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Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

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Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
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Diagnostic and Statistical Manual of Mental Disorders (DSM)01:27

Diagnostic and Statistical Manual of Mental Disorders (DSM)

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The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
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Modeling in Therapy01:26

Modeling in Therapy

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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
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Autism Spectrum Disorder01:19

Autism Spectrum Disorder

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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
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Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

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Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
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Theoretical Approaches to Psychological Disorder01:29

Theoretical Approaches to Psychological Disorder

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The development of psychological disorders, which are characterized by deviant, maladaptive, and personally distressing behaviors, has been explored through several theoretical approaches.
Biological approach
The biological approach posits that internal, organic factors are the primary causes of such disorders. This perspective emphasizes brain structure and function, genetic predispositions, and neurotransmitter imbalances. For example, schizophrenia has been associated with both genetic...
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Related Experiment Video

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Using Brain Activation nir-HEG/Q-EEG and Execution Measures CPTs in a ADHD Assessment Protocol
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Expert consensus statement for telepsychiatry and attention-deficit hyperactivity disorder.

Jennifer Hong1, Gregory W Mattingly2,3, Julie A Carbray4

  • 1Department of Psychiatry and Neuroscience, University of California Riverside, Riverside, CA, USA.

CNS Spectrums
|May 20, 2024
PubMed
Summary
This summary is machine-generated.

New guidelines support telepsychiatry for attention-deficit hyperactivity disorder (ADHD) stimulant prescriptions, balancing increased access with risks of misuse. Stricter scrutiny is advised for young adults requesting immediate-release stimulants.

Keywords:
ADHDAttention-deficit hyperactivity disorderDEAFDAguidelinemedicationnonstimulantpsychiatrystimulanttelehealth

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Area of Science:

  • Psychiatry
  • Telemedicine
  • Pharmacology

Background:

  • The COVID-19 pandemic altered clinical practices, necessitating updated guidance for prescribing stimulants for attention-deficit hyperactivity disorder (ADHD) via telepsychiatry.
  • Suspension of the Ryan Haight Act enabled stimulant prescriptions without in-person visits, leading to increased prescribing rates.

Purpose of the Study:

  • To develop expert consensus guidelines for prescribing ADHD stimulants through telepsychiatry.
  • To balance the benefits of expanded access to care against the risks of stimulant misuse and diversion.

Main Methods:

  • An Expert Consensus Group convened to formulate guidelines.
  • Review of competing factors influencing telepsychiatry for ADHD treatment.
  • Development of specific recommendations for various patient subpopulations.

Main Results:

  • Advocacy for continued flexibility in telepsychiatry evaluations and treatment for ADHD.
  • Emphasis on increased scrutiny for young adults without prior ADHD diagnosis or treatment seeking immediate-release stimulants.
  • Prioritization of nonstimulants, controlled-release stimulants, or psychosocial interventions for at-risk individuals.

Conclusions:

  • Telepsychiatry offers enhanced access to ADHD treatment but requires careful management to prevent misuse.
  • Guidelines recommend a hybrid model, use of external informants, and rating scales for safer telepsychiatric care.
  • Tailored approaches are crucial, especially for populations at higher risk of stimulant diversion or abuse.