ADHD

Research Update

Amphetamine Extended Release Oral Suspension for ADHD

Topics: ADHD | Research Update

Review of: Childress AC et al, J Child Adolesc Psychopharmacol 2017;28(5):306–313 In 2015, the FDA approved Dyanavel XR (amphetamine extended release oral suspension), which was the first long-acting liquid version of amphetamine on the market. To provide some context, Quillivant XR, a long-action liquid methylphenidate formulation, was approved in

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Research Update

Mindfulness Therapy for Adult ADHD

Topics: ADHD | Research Update

Review of: Janssen L et al, Psychological Medicine 2018;28:1–11 Medications are the first-line treatment for adult ADHD, and the efficacy of psychosocial therapies is less well-defined. Mindfulness-based therapy showed promise for adult ADHD in a recent meta-analysis, but there were flaws and significant differences between the included studies (Ja

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Article

Adolescents With ADHD and Substance Use Disorders: A Primer

Topics: Addiction | ADHD | Child Psychiatry | Registered Articles | Substance Abuse

You are evaluating a 16-year-old boy referred for mandated substance use treatment by his high school, where he was found drinking alcohol and smoking cannabis with a friend in the restroom. As you gather his history, he says, “One doctor told me I have ADHD. That’s why I smoke pot—it helps me focus. But I think I’d do better with some Adderall.

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Article

Differentiating ADHD From Anxiety: Tips for Clinicians

Topics: ADHD | Anxiety | Child Psychiatry | Practice Tools and Tips

When parents bring in their kids for concentration, attention, and learning issues, it’s common to assume a provisional diagnosis of ADHD. In many children, however, anxiety can be the real cause of these problems. Studies have long shown that about two-thirds of children and adolescents who present for ADHD evaluation have comorbid conditions, inc

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Research Update

Does Methylphenidate Use in Children and Young Adults Increase Risk of Suicide?

Topics: ADHD | Child Psychiatry | Research Updates

Review Of: Man KKC et al, JAMA Psychiatry 2017;74(10):1048–1055 Some studies have indicated that patients with ADHD may be at an increased risk of suicide. While these studies have shown associations between methylphenidate use and suicide, it is not clear whether the stimulant actually causes suicidality or whether patients taking stimulants are s

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Article

An Integrative Approach to Attention Deficit Hyperactivity Disorder

Topics: ADHD | Child Psychiatry | Psychotherapy

Integrative approaches to treating ADHD have become increasingly sought after by parents, especially those who are concerned about the side effects and potential overuse of psychostimulant medication. Surveys report that over 60% of child psychiatry patients are employing integrative tools on their own such as vitamins, specific diets, and herbal remedi

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Article

Official 2017 Carlat ADHD Pediatric Stimulant Comparison Table

Topics: ADHD | Child Psychiatry

Our official 2017 Carlat ADHD Stimulant Comparison table, an easy-to- use reference that you’ll find handy. Table: Official 2017 Carlat ADHD Pediatric Stimulant Comparison Table (Click here to view as full-sized PDF.)

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Expert Q&A

Choosing Medications for ADHD

Topics: ADHD | Child Psychiatry

CCPR: Can you tell us about your current practice? Dr. Buchanan: I am responsible for pediatric ER and floor consults, I supervise the school crisis walk-in clinic, and I am responsible for high-risk intakes in the clinic.   CCPR: We hear a lot about overdiagnosis of ADHD. What are your thoughts? Dr. Buchanan: We all hear that the prob

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Research Update

Is Modafinil an Effective Alternative for the Treatment of ADHD?

Topics: ADHD | Child Psychiatry | Research Update

Review of: Wang SM et al, J Psychiatr Res 2017;84:292–300. Modafinil (Provigil) is FDA-approved for narcolepsy, obstructive sleep apnea, and shift work sleep disorder, but not for ADHD. Given that it has some of the same stimulating properties of psychostimulants, it should theoretically be effective. Wang and colleagues identified five randomized

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CME Post-Test

Take The CME Post-Test for ADHD in Children and Adolescents, CCPR, September/October 2017

