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Adhd pleo 2013
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AD/HD in Children/Youth P.L.E.O. Presentation April 3, 2013
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Transcript of Adhd pleo 2013
AD/HD in Children/Youth
P.L.E.O. PresentationApril 3, 2013
Test Your AD/HD IQ: Common Myths, Truths and Beliefs
Richard L. Glatt, M.A. (C) OACCPPPsychoeducational Consultant
Please take a moment to assess your knowledge about this often misunderstood condition. After completing this “test” you can then review your score.
1. AD/HD exists in: a. about 5 to 6% of the general populationb. about 2% of the general populationc. about 1% of the general populationd. less than 1% of the population 2. People diagnosed with AD/HD always have the following symptoms: a. inattentiveness and/or impulsivity and/or hyperactivity (any 1, 2 or 3 of these areas)b. hyperactivity must be present along with inattentiveness or impulsivityc. inattentiveness and impulsivity and hyperactivity (all 3 of these areas)
3. Regarding the onset and length of AD/HD: a. it starts in childhood and continues throughout the lifespan in most individualsb. is outgrown by everyone by about the age of 12 to 13c. can come and go over the years, sometimes not starting until even adulthood 4. AD/HD: a. is a neurobiological disorder that can be diagnosedb. might be diagnosable once blood testing can confirm the different typesc. cannot typically be accurately diagnosed as the criteria are unclear
5. The identification of AD/HD is made: a. more commonly in males but exists about equally in both gendersb. about equally in both gendersc. more commonly in females but exists about equally in both genders 6. Girls with AD/HD: a. are less likely to receive a diagnosis and treatment and show less conduct problems than AD/HD malesb. are less likely to receive a diagnosis and treatment but show more conduct problems than AD/HD malesc. are more likely to receive a diagnosis and treatment and show more conduct problems than males
7. AD/HD symptoms are readily observable: a. some of the time in individuals with AD/HDb. all of the time in individuals with AD/HDc. none of the time, as this can only be identified through blood testing or brain scans 8. AD/HD is: a. underdiagnosedb. overdiagnosedc. diagnosed at about the rate that it exists
9. The cause of AD/HD is: a. largely a genetic disorderb. due to stress or birth traumac. a result of poor parenting or teachingd. due to the brain’s reaction to certain foods and additives 10. AD/HD can be quite accurately diagnosed through: a. a comprehensive Psychoeducational Assessment (i.e. detailed history and testing)b. a trial of medication to look for positive changec. changes in diet with elimination of specific foods/additivesd. a short checklist completed with your family physician or online
11. Individuals with AD/HD: a. typically have average to above average (and sometimes gifted) intelligenceb. typically have average to below average intelligencec. are usually determined to have below average to very weak intellectual ability 12. For those with AD/HD (whether or not it has been diagnosed): a. about 1/4 have a co-existing learning disability with about 70% exhibiting symptoms of some form of anxiety, behaviour, personality, mood or other disordersb. about 10 to 20% have some other issues, similar to the rest of the general populationc. they cannot have a co-existing disorder at the same time when AD/HD is present
13. Stimulant medications (i.e. Adderall, Ritalin and Dexedrine) typically used in the treatment of those diagnosed with AD/HD: a. are safe and highly effective in over 80-85% of individualsb. have many undesirable side effects but can help as many as 1/4 of individualsc. are no longer used, except in extreme cases, as they are highly addictive 14. Treating AD/HD with stimulant medications: a. significantly reduces an individual’s risk of future substance abuse (i.e. drugs & alcohol)b. significantly increases an individual’s risk of future substance abusec. has no impact on an individual’s future substance abuse
15. Medical treatment of AD/HD: a. should always be used in combination with other treatments (i.e. counselling, support, education, nutrition, exercise, etc.)b. should be used alone (without other interventions)c. should only be considered after all other options have been tried or exhausted
16. Untreated AD/HD (on average) results in: a. over a 35% school drop-out rate, over half abusing drugs or alcohol, over 20% smoking, and over 75% having driving and traffic offencesb. about 10-20% for each of the categories listed in ‘a’c. lower addiction rates (i.e. drugs and alcohol) than the general population
