe offen ncormerded for siseders Tater Aavdapeescans 5 ‘xdovercens ox ad pence, Vin Fave, & Biedor . ve pconial of thestimulals. Bom antidesreseant ed substance og of EEVINES 1998), glee te ad op medzsbon, HOwETED, agpEae 9 1 i), Fer cxanle, ae: sors lebar (1909) fund tort eth eats sit fo cocaine cy a cciiion beleen stint wea- inorder, However, vs, partulasy Whe. ar eiideen whe se rust be | ats arcoten vse for outenional or ‘adore prpusts amg avid wg do ct have ADKLD, Far exaay ray ef solege stn iy afte cogtiies, Besevint ier 1 combination oftreatient havior ievennons syebuaductoa, and a rand Brower (2900) alee eecitiaaes to bealn ivieals respond ws a single OO, 1 pee arg 2 Bese Inaddiun, sxdminsration of methyphentat f° ‘own (200) ote int most rvetigation: et planvncalogis atest for chen w ive disocer fave cemonstated the ek tore (SSRIS), ang Sots and sal tenet fn ep oF sve of ting bl ADHD {cb amen ey fe trea app be appre aw ts tocol itv seat snot Spin aed by oth Co ad ADHD. Poe nga emory pesfernay ders We thee A Ut amelie 33terse in Pycotheepg Aleit Selicypescty Dsercer _ Aisrters, For example, seme studi: Sove not doweotizeted diferences in belmviccal sponses x adverse sie afety following stimulaae teaterene fir dats iti ADHD alone xed these with conmerbid ADUID wad unre lcorcers (og, Dinaond, Taansck, & Schactar, 1999), Tannock and Brown ‘ope of ceicaron teges he spent uf Sebald an tional sympuonsofied vail whobave tod) ADKD and an antes diet ‘mos. spaoprist teak choi tha pointe lane Jneividials with comortic ADHD and leamingtisorters ate bes cated wth a comptiansive oppiacch and vores! therapies inchading pi Dspetotropic radicaon amd psyehceducarional neatnans, For chide, ‘os been shove: inorease academe praductivity (ee, Wek, Gulltta, Rane por, (93% Pelham. 1999), However, the mechenizng Inavgh wick simalam medice- ions ray frger the cognitive presses ious fp ure earice decrees ste unclear Stimultas may ireressecompeation! predved iy, anfonzaton sstieval, o° word cee ces tat stiulnat modicetions provide a scaeraized entancoment of cognitive processing (Tancock & Brevsn, 2300), igh thelr epeifc effets oo acaderac ot ad leaning isonirs, rat with Aoth ADH aad Teaming disoxlers, Wiewons should be supplanted svt gesventions pubste of Invevemicus may igelode sada er videotaped beck ar acs, computer instruction, parent wlocing,aupoiviien for studying, 5 compiesen, nd etganizton, and caunsclang. Tining with cemout Je emecilly beneficial fr indisicacs wits lating dis reas valuable tockshreugh- ond Fitwe employment Audio of widen preertaiens ‘may Leip atlas with icles in tea gina tele hse ofthe 'sark, Mhetity (205) futher ecumnendsperioeal digital wssiconts (DD: thot can include ely planus, lasts ond acivites. tom their changes sour demeods, They may caperince epuflts sth pars, 1 wh do not ueders 8. Ofer, hi s0253 «5. alates curing Phe high school yoorsus ad‘eocats ein to plat oc be ature, Parauls nay experince tus stess as well, and they may ely exaccabate wit hurenor, suing, oad xganizwtoa, Stace and sree may beni ron discussie ic sbacets Wilk aeanslr orang wh undead thee omeiions ed cy ote support aid guidance, Oke Pestholheapy ia cil in nc endless the incerpersonat and intapeen vestnca la tesponie