Materiały źródłowe

• #1 Adult ADHD Treatment Strategies | TEAM ADHD For HCPs

  https://www.team-adhd.com/adult/adhd-treatment-strategies

  ADHD in adults is a chronic disorder that requires a consistent treatment approach. […] If ADHD is left untreated, adults can experience reduced emotional, social, and vocational functioning throughout the day, in areas such as: Morning routine (getting ready for work and/or kids ready for school), Driving safely to office, Finishing work accurately and on time, Helping kids with homework, Interacting with significant other/partner, Planning next days activities, Going to bed on time. […] There is an increased consensus that drug holidays are unnecessary and that the consistent use of ADHD medication can aid in developing healthy habits of planning and self-discipline. […] The risks and benefits of treatment strategies must be weighed carefully in adult patients. […] Nonpharmacologic treatment of adult ADHD should be tailored to each patient.

• #2 New CDC Data Highlights the Need for Guidelines on Adult ADHD

  https://www.psychiatrictimes.com/view/new-cdc-data-highlights-the-need-for-guidelines-on-adult-adhd

  6% of US adults have a current ADHD diagnosis; 8% report past or present diagnosis. […] Upcoming APSARD guidelines aim to standardize adult ADHD care in the US, improving patient outcomes. […] According to Gregory Mattingly, MD, and Ann Childress, MD, these data demonstrate the need for the upcoming American Professional Society of ADHD and Related Disorders (APSARD) Adult ADHD Guidelines. […] A set of guidelines would help improve patient outcomes by standardizing care among all mental health clinicians who see adult patients with ADHD. […] These will be the first US guidelines for the diagnosis and treatment of adults with ADHD and will provide a valuable framework of treatment for clinicians and families. […] We’re looking to standardize the care of patients with ADHD in adults in the United States. […] The guidelines will be available in late 2024 or early 2025.

• #3 Why millions of adults with ADHD struggle to get treatment | PBS News Weekend

  https://www.pbs.org/newshour/show/why-millions-of-adults-with-adhd-struggle-to-get-treatment

  More than 15 million U.S. adults have currently been diagnosed with attention-deficit/hyperactivity disorder, or ADHD, according to a recent CDC report. […] The report also notes that most struggle with access to treatment for the condition. […] It’s really important for adults with ADHD to get diagnosed and get help so. So that it can prevent more serious problems from happening for them down the road. […] Out of the pandemic we saw a huge spike in help seeking for ADHD, but the demand for care has far outgrown the amount of care that’s available. […] Experts in this field are working now on guidelines to help better treat adults with ADHD. […] It’s going to provide a compass for providers who want to learn how to treat ADHD well but haven’t known exactly how to do that.

• #4 How Tufts Is Helping to Develop the First U.S. Guidelines for ADHD in Adults | School of Medicine

  https://medicine.tufts.edu/news-events/news/how-tufts-helping-develop-first-us-guidelines-adhd-adults

  Adult ADHD is really a public health problem that we need to address, emphasizes Busch, who is also a Tufts University Trustee Emerita and a member of the Board of Advisors for the Jonathan M. Tisch College of Civic Life. […] It’s estimated that 15-25% of people with ADHD have a substance abuse disorder, as compared to 5.6% of those without ADHD. If you treat the ADHD, patients may remain in treatment for their substance abuse disorder for a longer time and may significantly reduce their substance use, says Busch. […] We need evidence-based guidelines, combined with the experience of our best clinical experts in the field to address this challenging condition, Busch says. Clinicians need to know how to assess and treat adults with ADHD based on our current knowledge, so they dont overtreat or undertreat. We need Clinical Practice Guidelines for teaching new generations of cliniciansand existing generationshow to treat ADHD in adults. […] Busch hopes the U.S. Adult ADHD Clinical Practice Guidelines will yield standards of care that can influence insurers to cover more medication options, with fewer restrictions. It has been shown that drug treatment of ADHD has the potential to save insurers money over the long term.

