The Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in Pediatric Patients
Andrew R. Adesman, MD
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Attention-deficit/hyperactivity disorder (ADHD), characterized
by developmentally inappropriate inattentiveness, impulsivity,
and hyperactivity, is the most common and thoroughly researched
neuropsychiatric disorder affecting children and adolescents. The
diagnosis of ADHD requires a comprehensive clinical assessment
including a detailed patient history, clinical interview and
observation, and a thorough physical examination. A variety of
other disorders can masquerade as ADHD or coexist with the
disorder. The clinician must recognize environmental influences
that may affect the severity of symptoms exhibited in the child
or adolescent with ADHD. Clinically, treatment with a stimulant
can be expected to result in an immediate, often dramatic,
improvement in the core symptoms of ADHD. Studies published over
the past 20 years indicate that the symptoms of ADHD, which were
originally thought to diminish as a child matured, may persist
into adolescence and adulthood. This article is a review of the
most recent recommendations and clinical data regarding the
diagnosis and management of ADHD in children and adolescents to
assist with appropriate and prudent clinical decision making.
Prim Care Companion J Clin Psychiatry 2001;3(2):66-77
https://doi.org/10.4088/PCC.v03n0204
© Copyright 2001 Physicians Postgraduate Press, Inc.
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