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ADHD Comorbidities

ADHD Comorbidities
Handbook for ADHD Complications in Children and Adults

Edited by Thomas E. Brown, Ph.D.
2009
478 pages
ISBN 978-1-58562-158-3
Hardcover Also Available In: eBook
Item #62158



Many books address various aspects of ADHD—but ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults is the only one that covers the multiple ways in which ADHD is complicated by other psychiatric and learning disorders in both children and adults. It features comprehensive, research-based information on the condition and its full range of comorbidities, from mood disorders to developmental coordination disorder, written by researcher-clinicians familiar with the complications that these additional disorders pose. The authors summarize in accessible language what is currently known about ADHD and its comorbidities from preschool age to adulthood, describing how ADHD produces different profiles at different stages of development.

The book offers a new paradigm for understanding ADHD, viewing it not as a simple behavior disorder but as a complex developmental impairment of executive functions in the brain. In describing combinations of disorders in various age groups, this effective guide shows that significant impairments can occur in adolescence and adulthood, when individuals face increased demands for self-management. And because adults with ADHD are likely to have at least one additional psychiatric disorder at some point in their lives, this handbook also describes how to adjust treatment strategies for both ADHD and additional disorders to reduce the impairments resulting from comorbidity. Among the book’s features:


  • It reviews aspects of ADHD not only for elementary-school children, adolescents, and adults but also for preschoolers, giving ADHD developmental context by describing how symptoms in preschool years differ from those in older children
  • Eleven chapters offer practical clinical help for patients whose ADHD appears in combination with other disorders, including aggression, mood disorders, obsessive/compulsive disorders, substance abuse, Tourette syndrome, and the autistic/Asperger’s disorder spectrum.
  • It presents guidelines for assessing and treating complicated ADHD, including psychopharmacological treatment, psychosocial treatment, cognitive therapy, and tailoring treatment to individuals and their families.
  • It provides guidance on adapting and adjusting medications and other interventions to optimize treatment effects for the wide diversity of complex cases that embody ADHD.
  • It contains useful information about how to discern other disorders when the chief complaint suggests ADHD—and how to detect ADHD when the patient’s presentation has been modified by the presence of other disorders.

With its comprehensive summaries of research and wealth of clinical guidance, this handbook clearly shows how attentional disorders are related to other conditions and how patients with these more complex variants of ADD can be more effectively recognized and treated.

Foreword. Preface. Acknowledgments. Part I: Attention Deficit Disorders in Developmental Contexts. Developmental complexities of attentional disorders. Genetics of ADHD. ADHD in preschool children. ADHD in elementary school children. ADHD in adolescents. ADHD in adults. Part II: Attention Deficit Disorders with Specific Comorbidities. ADHD with mood disorders. ADHD with anxiety disorders. ADHD with oppositionality and aggression. ADHD with obsessive-compulsive disorder. ADHD with language and/or learning disorders in children and adolescents. ADHD and learning disabilities in adults: overlap with executive dysfunction. ADHD with substance use disorders. ADHD with autism spectrum disorders. ADHD with sleep/arousal disturbances. ADHD with tourette syndrome. ADHD with developmental coordination disorder. Part III: Assessment and Interventions for Complicated Attention Deficit Disorders. Assessment of ADHD and comorbidities. Pharmacotherapy of ADHD and comorbidities. Psychosocial interventions for ADHD and comorbidities. Cognitive therapy for adults with ADHD. Tailoring treatments for individuals with ADHD and their families. Index.
"Three approaches have been taken so far in reducing the heterogeneity of ADHD cases. The first, based on subtyping as in the DSM-IV, has largely failed to reveal clinically or scientifically meaningful differences. The second, based on etiology, is promising but of little clinical value at the moment. The third approach having by far the greatest clinical and scientific utility has been using comorbidity. As this book attests, using comorbidity to better understand ADHD has been an approach yielding reams of valuable information about the life course and forms of impairments likely to be associated with ADHD, the types of treatments that need to be used or adjustments to them for various comorbidities, and even the likely response to traditional ADHD treatments. This is the most up-to-date book on this topic currently available and richly rewards the reader, whether clinician, scientist, or student, with its substantial breadth of coverage and detail."—Russell A. Barkley, Ph.D., Clinical Professor, Medical University of South Carolina (Charleston) and Research Professor, SUNY Upstate Medical University (Syracuse)

"This book offers a rich compendium of information about what is currently known about ADHD and how it can be most effectively treated in all its complexities."—From the Foreword, F. Xavier Castellanos, M.D., New York University Child Study Center and Nathan Kline Institute for Psychiatric Research

"Every conceivable psychiatric comorbidity is covered, by experts in each. Specific chapters are devoted to assessment of ADHD and comorbid disorders and the variety of treatments—pharmacotherapy, psychosocial interventions, cognitive therapy for adults, and tailoring treatment to best fit each person and family. Given the high prevalence of ADHD, this volume should be on every clinician's shelf."—Mina K. Dulcan, M.D., Osterman Prof Child Psychiatry, Children's Mem Hosp; Head, Child Psychiatry, Children's Mem Hosp & Northwestern Mem Hosp; Head, Child Psychiatry, Northwestern Univ School of Med

Howard Abikoff, Ph.D.
Thomas E. Brown, Ph.D.
Gabrielle A. Carlson, M.D.
Martha Bridge Denckla, M.D.
George J. DuPaul, Ph.D.
Daniel A. Geller, M.B.B.S., F.R.A.C.P.
Christopher Gillberg, M.D., Ph.D.
Laurence L. Greenhill, M.D.
Jeffrey M. Halperin, Ph.D.
Lily Hechtman, M.D., F.R.C.P.
Stephen P. Hinshaw, Ph.D.
James J. Hudziak, M.D.
Peter S. Jensen, M.D.
Bj�rn Kadesj�, M.D., Ph.D.
James F. Leckman, M.D.
Stephen P. McDermott, M.D.
Stephanie E. Meyer, Ph.D.
Carlin J. Miller, Ph.D.
Edward J. Modestino, M.Phil.
Jeffrey H. Newcorn, M.D.
Judith A. Owens, M.D., M.P.H.
Kelly Posner, Ph.D.
Thomas J. Power, Ph.D.
Aliza W. Pressman, M.A.
Jefferson B. Prince, M.D.
Donald M. Quinlan, Ph.D.
David C. Rettew, M.D.
Arthur L. Robin, Ph.D.
Paramala J. Santosh, M.B.B.S., Dip.N.B.
M.R.C.Psych., M.D.
Lawrence Scahill, M.S.N., Ph.D.
Denis G. Sukhodolsky, Ph.D.
Rosemary Tannock, Ph.D.
Jeanette Wasserstein, Ph.D.
Timothy E. Wilens, M.D.
Thomas E. Brown, Ph.D., is Associate Director at the Yale Clinic for Attention and Related Disorders, and Assistant Clinical Professor of Psychiatry at Yale University School of Medicine in New Haven, Connecticut.