• #5 Adult ADHD: Symptoms, Statistics, Causes, Types, and Treatments

  https://www.webmd.com/add-adhd/adhd-adults

  Since ADHD runs in families, you can’t prevent it. Experts aren’t sure what might raise your risk for the condition. But if you’re pregnant, avoiding drugs, smoking, and alcohol could reduce the odds that your child will get ADHD and have other health problems later on.

• #6 Adult ADHD: Symptoms, Test, Diagnosis, and Medication

  https://www.medicinenet.com/adult_adhd/article.htm

  Is it possible to prevent adult ADHD? […] Research indicates that breastfeeding up to 6 months of age may help prevent the development of ADHD. […] Since environmental and social problems like drug use in the mother, medical, and emotional challenges increase the likelihood of developing this condition, prevention or treatment of those issues can help prevent ADHD. […] In addition, early treatment of children with ADHD can decrease the impact the illness has on the individual’s life into adulthood.

• #7 Inattentive ADHD: What It Is, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/15253-inattentive-adhd

  Theres no known way to entirely prevent inattentive ADHD. You can reduce your risk of having a child with inattentive ADHD by taking care of yourself during pregnancy.

• #8 European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-10-67

  Long-term follow-up, epidemiological and clinical studies have shown that adults with untreated ADHD, when compared to normal controls, experience higher rates of academic failure, low occupational status, increased risk of substance use disorders (tobacco, alcohol or drugs), accidents and delinquency, and have fewer social relationships or friends. […] Effective management of the patient with ADHD is justified from a health economic perspective since undiagnosed and untreated ADHD will lead to inefficient health care use, less satisfactory clinical outcomes, lower personal well-being and poorer social and professional interactions.

• #9 Treatment of ADHD in Adults – CHADD

  https://chadd.org/for-adults/treatment/

  Adults with ADHD can benefit by identifying the areas of their life that are most impaired by their ADHD and then seeking treatment to address them. […] They may benefit from treatment strategies similar to those used to treat ADHD in children, particularly medication and learning to structure their environment. […] In addition, mental health counseling can offer much-needed support to adults dealing with ADHD in themselves or someone they care about. Since ADHD affects the entire family, receiving services from ADHD-trained therapists skilled in Cognitive-Behavioral Therapy can help the adult with ADHD learn new techniques to manage living with ADHD.

• #10 Attention deficit hyperactivity disorder – adults | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/attention-deficit-hyperactivity-disorder-adults

  Treatment for ADHD can include: […] education to help the person understand and better manage their condition […] lifestyle improvement such as cutting back or quitting drugs and alcohol, and taking up regular exercise […] medication stimulant and non-stimulant medications are used […] psychotherapy to address self-esteem problems or substance abuse […] therapy such as behaviour therapy and cognitive behaviour therapy, to teach anger management, organisational skills or social skills, depending on the needs of the individual […] vocational counselling to increase the persons chances of success and satisfaction in the workplace […] family therapy when one family member has ADHD, the whole family needs support […] joining a support group. […] Brain imaging techniques and function measures of how your brain solves problems hold current promise for being able to better understand and personalise treatments.

• #11 US Guidelines for Adults with ADHD | APSARD

  https://apsard.org/us-guidelines-for-adults-with-adhd/

  APSARD’s guidelines will rest on a firm foundation of research established by the Adult ADHD Quality Measures Initiative which, for the past five years has developed and tested metrics for the quality care of adults with ADHD. […] We hope our guidelines will provide a clinical basis to help providers understand what goes into a comprehensive psychiatric evaluation for an accurate diagnosis. Once a diagnosis of ADHD is established then treatment options can be discussed with the patient. […] We hope that guidance in making an accurate diagnosis of ADHD in adults will lead to more effective treatment options considered by the provider and the patient. […] Education about our guidelines will increase the consistency of clinical training to insure an accurate diagnosis from healthcare providers around the country.

