Post by jennywren on Mar 22, 2008 19:36:51 GMT -5
My male friend got Russell Barkleys Adult ADHD - The Science for me. Have just about read it, dry in parts (for the lay person) but very interesting info. The long and the short of it, he has a proposal of the following symptoms for Adult ADHD. They intend there to be one type only, ie no subtypes with one possible exception as follows at the end.
The nine symptoms:
A. Has 6 (or more) of the following symptoms that have persisted for at least 6 months to a degree that it is maladaptive and developmentally inappropriate:
1.Often is easily distracted by extraneous stimuli or irrelevant thoughts.
2.Often makes decisions impulsively.
3.Often has difficulty stopping activities or behavior when he or she should do so.
4.Often starts a project or task without reading or listening to directions carefully.
5. Often shows poor follow-through on promises or commitments he or she may
make to others.
6.Often has trouble doing things in their proper order or sequence.
7.Often is more likely to drive a motor vehicle much faster than others (excessive speeding) [ Alternate symptoms for those adults with no driving experience: Often has difficulty engaging in leisure activities or doing fun thing quietly.)
8. Often has difficulty sustaining attention in tasks or play activities.
9. Often has difficulty organizing tasks and activities.
B. Some symptoms that caused impairment were present in childhood to adolescence (before age 16 years).
C. Some impairment from the symptoms is present in two or more settings (e.g., work, educational activities, home life, community functioning , social relationships).
D. There must be clear evidence of clinically significant impairment in social, educational, domestic (dating, marriage or cohabitating, financial, driving, child-rearing, etc.), occupational or community functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder, and are not better accounted for by another mental disorder (e.g., Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
The following is the gist of what he sent me in an email:
Professor Barkely et al recognise, that what is put forward by some reserachers as a sloggish cognative tempo (SCT - an unfortunate term) type of inattentive ADHD, may well be a different or unrelated disorder. They have advised in an email that the DSM-V committee on ADHD is studying the matter of those who are regarded by some researchers as Inattentive with sluggish cognative tempos by either creating a separate disorder with its own distinct symptoms (and a better name). Or it could remain a subtype of ADHD but again make it clear that it has its own criteria for diagnosis. All this will get settled in the next 3 years as they have until 2011 before the final version is to be published.
So who knows if this is what will end up in DSM-V or not, as three years is a long time, and I gather they need more research findings in regard to the Inattentive SCT types, and just what it will all mean in the end?
JennyWren
The nine symptoms:
A. Has 6 (or more) of the following symptoms that have persisted for at least 6 months to a degree that it is maladaptive and developmentally inappropriate:
1.Often is easily distracted by extraneous stimuli or irrelevant thoughts.
2.Often makes decisions impulsively.
3.Often has difficulty stopping activities or behavior when he or she should do so.
4.Often starts a project or task without reading or listening to directions carefully.
5. Often shows poor follow-through on promises or commitments he or she may
make to others.
6.Often has trouble doing things in their proper order or sequence.
7.Often is more likely to drive a motor vehicle much faster than others (excessive speeding) [ Alternate symptoms for those adults with no driving experience: Often has difficulty engaging in leisure activities or doing fun thing quietly.)
8. Often has difficulty sustaining attention in tasks or play activities.
9. Often has difficulty organizing tasks and activities.
B. Some symptoms that caused impairment were present in childhood to adolescence (before age 16 years).
C. Some impairment from the symptoms is present in two or more settings (e.g., work, educational activities, home life, community functioning , social relationships).
D. There must be clear evidence of clinically significant impairment in social, educational, domestic (dating, marriage or cohabitating, financial, driving, child-rearing, etc.), occupational or community functioning.
E. The symptoms do not occur exclusively during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder, and are not better accounted for by another mental disorder (e.g., Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
The following is the gist of what he sent me in an email:
Professor Barkely et al recognise, that what is put forward by some reserachers as a sloggish cognative tempo (SCT - an unfortunate term) type of inattentive ADHD, may well be a different or unrelated disorder. They have advised in an email that the DSM-V committee on ADHD is studying the matter of those who are regarded by some researchers as Inattentive with sluggish cognative tempos by either creating a separate disorder with its own distinct symptoms (and a better name). Or it could remain a subtype of ADHD but again make it clear that it has its own criteria for diagnosis. All this will get settled in the next 3 years as they have until 2011 before the final version is to be published.
So who knows if this is what will end up in DSM-V or not, as three years is a long time, and I gather they need more research findings in regard to the Inattentive SCT types, and just what it will all mean in the end?
JennyWren
I was about to conquer the world but then I got distracted by something shiny.
) constantly feel or think or react in a way not consistent with reality {the one outside of ourselves that is verifiable empirically or close to it at least} then we might benefit from some, what I like to call ''Re~Braining'' more commonly know as therapy. Yes I am unabashedly and wholly prejudiced toward a type of therapy called CBT/Cognitive Behavioral Therapy. But I'm certain most therapy would be beneficial. Most therapists use a mixture of styles and types of behavior modification as far as I know anyway.