Managing Adult Attention-Deficit/Hyperactivity Disorder: To Treat or Not To Treat?

被引：0

作者：

Deshpande, Swapna ^{[1
,2
,3
]}

Ostermeyer, Britta ^{[4
,5
]}

Lokhande, Akshay ^{[1
]}

Abid, Humaira ^{[1
]}

Shah, Asim A. ^{[6
,7
]}

机构：

[1] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat & Behav Sci, 920 Stanton L Young Blvd, Oklahoma City, OK 73104 USA

[2] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat & Behav Sci, Child Psychiat, Oklahoma City, OK 73190 USA

[3] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat & Behav Sci, Child & Adolescent Fellowship Program, Oklahoma City, OK 73190 USA

[4] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat & Behav Sci, Mental Hlth,Coll Med, Oklahoma City, OK 73190 USA

[5] Univ Oklahoma, Hlth Sci Ctr, Dept Psychiat & Behav Sci, Coll Med, Oklahoma City, OK 73190 USA

[6] Baylor Coll Med, Menninger Dept Psychiat & Behav Sci, Community Psychiat, Houston, TX 77030 USA

[7] Harris Hlth Syst, Ben Taub Hosp, Psychiat, Houston, TX USA

来源：

PSYCHIATRIC ANNALS | 2017年 / 47卷 / 06期

关键词：

DEFICIT-HYPERACTIVITY DISORDER; EVIDENCE-BASED GUIDELINES; BRITISH-ASSOCIATION; ILLICIT USE; ADHD; MEDICATION; DIVERSION; CHILDHOOD; STIMULANT; OUTCOMES;

D O I：

10.3928/00485713-20170515-01

中图分类号：

R749 [精神病学];

学科分类号：

100205 ;

摘要：

Attention-deficit/hyperactivity disorder (ADHD) is a highly prevalent and chronic neurodevelopmental disorder often with residual symptoms through-out the patient's lifespan. Patients with ADHD have a significant disease burden that adversely affects interpersonal, psychosocial, and occupational domains of their life. Stimulants are usually the first-line treatment for all patient age groups. Familiarity with varying aspects of this disorder is important for clinicians, given the significant challenges in treating this chronic condition. Although risks of medication abuse and diversion pose significant challenges, not treating ADHD can gravely affect patients' lives, potentially leading to school dropout, unemployment, legal problems, and more. This article reviews reasons to treat adult ADHD, versus reasons that support refraining from treating, and provides general treatment guidelines for practicing clinicians.

引用

页码：315 / 321

页数：7

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