Clinical considerations for the diagnosis and treatment of ADHD in the managed care setting.

Peter S. Jensen

Research output: Contribution to journalReview article

11 Scopus citations

Abstract

Although symptoms of attention-deficit/ hyperactivity disorder (ADHD) are certainly most visible in children, the syndrome persists into adolescence in 40% to 70% of cases and into adulthood in 50% or more of cases. Accurate recognition of the disorder is clouded by the frequent presence of psychiatric comorbidities. Contributing to these challenges, managed care providers in primary care are often inexperienced in identifying and treating ADHD in adults because of a lack of formalized training. As such, special consideration must be given to each individual age group and includes identifying common clinical presentations, characterizing the disorder and its comorbidities, applying validated rating scales as screening and treatment outcome measures, and individually assessing patients' optimal response to determine the best course of therapy. Pharmacotherapy is often initiated to target ADHD symptoms with either a stimulant medication or nonstimulants. In addition, behavioral interventions are often applied to treat comorbidities and associated impairments of ADHD.

Original languageEnglish (US)
Pages (from-to)S129-140
JournalThe American journal of managed care
Volume15
Issue number5 Suppl
StatePublished - May 2009

ASJC Scopus subject areas

  • Health Policy

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