Topics: ADHD | Autism Spectrum Disorder | Child Psychiatry | Research Update

The post-test for this issue is available for one year after the publication date to subscribers only (October 31, 2018). By successfully completing the test you will be awarded a certificate for 2 CME credits. Click here to take your CME test. Note: All of the CME tests are available in the “My Account” section of the site when you are logge

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Research Update

Defining a Role for Nutrition in Managing Children With ADHD

Topics: ADHD | Child Psychiatry | Research Update

Review of: Lange KW et al, Curr Psychiatry Rep 2017;19(2):8. Parents of kids with ADHD often ask about the role of diet and nutrition in their child’s symptoms, and research has uncovered some interesting possibilities. For example, there is some evidence that concentrations of long-chain polyunsaturated fatty acids (LC-PUFAs, which includes omega-

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Expert Q&A

Diagnosing and Treating PANDAS/PANS: A View From the Clinic

Topics: ADHD | Child Psychiatry | OCD

CCPR: Dr. Greenberg, thanks for returning to CCPR. You gave great information in our March issue on Tourette’s disorder, and we know you also treat kids with PANDAS/PANS. How many kids have you seen with PANDAS/PANS? Dr. Greenberg: I devote one day a week to patients with PANDAS/PANS, and I see one to two new cases a week. I’ve probably seen 50

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Research Update

MOXO-CPT: Short and Sweet, but Is It Useful?

Topics: ADHD | Research Update

Review of: Berger I et al, Arch Clin Neuropsychol 2017;32:81–93. Diagnosing ADHD continues to be difficult, time-consuming, and expensive. Having an “objective,” valid test for ADHD would be of value to clinicians and families alike. Continuous performance tests (CPT) are gaining popularity as a complement to clinical examination, rating scales

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CME Post-Test

Take The CME Post-Test for PANDAS, PANS, and Related Disorders, CCPR, June/July 2017

Topics: ADHD | Child Psychiatry | OCD

The post-test for this issue is available for one year after the publication date to subscribers only (December 31, 2017). By successfully completing the test you will be awarded a certificate for 2 CME credits. Click here to take your CME test. Note: All of the CME tests are available in the “My Account” section of the site when you are logg

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Article

How to Treat Adult ADHD

Topics: ADHD | Free Articles | Practice Tools and Tips

Over the past decade, it’s become apparent that ADHD does not suddenly end when children grow up, and that the disorder often continues into adulthood. Since 2011, I have run a clinic specializing in adult ADHD. ADHD is relatively common in adults, with conservative estimates of a 4%–5% prevalence in the adult population, equal in men and women (htt

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Expert Q&A

ADHD Overdiagnosis

Topics: ADHD | Practice Tools and Tips

TCPR: You run a screening clinic for adult ADHD at Queens University near Ottawa. You’ve had some interesting findings; can you describe them? Dr. Harrison: Sure. The people that I see are generally university students who think they have ADHD but who were never diagnosed. Most of them were referred by a family physician, a counselor, or an academ

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Research Update

Can a 10-Minute Intervention Improve Sleep in Children With ADHD?

Topics: ADHD | Child Psychiatry | Research Update

Study Reviewed: Peppers K et al. An intervention to promote sleep and reduce ADHD symptoms. Journal of Pediatric Healthcare 2016;30(6):43–48. Study Type: Open, uncontrolled clinical trial We know that kids with ADHD often have sleep issues, and that the stimulants we use to treat them can cause insomnia. What would happen if we focused our treat

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Research Update

Meds for ADHD Not Working? Add CBT

Topics: ADHD | Child Psychiatry | Research Updates

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Article

The Explosion of the ADHD Diagnosis: The Key Causes

Topics: ADHD | Child Psychiatry | Free Articles

Rates of ADHD have increased significantly in the U.S. over the past several years, leading to an ongoing debate about the validity of the disorder. Because you are likely to be asked by patients (or their parents) about this issue, it’s helpful for you to have some background in exactly how much the prevalence has increased, and what factors may be d

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Article

Newer Stimulant Preparations: Are They Worth the Cost?

Topics: ADHD | Child Psychiatry

Longtime readers of CCPR will know that we are generally skeptical of the utility of newly approved stimulant preparations, unless they are actually new molecules. Over the last few years, several of these variations on older themes have been introduced; here is a handy table for your perusal should you be curious. Caution: While some of these formulati

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