ADHD

• What are some risk factors for ADHD?


  Family history

  Genetics

  Prenatal exposure to alcohol. drugs or smoking

  Premature birth

  Low birth weight

  Neurobiological abnormalities
• What are some signs and symptoms for ADHD?


  Hyperactivity

  Impulsivity

  Inattentiveness
• How many ADHD present in childhood?


  Hyperactivity

  Implusivity

  Inattention
• How may ADHD present in adolescence?


  Decreased hyperactivity

  Impulsivity

  Inattention

  Risk-taking behaviours
• How may ADHD present in adulthood?


  Inattentive

  Issues with: time management, goal setting, employment and relationships
• What are some comorbid conditions with ADHD?


  Learning disabilities

  Conduct disorders

  Anxiety disorders

  Depression

  Substance misuse
• What are the different subtypes of ADHD?


  Predominantly inattentive

  Predominantly hyperactive-impulsive

  Combined
• How is ADHD diagnosed?


  Comprehensive assessment:

  • Developmental history
  • School performance
  • Behaviour in different settings

  Co-existing conditions:

  • Lerning difficulties
  • Anxiety disorders
  • ASD
• What are some non-pharm interventions for ADHD?


  Parent training/education programmes (children under 6)

  School based interventions e.g. educational programmes
• What are some pharm intervations for ADHD?

  Methylphenidate

  Dexamfetamine

  Lisdexamfetamine or atomoxine
• What is the first line medication for ADHD in children and young people?

  Methylphenidate
• ADHD patient should have regular follow-up to monitor effectiveness and side-effects of medication along with ongoing need for other support