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CME Objectives

After completing this educational activity, participants should be able to:

  • Discuss the phenomenology of ADHD in adults
  • Describe the process for assessing ADHD in adults
  • Choose a strategy for managing an adult with ADHD
  • Review the literature on the relationship of substance abuse and ADHD in adults
  • Discuss the role of the primary care physician in diagnosing and managing ADHD in adults

Statement of Need and Purpose

A substantial number of children who have attention-deficit/hyperactivity disorder (ADHD) continue to have symptoms well into adulthood. In adults, ADHD is often associated with substance abuse as well as co-occurring anxiety, mood, and disruptive disorders. Physicians sometimes fail to consider, detect, or treat adults for ADHD, due to a lack of information on the diagnosis and treatment of ADHD. This educational activity was designed to meet the needs of participants in the CME activities of Physicians Postgraduate Press, Inc. who have requested information on the diagnosis and management of ADHD in adults. There are no prerequisites for participating in this activity.

Accreditation Statement

Physicians Postgraduate Press, Inc. is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Mississippi Bureau of Pharmaceutical Services is approved by the American Council on Pharmaceutical Education as a provider of continuing pharmaceutical education.

Credit Designation

Physicians Postgraduate Press, Inc. designates this educational activity for up to 1 Category 1 credit toward the AMA Physician's Recognition Award. Each participant should claim only those credits that he/she actually spent in the educational activity.

This program (# 032-999-03-060-H01) is approved for 1 hour (0.1 CEU) of continuing pharmaceutical education credit.

Date of Original Release/Review

This PCC Visuals was published in September 2003. This activity is eligible for CME credit through September 30, 2005. The latest review of this material was July 2003.

Faculty

Joseph Biederman, M.D., Chair
Harvard Medical School and Massachusetts General Hospital, Boston

Lenard A. Adler, M.D.
New York University School of Medicine, New York

Larry Culpepper, M.D.
Boston University School of Medicine and Boston Medical Center, Mass.

Oren Mason, M.D.
Advantage Health and Michigan State University, Grand Rapids

C. Brendan Montano, M.D.
Middlesex Memorial Hospital, Cromwell, Conn.

Kevin R. Murphy, Ph.D.
The Adult ADHD Clinic of Central Massachusetts, Northboro

Mary Elizabeth Roth, M.D.
Sacred Heart Hospital, Allentown, Penn.

Thomas J. Spencer, M.D.
Harvard Medical School and Massachusetts General Hospital, Boston

Margaret D. Weiss, M.D.
University of British Columbia, Vancouver

Timothy E. Wilens, M.D.
Harvard Medical School and Massachusetts General Hospital, Boston

Faculty Disclosure

In the spirit of full disclosure and in compliance with all ACCME Essential Areas and Policies, the faculty for this CME activity were asked to complete a full disclosure statement. The information received is as follows:

Dr. Biederman has received research support from Shire Richwood, Eli Lilly, Wyeth, Pfizer, Cephalon, Novartis, Janssen, Noven Pharmaceutical, Stanley Foundation, the National Institute of Mental Health (NIMH), the National Institute of Child Health & Human Development, and the National Institute on Drug Abuse (NIDA); is a member of the speakers bureaus for GlaxoSmithKline, Eli Lilly, Pfizer, Novartis, Wyeth, Shire Richwood, ALZA, and Cephalon; and is a member of the advisory boards for Eli Lilly, Celltech, Shire Richwood, Novartis, Noven Pharmaceutical, ALZA, McNeil, and Cephalon.

Dr. Adler is a consultant for, has received grant/research support and honoraria from, and is a member of the speakers or advisory boards for Novartis, Abbott, Eli Lilly, Pfizer, Merck, McNeil, and Johnson & Johnson.

Dr. Culpepper is a consultant for Forest, Cephalon, Janssen, Eli Lilly, Pfizer, and Wyeth.

Dr. Mason is a consultant for and a member of the speakers/advisory board of Eli Lilly.

Dr. Montano is a consultant for Eli Lilly, GlaxoSmithKline, Organon, Forest, Roche, and Wyeth; has received grant/research support from Bristol-Myers Squibb, Eli Lilly, and GlaxoSmithKline; and has received honoraria from and is a member of the speakers or advisory boards for Eli Lilly, GlaxoSmithKline, Forest, Organon, and Wyeth.

Dr. Roth is a consultant for Eli Lilly.

Dr. Spencer has received research support from Abbott, Bristol-Myers Squibb, Cephalon, Eli Lilly, GlaxoSmithKline, Janssen, McNeil, Celltech, Novartis, Pfizer, Shire Richwood, and Wyeth; is a member of the speakers bureaus of Eli Lilly, GlaxoSmithKline, Janssen, McNeil, Celltech, Novartis, Shire Richwood, and Wyeth; and is a consultant for Eli Lilly, GlaxoSmithKline, Janssen, McNeil, Novartis, Pfizer, and Shire Richwood.

Dr. Weiss has received grant/research support from Circa Dia and Eli Lilly and is a consultant for, has received honoraria from, and is a member of the speakers or advisory boards of Eli Lilly, GlaxoSmithKline, Circa Dia, Shire Richwood, Novartis, Purdue Pharma, and Janssen.

Dr. Wilens is a consultant for, has received grant/research support from, and is a member of the speakers bureaus of Abbott, Celltech, Eli Lilly, McNeil, NIDA, NIMH, Novartis, Pfizer, Shire Richwood, and GlaxoSmithKline.

Dr. Murphy has no financial relationships to disclose significant to the presentation.

Disclosure of Off-Label Usage

The chair has determined that, to the best of his knowledge, bupropion and desipramine are not approved by the U.S. Food and Drug Administration for the treatment of attention-deficit/hyperactivity disorder and topiramate is not approved for the treatment of bipolar disorder. If you have questions, contact the medical affairs department of the manufacturer for the most recent prescribing information.

Acknowledgment

This PCC Visuals was derived from the symposium “Diagnosing and Treating Attention-Deficit/Hyperactivity Disorder in Adults,” which was held January 17, 2003, in Boston, Mass., and the teleconference “Diagnosing and Treating Attention-Deficit/Hyperactivity Disorder in Adults in Primary Care,” which was held May 13, 2003. This newsletter was independently developed by the Physicians Postgraduate Press, Inc. Office of Continuing Medical Education pursuant to an unrestricted educational grant from Eli Lilly and Company. The opinions expressed herein are those of the authors and do not necessarily reflect the views of the CME provider and publisher or the commercial supporter.