While ADHD is well recognized in the pediatric population, where it was first described as a clinical diagnosis in the 1930s, focus has shifted to include the recognition and management of the condition in adults. The use of validated assessment scales and high-yield clinical questions can help identify adults with ADHD who could potentially benefit from evidence-based management strategies.Īttention-deficit/hyperactivity disorder (ADHD) is a psychiatric disorder associated with considerable personal and societal burden. Guidelines recommend that when ADHD coexists with other psychopathologies in adults, the most impairing condition should generally be treated first.Įarly recognition and treatment of ADHD and its comorbidities has the potential to change the trajectory of psychiatric morbidity later in life. The overlapping symptoms between ADHD and comorbid psychopathologies represent challenges for diagnosis and treatment. There are strong familial links and neurobiological similarities between ADHD and the various associated psychiatric comorbidities. ![]() The most frequent comorbid psychopathologies include mood and anxiety disorders, substance use disorders, and personality disorders. The prevalence of ADHD in the general adult population is 2.5% and it is associated with substantial personal and individual burden. Our services are out-of-network for all but a few specific Penn employee insurance plans and student plans.Attention-deficit/hyperactivity disorder (ADHD) in the adult population is frequently associated with comorbid psychiatric diseases that complicate its recognition, diagnosis and management. Our assessment does NOT meet the necessary criteria for students seeking academic accommodations. (See Assessment section) If you are experiencing some of these difficulties, the services offered at Penn's Adult ADHD Treatment and Research Program may help. Thus, a thorough, comprehensive assessment is needed to determine whether ADHD plays a role. Moreover, depression and anxiety often co-exist with ADHD. The challenge, though, is that these sorts of problems may result from other conditions, such as depression or anxiety or other factors. These difficulties appear as the common problems of recurrent procrastination (despite efforts to change), chronic disorganization, poor time management, impulsivity, and emotionality, which lead to inconsistent work or school performance, and difficulties sustaining healthy relationships, just to name a few. Although the “A” and the “H” get the most attention, ADHD is actually a problem related to self-regulation-How efficiently do you do what you set out to do? This core problem is characterized by difficulties planning, organizing, and carrying out behaviors over time toward otherwise feasible and desired goals, particularly if the goals are delayed. However, when these difficulties occur chronically and in a variety of situations, it may be a sign of something more than just a bad day.Īttention-Deficit/Hyperactivity Disorder (ADHD) is currently understood as a chronic neurodevelopmental disorder. We all experience these sorts of aggravations from time to time. But then something happens and I just don’t get finished when said I would." Do these problems sound familiar for you or someone you know? I say I’m going to do something, and really intend to deliver. "It seems I’m always letting people down, whether it’s my boss or my best friend. "My life seems to be an endless cycle of chaos and control. "I always lose track of time and end up running late for appointments." "I feel like I’ve under-achieved in almost every part of my life: school, work, and even in my relationships. People think I’m not paying attention and guess what? They’re right!" "I have a hard time concentrating on what is going on and am easily distracted by things around me. "I know exactly what I need to do – I can advise other people what to do – but I cannot follow through on what I know I need to do.”
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