Recent Research — ADD Tip o the Day 380

Tidbits on ADD ADHD:

“ADHD is estimated to be present in 3%-7% of children, while adult ADHD has an estimated prevalence of 4.4%.  In those diagnosed as children, rates of ADHD persistence into adulthood span 30% to 70%. It is well-reported that adult ADHD manifests more as inattention than as hyperactivity.”

While the stimulants, ritalin and others,  are generally quite safe, it is recommended “to screen for histories of cardiovascular problems, and to monitor heart rate and blood pressure in adults.”

In older adults, it is important ” to differentiate adult ADHD from mild cognitive impairment or dementia, as cognitive difficulties in older adults with unrecognized ADHD can be easily attributed to the latter two diagnoses.” ‘Brain  imaging studies of ADHD studies involve similar areas as are implicated in dementias.’

“Childhood hyperactivity may manifest as adult inner restlessness, felling on the go, or inability to relax.” ( I experience it as the giant flywheel inside that never stops spinning. )”Inattentiveness noted in children may be better described in adults as distractibility, disorganization, being late, being bored, lack of overview (??)and difficulty making decisions.

Impulsivity may be expressed as impatience, acting without thinking, spending money recklessly, and/or starting or ending new jobs or relationships on impulse.”

“Many adults with ADHD experience lifetime mood lability, with highs and lows and short tempers.”

There has been an increase in stimulant prescription for young people (18-29 years old) by non psychiatric physicians, often without a diagnosis being recorded.  There apparently is an increase of use of ritalin  by students in order to enhance their performance (I am not clear how this works???)

There is an increasing number of brain images studies showing differences in the brain anatomy and functioning in those with ADD or ADHD and those without.

doug

out on a limb.