• #12 Adult ADHD Treatment Strategies | TEAM ADHD For HCPs

  https://www.team-adhd.com/adult/adhd-treatment-strategies

  ADHD in adults is a chronic disorder that requires a consistent treatment approach. […] If ADHD is left untreated, adults can experience reduced emotional, social, and vocational functioning throughout the day, in areas such as: Morning routine (getting ready for work and/or kids ready for school), Driving safely to office, Finishing work accurately and on time, Helping kids with homework, Interacting with significant other/partner, Planning next days activities, Going to bed on time. […] There is an increased consensus that drug holidays are unnecessary and that the consistent use of ADHD medication can aid in developing healthy habits of planning and self-discipline. […] The risks and benefits of treatment strategies must be weighed carefully in adult patients. […] Nonpharmacologic treatment of adult ADHD should be tailored to each patient.

• #13 Adult ADHD Treatment Strategies | TEAM ADHD For HCPs

  https://www.team-adhd.com/adult/adhd-treatment-strategies

  Treating ADHD may reduce the risk of these comorbidities, as well as moderate negative outcomes in patients with comorbid conditions. […] All of these data persuade us to consider treating both ADHD and all of its potential comorbidities. […] Treatment must address the time outside of school and work, too.

• #14 European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-10-67

  ADHD is considered an important factor in its aetiology as the substances are often used for self-medication and may relieve symptoms like restlessness, inattention, impulsivity and sleep problems. […] However, systematic research has not provided a strong evidence base for appreciable improvements in ADHD when treated in the presence of substance use disorders; and drug or alcohol abuse disorders should always be targeted as a primary disorder. […] Treatment should follow careful diagnostic assessment of ADHD and associated comorbid disorders. […] The multimodal approach includes: psycho-education of ADHD and comorbid disorders, pharmacotherapy for ADHD and comorbid disorders, coaching, cognitive behaviour psychotherapy (individual and group), family therapy. […] The symptoms of ADHD can be treated effectively in both children and adults.

• #15 European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-10-67

  ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. […] Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group. […] The objectives of this consensus statement are to increase awareness of the following: (1) That ADHD often presents as an impairing lifelong condition in adults, yet is currently underdiagnosed and treated in many European countries; (2) That instruments for screening and diagnosis of ADHD in adults are available; (3) That appropriate treatments exist.

• #16 Clinical Implications of Attention-Deficit/Hyperactivity Disorder in Adults: What New Data on Diagnostic Trends, Treatment Barriers, and Telehealth Utilization Tell Us

  https://www.psychiatrist.com/jcp/implications-adult-adhd-diagnostic-trends-treatment-barriers-telehealth/

  New data from the US Centers for Disease Control and Prevention (CDC) highlight the need for the development of guidelines for the diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in adults. […] Common treatment barriers include delayed diagnosis or misdiagnosis, limited access to available care, systemic inequities in marginalized communities, and limited education in the medical community regarding the persistent nature of ADHD in adulthood. […] The CDCs MMWR emphasizes diagnostic and treatment barriers for adults with ADHD and provides an updated understanding of the prevalence of the condition. These data highlight the importance of the upcoming American Professional Society of ADHD and Related Disorders (APSARD) Adult ADHD Guidelines. These will be the first US guidelines for the diagnosis and treatment of adults with ADHD and will provide a valuable framework of treatment for clinicians and families.

• #17 European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD | BMC Psychiatry | Full Text

  https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-10-67

  Despite this, across much of Europe many professionals working in adult mental health services remain unaware that ADHD frequently persists into adult life and remain uninformed about the clinical presentation and the consequences of ADHD across the lifespan. […] Another reason for underdiagnosis and treatment of ADHD in adults is the age-dependent change in the presentation of ADHD symptoms. […] The recent National Institute for Health and Clinical Excellence (NICE) guidelines from the UK describes the situation in which a drug treatment is considered safe to give to children but not safe to give to adults as an „anomaly”. […] The current lack of licensed indications for the use of stimulants in adults in most European countries (but not in the US) is not supported by available data, but rather results from the historical focus on ADHD as a child disorder, commercial considerations by pharmaceutical companies and caution from regulators: a situation that may be revised in the next 1-2 years in Europe as several formulations of methylphenidate and dexamphetamine are being put forward for registration.

