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Posts Tagged ‘ADD’

According to a study published November 22nd in the New England Journal of Medicine by Paul Lichtenstein, Ph.D et al, “The use of medication to treat attention-deficit/hyperactivity disorder [AD/HD] is linked to a lower likelihood of crime,” “Using Swedish national registers, researchers studied about 16,000 men and 10,000 women ages 15 and older who had been diagnosed with AD/HD.” Next, “court and prison records were used to track convictions from 2006 through 2009 and see whether patients were taking AD/HD drugs when their crimes were committed.”  The results showed that as compared with nonmedication periods, among patients receiving ADHD medication, there was a significant reduction of 32% in the criminality rate for men ) and 41% for women.

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HealthDay (http://tinyurl.com/ADHD-and-Smoking 11/23, Thomas) reported, “Children whose mothers smoked during pregnancy or who were exposed to lead have more than double the risk of having” AD/HD “as other children.” Based on their study of “2,588 children aged eight to 15 from around the” US, scientists from Cincinnati Children’s Hospital Medical Center “concluded that about 38 percent of AD/HD cases among children” in that age group “may be caused by prenatal exposure to tobacco smoke, while 25 percent of AD/HD cases are due to lead exposure.”

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vitaminsMedscape (11/3, Cassels) reported that, according to research, “overall nutritional status in children with attention-deficit/hyperactivity disorder (AD/HD) shows that this patient population is at risk for low trace mineral status, including deficiencies in zinc and copper.” Canadian found that, “among 44 children aged six to 12 years with AD/HD, rates of zinc and copper deficiency were 45% and 35%, respectively.” In addition, “40% of the children consumed less than the recommended levels of meat and meat alternatives and had low levels of related micronutrients that are essential cofactors for the body’s manufacture of dopamine, norepinephrine, and melatonin.”  Researchers associate low folate levels in pregnancy with increased odds for AD/HD in offspring.  Healthday(11/3, Preidt http://tinyurl.com/low-folate-ADD) reported that, according to a study published online Oct. 28 in the Journal of Child Psychology and Psychiatry, “low folate levels during pregnancy are associated with higher odds for attention-deficit/hyperactivity disorder (AD/HD) in offspring aged seven to nine.” Investigators also discovered that “children of mothers with low folate levels had notably smaller head circumference at birth, which may indicate a slower rate of prenatal brain growth.”

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The Washington Post (9/22, Ellison) reports that, according to a study published Sept. 9 in the Journal of the American Medical Association, there may be “a striking difference in the brain’s motivational machinery in people with” attention-deficit hyperactivity disorder (AD/HD) symptoms. The study included “a group of healthy subjects” and “53 adults with AD/HD.” Researchers compared “detailed images of participants’ brains with positron emission tomography, or PET, scans after injecting them with a radioactive chemical that binds to dopamine receptors and transporters.” They found that “in people with AD/HD, the receptors and transporters aradhde significantly less abundant in mid-brain structures composing the so-called reward pathway, which is involved in associating stimuli with pleasurable expectations.” Researchers “speculated that people with AD/HD may even have a net deficit of dopamine.”

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Dopamine HealthDay (9/8, Dotinga) reported that, according to a study published Sept. 9 in the Journal of the American Medical Association, the “the trouble concentrating that affects people with attention-deficit hyperactivity disorder (AD/HD) might be related to motivation.” Specifically, “the motivational problems seen with” AD/HD “appear to stem from a reduction in” the neurotransmitter dopamine. For the study, researchers from the US National Institute on Drug Abuse and the Brookhaven National Laboratory recruited “53 adults with AD/HD” who “underwent positron emission tomography (PET) scans for dopamine markers.” Next, the team “compared the results with PET scans of 44 adults without the condition.” In participants with AD/HD, the investigators found “disruptions in the two dopamine pathways associated with reward and motivation.”   WebMD (9/8, Warner) pointed out that “the results offer new insight into AD/HD, as well as help explain why people with AD/HD may be more likely to abuse drugs or become obese.” Lead study author Nora D. Volkow, MD, stated, “Our results also support the continued use of stimulant medications — the most common pharmacological treatment for AD/HD — which have been shown to increase attention to cognitive tasks by elevating brain dopamine.”   CBC News (9/9), BBC News (9/8), the UK’s Daily Mail (9/9, Hope), and the UK’s Telegraph (9/8, Smith) also covered the story.

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intunivThe Philadelphia Business Journal (9/3, George) reported, “The Food and Drug Administration granted marketing approval Thursday to Shire for Intuniv [guanfacine], a nonstimulant treatment for attention-deficit/hyperactivity disorder in children and adolescents aged six to 17.” Shire “already has three other AD/HD treatments in the United States and two AD/HD medicines outside the United States.”  HealthDay (9/3, Roberts) reported that Shire said its “once-daily” medication, “to be available in one-to-four mg strengths, is expected on pharmacy shelves in November.” Reuters (9/4) also covers the story.

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dnaHealthDay (6/25, Preidt) reported that, according to a study published online June 23 in Molecular Psychiatry, researchers from the Children’s Hospital of Philadelphia, PA, have identified “hundreds of gene variations that may be associated with attention-deficit/hyperactivity disorder (AD/HD).” For the study, the team “analyzed genomes from 335 AD/HD patients and their families, and compared them to more than 2,000 children without AD/HD. The hundreds of gene variations were found to occur more often in children with AD/HD than in normal children.” In a news release, psychiatrist and AD/HD expert Josephine Elia, MD, stated, “Because the gene alterations we found are involved in the development of the nervous system, they may eventually guide researchers to better targets in designing early intervention for children with AD/HD.” HealthDay noted, “The cause of AD/HD isn’t known, but studies have shown that it’s strongly influenced by genetics.”

