224. Adult ADHD: Diagnosis and Treatment

Ever wondered how to smoothly transition pediatric patients with complex conditions like ADHD into adult care?

This episode talks about the challenges and strategies involved in this critical handoff. Dr. Peter Jensen and Dr. Lia discuss the importance of educating and empowering teens to manage their conditions independently, drawing parallels with other chronic illnesses like asthma and diabetes. They explore the nuances of preparing both the patients and the accepting providers to ensure a seamless transition. Additionally, they discuss resources for understanding adult ADHD and address some of the barriers to care when teens go out of state for college or careers.

This episode highlights the importance of systematic, careful planning and open communication to prevent gaps in care during this transition period.

[00:05- 17:16] Gender Differences in ADHD Diagnosis

• Later diagnosis of ADHD in females.
• Fewer hyperactive symptoms in females leading to delayed diagnosis.
• Quietly distracted children may be overlooked.
• Morphing of symptoms towards inattentiveness in teen and young adult years.

[17:17 -23:15] Adult ADHD and Mental Health Risks

• Reduction of hyperactivity and impulsivity symptoms over time.
• Increased risk of anxiety, depression, and substance use in adults with ADHD.
• Challenges in recognizing adult ADHD due to comorbid mental health issues.
• The role of family practice providers in identifying adult ADHD.

[23:16 - 43:50] ADHD Medication and Substance Use Concerns

• There is diversion and misuse of ADHD medications.
• Holding patients accountable for lost or stolen medication.
• Comparing ADHD medication misuse to other substance abuse issues.
• Importance of clear communication between providers and patients.

[43:51 - 48:50] Recommendations for ADHD

• Mention of the book "Driven to Distraction" by Ned Hallowell.
• The importance of education and awareness about adult ADHD.
• The role of pediatricians in thinking about ADHD in adults.
• Emphasis on ensuring pediatricians and healthcare providers are aware of the Reach Institute.

[48:51 - 57:47] Take Aways

Connect with Dr. Peter Jensen

Website: https://thereachinstitute.org/

LinkedIn: https://www.linkedin.com/company/the-reach-institute-resource-for-advancing-children-health/

Facebook: https://www.facebook.com/REACHInstitute/

Twitter: https://twitter.com/reach4kids

RESOURCES MENTIONED IN THE EPISODE

The REACH Institute: www.thereachinstitute.org

Driven to Distraction" by Ned Hallowell.

This book is highly recommended for understanding ADHD in adults. It is easily readable and includes stories and checklists of symptoms that can help readers identify ADHD traits in themselves or others.

Go to https://lifeaftercorporatepodcast.com/ for all...