• #18

  https://newsroom.uw.edu/blog/cdc-study-surge-shows-adhd-overlooked-adults

  Those who think they may have ADHD should visit their primary care provider. […] I think it’s time that ADHD takes its rightful place as a primary condition in the field of adult mental health, said Sibley, an associate professor of psychiatry behavioral sciences at the UW School of Medicine. […] We need to catch our adult providers up on the training of what it takes to identify adult ADHD. […] The findings show a great need to meet this new demand, and to scale up the providers who can diagnose adults, said Sibley and her co-authors from SUNY Upstate Medical School, Oregon Health and Science University and Harvard Medical School. […] Sibley said professional organizations such as the American Professional Society for ADHD and Related Disorders and Children and Adults with Attention-Deficit/Hyperactivity Disorder are collaborating on new guidelines to effectively diagnose and treat adults.

• #19

  https://newsroom.uw.edu/blog/cdc-study-surge-shows-adhd-overlooked-adults

  Beyond the guidelines, we need really good provider training because with increased patients seeking treatment for ADHD, we need more providers as well. […] We need to hear from the women who sought stimulant prescriptions for the first time during this time period to understand exactly what led them to seek care and whether the medication that they received helped them, Sibley said. […] So we also need to understand exactly what they’re receiving those medications for.

• #20 Effort Underway to Develop First U.S. Guidelines for ADHD in Adults | Columbia University Department of Psychiatry

  https://www.columbiapsychiatry.org/news/effort-underway-develop-first-u-s-guidelines-adhd-adults

  The number of diagnosed cases of attention-deficit/hyperactivity disorder (ADHD) have increased significantly among adults in the United States within the past decade, which could be due to many factors, including overdiagnosis. […] To gauge the true scope of the problem and improve the quality of care, the American Society of ADHD and Related Disorders (APSARD) recently appointed a special committee to write the first-ever, authoritative guidelines for adult ADHD in the U.S. […] Additionally, primary care practices are typically the first point of contact when adults with ADHD need care, and the creation of uniform standards will address a critical need for health providers, patients, and the public. […] The guidelines will be based on a critical review the scientific literature; the APSARD Adult ADHD Quality Measures initiative, which over several years ago published metrics for assessing quality care for diagnosing and treating ADHD in adults; and the recommendations of committee of nearly 300 ADHD experts in collaboration with professional organizations. We expect the guidelines will be accessible and useful for the primary care practitioners and mental health specialists later this year.

• #21 US Guidelines for Adults with ADHD | APSARD

  https://apsard.org/us-guidelines-for-adults-with-adhd/

  Our guidelines will be the consolidation of the world’s scientific research on ADHD in adults. Following scientific rigor of analysis, we hope the guidelines will viewed by other professional associations as critical step forward in establishing consistency in the approach to diagnosis and treatment of adult ADHD. […] We want patients to understand how accuracy of diagnosis and effectiveness of treatment can improve the quality of their lives.

• #22 Adult ADHD Diagnosis and Treatment Guidelines by APSARDFooterLogo

  https://www.additudemag.com/adult-adhd-diagnosis-treatment-guidelines-apsard/?srsltid=AfmBOoqdwpr9_4gXToq3dA-1m1egKWduLPVqo1IFSlGk51KxHlEIczvv

  U.S. guidelines for diagnosing and treating adult attention deficit hyperactivity disorder (ADHD) are long overdue. […] Adult patients with ADHD deserve high-quality care, and providers likewise deserve authoritative resources that outline effective, evidence-based practices for adult ADHD. […] Guidelines that outline effective care protocols for adult patients are needed to meet this demand. […] Guidelines would clarify to providers the degree to which various interventions, including non-pharmacological treatments, demonstrate effectiveness for adult ADHD. Ultimately, guidelines would help clinicians deliver holistic, safe, and appropriate care. […] APSARD’s forthcoming adult ADHD guidelines will address this urgent need for providers and patients alike — making evaluations more thorough, diagnosis more reliable, and treatment safer.

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