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Dr John Anthony Hanne
Dr John Anthony Hanne Gypsy? But you told me to behave You didnt - - PowerPoint PPT Presentation
Dr John Anthony Hanne Gypsy? But you told me to behave You didnt - - PowerPoint PPT Presentation
Dr John Anthony Hanne Gypsy? But you told me to behave You didnt say how ! Who did Dennis get it from? What happens to Dennis as he enters adulthood? Did you know? Approx. 2/3 of ADHD kids still need help in adulthood Risks of
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“But you told me to behave… You didn’t say how!”
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Who did Dennis get it from? What happens to Dennis as he enters adulthood?
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- Approx. 2/3 of ADHD kids still need help in adulthood
Did you know?
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Risks of ADHD in Adulthood
- 22 x more likely to be incarcerated
- 4 x more likely to be involved in motor vehicle accident
- 2 x more likely to be addicted to alcohol/other
substances
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- 2 x more likely to be involved in relationship breakdown,
job instability (e.g. dismissed, disciplined, quit)
- Less likely to finish university
- Elevated risk of suicide, self harm
Risks of ADHD in Adulthood
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Abundant Neurological Evidence
- PET
- MRI
- fMRI
- Genetic studies
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Common Co-morbidities
- Depression
- Anxiety
- OCD
- Eating Disorders
- Specific Learning Disorders
- Substance Abuse
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Common Co-morbidities
- Frustration
- Sense of Failure
- Depression
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Learning Disorders
- ADHD – Dyslexia, Dyscalculia
- Dysgraphia
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- Improvements in Depression
- Improvements in OCD
When ADHD is treated:
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- Is ADHD primarily a GP condition?
- What role should specialists play?
Ask yourself...
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- Dr Heinrich Hoffmann publishes a fictional tale based
- n his work with hyperactive children, published 1845
Fidgety Phil Who Couldn’t Sit Still
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Prevalence
- Approx. 5% of population regardless of culture,
ethnicity
- In NZ less than 20% of ADHD is being managed
- Compare that with Diabetes
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Making the Diagnosis
- Questionnaires
- Ratings scales
- School reports
- Family/loved ones/close friends
- Let them tell their story!
- Allow enough time
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ADHD - A Spectrum Condition
- Ranging from the hyperactive/impulsive extreme to
the quiet dreamer
- Inattention/distractibility is key
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Modifying Factors
- Personality type
- Intelligence
- Home Life
- Significant Life Choices (e.g. choice of study, career,
partner)
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Gender Ratio
- Equal ratio in adulthood
- …But diagnosed 5:1 male/female in childhood
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Ready! Fire! Aim…?
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Useful Tests
- TOVA (Test of Variable Attention)
- Short term memory exercises
- Raven IQ Test
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Managing ADHD
1.
Lifestyle
2.
Diet/Exercise
3.
Education
4.
Support
5.
Medication?
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- Ritalin or dexamphetamine?
- Ritalin dose varies
- Adderall not licensed
- Strattera?
Medication
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- Regular follow up
- Coaching – best results take 1-2 years
Job done?
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The Results Are Incredibly Rewarding
“It was like a fog suddenly lifted” “These days I actually remember where I’m supposed to be” “No matter how hard I tried I was always late coz I would forget where I put my
keys, my wallet, my phone…or I’d get busy with stuff that was more interesting and then just completely tune out.”
“Someone would be talking about something real important like how their father
had died and all I would hear was ‘blah, blah, blah’. Then I’d cut in and just completely change the subject. Then I’d feel awful about it, but what can you do? You know?”
“My life was like a car out of control. There were yellow and red traffic lights
warning me to stop before I acted, but I could never put the brakes on. I just sped on through. My brain just acted like there were green lights all the time!”
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The Bogey-Man of Substance Abuse
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jahanne@clear.net.nz
- For more information on ADHD contact: