By Russell A. Barkley PhD ABPP ABCN

This instruction manual provides vast wisdom at the nature, prognosis, evaluate, and remedy of ADHD. supplied are authoritative directions for knowing and dealing with the demanding situations ADHD poses to youngsters, young people, and adults in more than a few settings. All chapters finish with straightforward Key medical Points.Note: Practitioners wishing to enforce the review and remedy strategies within the guide are urged to buy the significant other Workbook, which includes a whole set of kinds, questionnaires, and handouts, in a large-size structure with permission to photocopy. (20080101)

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Additional resources for Attention-Deficit Hyperactivity Disorder, Third Edition: A Handbook for Diagnosis and Treatment

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Related approaches to social skills training for children with ADHD also showed initially promising results (Pfiffner & McBurnett, 1997), but subsequent research did not bear out this promise and suggested that some children with ADHD may even become more aggressive after participation in such group training formats (see Chapter 15). , Tourette syndrome or other tic disorders) or for those with anxiety/depression (Pliszka, 1987). The work of Joseph Biederman and his colleagues at Massachusetts General Hospital (Biederman, Gastfriend, & Jellinek, 1986; Biederman, Baldessarini, Wright, Knee, & Harmatz, 1989) on the safety and efficacy of the tricyclic antidepressants encouraged the rapid adoption of these drugs by many practitioners (see Ryan, 1990), particularly when the stimulants, such as methylphenidate (Ritalin) were receiving such negative publicity in the popular media (see the next section).

When the reports of teachers and parents conflict, primary consideration should be given to the teacher reports because of greater familiarity with age-appropriate norms. Symptoms typically worsen in situations that require self-application, as in the classroom. Signs of the disorder may be absent when the child is in a new or a one-to-one situation. The number of symptoms specified is for children between the ages of eight and ten, the peak age for referral. In younger children, more severe forms of the symptoms and a greater number of symptoms are usually present.

Others independently advanced the notion that a deficit in responding to behavioral consequences, not attention, might be the difficulty in ADHD (Benninger, 1989; Haenlein & Caul, 1987; Quay, 1988b; Sagvolden, Wultz, Moser, Moser, & Morkrid, 1989; Sergeant, 1988; van der Meere & Sergeant, 1988b). That is, ADHD might arise out of an insensitivity to consequences (reinforcement, punishment, or both). This insensitivity 1. History 25 was viewed as being neurological in origin. Yet this idea was not new, having been advanced some 10–20 years earlier by investigators in Australia (Glow & Glow, 1979), by those studying children with conduct problems (see Patterson, 1982, for a review), and by Wender (1971) in his classic text on MBD (see above).

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