Expert answer:discussion about ADHD

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Therapy for Clients with ADHD
This week, as you study ADHD therapies, you examine the assessment and treatment of clients
with ADHD. You also explore ethical and legal implications of these therapies.
Discussion: 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.
Learning Objectives
Students will:
•
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
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like
mother, like daughter. (To access the following case studies, click on the Case Studies tab on
the Stahl Online website and select the appropriate volume and case number).
Post a response to the following:
•
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 patient’s life you would need to speak to or get feedback from
to further assess the patient’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
patient’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 “check points” (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 “lessons learned” from this case study, including how you might apply this
case to your own practice when providing care to patients with similar clinical
presentations.
References (APA format)
Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential Psychopharmacology, 4th ed tab on the
Stahl Online website and select the appropriate chapter. Be sure to read all sections on the left
navigation bar for each chapter.
•
Chapter 12, “Attention Deficit Hyperactivity Disorder and Its Treatment”
Stahl, S. M., & Mignon, L. (2012). Stahl’s illustrated attention deficit hyperactivity disorder.
New York, NY: Cambridge University Press.
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New York, NY: Cambridge University
Press.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Washington, DC: Author.
Hodgkins, P., Shaw, M., McCarthy, S., & Sallee, F. R. (2012). The pharmacology and clinical
outcomes of amphetamines to treat ADHD: Does composition matter? CNS Drugs, 26(3), 245–
268. doi:10.2165/11599630-000000000-00000
…
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