Category Archives: ADHD

Pharmacotherapy of Adult ADHD

Originally conceptualized as a disorder of childhood (), attention deficit hyperactivity disorder (ADHD) is increasingly recognized in adults. attention deficit hyperactivity disorder is estimated to affect 2-9% of school-age children and up to 5% of adults (). Although some investigators question the persistence of attention deficit hyperactivity disorder in adulthood (), long-term controlled follow-up studies… Read More »

Stimulants in the treatment of adults with ADHD

Stimulant treatment of adults with attention deficit hyperactivity disorder can be characterized as follows. Stimulants represent the first-line pharamcotherapy for attention deficit hyperactivity disorder in adults. The two main types of stimulants, methylphenidate and amphetamine compounds, have different effects and are metabolized differently. Methylphenidate does not show up on urine drug screens. Stimulants are not… Read More »

Nonstimulant medications in the treatment of adults with ADHD

Here are some important points regarding nonstimulants in the treatment of adults with ADHD. Tricyclic antidepressants and bupropion are second-line therapies. Antidepressant dosing of the agents appears necessary for attention deficit hyperactivity disorder efficacy. Serotonergic medications do not appear effective in the treatment of core attention deficit hyperactivity disorder symptoms but may be useful for… Read More »

How is menopause likely to affect my ADHD symptoms?

As you enter your late 40s and early 50s, it is important that you become aware of several perimenopausal and menopausal issues that affect women, but especially those with attention-deficit/hyperactivity disorder. First, menopause comes with a whole host of symptoms, including memory problems and mood changes, in addition to hot flashes, insomnia, and other physical… Read More »

How does ADHD affect sleep?

Women with ADHD often complain about having difficulty “shutting off” their brains at night to go to sleep. They report that their thoughts jump around from one concern, thought, or worry to the next, resulting in significant difficulty with falling asleep (initiation insomnia). They report that once they finally fall asleep, their sleep is very… Read More »

Are girls and women with ADHD at risk for developing eating disorders?

The recent discovery of the association between eating disorders and ADHD can have significant implications for women and girls with attention-deficit/hyperactivity disorder. Unfortunately, this critical link has been overlooked for too long and has come into the spotlight only recently for several reasons. Most of the early studies of ADHD were conducted using male-only populations… Read More »

What is the toxic mother/daughter dyad?

In our book, Understanding Girls with AD/HD (2001), Drs. Nadeau, Littman, and I refer, for the first time, to the toxic mother/daughter dyad. There, we described the negative pattern of interactions frequently seen between mother and daughter when the daughter has attention-deficit/hyperactivity disorder. It seems that when presented with the difficulties her daughter’s ADHD symptoms… Read More »

Can ADHD be seen with bipolar disorder, or are women misdiagnosed as having bipolar disorder instead of ADHD?

Perhaps the most difficult diagnosis to make in women is that of ADHD-combined subtype and its accompanying demoralization versus bipolar mood disorder (BMD), because these two disorders have so many features in common including mood fluctuations, increased energy levels, hypertalkativeness, impulsivity, racing thoughts, irritability, and problems with sleep. In addition, they both have a chronic… Read More »

Are the other conditions that frequently accompany ADHD evident in childhood, or do they develop later due to environmental influences?

Coexisting conditions appear early on in the picture of attention deficit hyperactivity disorder, but how early is the critical question. In one study comparing 165 four- to six-year-olds to 381 seven- to nine-year-olds, similar rates of impairment were found in school, social, and overall functioning. We can also look at a more recent study designed… Read More »