oe dee, acl ey Ie ste tl pe sits develop eesonatleezpsaatons uid coping msthods Tannock & Bec 200, de 2 compehe led. Munoeza otal (1953) fount that io ageestenze xgocalty impart to 2 arly ncrvetions fr ehilien arte by ABED who dan: Yebasios (News & Helpetia, 2000), Since therpines Sight of ADED onions youth why have OCD or CD, a5 nay sxores fewer visble sympinns, a thoraugh saci iter vho ae bot wad or asidepressaute. Paychosee rele beth disondes aud van ji crates. Many che recess, ‘Tay respond wel to imi medias 6 may tweet aspects ot enpul- ravide ball bekeviral gods ite epics % be oteneions fot comorbid sggeession (Barkley, 148): Korman, Satna, Stauss, Botetedk, McBride, & Loob, 1893) na fren who Fave ADHD alone, io aduicn, simulans imadleatoe wy ceduce ageresct¥e seavios fea. Kiplin, Bane, Kup Wasseraane & Seg, 1990). Thee és ames secu € suspen thet slong, SARACHD ate ODD sy benefit rem a corral oF Guoxatne Parra) hvlphevidate (Gammon & town, 125, Checues & Kiso, 1997), nowever, hs sugneste a the SSR cy soethat diiult behaves ine tee exminad the elects seco supper ths efeacy aggression (Macon & Hier ns spect ‘bd AON an tee is ite research ane fwostescat far oles parental cugniive bevel eck 4.5. Problems in Carrying out the Treatments freyuaneyfaere tof sliactuss.Tedvcuas ies OC wpgetle 0 wel *55 Try ntertrewth thee gow of elder sp thelr weg ed heightatoslabe sonore arty | ‘Starter mediation ‘medication {erldcoce thatthe stiles may interfere with beathy wow: theafore, cidcen’s bs ght and welgt shoul be monered vohen beiog ® wedicaions. Scme patens apo exper euch Ire llbers of he dup Deas 19 ene generaly haa revealed tat dere informs ay pe the aftere side effect of hace with ly providing tie sot use" informati Specie medica ir stole be peace! for chien un zeas of age with eat cure, since the lone affects fr th age ey te tot beer extabited. Noreovoy, cilia ualr ite age ss este 9 cxperves 1 woater frequency af adverse wide ete thn thew hehe Sruntetprs. Barkley (1690) adviegs ages preserting simitansochldren ce elleaey (or these digs docieacs Ti childzee younger (ie Ast St, nal because te dre cg: tke poiuniat ery, slicks HY devcinped in chili under five yes old Furthonnere, the phrsis sles resparsbl for metsboizng end soli seraats ae developed ot tet age (Bary 1989) St (zoans! auton an women af aiitbeing age ba 1s efets to te Fits in wore “Atorseselive (Server) hes many pare Fomiting, gaetointeinal donb wot Tes, sezual Watt on, vi "on. patel men: vere cde eters, iaclading \asiness, neatackes, mead ving, Staves. ii i is Ws sensidration ty thse pressrning redken ‘eth sigan hua deroasroted 4 canncclan sche Fo specie dug has net beemazproved by ke PDA. The ony $5 care las been approved for oildeem unde rac, Furtherners, svidepressnt de far icity te both Thspotentat malt thot ut ng and carey men shileran an adolescents, 770808 the Most dein souls Suess estén xl of R02 ot the put ef the SM) as examined te extan tatu ara ha dete that fewer ina 20% ef, {for ADHD demorstar: compliance 4 tre 2 sandy ib these egenis when pretabed to DBeesription over the course ofthe teimene For a ue «act pected Of ti pala : 52 eval en, compli nay by mel impo, uve mages of tie adverse sie eet speck Chauging the dase ote of