Assessment and monitoring of treatment response in adult ADHD patients: current perspectives

J Russell Ramsay Adult ADHD Treatment & Research Program, Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome that emerges in childhood or early adolescence and persists int...

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Autor principal: Ramsay JR
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Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:fd33375833724ad6a596dc9cea5361a12021-12-02T03:07:32ZAssessment and monitoring of treatment response in adult ADHD patients: current perspectives1178-2021https://doaj.org/article/fd33375833724ad6a596dc9cea5361a12017-01-01T00:00:00Zhttps://www.dovepress.com/assessment-and-monitoring-of-treatment-response-in-adult-adhd-patients-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021J Russell Ramsay Adult ADHD Treatment & Research Program, Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome that emerges in childhood or early adolescence and persists into adulthood for a majority of individuals. There are many other adults with ADHD who may not seek out evaluation and treatment until adulthood, having been able to “get by” before struggling with inattention, hyperactivity, and/or impulsivity in adulthood, in addition to facing the associated features of disorganization, poor time management, and procrastination among many others. A lifetime diagnosis of ADHD is associated with a wide range of life impairments, which makes a comprehensive and accurate diagnostic assessment essential in order to obtain appropriate treatment. Moreover, while there are effective medical and psychosocial treatments for ADHD, it is important to be able to track treatment response in order to evaluate whether adjustments in specific interventions are needed or referrals for adjunctive treatments and supports are indicated to facilitate optimal therapeutic outcomes. The goal of this article is to provide a clinically useful review of the various measures that practicing clinicians can use to aid in the diagnostic assessment and monitoring of psychosocial and medical treatment of ADHD in adult patients. This review includes various structured interviews, screening scales, adult ADHD symptom inventories, measures of associated features of ADHD, as well as ratings of impairment and functioning which can be adapted to clinicians’ practice needs in order to track treatment progress and optimize treatments for adults with ADHD. Keywords: adult attention-deficit/hyperactivity disorder, adult ADHD, pharmacotherapy, psychosocial treatment, symptoms, functional impairments, executive functionsRamsay JRDove Medical PressarticleAdult Attention-Deficit/Hyperactivity Disorder (Adult ADHD)PharmacotherapyPsychosocial TreatmentSymptomsFunctional ImpairmentsExecutive FunctionsNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 13, Pp 221-232 (2017)
institution DOAJ
collection DOAJ
language EN
topic Adult Attention-Deficit/Hyperactivity Disorder (Adult ADHD)
Pharmacotherapy
Psychosocial Treatment
Symptoms
Functional Impairments
Executive Functions
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Adult Attention-Deficit/Hyperactivity Disorder (Adult ADHD)
Pharmacotherapy
Psychosocial Treatment
Symptoms
Functional Impairments
Executive Functions
Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Ramsay JR
Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
description J Russell Ramsay Adult ADHD Treatment & Research Program, Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome that emerges in childhood or early adolescence and persists into adulthood for a majority of individuals. There are many other adults with ADHD who may not seek out evaluation and treatment until adulthood, having been able to “get by” before struggling with inattention, hyperactivity, and/or impulsivity in adulthood, in addition to facing the associated features of disorganization, poor time management, and procrastination among many others. A lifetime diagnosis of ADHD is associated with a wide range of life impairments, which makes a comprehensive and accurate diagnostic assessment essential in order to obtain appropriate treatment. Moreover, while there are effective medical and psychosocial treatments for ADHD, it is important to be able to track treatment response in order to evaluate whether adjustments in specific interventions are needed or referrals for adjunctive treatments and supports are indicated to facilitate optimal therapeutic outcomes. The goal of this article is to provide a clinically useful review of the various measures that practicing clinicians can use to aid in the diagnostic assessment and monitoring of psychosocial and medical treatment of ADHD in adult patients. This review includes various structured interviews, screening scales, adult ADHD symptom inventories, measures of associated features of ADHD, as well as ratings of impairment and functioning which can be adapted to clinicians’ practice needs in order to track treatment progress and optimize treatments for adults with ADHD. Keywords: adult attention-deficit/hyperactivity disorder, adult ADHD, pharmacotherapy, psychosocial treatment, symptoms, functional impairments, executive functions
format article
author Ramsay JR
author_facet Ramsay JR
author_sort Ramsay JR
title Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
title_short Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
title_full Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
title_fullStr Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
title_full_unstemmed Assessment and monitoring of treatment response in adult ADHD patients: current perspectives
title_sort assessment and monitoring of treatment response in adult adhd patients: current perspectives
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/fd33375833724ad6a596dc9cea5361a1
work_keys_str_mv AT ramsayjr assessmentandmonitoringoftreatmentresponseinadultadhdpatientscurrentperspectives
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