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This article "Anxiety & Depression in Adult ADHD" appeared in the November 2005 issue of the respected South African journal "Serenity". Click here to view the complete article
ADHD - Using the Art of Film Making as an Educational Medium There is a growing awareness in educational literature that visual strategies work best for ADHD patients. The art of film-making can be effectively utilised as a tool to help us navigate the emerging science of ADHD. Showing patients charts, graphs, and electronic information has more appeal than auditory strategies (like an office based educational strategy). During this session, I present movies that have a clear connection to both the diagnosis and treatment of ADHD : a) symptoms of impulsivity will be illustrated using clips from Home Alone, Dennis the Menace and other key choices, and, b) treatment strategies that illustrate the immature personality and growth using Mrs. Doubtfire and The Lion King. Understanding the personality profile is a major component of long-term therapy if one believes that a genetic disorder is likely to alter personality development if it affects the individual from early childhood. Therefore the patient must deal with attachment and trust. Fostering the therapeutic alliance with the physician can be illustrated : a) by showing the movie Officer and a Gentleman - attacking the vulnerability of Anti-Social Personality Disorder, and, b) pushing buttons with Good Will Hunting. The participant will have a keener sense of what ails ADHD adults and the treatment strategies that will benefit them. Click here to view presentation by Dr Jeeva (ADHASA 2005) (Wits University) Did you know that Actress Whoopi Goldberg, fashion designer Tommy Hilfiger, basketball star Earvin “Magic” Johnson, activist Erin Brockovich all have ADHD ? Famous People with Attention Deficit and Learning Disorders Treatment Of Adult ADHD Co-Morbidities Adult ADHD is one of the most common psychiatric disorders with severe negative psychosocial impact for untreated patients. Over 60% of children with ADHD will still have serious symptoms in adulthood. Recent co-morbidity studies documented that most adult ADHD patients suffer from other co-morbid psychiatric disorders, the presence of which create a major challenge for psychiatrists and other physicians, and also create treatment resistance. The most common morbidities in adults with ADHD are major depression, dysthymic disorder, bipolar disorder, personality disorders including borderline and anti-social personality disorder, substance use disorders, anxiety disorders including generalised anxiety disorder, OCD, PTSD, organic brain syndrome, impulse control disorders and tic disorders. These patients not only suffer from the chronicity of their ADHD from early childhood, but also experience serious stress and impaired quality of life associated with ADHD and other co-morbid disorders. Major depression and anxiety disorders impair these patients' already-limited attention and concentration functions, lower their job performance and worsen their interpersonal relationships. Physicians may have trouble determining an effective treatment approach for the patient with more than one disorder. This presentation will outline the findings of co-morbidity studies in adult ADHD and review the most effective treatment alternatives. Selective and/or combined use of effective medications in ADHD treatment for specific clusters of disorders commonly associated with ADHD is outlined. The new generation long-acting psycho stimulants (ADDERAL-XR, Concerta) and norepinephrine transport inhibitor atomoxetine is compared to the old generation short-acting psycho stimulants (methylphenidate, dextroamphetamine). The use of tricyclic anti-depressants (imipramine, desipramine), bupropione, mood stabilisers )valproate, carbamezapine, lithium) and atypical anti-psychotics (risperidone, olanzapine and quetiapine) is also outlined. The integration and use of different medications to improve treatment response for clusters of co-morbidities (ADHD+ Major Depression, ADHD+ Anxiety Disorder, etc.) is reviewed. Click here to view presentation by Dr Jeeva ADHD in Girls Click here to view Dr Jeeva's presentation at ADHASA 2006 (Wits University) Medication Choices in Adult ADHD Dr Jeeva's 2006 SASOP presentation in Swaziland Adult ADHD - Diagnosis and Medication Treatment Dr Jeeva's 2006 ADHASA Presentation (Wits University) Post-Traumatic Stress Disorder (PTSD & ADHD) ADHD Through the Movies Dr Jeeva's 2008 XIV World Congress of Psychiarty (Prague) The Impact of ADHD on the Family and Spouse The Impact of ADHD |
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