ADHD in practice - 2011


Comment: Is a quick fix really best?
Nikos Myttas
pp 3-3
In November, the American Academy of Pediatrics updated its guidance on the diagnosis and treatment of attention deficit hyperactivity disorder, making crucial changes in response to clinicians’ experiences and feedback.
Theory of mind and ADHD
Hichem Slama, Alison Mary, Philippe Mousty, Isabelle Massat and Philippe Peigneux
pp 4-7
Socio-emotional deficits are frequently reported in attention deficit hyperactivity disorder (ADHD), with up to 85% of ADHD children presenting with a ‘lack of awareness of the feelings of others’. Inappropriate social behaviour in children with ADHD may stem from a poor repertoire of social responses and a misunderstanding of the impact of their actions on others. These socio-emotional deficits may markedly impact upon the future of children with ADHD, since poor social relationships with peers are strong predictors and mediators of negative adult outcomes.
The CADDRA guidelines: psychosocial interventions – a practical resource
Geraldine Farrelly
pp 8-12
Attention deficit hyperactivity disorder (ADHD) is a chronic neurobiological disorder that affects all aspects of an individual’s daily life across the lifespan, including social functioning (interpersonal relationships, marriage and family life), emotional functioning (increased risk for secondary mood and anxiety disorders), academic and employment-related functioning (higher rates of academic failure and unemployment), and physical health (sleep patterns, eating habits, exercise, and accident and illness rates).
Pathological gambling in ADHD: a study
Jutta Ringling, Wolfgang Retz, Marco Flatau, Monika Vogelgesang and Michael Rösler
pp 13-15
The World Health Organization (WHO) International Statistical Classification of Diseases and Related Health Problems, 10th revision categorises pathological gambling as among the impulse control disorders. Pathological gambling is characterised by repetition and dominates the lifestyle of the affected person extensively, leading to the decay of social, occupational and family obligations and a serious neglect of responsibilities.
UKANN Conference 2011 – ‘The ABC of ADHD: An Education Focus’
Noreen Ryan
pp 16-17
The 5th UK ADHD Nurse Network (UKANN) conference took place at Warwick University, 8–9 September 2011. It was chaired by Consultant Nurse Mervyn Townley, representing the Royal College of Nursing, with UKANN steering group members offering expertise throughout.
Solution-focused therapy and ADHD – a natural fit
Nigel Humphrey
pp 18-20
A short attention span, impulsive decision-making, repeated mistakes, proclivity to boredom: these are not usually qualities that make for strong therapeutic engagement. If extra tasks like doing homework and following through on decisions are added, we can begin to understand some of the frustrations traditional therapy holds for ADHD patients.
Usefulness of a local guideline for ADHD: the view from Spain
Jaime A Moyá Querejeta and Juan Jairo Ortiz-Guerra
pp 21-23
Attention deficit hyperactivity disorder (ADHD) has become the focus of widespread research, and scientific evidence has grown rapidly in recent years. In spite of this, variations in practice are known to occur between clinical settings and European countries – and, what is more, effective care may not be delivered uniformly throughout Europe. There has been public hostility in some countries towards the use of psychostimulants in children, and some practitioners are still reluctant to use methylphenidate to treat hyperactive children.