Clinician's Guide to Adult ADHD: Assessment and Intervention by Sam Goldstein

By Sam Goldstein

This article deals working towards clinicians options, interventions, feedback, counsel and ideas to paintings with adults suffering from awareness Deficit Hyperactivity sickness, and is meant as a connection with which clinicians will flip time and time back as matters or difficulties current themselves. The textual content also will supply a complete assessment of the clinical literature and extend the improvement of an ongoing version to regard awareness Deficit Hyperactivity sickness

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68). ) have little empirical support (Barkley, 1998b). However, Barkley (1998b) suggests that “despite the large role heredity seems to play in ADHD symptoms, they remain malleable to unique environmental influences and nonshared social learning” (p. 64). , 1996). Thus, researchers and clinicians should investigate specific environmental factors that interact with biogenetic vulnerabilities in such a way that adjustment is compromised. COGNITIVE AND ACADEMIC FINDINGS Cognitive-Intellectual Functioning Longitudinal studies of ADHD in children show that cognitive difficulties and learning disabilities (LD) continue to exist over time (Barkley, 1998a).

In their longitudinal study, Weiss and Hechtman (1993) reported high rates of social interaction problems, particularly in male-female relationships. “It should not be surprising then that the greater self-esteem problems of ADHD children noted in adolescence continue and may even worsen as they reach adulthood” (Barkley, 1998a, p. 208). In fact, Hansen, Weiss, and Last (1999) found that young adults with ADHD were more likely to have fathered children, to need mental health services, and to report psychological problems than were control males.

Even though causality cannot be implied, the impact of ADHD on families can be disruptive, while at the same time strong family cohesion and parental support constitute significant resiliency factors for many individuals with ADHD. For case studies see Chapter 5 for examples of how family support can be critical to the overall adjustment of individuals with ADHD. Finally, treatment issues can also predict adult outcome. To date, there are some significant trends that can be gleaned from studies investigating the effects of treatment on long-term outcome for individuals with ADHD.

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