euctonton pote cere aat Otte are sid fs aa unig ticap pote cisturbanses often altered i i vty simula medica tions, "bret at heterce withthe we rents ant tasokam aeny ko sieatg u ep Wileas et sh. 26006) note that Jen biychotrpic madeations fe iolentor aousive eavrnntonts dxf canvetenion thee the sbessors assacitol wt that provides diferent tepid use lack of acerence {wthe Lestrnt sues retmertAdvan summary A range of beaten is BACH and Pertaining ts the various restart Pyotheny Atenton-befct pent befor incvduab wih ADKD, Indus ee should ache inforsation dct the ao bie thanfies in over te determine wi apomach may Est swe ine aad af enc> died! patent get {the aesnting cnsalation of sreproma Thee b crsioabe faeeeienen has daerons ie ffcacy of seeont medion fer ADHD. athaceh to net alnays inptave functor outeones eg, seventh 109 for hitter snd sul wth ADD, SSyehovall Wy Reha deray hae reseed empl sigser iy I wechniques sppeir to inceter suit patent? metoms and develop new eentel and beharer sca terventors aretrost emetnve Wher rev nave ber founcto respond cate implemented bach at home sn in the dootocny Combinations of psynosical ard paychepkarmaccagcintereetions ar eften est etfectvg. though omy Coopers So tal vseatch has et bays Bor ths aut MIR, A08).A combine approach my promote part and inate a cartrbute ta grentaracherenes wth raster cB, he niaraticn of stlmuant at poydheveal retentions fog gener scan chan simular verapy alone eansenet al 1832) Athoogh pater with AGRO rep Teter om ever sychaogical ad ech olole , MUCh more research neces te He conducted te aerate Sch approaches that are moat lg Case Vignettes Case 1: Emilia smavlave ADED, ‘Accoating ww Emits sung, wl bas aed hor prem no oper ly except for a fev cols eat lvetoped ita + sri ‘ny spre at seul, luometheless a progess in Atfhouss the ‘Ana. his been telping signin Scorn and by pay fv van Maing ita cereuly has tenadking nna wy sho eatnct ive wi heembe Sana responds tat Elia’ metic is «Bien teal chop cube wih he ble te Keep a jb, taiveswncesbe linc. lao, Bilin has ben avast ids seve aust inte marr. Hor appetite ben poe ini she ig nee kee she denies su gna, vision serccning and aed shes eo dycomic fates, The arly Her neurologic eae was e sud onsite questions wilingy, ALE’ aes sit am cata did not meat the era for eta fr sity end dees, ' texshers, aad considering. fe at Enis has ADHD- (A. Be ADDS however, he di After faking with od etary, iis‘dnc in syehoteray Altemen-DeFypesctvkyDkerdee lo concen abut depression. ty talking with thar she is bt actively ai ise symptoms io 26: quite hore at Witk, and find ‘ht hie eencerese etn hime nking ney bea throughout heen. nck hep working ov projec ca whieh fe isnot asa Chis vowerkers appr fas aot boca uy to hi Poet is ewe hal bis AED, tother depresed, acd bus piliend, hs Dster mack an anponinen: (ur theapy toads his dapesive fins ima king ABAD ment 4 weutopsyclgteal mesures, including the Ws ded an exasive intamviw ropa ‘ent Sis tht includ his rolitluships wth Salen work stsict jote, and bis interests and gals al neuropsycotogea ‘ebacame clear that Peter excels ia je san seve downing aid equi tat he cals hese pic aces, He algo enjoys work th promises conse? get end coerce of nol Peter's thay explored the iteaolions among Ais week cognitive stews snd weakens, adie porsonal ie. Be tte co ework us posidumFurther Reading Bathe. 