ADHD in Adults: What the Science Says by Russell A. Barkley PhD ABPP ABCN;Kevin R. Murphy

By Russell A. Barkley PhD ABPP ABCN;Kevin R. Murphy PhD;Mariellen Fischer PhD

Offering a brand new point of view on ADHD in adults, this compelling publication analyzes findings from significant stories directed by way of prime authority Russell A. Barkley. Groundbreaking info is gifted at the major impairments produced via the disease throughout significant sensible domain names and lifestyles actions, together with academic results, paintings, relationships, wellbeing and fitness behaviors, and psychological wellbeing and fitness. Thoughtfully contemplating the therapy implications of those findings, the ebook additionally demonstrates that latest diagnostic standards don't adequately mirror the best way ADHD is skilled via adults, and issues the best way towards constructing higher standards that middle on government functionality deficits. obtainable tables, figures, and sidebars encapsulate the learn effects and strategies. (20090601)

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CHAPTER 3 Diagnostic Criteria for ADHD in Adults B efore discussing the manner in which adults were selected into the UMASS and Milwaukee Studies as having ADHD or not, we wish to review some of the issues—some controversial—regarding the manner in which ADHD should be clinically diagnosed. This review helps to justify the decisions we made concerning the selection criteria employed in these two studies. 1. Readers should understand that despite the criticisms and limitations we level at these criteria below, especially as they pertain to the diagnosis of adults, they are the most empirically based, rigorously tested, and logically coherent criteria of their time for the diagnosis of ADHD, especially in children.

This was one of the major purposes of the present UMASS Study and a secondary aim of the Milwaukee Study—to evaluate current DSM symptoms when used with adults as well as additional items that potentially may have greater applicability to and validity for detecting the adult stage of the disorder. There is also a concern about whether the DSM symptom list represents the current conceptualization(s) of ADHD as accurately as it could or should. Since the late 1980s and early 1990s, ADHD has been conceptualized as involving a disorder of behavioral inhibition (Barkley, 1997; Nigg, 2001; Quay, 1988), and earlier conceptualizations certainly made it part of the trinity of symptom complexes (Douglas, 1972) even as far back as DSM-II (American Psychiatric Association, 1968).

But it is likely, given the results of our own study and that of Weyandt and colleagues above, that their figures would be reduced by at least 50% if significant childhood symptoms also had been required for determining prevalence of disorder. 5 and 2%, again very similar to those of Weyandt et al. Studies of college students would likely result in underestimates of true adult ADHD prevalence given the significant adverse impact ADHD has on educational functioning and eventual attainment, such that the vast majority (approximately 80% or more) of children growing up with ADHD do not attend college (Barkley, 2006).

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