adult ADD diagnosis
Review of Cardiovascular Effects of ADHD Medications
Levin Charles J, Goodman David W, Adler Lenard A. Psychiatric Annals 2018
This scientific publication reviews the cardiovascular (CV) effects of ADHD medication and recommendations for monitoring clinical effects. The impression that ADHD medications cause significant CV risk is diminished when the literature is review and judicious monitoring of blood pressure and pulse are performed. Misinformation about CV risks is mitigated when the research literature is understood.
Dr. David W. Goodman interviewed by NPR April 4, 2017
National Public Radio interviewed me this week to comment on a research publication about a revised adult ADHD screener developed in coordination with the World Health Organization. What the journalist didn’t know at the time, that I will share with you, is that I was a pre-publication peer reviewer on this study. That means I was very knowledgeable about the details of the study and had offered my critique prior to publication.
As background, my colleagues just published a research paper revising the adult ADHD screener developed in coordination with the World Health Organization. Because of the diagnostic changes from DSM-IV to DSM-5, the previous adult ADHD screener needed to be revised accordingly. While the six question screener looks rather basic, the article details the rigorous methodology and statistical factors that contributed to the selection of each of the six ADHD questions.
It should be enphatically stated that the screener simply allows clinicians to identify adults who may have ADHD, but it in no way makes a diagnosis. Because primary care clinicians are increasingly requested to provide mental health diagnoses and treatment. Because their time spent with patients is limited, the screener simply highlights someone who has some symptoms. This encourages a further evaluation by someone with adult ADHD expertise.
Given that ADHD is a world wide disorder, the World Health Organization has been very interested in developing a preliminary screener to be performed in the offices of clinicians around the world. The previous screener has been translated into many languages to be used internationally.
To those who follow my blog, I apologize for the delinquency in posting any recent material. My time has been consumed taking care of patients, developing slide decks to educate clinicians, serving on the national boards of directors for APSARD ( American Professional Society for ADHD and Related Disorders Association) and CHADD (Children and Adults with ADHD Association), and working with journalists in order to present the latest science of ADHD.
Thank you to those who continue to read my blogs.
Mental Disorders in Primary Care: A Guide to Evaluation and Management
Carvalho Andre F, McIntyre Roger S. Oxford Press, 2017.
Goodman, David W. “Adult ADHD across the lifespan” Chapter
This book is a comprehensive review of psychiatric disorders written for primary care providers. Each chapter is written by an expert specialist providing state-of-literature and clinical guidance for the diagnosis and treatment of mental disorders
Is ADHD a valid diagnosis in older adults?
Surman C, Goodman DW. ADHD Atten Def Hyp Disord. Jan2017.
Effect of Online CME on Improving and Management: From Younger to Older Adults
Lubarda Jovana, Chatterjee Piyali, Goodman David W. Poster Presentation 2017
Dr. David W. Goodman ADHD in older adults U.S. News and World Report March 2016
Since the recent publication of our literature of published research on ADHD in adults over age 50, several news outlets have been interested in bring this subject to the public eye. ADHD in adults persists throughout one’s life. It does not go away because you got your AARP card or Medicare benefits.
Because I believe in the importance of accurate diagnosis and effective treatment for ADHD regardless of age, I wrote an editorial piece that U.S. News and World Report published online on March 7, 2016. This article was picked up by several news (Yahoo News) and professional organizations (American Professional Society for ADHD and Related Disorders – an organization of international clinicians and researchers, and the National Resource Center-a CDC funded organization affiliated with Children and Adults with ADHD Association CHADD).
For most people with ADHD, it is a lifelong condition to be understood, appreciated, respected, and treated effectively. Quality of function and life are greatly effected regardless of your age. I always encourage people with lifelong symptoms of ADHD to get a competent evaluation and learn more about managing these symptoms to improve daily functioning.
Dr. David W. Goodman interviewed by WOSU (NPR) on Adult ADHD January 26, 2016
It appears that the topic of ADHD in older adults is catching some attention. I was invited by Ann Fisher of WOSU Radio (NPR affiliate) in Columbia, Ohio to discuss adult ADHD especially in older adults. The host, Ann, asked insightful questions about identification and diagnosis in older adult and how that’s different from younger adults and children. We also covered treatment options including medication and cognitive behavioral therapy.
I am very excited that some media outlets have decided that ADHD in older adults is an opportunity to increase public awareness that “ADHD is not just for kids.”
I invite you the listen to the 20 minute interview. You can find it here. On the time scroll bar, move it to 14:40 minute mark to listen.
David W. Goodman, M.D.