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Clinician's Guide to Adult ADHD -

Clinician's Guide to Adult ADHD (eBook)

Assessment and Intervention
eBook Download: PDF
2002 | 1. Auflage
299 Seiten
Elsevier Science (Verlag)
978-0-08-050207-6 (ISBN)
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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.
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.

Front Cover 1
Clinicians’ Guide To Adult ADHD: Assessment and Intervention 4
Copyright Page 5
Contents 10
Contributors 16
Foreword 18
Preface 20
Chapter 1. An Overview of Childhood and Adolescent ADHD: Understanding the Complexities of Development into the Adult Years 26
Transactional Model of ADHD: Impact of Biogenetic, Neuropsychological, Cognitive, and Psychosocial Deficits 27
Interaction of Neurobiological and Environmental Factors 31
Cognitive and Academic Findings 31
The Developmental Context: Characteristics and Associated Features of ADHD 35
Cumulative Effects of Living with a Developmental Disorder: From Childhood to Adulthood 39
ADHD Risk and Resiliency 40
A Developmental Perspective: Implications for Treatment of ADHD in Adulthood 43
References 44
Chapter 2. Continuity of ADHD in Adulthood: Hypothesis and Theory Meet Reality 50
Introduction 50
Outcome of ADHD in the Adult Years 52
Evaluation 60
Factors Affecting Outcome 62
Conclusion 64
References 64
Chapter 3. Research on Comorbidity, Adaptive Functioning, and Cognitive Impairments in Adults with ADHD: Implications for a Clinical Practice 68
Disorders Comorbid with ADHD in Adults 71
Cognitive Deficits 74
Domains of Adaptive Functioning Examined in Adults with ADHD 80
Clinical Implications 86
Conclusion 91
References 91
Chapter 4. The Assessment Process: Conditions and Comorbidities 96
Introduction to ADHD in Adulthood: Presentation and Risks 97
Current ADHD Diagnostic Criteria, The DSM-IV 98
Practice Parameters for the Assessment of Adult ADHD 102
Making the Diagnosis of ADHD in Adults 103
Guarding Against Overdiagnosing ADHD in Adults and the Issue of Comorbidity 106
References 107
Chapter 5. Clinical Case Studies 110
Case one: Assigning the ADHD Diagnosis Incorrectly Can Cause Harm 111
Case two: ADHD or Bipolar Disorder or both? 116
Case Three: ADHD with Comorbid Substance Dependence and Conduct Disorder 120
Case four: ADHD/LD and Test Accommodations for a Professional Licensing Exam: Effective Advocacy 124
References 130
Chapter 6. The Clinician’s Role in the Treatment of ADHD 132
Overview 132
A Multi-level Approach in Treating ADHD in Adults 134
Basic Issues in Treating Adults with ADHD 136
Treating ADHD Across the Adult Life Span 138
The Challenges of the Middle Adult Years 146
Treating Adults with ADHD in Their Middle Years 147
Summary 151
References 151
Chapter 7. Changing the Mindset of Adults with ADHD: Strategies for Fostering Hope, Optimism, and Resilience 152
The Characteristics of Adults with ADHD 153
The Unfortunate Mindset of Adults with ADHD 156
Assessing the Mindset of Individuals with ADHD 160
Coping Strategies: Helping or Exacerbating the Problem? 160
Steps for Changing Negative into Positive Mindsets 163
Concluding Thoughts About Two Men 170
References 171
Chapter 8. A Model of Psychotherapy for Adults with ADHD 172
Who Are Adults with ADHD and What Are Their Problems? 173
Psychological Therapy 175
Conclusions 183
Appendix 184
References 187
Chapter 9. Pharmacotherapy of Adult ADHD 190
Introduction 190
Overview of the Neurobiology and Genetics of ADHD 191
Clinical Features of ADHD in Adults 192
Assessment and Diagnosis of ADHD in Adults 193
General Principles of Pharmacotherapy of ADHD in Adults 194
Stimulants in the Treatment of Adults with ADHD 195
Nonstimulant Medications in the Treatment of Adults with ADHD 200
Clinical Strategies for the Pharmacotherapy of ADHD in Adults 204
Combined Pharmacotherapy 206
Summary 207
References 207
Chapter 10. Career Impact: Finding the Key to Issues Facing Adults with ADHD 212
Introduction 212
Barriers to Realistic Career Decision Making 212
Starting Out with a Realistic Picture 214
Reframing and Involvement 217
Client Involvement and Developing Self-Determination 218
The Role of the Professional as Mentor and Facilitator 219
Practical Tools and Strategies for Career Decision Making 221
Gaining Control of the Decision 223
Generating Reasonable Alternatives 225
Living with the Consequences Without Suffering 226
Managing Uncertainties and Assessing Risk Tolerance 227
Conclusion 228
References 229
Chapter 11. What Clinicians Need to Know About Legal Issues Relative to ADHD 230
Introduction 230
Two Statutes 231
Individual with a Disability 231
Otherwise Qualified 238
The Right to Reasonable Accommodation 240
The Professional’s Opinion 241
Conclusion 242
Notes 242
References 243
Chapter 12. Making Marriages Work for Individuals with ADHD 244
Overview 245
Foundations: Setting the Initial Stages of Therapy 246
Two Therapeutic Approaches 247
Supplemental Interaction Strategies 258
Substance Abuse in the Relationship 261
Assuming Individual Responsibility 263
Summary 264
References 264
Chapter 13. Families and ADHD 266
Introduction 266
Effects of ADHD on Home and Family 267
Parenting and Marriage 270
Good Parenting and Straight Thinking 273
Managing Family Life: What to Do 276
Summary 285
References 285
Chapter 14. Life Coaching for Adult ADHD 286
Claire’s Story 286
What Is Personal Coaching? 287
What Is ADHD Coaching? 287
How Coaching Helped Claire 288
Theoretical Underpinnings of ADHD Coaching 288
The Precepts of ADHD Coaching 290
The Process of Coaching 291
How Does Coaching Work? 292
Distinguishing Coaching from Other Services 297
The Power of Collaboration 298
Coaching Is Never a Substitute for Therapy 299
Issues That Can Complicate the Coaching Process 299
Finding and Choosing a Coach 300
Creating the Right Match 300
Qualities to Look For in a Coach 301
Conclusion 302
Chapter 15. Lifestyle Issues 304
Theoretical Underpinnings 305
Lifestyle Management Model 305
Understanding Strengths and Weaknesses 306
Maximizing Medication 308
Achieving Balance and Establishing Long-Term Goals 308
Planning to Attain Goals: The Day Planner 311
Organizing “Things” 313
Conclusion 315
References 316
Index 318

Erscheint lt. Verlag 8.10.2002
Sprache englisch
Themenwelt Sachbuch/Ratgeber
Geisteswissenschaften Psychologie Klinische Psychologie
Medizin / Pharmazie Gesundheitsfachberufe
Medizin / Pharmazie Medizinische Fachgebiete Psychiatrie / Psychotherapie
ISBN-10 0-08-050207-5 / 0080502075
ISBN-13 978-0-08-050207-6 / 9780080502076
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