Understanding attention-deficit/hyperactivity disorder from childhood to adulthood

Postgrad Med. 2010 Sep;122(5):97-109. doi: 10.3810/pgm.2010.09.2206.

Abstract

Attention deficit/hyperactivity disorder (ADHD) is among the most common neurobehavioral disorders requiring treatment in children and adolescents. The disorder is often chronic, with prominent symptoms and impairment spanning into adulthood. It is often associated with co-occurring disorders, including disruptive, mood, anxiety, and substance abuse disorders. The diagnosis of ADHD is clinically established by review of symptoms and impairment. The biological underpinning of the disorder is supported by genetic, neuroimaging, neurochemistry, and neuropsychological data. All aspects of an individual's life need to be considered in the diagnosis and treatment of ADHD. Multimodal treatment includes educational, family, and individual support. Psychotherapy alone and in combination with medication is helpful for treating patients with ADHD and comorbid disorders. Pharmacotherapy, including stimulants, noradrenergic agents, α-agonists, and antidepressants, plays a fundamental role in the long-term management of ADHD.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adrenergic Uptake Inhibitors / therapeutic use
  • Adrenergic alpha-Agonists / therapeutic use
  • Anxiety Disorders / complications
  • Atomoxetine Hydrochloride
  • Attention Deficit Disorder with Hyperactivity / complications
  • Attention Deficit Disorder with Hyperactivity / diagnosis*
  • Attention Deficit Disorder with Hyperactivity / genetics
  • Attention Deficit Disorder with Hyperactivity / therapy*
  • Brain / anatomy & histology
  • Central Nervous System Stimulants / therapeutic use
  • Humans
  • Magnetic Resonance Imaging
  • Mood Disorders / complications
  • Propylamines / therapeutic use
  • Psychotherapy
  • Remedial Teaching
  • Substance-Related Disorders / complications

Substances

  • Adrenergic Uptake Inhibitors
  • Adrenergic alpha-Agonists
  • Central Nervous System Stimulants
  • Propylamines
  • Atomoxetine Hydrochloride