Clinician's Guide to Adult ADHD: Assessment and Intervention
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Table of contents
- Contentsix
- Contributorsxv
- Forewordxvii
- Prefacexix
- Chapter 1. An Overview of Childhood and Adolescent ADHD: Understanding the Complexities of Developme1
- Transactional Model of ADHD: Impact of Biogenetic, Neuropsychological, Cognitive, and Psychosocial D2
- Interaction of Neurobiological and Environmental Factors6
- Cognitive and Academic Findings6
- The Developmental Context: Characteristics and Associated Features of ADHD10
- Cumulative Effects of Living with a Developmental Disorder: From Childhood to Adulthood14
- ADHD Risk and Resiliency15
- A Developmental Perspective: Implications for Treatment of ADHD in Adulthood18
- References19
- Chapter 2. Continuity of ADHD in Adulthood: Hypothesis and Theory Meet Reality25
- Introduction25
- Outcome of ADHD in the Adult Years27
- Evaluation35
- Factors Affecting Outcome37
- Conclusion39
- References39
- Chapter 3. Research on Comorbidity, Adaptive Functioning, and Cognitive Impairments in Adults with A43
- Disorders Comorbid with ADHD in Adults46
- Cognitive Deficits49
- Domains of Adaptive Functioning Examined in Adults with ADHD55
- Clinical Implications61
- Conclusion66
- References66
- Chapter 4. The Assessment Process: Conditions and Comorbidities71
- Introduction to ADHD in Adulthood: Presentation and Risks72
- Current ADHD Diagnostic Criteria, The DSM-IV73
- Practice Parameters for the Assessment of Adult ADHD77
- Making the Diagnosis of ADHD in Adults78
- Guarding Against Overdiagnosing ADHD in Adults and the Issue of Comorbidity81
- References82
- Chapter 5. Clinical Case Studies85
- Case one: Assigning the ADHD Diagnosis Incorrectly Can Cause Harm86
- Case two: ADHD or Bipolar Disorder or both?91
- Case Three: ADHD with Comorbid Substance Dependence and Conduct Disorder95
- Case four: ADHD/LD and Test Accommodations for a Professional Licensing Exam: Effective Advocacy99
- References105
- Chapter 6. The Clinician’s Role in the Treatment of ADHD107
- Overview107
- A Multi-level Approach in Treating ADHD in Adults109
- Basic Issues in Treating Adults with ADHD111
- Treating ADHD Across the Adult Life Span113
- The Challenges of the Middle Adult Years121
- Treating Adults with ADHD in Their Middle Years122
- Summary126
- References126
- Chapter 7. Changing the Mindset of Adults with ADHD: Strategies for Fostering Hope, Optimism, and Re127
- The Characteristics of Adults with ADHD128
- The Unfortunate Mindset of Adults with ADHD131
- Assessing the Mindset of Individuals with ADHD135
- Coping Strategies: Helping or Exacerbating the Problem?135
- Steps for Changing Negative into Positive Mindsets138
- Concluding Thoughts About Two Men145
- References146
- Chapter 8. A Model of Psychotherapy for Adults with ADHD147
- Who Are Adults with ADHD and What Are Their Problems?148
- Psychological Therapy150
- Conclusions158
- Appendix159
- References162
- Chapter 9. Pharmacotherapy of Adult ADHD165
- Introduction165
- Overview of the Neurobiology and Genetics of ADHD166
- Clinical Features of ADHD in Adults167
- Assessment and Diagnosis of ADHD in Adults168
- General Principles of Pharmacotherapy of ADHD in Adults169
- Stimulants in the Treatment of Adults with ADHD170
- Nonstimulant Medications in the Treatment of Adults with ADHD175
- Clinical Strategies for the Pharmacotherapy of ADHD in Adults179
- Combined Pharmacotherapy181
- Summary182
- References182
- Chapter 10. Career Impact: Finding the Key to Issues Facing Adults with ADHD187
- Introduction187
- Barriers to Realistic Career Decision Making187
- Starting Out with a Realistic Picture189
- Reframing and Involvement192
- Client Involvement and Developing Self-Determination193
- The Role of the Professional as Mentor and Facilitator194
- Practical Tools and Strategies for Career Decision Making196
- Gaining Control of the Decision198
- Generating Reasonable Alternatives200
- Living with the Consequences Without Suffering201
- Managing Uncertainties and Assessing Risk Tolerance202
- Conclusion203
- References204
- Chapter 11. What Clinicians Need to Know About Legal Issues Relative to ADHD205
- Introduction205
- Two Statutes206
- Individual with a Disability206
- Otherwise Qualified213
- The Right to Reasonable Accommodation215
- The Professional’s Opinion216
- Conclusion217
- Notes217
- References218
- Chapter 12. Making Marriages Work for Individuals with ADHD219
- Overview220
- Foundations: Setting the Initial Stages of Therapy221
- Two Therapeutic Approaches222
- Supplemental Interaction Strategies233
- Substance Abuse in the Relationship236
- Assuming Individual Responsibility238
- Summary239
- References239
- Chapter 13. Families and ADHD241
- Introduction241
- Effects of ADHD on Home and Family242
- Parenting and Marriage245
- Good Parenting and Straight Thinking248
- Managing Family Life: What to Do251
- Summary260
- References260
- Chapter 14. Life Coaching for Adult ADHD261
- Claire’s Story261
- What Is Personal Coaching?262
- What Is ADHD Coaching?262
- How Coaching Helped Claire263
- Theoretical Underpinnings of ADHD Coaching263
- The Precepts of ADHD Coaching265
- The Process of Coaching266
- How Does Coaching Work?267
- Distinguishing Coaching from Other Services272
- The Power of Collaboration273
- Coaching Is Never a Substitute for Therapy274
- Issues That Can Complicate the Coaching Process274
- Finding and Choosing a Coach275
- Creating the Right Match275
- Qualities to Look For in a Coach276
- Conclusion277
- Chapter 15. Lifestyle Issues279
- Theoretical Underpinnings280
- Lifestyle Management Model280
- Understanding Strengths and Weaknesses281
- Maximizing Medication283
- Achieving Balance and Establishing Long-Term Goals283
- Planning to Attain Goals: The Day Planner286
- Organizing ThingsŽ288
- Conclusion290
- References291
- Index293
This text offers practicing clinicians strategies, interventions, suggestions, guidance and ideas to work with adults struggling with Attention Deficit Hyperactivity Disorder, and is intended as a reference to which clinicians will turn time and time again as issues or problems present themselves. The text will also provide a comprehensive review of the scientific literature and expand the development of an ongoing model to treat Attention Deficit Hyperactivity Disorder.