8.4, 0997) 408 cud te naar oP fcr, Kew Tok otis cryreteste avcvew he seas ‘ROSE. Ta sal noes an somber corte dais Wahine, DC: Aa aly ger eon ros an testnce of ADHD eS fate 1p skrenhe wt 2008400: a empl lags Ariens Assoc. of Fels. Pri AADAC, ti ook fescue sary ee fas te nen ty a thy fom ae undetaig of ADHD a ae see Hae dass te ery ofthe does and cits imate sp aod diet caren tre, MD: Th inn Hook “This woes Were sours ‘els made Fo fhe dior ou References Si I, earn. L, Klet, BG. Cait So¢al Snort in cite sin ceaney, J si tls Pye, 4), £09.19, feabcl, 1, Five. diaersof sien i) ADHD. doa of tof Ryser Beg Sheree Sevag of ea tide. Dias aed et of 8 EY With etonsMfatUiesetniy loa Poe 2000, Degree ad ttl mene of meta iow, Washicaan, De 03), Fans-bsed shoal te oe deep deve Ein, openia e Spica sed ste aus sinay leat Abner teat eet ie (ADED. Te is wth auton tic ypercaty Yak aie af Ssaee J). 3M SwARONEL. Bao 206, Mew Yok Petey Fee Anperetiy csrien «bandos Rn mon dee ements 1h. Bev Yoke Guin se ariey 2. A. C108, dttenion df epuetnyeany of hanbus ovr Kav Ye Coils Dae oki R868) dentist: 4 bck rete and me ‘ro Ql), Hes Yo alfod PrasOn Dit 92). Felice >eatatd sinew dre 2 abearact Chit Pcl 106 Barkley KA, 9. Psitongeal sauce sal ‘yeas tdats th ADHD, dant of drones Oooo cor rg ptrnance ‘Sonlet soca Se esr Bosk. T1990) Bet Amina in Fede A, Soy RAs 2 Bn 8, 1 cto Copce K(U88) Beek Detar tonal & th stalin deehypri 926 90, Dates py Tayhoscial Anco Jag i seus xh mm of Pci, 19, Leyes © 4, Boeontn $4, & Haetowoutolet ral teton dt iat "sai of senda. vesion, Pes Met te lelasoe and ef Ainirnas Trl Psion 40%, Beka, N. Boar, 6.6, Dabo, J. gle KC. £99, Payee secule e sotto 1588.1. 2) Bfacte amos etme oar ds 2 yrs, 81 Ses ad STZ hits rans © 6 eum of age Ll inp. lan dace, chee ore Pam Ue, RT. La Resa A 203) Race evcopmeats stemicaetevinsencivty deca {ADHPY Proeratey i Practog $56) 3 amoohiyy ot seg Rene chophurnarlogy: Axoaeo ew "haley: Reseach nd Pe ‘tis reboots deen: Fi Dales trode Sele: Meu Torney: The vsdeculags at atettiondeiit dod: aad oo Aten fc eiardon a comnts op 3.58). Woshinge, DE; Amenety Pa 2 2.99, zis of mebpteride o caret lathe Fr leat Paptolye: 270 But, 8, Kocsge N00. OID, Pent ew oud he bred extnalzing cat her Camra Prchaee Now Vide Cid Pace 3 Wd Chel POOR: 2.2128. eid, J 1, Eebure Fy Mes, 2, 4 Sc GON, ts ahere often 2 Pichi, 4,359 563, ia ha, aces oo, Ameiun Pe Pes aeAdoneesnPayhotherpy Atari Dehchypetity sore Comers, 6 4 Poe D2 ais Were cen Yow Yate Penron mpetimase tat Py chaphorscclage Carnasray st ced: Pehle! Non Teaewandy na, LM, Liteman, MC, & Kine, St Inkboe on sate fot irs: 40-5, 8. Sen CFS). tien dat ant epoca in cle SST New oa Mi Gout A gu JT, Stik Ae Rapley MB alse tn TSISEV ADD carne 36, (5 arly subtypes ened eon sm ofChia ae de an 1989) Te Clore tnt Lecrng ttle ind senting tir re she ‘asses ianene UB, Tao ey R Sabu, (.99%, espn anion in shies ADE aid consti abst: Jou oe cary ha oo ehtesei syohaey 38, 00-49 Davai VC, Aner wii pba. ML (pp 290-32, en Yak Wold Pes Peete ATH srmpotssPyceneic pee- ese uml, oun f Cheat Chit osche MS ose fi espace oF che sit ADHD is (5), Dewtognontst 2 The is tue inert enone rer & temas Seen! Pselage MD. (163) Dor nent oir DePaul 01, & Raps, Facow. 