ADHD in Older Adults


New research is needed in the field of ADHD in older adults. See this study abstract below.



Clinical Presentation, Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder (ADHD) in Older Adults: A Review of the Evidence and its Implications for Clinical Care.

Commentary by Dr. Margaret Weiss*: Geriatric ADHD may be the last developmental frontier still ahead of us.

Clinical Presentation, Diagnosis and Treatment of Attention-Deficit Hyperactivity Disorder (ADHD) in Older Adults: A Review of the Evidence and its Implications for Clinical Care.
Goodman DW, Mitchell S, Rhodewalt L, Surman CB.
Drugs Aging. 2015 Dec 11.
Abstract
Although previously considered a disorder of childhood, studies in the last decade have demonstrated that attention- deficit hyperactivity disorder (ADHD) continues to impair function into adulthood and responds to pharmacotherapy. Due to age-specific changes in roles and challenges, it is possible that presentation and response to intervention may differ between older and younger adults. A literature search for papers that identified older adults with ADHD, including papers describing its epidemiology, manifestation, and treatment, was the basis for this paper. There is a paucity of data on ADHD in older adults; however, small observational studies have characterized the presence, impact,
and treatment of ADHD in adults over the age of 50 years, and larger epidemiologic studies have demonstrated that ADHD symptoms exist in older adulthood. Optimal criteria for the diagnosis of ADHD and methods of
treating ADHD in older individuals have not been systematically explored. In light of the limited data, this review discusses considerations for differential diagnosis and safe pharmacotherapy of ADHD in older adults.


* Abstracts are selected for their clinical relevance by Dr. Margaret Weiss MD Ph.D. FRCP, Weiss Clinic for ADHD Care, Clinical Professor of Psychiatry, University of British Columbia, Vancouver, BC. Her commentary reflects her own opinion, is not approved, or necessarily representative, of the opinion of the CADDRA board. 

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