Dr. David J. Carey
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From this document you will learn the answers to the following questions:
What is one example of a life changing event that can lead to a child being affected by ADHD?
What type of factors are used to describe the effects of ADHD?
What kind of factors are associated with low intelligence difficulty temperament?
Transcription
1 e Dr. David J. Carey
2 Myths and Realities of Adult ADHD
3 Myth One ADHD is a lack of willpower. People with ADHD focus on what they want. They don t apply themselves.
4 Myth Two Everyone has the symptoms of ADHD. If you are smart enough you can overcome them.
5 Myth Three You can t have ADHD and have another condition. It s one or the other.
6 Myth Four You have to be diagnosed with ADHD as a child in order to really have it as an adult.
7 The Truth ADHD is: Neurobiological 5% of population Life-long Chronic impairment Occupational Relationships Family Community
8 Adult ADHD symptoms 1. Extreme concentration difficulty (A) 2. Extreme organisational skills difficulty (B) A. zoning out of conversations, finishing tasks, several tasks going at once but unfinished, forgetful, distracted B. Keeping home chores organised, work duties uncompleted, procrastination, difficulty estimating time needed for tasks, losing things
9 ADHD Symptoms (cont.) Hyperactivity-differs from childhood condition Different in adults: Restless Fidgety Easily bored Irritated Mood swings Can t sit and relax, nervous energy
10 ADHD Symptoms (cont.) Impulsivity: Difficulty controlling impulses Making sudden decisions on a whim Impulse buying/shopping Trouble listening to others Difficulty relating to others following conversations interrupting saying things you regret later responding to questions before they are fully asked
11 Adult ADHD Prevalence is unknown Diagnostic criteria no suitable for adults Presence of co-morbid disorders complicates diagnosis
12 Sub-Types of Adult ADHD 1. Normal functioning despite childhood ADHD 2. Significant problems with ADHD work interpersonal relations anxiety emotional lability self-esteem 3. Serious antisocial/psychiatric problems
13 One Major Problematic Factor Adults with ADHD, undiagnosed have lived their entire life with ADHD. For them it is normal They have no reason to believe there is anything wrong with them But at the same time they suffer and are confused
14 Effects of Adult ADHD If left untreated: Health: binge eating, compulsive eating, cycle of drug/alcohol abuse, forgetting medications, keeping medical appointments
15 Effects of Adult ADHD Work and Finances Concentrating, completing tasks, listening, relating to others, managing finances, struggling to pay bills, losing important paperwork, missing deadlines, indebtedness due to impulsive spending
16 Effects of Adult ADHD Relationships Wondering why others are nagging you to tidy up, get things done, or take care of business, hurt loved ones by being short-tempered, cross, irritable, blurting out hurtful things, impatience with the children, quick to flare up, not getting along with supervisors at work, quitting jobs impulsively
17 Effects of Adult ADHD Education, Learning and Training Underachievement Low exam results Gap in knowledge Academic failure Early school leaving Embarrassment Bullying
18 Effects of Adult ADHD Misc. Effects Increased road traffic citations/accidents in adolescents Increased road traffic citations/accidents in adults Teens 4x more likely to have an accident Increased incidence of industrial accidents
19 Psychological Effects Low self-esteem Low self-confidence Diminished sense of self-efficacy Sense of shame and guilt Task avoidance Social withdrawal
20 Co-Morbidity in Adult ADHD Depression Substance abuse Underemployment Anxiety disorders Bi-polar disorder Specific learning disabilities (dyslexia) Epilepsy
21 Illustration from Joseph Biederman and Stephen Faraone, Harvard Mahoney Neuroscience Institute Letter, Winter 1996 Volume 5 Number 1
22 ADHD in adults is not a benign condition It can ruin relationships It can devastate educational attainment It can destroy job opportunities It can lead to serious mental health problems It can lead to a life of chronic strife and unhappiness
