Clinical assessment and treatment of attention deficit hyperactivity disorder in adults

2005 ◽  
Vol 5 (4) ◽  
pp. 525-539 ◽  
Author(s):  
Philip Asherson
Author(s):  
Steven W. Evans ◽  
Julie S. Owens ◽  
W. John Monopoli ◽  
Kari Benson

Youth with attention deficit hyperactivity disorder experience impairment across multiple domains of functioning, with the characteristics changing with age. Thus, assessment and treatment must be appropriate for the home and school and relevant to the child’s developmental level. This chapter reviews effective assessment strategies for use with children and adolescents. Psychosocial treatments for children and adolescents are discussed separately, as the approaches with each group differ substantially. For children, strategies with a strong evidence base are described, and innovations and treatment modifications that have been examined recently are showcased. For adolescents, the results of the few randomized clinical trials conducted with this population are reviewed. A theoretical model for how to sequence treatments (i.e., intervention, medication, accommodations) for youth is referenced, and two case studies highlight this model, as well some of the new findings described in this chapter. Implications and recommendations for future research and practice are provided.


Author(s):  
Charlotte Johnston ◽  
Sara Colalillo

Abstract: The chapter focuses on the assessment of attention-deficit/hyperactivity disorder (ADHD) in clinical settings and on measures appropriate for youth. Six- to 12-year-old children are the group most frequently referred for assessment and treatment of ADHD; therefore, literatures regarding assessment at other ages are not as well developed and not reviewed in this chapter. However, consistent with the recent adoption of a lifespan perspective on ADHD, this chapter also includes information pertaining to the assessment of ADHD in adulthood. The chapter begins with a review of the nature of the disorder, which is followed by a review of clinical assessment instruments designed for the assessment purposes of (a) diagnosis, (b) case conceptualization and treatment planning, and (c) treatment monitoring and evaluation. Recommendations are included for instruments with the greatest scientific support and for assessing ADHD in a clinically sensitive manner.


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