5. ¥, Blederman, e6ck Lipa Yor, Tacs Sreerbag. LM. & Walt reveal _ Teaeerences io hypereive New York: Randa owe Des sith aditimsin of seumeta sisal 1 Sidon, ofebmeat, and ale A ch setes lta Prschoprarmcpy 6, 198-95 0, Dc rage of ‘he Be Yar Ascdony of otto de Gag of ord Jel of Chen Centmporry Stes De eh 1 Marcelino, tO) ve Mirbis of Aeterna of Hb Pyhlagyo 977), Bosna ein Peray Mote Shs 300-30, KA, Fncenbege 2 ewok, 0c (28 ng cage SUL wr! 5. Wiclahol JL 908, re of atcent Teo2 Achaners in Paphos 2p Atetion Daiit/Hypea city cords ‘ner 1. Fel E. Ol, Jose, M, Guage, Cabin, cad sion uf wack Lett te Soars sada of Cait ont fee #2, lon, RBrmag 2, Bons, A.D, em MC. 8 Loe ieee on atin ei ‘yas Prehataes Kopi sy Spare. P Ma tna ceo of Crk kcbecet Fay We lem, KL, Nove Wooley cli woth ype of Loving Df, Nera 28, 8 fltowhis meebo uecse foc parbo sorbet Sebi Mine oi Awsrio Acuvey of Cah Sole Feet Lo uventrsatd Rolla: Pee! M, Raia, Ry Bol M. Cuninghan, © Bo Mia J Les KV Stor 5,205) Deprcen of ston Inyunetviy aren A nace b usa able, Jn 56) Sa Mowe 5. Ech a, Bese A_ Milly P-Lebudle Ne Adin cus efter brs: Kus oel ceva enon test, ahve of Genera Pein 3, HOBO X thlpti. 2.36, Starz, %, Napoum 1d Sta "owes oF Chto IT. Adan, Fasgoall My mkvigpeccay and aggety cme: ed ts Deven sep ian rep. foo te done deat 2 bia wogat en Behan Paco Poyehcloghal tnd, 2, ON, he, Oy Sars, Lyd Pee 5. (99 scoot! sete i nd viet atenton. nk A ehies9f Gomer Puy $0 19-088 ny eshes (ADED] ache sf Senay— Henin pstetheany eucnior ena rypenclvty Diese Schvorhntve sete ale DC: Ameria tsi Pas. be peretxnerapy © te tenets of S08 Pahusheryy Theo Reser ardetsetypene E1800 Reg cient rey. Sasingon, a, e300, atc 8, Rasaussot A, Lothnen J in Cth resivng secant A reiey of fay 2f Chl and hse rp “ 169). Aste \ETSSION In TB (EL) aur ses ‘feiss nd ect (op, es E2000 & ADI « dies cgsier Beyehobeat dat 1 9, NB e104), Us ies ae copie use gue somrsew [Coca gee sue te Aerican sccm 4 Chit od 54, Wns Fa, ‘enone ia Ue depen stones de Pjentege, 1,206 iy ster end of the nets BH i 13-1024 ei eam, stn 19. Nowy cr su ancien, utorsoe MM, de Eien, (100) Bano ils def Tenens ayo, vel obi, Guay. 3, Fable G,Celen, E4,Team inl an vatican a Pychophamacsio 32 Hi, Nas, §, 8 Than, ese: 8 vere oiduee a rec nd ion ef elie sonst for ted Bo Seay Me Cre ‘audi F 2005) Coach 2 sen 2°33. Bsns Betciy ender Jn Hany A Tigo (Eeay. rooe {ston on 255-27H ew Vas Elown Ateneo Pflfes 1-1, Coens. se cbuceer, Eth). neon, ‘enforces cups a, 908108, inane cence ene Aeslon' of Chetan kote SenuCthetm, M3 Be 080) Cans ngewe a 330,41 oa 1. (60) Ammon Socvtyge TR. Drorn (Bly, Acemoraew dbonlen oe eaescsees Preneapy tention Defuioype cy Cleréat Sih, 9. ¢2004) Tang te sea ‘Sanife Amery, 2901) 224 Safhlcuh Bs 8 “Tiana, R. & Bive, 1 E10) atone ‘rls 8.1199) Dewiqpaectl ucosschopetielogy af een lt a nes, ecnmen a Paspthelgy I) Ting, Fo Ailsa Procpbinccingy Sener (24 Sour be tue Wa 51.06 ealy ecenen ci tia, tn op ADT, We Ben 0. Ane ivy don ADU west a the lefiiinpenctly dor Vip amore: popu lontasoeakat andy Hoyo Coe Preset! 1 Dell cle Uo TT Beton es cox ei: a) Aoma! Chit Psat, fefeivhy perv. 10) topos sa bw 10? Jenna ef Casrting ad Cine Dag ag 226 "Gopi I. a Wares, COE) Eh isn HH ney dayne vith ater nce Balog Pi 6B Wade D.