23 Other problems often occur What can precipitate additional problems?
24 Precipitation Factors in Problem Development Acute life stresses Illness or injury Child abuse Bullying Births or bereavements Lifecycle transitions Changing schools Loss of peer friendships Separation or divorce Parental unemployment Moving house Financial difficulties
25 Influences on Problem Development Biological Factors genetic prenatal perinatal early insults, injuries/illnesses Psychological Factors low intelligence difficulty temperament low self-esteem external locus of control
26 Influences on Problem Development: Contextual Predisposing Factors Parent-child Factors in Early Life attachment problems lack of intellectual stimulation permissive parenting neglectful parenting inconsistent parental discipline Exposure to Family Problems in Early Life parental psychological problems parental alcohol/substance abuse marital discord/violence family disorganisation deviant siblings
27 Influences on Problem Development-Contextual Predisposing (cont.) Stresses in Early Life bereavements separations child abuse social disadvantage institutional upbringing
28 Factors That Maintain a Problem
29 Personal Maintaining Factors in Adult ADHD Biological Factors dysregulation of various biological systems Psychological Factors low self-efficacy dysfunctional attributional style negative cognitive distortions immature defence mechanisms dysfunctional coping strategies
30 Contextual Maintaining Factors in Adult ADHD Social Network Factors poor social support network high family stress unsuitable educational placement deviant peer-group membership social disadvantage high crime rate few employment opportunities media violence
31 Contextual Maintaining Factors in Adult ADHD (cont.) Treatment System Factors family deny problem family ambivalent about resolving problem family never coped with problem before lack of co-ordination among providers Family System Factors inadvertent reinforcement of problem insecure parent-child attachment coercive interaction/authoritarian parenting over involved interaction/permissive parenting disengaged interaction/neglectful parenting inconsistent discipline confused communication patterns triangulation chaotic family organisation father/mother absence
32 Contextual Maintaining Factors in Adult ADHD (cont.) Parental Factors parents with similar problem parental psychological problems/criminality inaccurate expectations about child development insecure internal working models for relationships low parental self-esteem parental external locus of control low parental self-efficacy depressive/negative attributional style cognitive distortions immature defence mechanisms dysfunctional coping styles
33 Factors That Protect Against Problem Development
34 Personal Protective Factors in Adult ADHD Biological Factors good physical health proper nutrition ample exercise Psychological Factors high IQ easy temperament high self-esteem internal locus of control# high self-efficacy optimistic attributional style mature defence mechanisms functional coping strategies
35 Contextual protective Factors in Adult ADHD Problem Development Treatment System Factors family accepts problem family committed to resolving problem family coped successfully with problem previously family acceptance of formulation and treatment plans good co-ordination among treatment professionals Family System Factors secure parent-child attachment authoritative parenting clear family communication flexible family organisation father involvement high marital satisfaction
36 Contextual Protective Factors in Adult ADHD (cont.) Parental Factors good parental adjustment accurate expectations about child development parental internal locus of control high parental self-efficacy high parental self-esteem secure internal working models for relationships optimistic attributional style mature defence mechanisms functional coping strategies Social Network Factors good social support network low family stress positive educational placement peer support high socio-economic status
37 Can ADHD be Positive? A high energy level / hyperactivity Being able to hyperfocus / unable to change focus Orientated to action / impatient Persistent / stubborn, obsessive Daring / drawn to high risk Entertaining / class clown
38 ADHD and Creativity Cramond, B writes that profound creativity is characterised by the following traits: Inattention Daydreaming Inability to complete projects Hyperactivity Mood Swings Hypersensitivity to Stimulation Difficult Temperament Sensation Seeking Enthusiasm and Playfulness Deficient Social Skills The Coincidence of Attention Deficit Hyperactivity Disorder and Creativity Bonnie Cramond, Ph.D., The University of Georgia, March
39 The Good News It is a highly treatable and manageable condition Help is readily available in Ireland private vs. public
40
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U.S. Bureau of Labor Statistics
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Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have
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