ADHD. Answer: -long-term disorder characterized by either
hyperactivity & impulsivity or inattention
-affect the development of proper cognitive, behavioral, emotional,
social, & academic function
-Symptoms of the hyperactivity & impulsivity subtype:
• excessive fidgeting or talking, feelings of restlessness & impatience,
frequent interruption, difficultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• difficulty organizing tasks, maintaining a routine, paying attention
to detail
• Children may avoid tasks that are intellectually challenging,
resulting in poor academic or cognitive performance
• may not be distinguishable until 8-9 years of age
-primarily disrupts neuronal connections within the frontal lobe &
prefrontal cortex
◉FDA approved medications for ADHD. Answer: Stimulants
-Methylphenidate
• Azstaryz
• Concerta
• Focalin
• Jornay PM
,• Metadate CD or ER
• Ritalin
-Amphetamine
• Adderall
• Adzenys ER or XR-ODT
• Dexedrine
• Vyvanse
Non-stimulants
-Norepinephrine reuptake inhibitors
• Strattera
• Qelbree
-Alpha agonist
• Kapvay
• Intuniv
https://chadd.org/wp-content/uploads/2021/09/ADHD-
MEDICATIONS-APPROVED-BY-THE-US-FDA-2021.pdf
◉Behavior Management: Parent training. Answer: -What parents
learn when trained in behavior therapy
• Positive Communication
,• Positive Reinforcement
• Structure & Discipline
◉Seamus is a 13-year-old who was referred to the psychiatric
mental health nurse practitioner (PMHNP) by a family court judge
for evaluation. Seamus was arrested after breaking into several cars
on his street overnight and stealing loose change and small
electronics. Seamus's parents endorse that he has had problems
since he was a young boy. Starting in kindergarten, he has had
"anger management" issues and argues with his parents and with
teachers. He has difficulty sitting still in the classroom and was
frequently disciplined for interrupting teachers, talking constantly,
and running in the halls. At home, he often exhibits vindictive
behavior towards his siblings and blames them for his actions. His
parents describe him as "driven by a motor." He is irritable most of
the time. He has never liked school and has struggled academically
since first grade. He was suspended twice in elementary school for
bullyi. Answer: yes
Rationale: symptoms consistent with ODD include anger and
irritability, argumentative and vindictive behavior, and blaming
others.
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for conduct disorder?
, yes
no
unable to determine. Answer: yes
Rationale: Symptoms consistent with conduct disorder include a
history of repetitive, persistent behavior that violates societal norms
within the past twelve months, including bullying, fighting,
vandalism, theft, and truancy.
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for intermittent explosive disorder?
yes
no
unable to determine. Answer: no
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for ADHD?
yes
no
unable to determine. Answer: yes
hyperactivity & impulsivity or inattention
-affect the development of proper cognitive, behavioral, emotional,
social, & academic function
-Symptoms of the hyperactivity & impulsivity subtype:
• excessive fidgeting or talking, feelings of restlessness & impatience,
frequent interruption, difficultly playing quietly
• reach peak severity when the child is around 8 years of age
-symptoms of inattentive subtype
• difficulty organizing tasks, maintaining a routine, paying attention
to detail
• Children may avoid tasks that are intellectually challenging,
resulting in poor academic or cognitive performance
• may not be distinguishable until 8-9 years of age
-primarily disrupts neuronal connections within the frontal lobe &
prefrontal cortex
◉FDA approved medications for ADHD. Answer: Stimulants
-Methylphenidate
• Azstaryz
• Concerta
• Focalin
• Jornay PM
,• Metadate CD or ER
• Ritalin
-Amphetamine
• Adderall
• Adzenys ER or XR-ODT
• Dexedrine
• Vyvanse
Non-stimulants
-Norepinephrine reuptake inhibitors
• Strattera
• Qelbree
-Alpha agonist
• Kapvay
• Intuniv
https://chadd.org/wp-content/uploads/2021/09/ADHD-
MEDICATIONS-APPROVED-BY-THE-US-FDA-2021.pdf
◉Behavior Management: Parent training. Answer: -What parents
learn when trained in behavior therapy
• Positive Communication
,• Positive Reinforcement
• Structure & Discipline
◉Seamus is a 13-year-old who was referred to the psychiatric
mental health nurse practitioner (PMHNP) by a family court judge
for evaluation. Seamus was arrested after breaking into several cars
on his street overnight and stealing loose change and small
electronics. Seamus's parents endorse that he has had problems
since he was a young boy. Starting in kindergarten, he has had
"anger management" issues and argues with his parents and with
teachers. He has difficulty sitting still in the classroom and was
frequently disciplined for interrupting teachers, talking constantly,
and running in the halls. At home, he often exhibits vindictive
behavior towards his siblings and blames them for his actions. His
parents describe him as "driven by a motor." He is irritable most of
the time. He has never liked school and has struggled academically
since first grade. He was suspended twice in elementary school for
bullyi. Answer: yes
Rationale: symptoms consistent with ODD include anger and
irritability, argumentative and vindictive behavior, and blaming
others.
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for conduct disorder?
, yes
no
unable to determine. Answer: yes
Rationale: Symptoms consistent with conduct disorder include a
history of repetitive, persistent behavior that violates societal norms
within the past twelve months, including bullying, fighting,
vandalism, theft, and truancy.
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for intermittent explosive disorder?
yes
no
unable to determine. Answer: no
◉According to the DSM-5-TR, does Seamus meet the diagnostic
criteria for ADHD?
yes
no
unable to determine. Answer: yes