17. Individuals with AD/HD (whether or not they have been diagnosed) are: a. much more likely to “self-medicate” with caffeine, nicotine, alcohol or drugsb. less likely to “self-medicate” with the stimulants and sedatives described abovec. no more or less likely to “self-medicate” than individuals without AD/HD 18. Objective computerized (CPT) testing: a. can be used to assist in the accurate diagnosis of AD/HD as well as the dosing of medication (titration)b. is no more effective than the rating scales that are often used in the diagnosis of AD/HDc. should only be used once AD/HD has already been identified
19. Caffeinated beverages used in the treatment of AD/HD have been shown to: a. reduce sluggishness but are not an effective treatment and can cause agitation and an elevated heart rateb. increase attention and are an effective treatmentc. do not have any beneficial effects nor any undesirable ones in the treatment process 20. The primary goal of getting an evaluation for AD/HD and related disorders is to: a. determine the best treatment plan (i.e. behavioural, educational, medical and psycho-social)b. obtain a diagnosis so that the individual can identify weaknesses and learn to avoid difficult tasksc. to hope that a diagnosis is not made so that the individual can avoid being “labelled”
Scoring - Please give yourself the following number of points (no peeking please until you have completed the entire test): For all questions that you answered with ‘b’, ‘c’, or ‘d’ please award yourself 1 point.For all questions in which you answered with “eh?” (or rather) ‘a’, please award yourself 5 points. This is a Canadian test after all (pun intended). Add up the total of all points earned.
If you scored between 90 and 100 points consider yourself an “AD/HD Expert” and an excellent source of information for others.If you scored between 80 and 89 points consider yourself an ”AD/HD Expert in Training” and a generally good source of information for others.If you scored between 70 and 79 points consider yourself an “AD/HD Apprentice” and in the process of becoming a reliable source of information on the subject.If you scored under 70 points consider yourself an “AD/HD Learner” and please review the correct answers before offering others advice on the subject, with aspirations to reach a higher level of expertise!
I. Either A or B:Six or more of the following symptoms of inattention have been present for at least 6 months to a point that is disruptive and inappropriate for developmental level:Inattention1. Often does not give close attention to details or makes careless mistakes in schoolwork, work, or other activities.2. Often has trouble keeping attention on tasks or play activities.3. Often does not seem to listen when spoken to directly.4. Often does not follow instructions and fails to finish schoolwork, chores, or duties in the workplace (not due to oppositional behavior or failure to understand instructions).5. Often has trouble organizing activities.
6. Often avoids, dislikes, or doesn't want to do things that take a lot of mental effort for a long period of time (such as schoolwork or homework).7. Often loses things needed for tasks and activities (e.g. toys, school assignments, pencils, books, or tools).8. Is often easily distracted.9. Is often forgetful in daily activities.
B.Six or more of the following symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for developmental level:Hyperactivity1.Often fidgets with hands or feet or squirms in seat.2.Often gets up from seat when remaining in seat is expected.3.Often runs about or climbs when and where it is not appropriate (adolescents or adults may feel very restless).4.Often has trouble playing or enjoying leisure activities quietly.5.Is often "on the go" or often acts as if "driven by a motor".6.Often talks excessively.
Impulsivity1.Often blurts out answers before questions have been finished.2.Often has trouble waiting one's turn.3.Often interrupts or intrudes on others (e.g., butts into conversations or games).II.Some symptoms that cause impairment were present before age 7 years.III.Some impairment from the symptoms is present in two or more settings (e.g. at school/work and at home).IV.There must be clear evidence of significant impairment in social, school, or work functioning.V.The symptoms do not happen only during the course of a Pervasive Developmental Disorder, Schizophrenia, or other Psychotic Disorder. The symptoms are not better accounted for by another mental disorder (e.g. Mood Disorder, Anxiety Disorder, Dissociative Disorder, or a Personality Disorder).
