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Adult ADHD: a controversial diagnosis?
Aiveen Kirley1, Michael Fitzgerald1
1Department of Psychiatry,Trinity Centre for Health Sciences,St. James Hospital,Dublin 8,Ireland.
Irish Journal of Psychological Medicine
|November 17, 2018
Summary
Attention deficit hyperactivity disorder (ADHD) is a common childhood condition. This review examines the controversial diagnosis of adult ADHD, its features, and management strategies.
Area of Science:
- Psychiatry
- Child Psychology
Background:
- Attention deficit hyperactivity disorder (ADHD) is characterized by inattention, hyperactivity, and impulsivity, with onset before age seven.
- It is a common diagnosis in child guidance clinics with a prevalence of 1-5%.
Purpose of the Study:
- To review the presenting features of adult ADHD.
- To discuss common comorbid disorders in adult ADHD.
- To examine the evidence for the validity of adult ADHD as a clinical diagnosis.
Main Methods:
- Literature review of studies on adult ADHD.
- Critical examination of diagnostic validity.
- Discussion of assessment and management guidelines.
Main Results:
- Childhood ADHD is a well-validated diagnosis.
- Adult ADHD is an emerging but controversial area in psychiatry.
- Evidence for the validity of adult ADHD requires critical examination.
Conclusions:
- The validity of adult ADHD as a distinct disorder remains unclear.
- Further research is needed to establish diagnostic criteria and validity.
- Guidelines for assessment and management are discussed in the context of current evidence.
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