Primary Care Approach to Adult Attention Deficit Hyperactivity Disorder
Abstract
Attention Deficit Hyperactivity Disorder (ADHD) is a major neuropsychiatric disorder that is understood to last lifelong. Prevalence is predicted to be around 2-4%. At least one third of adult ADHD patients were shown to have child with ADHD and one third of children with ADHD have parents who were ADHD patients. DSM-IVTR and ICD-10 as well as Utah criterion are used for diagnostic purposes. Detailed history taking, comprehensive mental state examination and careful differential diagnosis are essential for correct diagnosis. The main clinical signs include problems of attention and self control. Adults experience occupational and parental difficulties and deteriorations in family or friend affairs. High risk health behaviors like smoking, drug abuse and motor vehicle accidents are common among patients. Psychiatric comorbidity is also high. Main treatment option is stimulant therapy. Family physicians could make a difference by early and efficient diagnosis, timely orientation to psychiatric treatment and counseling on risks and negative effects of the disease on various fields of the life.
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