Parents don’t understand them; Their teachers can’t stand them; Their peers reject

ADHD THROUGH THE MOVIES www.adhdclinicjeeva.com

Patients with “ADHD” may suffer Because…..

• Their parents don’t understand them;

• Their teachers can’t stand them;

• Their peers reject them;

• Their spouses and bosses can’t stand their disorganization and intensity;

• They themselves begin to think: “no matter what I do I can’t win…”

Famous People with Attention Deficit and Learning Disorders

ADHD Diagnosis

• 5-9% children with this condition

• 60% of these children go on to adulthood with impairing symptoms

• Core symptoms are

• Impulsivity
• Attentional problems
• Motor hyperactivity

Visual Images

• Move in the academic teaching arena to use movies and visual processes as ways of teaching

• ADHD patients respond better to visual systems rather than talking

• Auditory processing problems
• Strengths in visual-spatial ability
• Ability to see the forest but not the trees

Impulsivity

• An urge that is difficult to resist

• Dennis the Menace
• The Simpsons

Dennis the Menace

Inattention

• Loss of order and loss of presence of mind

• Home Alone
• Inspector Gadget
• Gilligan’s Island
• Get Smart

Home Alone 2

Motor Hyperactivity

• Any movie by

• Jim Carrey
• Robin Williams
• Howie Mandell
• Tom Cruise

ADHD-Developmental

• You must accept that if ADHD is a lifelong disorder, then your personality must change. The Adult is still having power battles with authority figures which is similar to the power battles within themselves.

• Different Examples

• -Officer and a Gentleman

• -Goodwill Hunting

• -The Lion King

• -Mrs. Doubtfire

Good Will Hunting

ATTENTION DEFICIT DISORDER

• A.D..D.

• IMPULSIVITY

• Failure to think of

• Consequences before

• acting

• --------------------------------------------------------------------------------------------------

• “Combined”

Symptoms of Hyperactivity Often Manifest Differently in Adults

• DSM-IV Symptom Domain

• Squirms and fidgets

• Can’t stay seated

• Runs/climbs excessively

• Can’t play/work quietly

• “On the go”/driven by motor

• Talks excessively

Symptoms of Inattention Often Manifest Differently in Adults

• DSM-IV Symptom Domain

• Difficulty sustaining attention

• Doesn’t listen

• No follow-through

• Can’t organize

• Loses important things

• Easily distractible, forgetful

Symptoms of Impulsivity Often Manifest Differently in Adults

• DSM-IV Symptom Domain

• Blurts out answers

• Can’t wait turn

• Intrudes/interrupts others

ADHD Impairment Persists

Diagnosis of ADHD in Adults: Common Clinical Histories

• Difficulties in Elementary or Secondary School

• Comments: “not living up to potential,” “spacey,” “hyper”
• Behavioral issues: “class clown”

• Difficulties in College

• Incomplete degree or longer time to complete degree
• Difficulty engaging in further education

• Difficulties at Work

• Underachievement (mixed reviews)
• Low efficiency: 4 times longer to complete tasks

• Difficulties at Home

• Poor organization, does not complete tasks
• Strained relationships with spouse and kids (who also may have ADHD)

Sound of Music

Office Presentation

• Patients with ADULT ADHD:

ADHD and Comorbid Conditions

Clinical Presentation

Comorbid Psychiatric Disturbances Are Common in Adults With ADHD

Officer and A Gentlemen

ADHD Comorbidity in Adults with Other Psychiatric Disorders

Domains of Impairment

Mrs. Doubtfire

ADHD Owners Manual

• Many people with ADHD don’t realize they have an owner's manual. We help them to learn about themselves. This is the way you are.

• ---How to maximize your strengths and minimize your weaknesses.

• It helps people look at themselves in a more positive way and to learn why things have happened.

Potential Areas of Impairment

Sound of Music

Pharmacotherapy in Adults

• Stimulants

• Methylphenidate-Ritalin
• Amphetamine compounds-Dexedrine
• Magnesium pemoline (not recommended)
• Long acting stimulants -Ritalin-SR.Ritalin-L.A,Concerta,Adderal XR

• Atomoxetine (FDA-approved in adults)-Straterra

• Antidepressants

• Bupropion-Welbutrin SR
• SSRI/SNRI
• Tricyclics

• Other

• - Mood Stabilizers: Valproic Acid/Lithium

• - Atypical Antipsychotics: Resperidone

• - Clonidine

• Research

• Modafinil

ATTENTION DEFICIT DISORDER Effects of Medication

• IMPROVES:

• Compliance

• Following the rules

• Percentage of seat work completed

• Accuracy of seat work

• Teachers’ rating of behaviour

• Performance on cognitive laboratory tasks

• Handwriting

• Central auditory processing testing

• Positive attention from mothers

ATTENTION DEFICIT DISORDER Effects of Medication

• DECREASES:

• Fidgeting

• Impulsivity

• Negative social behaviours

• Vocalizations and noise

• Controlling behaviour of mothers and teachers

• Intensity of interactions by teachers

• Off-task behaviour in class

ADHD, ODD and CD Integrative Interventions

• Preventative interventions (i.e. preventing the development of comorbid disorders)

• Patient, parent, spouse training and support

• Individual counseling and therapy

• Group counseling and therapy

• Family counseling and therapy

• Interventions at school and work place

• Medication eg. Resperidone

• Working with correctional systems

Lion King

Conclusions

• ADHD symptoms are impairing

• The symptoms continue into adulthood

• Early problems of attachment lead to a false sense of self

• Insight to the clinical symptoms has profound implication to treatment and compliance

?ADULT ADHD SYMPTOMS