Presentations of ADHD
Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.
- Assess client factors and history to develop personalized therapy plans for clients with ADHD
- Analyze factors that influence pharmacokinetic and pharmacodynamic processes in clients requiring therapy for ADHD
- Evaluate efficacy of treatment plans
- Apply knowledge of providing care to adult and geriatric clients presenting for antidepressant therapy
By Day 3
Post a response to the following:
- Provide the case number in the subject line of the Discussion.
- List three questions you might ask the patient if he or she were in your office. Provide a rationale for why you might ask these questions.
- Identify people in the patientâ€™s life you would need to speak to or get feedback from to further assess the patientâ€™s situation. Include specific questions you might ask these people and why.
- Explain what physical exams and diagnostic tests would be appropriate for the patient and how the results would be used.
- List three differential diagnoses for the patient. Identify the one that you think is most likely and explain why.
- List two pharmacologic agents and their dosing that would be appropriate for the patientâ€™s ADHD therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.
- If your assigned case includes â€œcheck pointsâ€ (i.e., follow-up data at week 4, 8, 12, etc.), indicate any therapeutic changes that you might make based on the data provided.
- Explain â€œlessons learnedâ€ from this case study, including how you might apply this case to your own practice when providing care to patients with similar clinical presentations.
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter