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Scott Nancarrow

Updated ADHD guideline addresses evaluation, diagnosis, treatment from ages 4-18 | Amer... - 1 views

  • The DSM-5 criteria are similar to the 2011 guidelines with two exceptions. Fewer problem behaviors are required for those 17 years or older, and there must be evidence that symptoms began before age 12 years instead of before age 7.
  • The guidelines also emphasize ruling out other causes of ADHD-like symptoms and identifying comorbid conditions.
  • The stimulant medications methylphenidate and amphetamines in their various forms generally are the initial treatments.
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  • Behavior therapy is recommended as the first-line treatment for preschoolers.
  • the guidelines describe behavior management for preschoolers with ADHD as parent training in behavior management.
  • teacher training in behavior management for high school students with ADHD.
  • An updated process of care algorithm includes additional assessment tools with rating scales for anxiety, depression, substance abuse and trauma.
  • The guidelines and algorithm continue to emphasize the importance of considering ADHD as a chronic illness for which there are effective symptomatic treatments but no cure. Some individuals, however, attain the ability to compensate adequately as they mature.
  • the applicable age for diagnosis and treatment, which had been from 6-12 years of age, was broadened to include preschoolers (4- to 6-year-olds) and adolescents up to age 18 years.
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    As of the 19-20 school, new pediatric med. guidelines re: ADHD
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