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Time (3/25, Cloud) reported that, according to a study scheduled to be published in the Journal of Abnormal Child Psychology, “a better approach for” schoolchildren with attention-deficit/hyperactivity disorder (AD/HD) “is to let them move all they want,” because “many kids use their movements…to stay focused. In other words, it may be that excessive movement doesn’t prevent learning, but actually facilitates it.” For the study, researchers at the University of Central Florida in Orlando followed “23 boys ages eight to 12” over “four years.” Twelve of the children “had an AD/HD diagnosis. The other 11 were developing normally.” After analyzing data based on a series of tests given to the children, the team concluded that youngsters with AD/HD may “have a hard time with working memory because they lack adequate cortical arousal,” and theorized that “their squirms and fidgets help stimulate that arousal.” The authors suggested “a classroom technique for AD/HD kids: Don’t overly tax their working memory.”

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Buckeye Psychiatry, LLC (Dublin, Ohio), the psychiatric practice of Adam Brandemihl, M.D., Board Certified Psychiatrist, offers tips on how to keep your job while battling Adult ADD. He discusses ten ways of coping with adult ADD in the workplace.

Dublin, OH (PRWEB) March 8, 2009 — With the continued recession and struggling economy, keeping your job is a priority.  With increasing budget cuts, employee “productivity” has become more important to businesses.  The “P” word, or lack of it, is often used to determine which employees are fired or laid off.  Many newly unemployed Americans with adult ADD (Attention Deficit Disorder) have been forced into jobs they would normally not accept in order to preserve their financial security.  Unfortunately, these jobs are often a poor fit for the employee’s strengths and can magnify their weaknesses.   Increased demands at current jobs can also “expose” some adults with ADD who were just getting by through extra effort and time. 

Dr Brandemihl has noticed an increasing number of adult ADD patients seeking medical treatment for the common disorder.  Dr Brandemihl notes that in the past, “many adults with ADD would have been able to find jobs that were a better fit for their unique skill sets. Ideally the patient wants to find a job that plays to their strengths such as the ability to multitask, think outside of the box and expend short bursts of intense energy.  However, with the poor economy many of these adult ADD sufferers have been forced into jobs that they are not suited for because of financial desperation.   The increasing job stress can lead to unhappiness, depression, anxiety, worsening productivity and ultimately, termination from the job.”

Dr Brandemihl says that the first step in treatment is “getting diagnosed by a mental health professional, preferably a board certified psychiatrist.”  Once the diagnosis of ADD is established, medication can be discussed as a possible option and behavioral changes that can help counter ADD can be implemented.  Dr Brandemihl offers the following tips for dealing with ADD in the workplace:

1. Make sure any additional psychiatric conditions are being addressed through therapy and/or medication.  Anxiety and depression can affect focus, concentration, motivation and energy, mimicking ADD.

2. Utilize an electronic planner or phone to keep a schedule and set alarms to remind you of appointment times, due dates, break times and meetings.

3. Set all of your clocks ten minutes ahead.  This way you are at least on time, if not early, for scheduled meetings.

4. Separate large assignments into smaller, more manageable assignments.  If possible, give yourself short breaks every fifteen to thirty minutes.  Use an egg timer or alarm to remind yourself of “break times” (even if they are only for one to two minutes).

5. Take care of yourself.  Get at least eight hours of sleep a night.  Eat several small meals a day and try to exercise at least thirty minutes per day.  This can make a huge difference in energy, motivation and concentration levels.

6. Make your work environment work for you.  You may consider an MP3 player or earplugs to block out noisy distractions.

7. Organize your work area.  Labels and folders are your friends.  Everything should have its own place.  Only have one assignment in front of you at a time.

8. Keep the momentum going at home.  Structure, routine and repetition are crucial.  Ask family members for help.  It is important to utilize and practice your new coping skills both before and after work.

9. Ask your supervisor or boss for feedback.  Tell him or her you are aware of the issue and ask for their opinions on your progress.

10. Reward yourself with a special treat for progress.  Positive reinforcement is crucial to help encourage any new behaviors.

Buckeye Psychiatry, LLC is located at 5060 Parkcenter Avenue, Suite F in Dublin, Ohio, just north of the Mall at Tuttle Crossing.  Psychiatric Appointments may be made by calling 614-766-5205 and are generally available within 1-2 weeks. Additional information can be found on Buckeye Psychiatry’s website at www.BuckeyePsych.com or blog at https://buckeyepsych.wordpress.com.

 

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UPI (3/4) reports that a study in the journal Sleep links “sleep to attention-deficit/hyperactivity disorder.” For the study, Canadian researchers monitored “15 ADHD children and 23 controls controlled for many confounding factors” and found that “average total sleep time was 33 minutes shorter in ADHD children than in controls. Average rapid eye movement sleep time was also reduced in children with ADHD by 16 minutes.” Lead author Reut Gruber of the Douglas Mental Health University Institute said, “I do not believe that sleep per se is the cause of ADHD but it may make the symptoms worse in children with sleep problems.” Gruber added, “There are reports in the literature in which treating sleep problems led to improvement in ADHD symptoms but I suspect that these results were seen in children with sleep apnea. More research needs to be done in order to determine if sleep affects ADHD children with no primary sleep disorder.”

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