Approach to ADHD in an adult
Presentation
- Fidgeting
- Restless
- Careless mistakes
Inattention Symptoms
- Careless mistakes
- Difficulty in maintaining concentration
- Appearing not to listen
- Failing to follow instructions/finish a task
- Difficulty in organizing tasks
- Avoid tasks that require mental effort
- Losing items
- Easily distracted
- Forgetful with regards to daily tasks
Hyperactivity Symptoms
- Fidgeting/tapping hand/feet
- Leaving seat when expected to remain seated
- Running/climbing/restless
- Inability to play/rest quietly
- Being “on the go”
- Talking excessively
- Answering before question has been completed
- Difficulty waiting for her turn
- Interrupting others
Explore
- Social – work, education Substance abuse
- Mood
- Self-injury
Management-adults:
Refer to mental health specialist-specialized in ADHD
Medication:
If symptoms are affecting QoL even after environmental modifications, amfetamine will be prescribed CBT
Advice
- Medication might make you sleepy/dizzy/blurred vision, be cautious not to drive
- Keep you prescription with you at all times as it is an offence to drive and take amf
- Diet and excersize
- Follow up to monitor BP, weight etc…
Diagnostic Criteria
- At least 5 inattention and 5 hyperactivity symptoms
- Started before the age of 12
- Lasted for 6 months
- Symptoms present in 2 different settings
Reference: Plab Journey by Dr Anush