An estimated seven million American adults have attention deficit hyperactivity disorder. Understanding and Treating Adults With Attention Deficit Hyperactivity Disorder
provides accurate, timely information about the nature and treatment of this disorder. Written in a collegial style, this resource combines evidence-based material with clinical experience to address problems in diagnosing and treating adults with ADHD. Dr. Doyle shows how diagnostic and treatment methods in children with ADHD also apply to affected adults. He examines the role of medications, including new agents that expand the range of therapeutic choices.
Understanding the evolution of the concept and treatment of ADHD in children illuminates current thinking about the disorder in adults. Dr. Doyle presents guidelines for establishing a valid diagnosis, including clinical interviews and standardized rating scales. He covers genetic and biochemical bases of the disorder. He also addresses the special challenges of forming a therapeutic alliance—working with "coach" caregivers; cultural, ethnic, and racial issues; legal considerations; and countertransference issues.
He explores a range of options for treating adult ADHD:
- Detailed facts about using medication, with specific information on both CNS stimulants and nonstimulant medications. He also discusses highly touted medications that are actually ineffective.
- Full coverage of comprehensive treatment approaches beyond medication—focusing on cognitive behavioral therapies, among others. He uses a detailed clinical example drawn from several patients to illustrate issues involved in treating ADHD adults over time.
- Complete review of conditions that may require treatment before ADHD can be addressed. Many ADHD adults struggle with comorbid anxiety, affective disorders, and substance abuse. Dr. Doyle explains how overlooked ADHD can complicate the treatment of other disorders. He provides strategies for the patient with medication-resistant or treatment-refractory ADHD.
The book provides in-depth discussion of such issues as the impact of ADHD in the workplace, including steps for maximizing job satisfaction; special considerations related to women; and the effect of ADHD on families. A useful appendix helps readers and patients find reliable information about ADHD on the Internet, allowing clinicians to develop an "e-prescription" to supplement medication and other interventions.
Dr. Doyle advocates the promise of enhanced life prospects for adults with ADHD that effective treatment provides. Besides addressing the special challenges of ADHD adults, Dr. Doyle conveys the rewards of working with patients who prove resourceful, creative, and persistent.
Preface. Acknowledgments. ADHD in children and adults. Diagnosing ADHD in adults. The biological basis of ADHD. Allies in treatment. Treating adult ADHD with medication: introduction. Treating ADHD with central nervous system stimulants. Treating ADHD with nonstimulant medications. Comprehensive treatment of the adult with ADHD. Comorbid and treatment-refractory ADHD. ADHD issues: work, women, and family. Appendix. Index.
"[Understanding and Treating Adults with Attention Defecit Hyperactivity Disorder
] is good as a concise, practical guide to the diagnosis and treatment of adults with ADHD. It is useful in helping distinguish ADHD in adults versus children and adolescents, and it gets readers to consider special challenges in this patient population."—Doody's Book Review Service
"The book’s strengths lie in it s chapters on psychopharmacological treatment and considerations. The decision-making process for treatment of patients with both stimulant and nonstimulant medications is covered thoroughly, taking into account such important topics as addiction contraindications, and side effect."—PsycCRITIQUES, 7/1/2008
"Doyle’s book offers throughout explanation about recognizing, diagnosing, and treating adults with ADHD. It serves as a reminder that ADHD should be maintained on the list of differential diagnoses, particularly when dealing with patients who are not responding as expected to the current treatment regimen."—Journal of Clinical Psychiatry, 7/1/2008
Brian B. Doyle, M.D., is Clinical Professor of Psychiatry and of Family and Community Medicine at Georgetown University Medical School in Washington, DC.