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The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
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Approach to diagnosis and management of childhood attention deficit hyperactivity disorder

David Jerome1, Laurence Jerome2

  • 1Assistant Professor at the Northern Ontario School of Medicine and Assistant Adjunct Professor at the University of Alberta. djerome@nosm.ca.

Canadian Family Physician Medecin De Famille Canadien
|October 20, 2020
PubMed

Insights

Primary care clinicians can diagnose and manage attention deficit hyperactivity disorder (ADHD). Diagnosis uses DSM-5 criteria and rating scales, with behavioral management as first-line treatment for all ages.

Area of Science:

  • Neurodevelopmental disorders
  • Primary care medicine
  • Clinical practice guidelines

Background:

  • Attention deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder.
  • Primary care settings are suitable for ADHD diagnosis and management.
  • Evidence-based guidelines inform clinical practice.

Purpose of the Study:

  • To equip primary care clinicians with a diagnostic and management strategy for ADHD.
  • To synthesize current practice guidelines and recent literature on ADHD.
  • To support evidence-based care for patients with ADHD in primary care.

Main Methods:

  • Systematic review of published ADHD management guidelines.
  • PubMed search utilizing MeSH terms: "attention deficit disorder" and "family practice".
  • Inclusion criteria: English language articles published within the last 15 years.

Main Results:

  • Diagnosis of ADHD relies on DSM-5 criteria and validated rating scales.
  • Behavioral management is the primary treatment for all patients.
  • Stimulant medications are a first-line treatment for patients aged 6 years and older.
  • The Canadian ADHD Resource Alliance offers free clinical resources.

Conclusions:

  • Family physicians can manage the majority of ADHD cases.
  • ADHD is a chronic condition necessitating continuous patient follow-up.
  • Referral to specialists may be required for ADHD cases with complex comorbidities.
Abstract

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