Update on the Treatment of ADHD 2019 - Institute for Child Success
Update on the Treatment of ADHD
2019
James H. Beard, Jr., M.D, FAAP
Developmental-Behavioral Pediatrician Division of Developmental Pediatrics
The Rights of ADHD
? The right diagnosis of ADHD and co morbidities
? The right treatment and accommodations ? The right medication at the right dosage ? The right expectations set
ADHD is a group of neurobehavioral disorders resulting in developmentally inappropriate ability to selfregulate attention, impulsivity,
and hyperactivity.
DSM 5 Criteria for Inattention
? Careless ? Difficulty sustaining attention ? Seems not listen ? Fails to finish things ? Avoids/dislikes tasks requiring sustained mental
effort
? Difficulty organizing ? Loses things ? Easily distracted ? Forgetful in daily activities
6 or more often manifested
DSM 5 Criteria for
Impulsivity/Hyperactivity
? Hyperactivity
? Squirms and fidgets ? Unable to stay seated ? Runs/climbs excessively ? Can't play/work quietly ? On the go/"driven by a motor" ? Talks excessively
? Impulsivity
? Blurts out answers ? Difficulty waiting turn ? Interrupts or intrudes on others
6 or more often manifested
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