ADHD 101
Armin Moradi
2024-05-28
Hi!
Vibe check
What is ADHD
What is ADHD?
- Neurodevelopmental disorder
- 12
What is ADHD?
- biological
Summary
- something somewhere happened
- stuff went haywire
Cases
Case 1
- 34, male
Case 2
- 30, male
- Doc! OMGADHD!
Is it ADHD?
- Likely
- Unlikely
What do you do?
Functional impairment
Case 3
- 25 F
- Doc! ADHD! I can't live!
Is it ADHD?
- Likely
- Unlikely
What do you do?
Stimulants
Case 4
- 50 M
- I'm desperate!
Is it ADHD?
- Likely
- Unlikely
What do you do?
Case 5, 6, 7, …
- Attachment to diagnosis to explain shortcoming
- Lack of discipline
- Performance enhancement
Identify
History
Physical exam
done?
other stuff
children
- Comprehensive Executive Function Inventory (CEFI)
- Conners…(Conners)
- Barkley screening checklist
adults
- CEFI Adult
- CAARS (Conners adult) (long and short version)
- Barkley checklist
other stuff
- aids
CEFI
CAARS
Barkley
I don't want to take history
CPT
- pretty bad, not well validated
Summary
all of it together
Treat
- therapy
- meds
therapy
- behavioural modifications
- CBT, target what they're struggling with
- situation specific
therapy
- accommodations can be helpful (school, work)
meds
- ADHD guidelines
meds
meds
https://www.caddra.ca/pdfs/Medication_Chart_English_CANADA.pdf
what now?
- resolution of symptoms
- functional recovery