(97), Meter se dese Sai. San uti, 1K stokes) Cope S, L (USO) Haeatne fre gry a Ke York __2tetoenees HE. Meteo 1. 8 Wat C99. ADHD in eho ous SE MOe earch tenn, tae MD Thee Na Bs Kofi, 2. Hou 6, ADI HEB, Atom crap sates Ut MTA sly a lemeraiot. sal af abvorna wb Meni A, losinosith nea age en 8F Gene Pain: 3 AY (00) ad vn 11. (200) Tae simulans revise, ue ant da ort tnerna 9.37 5. Spaoen Td ee che deans fy. Brun ais choos nd ai, och ofaLetenle Bron 6). Atertonelfon des ahi, rie or ede py 209303 Weshonton Deen SoD, Lidge. 1, Sua PL.Segit, 1.2. LW, diss, 4) Tce oF the Ele ner ene 9 ba. 19823. The ADA Cesena teAppendix: Tools and Resources Support Groups and Organizations for Individuals and Professionals ‘Ube Attention Defet information Notwenk, fav, 58 Prince Se Needham, MA 02402 us. HeLs4t TaL-4ss.q3ee Web she: telp:orwmadelngcaetwotk.com Sugeom aod mination offered to thmilies of eitden with ADD, adults SARADD, eno professionals enough a newer of ADIN chop ADD Warstame 3200 Nortiwest Fon Ave, Seite 102 Praatatine, FL & usa, path location fo rds books, apes, ssessimentscales, and videos ace fully soled 0 belp pica, dues, nd heath AMectel by devedopmensal dander Centr fer Meraal Health Servis 600 Fishers Lane, Raa 13-108 uckvile, MD 20857 Usa. Tel: + xo0-799.2647 Web sik hag amen samtss gov 4 braichot the US. Department of Hea ‘rane a infocmting on ate ea ian Senos tht provides 1 supyoe seivoes, Aula with cron Deficit Dionders (CHADD) "ofessionet Pace, Site 1 Mp 20785 his group alvocates Quest AB popandr (Gounifor Exzeationd Chi 10 Mosth Glebe Read Seite 300, Allington, 4,201 S704 +41 800-CEC-SPRD (@u9 232.7735) Iapinwn seeped ong Suplies miter fsredvewom ross in working with children +1 890-228-0272 Wied ste: hp meticescng Pate, Ctuonet Resouces Iformston Cento) is a par of the Ls Departmest of Edveetion, This aagicatia proves infin on te cs savin of fudbvldeals nt sabe 5 wea ae wl a gia federetie of Fane fr Children’s Mental Healia 110) Ring: Alora, VA 20528 usa, Tet 703-664-7510 eb ste; inp: tewsedTeeh ong ‘The Federstioe serves the neods of ctild ioral, und mentl disceere sad tir fa tion on rleted serainars and workahops, and suppor grog Hente Resomee Coney ‘The Geaige Washingrou University 2128 KS, NW, Sue 20 Washingtoa, DC 20497 Usa, Tele +1 800-544-2204 Lup wtih gnc Provides information oa fnanci! ai tr students With disai Fedral ai, ste vocational retablttion services and gio sees, svforal services, a atsoeatcs 2itinppesectty Ono pr nehoas: fox Aloe and Drug Tasormation 20 Rox 2345 Rockville, MD 2a Usa, RL ton729.665 Se site wp: nond santa gov! Information cathe rss. syndrome is provid (National in iNICECY) a ie Ate fen Tsining and Ifbrcesien Centers cd, Room 818%, MSC Bey Bethesda, Maryland, AD 34882-9509 USA, eh aE o 4655.8 (463) otce ca Bc Sey oie z Sect ts ™ Clinical Handbook of Psychotropic Drugs for Ghildren and AdolescenDea | Children and Adolescents 1 Inthe seties: Advances in Paychotherapy ~Rldence Based Practice | ce sta |e Cusea pods 15 Diag Procedure a 4. Tenis on adel fhe er "EReoeees 8.Aypenibe ood andRecuresCoy eer | the haa ay ee te Belle Seracthe Feed [Davin Wee ‘ain testuresolthovolamas: