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Published on: June 12, 2020
Attention-Deficit/Hyperactivity Disorder and Transitional Aged Youth
Timothy E Wilens1,2, Benjamin M Isenberg3, Tamar A Kaminski3
1Clinical and Research Programs in Pediatric Psychopharmacology and Adult ADHD Massachusetts General Hospital, YAW 6A, 55 Fruit Street, Boston, MA, 02114, USA. TWilens@partners.org.
Attention-deficit/hyperactivity disorder (ADHD) in transitional aged youth (TAY) presents unique challenges. This review updates the evaluation, diagnosis, and treatment of TAY-ADHD, considering emerging symptoms and comorbid conditions.
Area of Science:
- Neuroscience
- Psychiatry
- Developmental Psychology
Background:
- Attention-deficit/hyperactivity disorder (ADHD) research extensively covers children and adults, but less is known about this population during the critical transition from childhood to adulthood.
- Transitional aged youth (TAY) with ADHD are a vulnerable group, facing new independence and responsibilities alongside potential comorbid disorders.
Purpose of the Study:
- To provide an updated review on the evaluation, diagnosis, and treatment of ADHD in transitional aged youth (TAY-ADHD).
- To highlight recent research on the course, impairments, comorbidities, and tailored treatments for TAY-ADHD.
Main Methods:
- Literature review of recent studies on ADHD in transitional aged youth.
- Synthesis of research on emerging ADHD symptoms, academic/social impairments, risky behaviors, and psychiatric comorbidities in TAY.
- Analysis of treatment efficacy for TAY-ADHD, including psychotherapy and medication management.
Main Results:
- Emerging ADHD symptoms in TAY challenge the notion of ADHD as exclusively a childhood disorder.
- TAY-ADHD are at increased risk for academic and social impairments, risky behaviors, and comorbid psychiatric conditions.
- Caution is advised regarding stimulant diversion in TAY; combined psychotherapy and medication show promise.
Conclusions:
- ADHD in transitional aged youth requires specific attention due to unique developmental and clinical challenges.
- Comprehensive evaluation and tailored treatment strategies are crucial for managing TAY-ADHD effectively.
- Further research is needed to fully understand and address the complexities of ADHD during this life stage.
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