By Hendren, Robert L.; Reeve, Alya
This quantity of articles specializes in the more and more vital but arguable subject of psychopharmacologic therapy for adolescent emotional and behavioral issues. It starts off with a pragmatic "when and the way to medicate" guide for fundamental care physicians after which follows with concise, entire studies of medicines used to regard the main issues obvious in a toddler and relatives perform together with substance abuse and complimentary and substitute treatments. Read more...
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Additional resources for Adolescent medicine : state of the art reviews : current psychopharmacology for psychiatric disorders in adolescents
Pharmacotherapy of attention-deficit hyperactivity disorder across the life cycle. J Am Acad Child Adolesc Psychiatry. 1996;35:409–432 15. Greenhill LL, Kollins S, Abikoff H, et al. Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. J Am Acad Child Adolesc Psychiatry. 2006;45:1284–1293 16. Greenhill LL, Findling RL, Swanson JM; ADHD Study Group. A double-blind, placebo-controlled study of modified-release methylphenidate in children with attention-deficit/hyperactivity disorder.
Swetye, H. Muhr, R. Hendren / Adolesc Med 024 (2013) 391–405 393 this criterion should improve the validity of the diagnosis. Symptoms must be present in at least 2 life settings, and symptoms must be associated with functional impairment. Symptoms must be primary and not better explained by other comorbidities. Notably, the hyperactive-impulsive symptoms tend to improve across childhood and early adolescence, compared with inattention. In another change from DSM-IV, DSM-5 allows the diagnosis to be made even if a case does not meet full criteria at the present time, if full criteria are believed to have been satisfied at an earlier time (specified as “in partial remission”).
Swetye, H. Muhr, R. Hendren / Adolesc Med 024 (2013) 391–405 diagnosis based on associated functional impairment. There is no diagnostic test for ADHD, and response to stimulant medication is no indication of the presence or absence of the disorder. Diagnosis is typically made based on history and clinical interviews (usually with the custodial parent), supplemented with instruments such as behavior rating scales and structured or semistructured diagnostic interviews. Psychological testing is not required, but it is recommended to screen for learning disorders and for low intellectual functioning and to gain understanding into what might be expected of a child in terms of academic performance were ADHD not present.