NepMed Repository :: Browsing by Author "Perera, MH"

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Attention deficit hyperactivity disorder in adults
(Kathmandu University, 2007) Perera, MH; Padmasekara, G; Perera, CM
Introduction: Attention deficit hyperactivity disorder (ADHD) is a disorder that begins in childhood, characterised by hyperactivity, inattentiveness and impulsivity. The disorder persists into adulthood but with some differences in the way it presents. Methods: This case series included 29 adult patients from a metropolitan, office-based, private psychiatric consultant practice over a period of four years. Results and Discussion: 72% were males and 28% were females, with a mean age of 28 years. Management involved biological, psychological and educational approaches. Stimulants, including dexamphetamine and methylphenidate, were mainstay in biological treatment and non-stimulant medications, such as, atomoxetine was used infrequently. Comorbidities such as substance abuse and mood disorders were common among the study group. Conclusion: ADHD is an illness, the symptoms of which may persist into adulthood. With diagnosis of the disease and the use of stimulants, adjunctive medications as appropriate, and behavioural interventions the patients will obtain relief.