CONTINUING MEDICAL EDUCATION

Diagnosis of Attention-Deficit/Hyperactivity Disorder and its comorbidities - Part I


Attention-deficit/hyperactivity disorder (ADHD) is the most common psychiatric disorder of children and adolescents; a significant number of children with ADHD continue to have impairing symptoms as adults. This section reviews the diagnostic criteria of ADHD, reviews current theories regarding the etiology of ADHD and discusses common behavior rating scales not only for ADHD, but for depression, anxiety and mania. The differential diagnosis of aggression and irritability in ADHD are discussed. When are these symptoms related to ADHD itself, part of a comorbid oppositional defiant disorder (ODD) or part of a more serious psychiatric disorder? We will discuss how comorbid symptoms such as depression and anxiety influence medication treatment. Finally, principles for when to treat in the primary care setting and when to refer to child psychiatry are laid out

Objectives

  1. Understand the prevalence, diagnostic criteria and possible etiology of Attention deficit hyperactivity disorder (ADHD)
  2. Determine when behavioral therapy is needed in addition to psychopharmacological treatment of ADHD
  3. Determine when anxiety or depressive symptoms in children with ADHD are severe enough to warrant psychiatric consultation before commencing with medication treatment of ADHD
  4. Differentiate between severe ADHD with comorbid oppositional defiant disorder and bipolar disorder

To receive credit view the presentation. After the presentation has completed click on Questions for CME Credit. Fax the completed post-test and evaluation to Monica Trevino at 210-567-5677 by March 31, 2010. Credit will only be given if the form is completed and the post-test score is 70% or higher. Press the play button when you are ready to begin.


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