Long-Acting Stimulant Treatment of ADHD in Girls

Objective

To report an evaluation of the efficacy of once-daily OROS® methylphenidate (MPH) (brand name CONCERTA) in girls with attention-deficit/hyperactivity disorder (AD/HD) by reviewing data from four randomized double-blind placebo-controlled studies.

Background

ADHD is an important cause of psychiatric disability in girls, and is currently under recognized and undertreated. More boys than girls present with AD/HD. DSM-IV estimates the male: female ratio as 9:1 (based on the proportion of girls referred to clinics), and yet community-based studies have sometimes shown the ratio to be as low as 2.5:1. This suggests that AD/HD prevalence in girls is seriously underestimated and that many school-aged girls with AD/HD are unlikely to be properly diagnosed and treated. Without adequate treatment, girls with AD/HD are likely to have academic underachievement, low self-esteem, few friends, and sleep problems. In addition, some may exhibit excessive talkativeness, introversion, and in adolescence to indulge in risky behaviours, such as …

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ADD-friendly Ways to Organize Your Life

 

By Kathleen Nadeau;In the last issue of ADDvance News Online I have a little background about the partnership that developed between myself and Judith Kolberg, professional organizer, over the writing of this book. Although she had worked with many adults who have AD/HD, I still found that she, like most organizers and like most organizing books, sometimes recommended approaches that wouldn’t appeal to or work for an adult with AD/HD. Our goal was to write a very different organizing book that took into account the AD/HD tendencies that make organizing so challenging for many adults with AD/HD. Here are a few more….

AD/HD-friendly organizing strategies to work WITH your AD/HD….

Take advantage of “organizational moments”

Organizational moments are times when you take advantage of unplanned opportunities to organize. An example is filing a paid bill and then, while you’re at it, flipping through the file folder …

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Don’t Put It Down! Put it Away!

There will be no easier time than NOW.
Don’t put it down! Put it AWAY!

By Maurine Harrison- It’s a cold, dark winter morning. You can almost hear the school bus coming, but not quite. Your child has just stuffed the last misplaced book into the crumpled book bag sitting expectantly in an open front door. The outside lights are glaring so the bus driver will feel guilty if he doesn’t wait for your child to rocket out that door.

Without warning, a wrinkled paper waves frantically in front of your face, something that requires MONEY, something you “HAVE TO SIGN NOW” or today will be the end of the world. You dash for pen and wallet two rooms away and make it back just in time to scratch your name in the appropriate place (you hope). Money is ripped from your hand, almost before it’s out of your wallet.…

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Kathleen Nadeau, Ph.D.

Kathleen Nadeau PhD - Stephanie Sarkis PhD

Kathleen Nadeau is co-editor and co-publisher of ADDvance, A Magazine for Women with Attention Deficit Disorder, and co-publisher of Advantage Books, a specialty press that publishes books related to Attention Deficit/Hyperactivity Disorder. She serves on the professional advisory boards of both CHADD and ADDA, the two largest advocacy organizations focused on the needs of children and adults with AD/HD.

Dr. Nadeau is one of the first professionals to focus on adult AD/HD issues, as well as one of the first professionals to focus on the unique concerns of women and girls with AD/HD.

She is the director of the Chesapeake ADHD Center of Maryland, in Silver Spring, Maryland, a clinic staffed by mental health professionals who provide psycho-diagnostic testing to evaluate AD/HD, learning disabilities, and related disorders. She and her staff also provide individual, couples, group, family. Adolescent and child therapy focused on AD/HD and related issues. The Chesapeake

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EPA & ADHD

New Nordic EQUAZEN Chews | Proven ADHD Relief and Concentration Aid for Kids & Adolescents | Chewable Softgels with Natural Omega 3 & 6 Fish Oils | Swedish Made | 180 Count (

Hi Dr. Quinn:

I just read your response to “Dear Dr. Q.” in the addvance magzine. Over the past several months I have witnessed some dramatic changes in both PMS and Perimenopause along with AD/HD symptoms in some of the women I have been treating.

The protocol is the same as Andy Stoll’s for depression. The best results have come from unadulterated fish oil; I prefer Carlson’s; the initial dose is 1000mg of EPA for two to three weeks. If there is no response the dose is increased to 3000mg of EPA; again if no response in three weeks the dose can be increased with guidance to 6000mg. The fishy taste has nearly been eliminated from Carlson’s Super Fish. A teaspoon contains 800mg of EPA. I have seen Vitamin Shoppe with a similar product screened for heavy metals.

The EPA acts like the second messenger response that we …

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Welcome (shhh, spring is around the corner!)

Now don’t tell anyone, because that might jinx it, but in this northern area where it snows – if only in the mountains (a mere hour away if your foot is heavy) – and where it is grey for months and months, creating the illusion of high annual rainfall (when in fact, it’s not – it just drips), but which inspired the “discovery” of the disorder now known as S.A.D., or Seasonal Affective Disorder, attributable in large measure to reduced sunlit hours – hold onto your hats because this sentence will come to a close soon, and in syntactically sound condition, too – in this northern place (shhh, remember?) there are crocii blooming in front of my house right this very day.

Now. Back to this issue of ncgiadd. Valentine’s Day has come and gone with the worst of winter weather, we hope. Schools are hurtling toward spring break. We …

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ADHD: Using a Day Planner as a Life Planner

Been there? Done that? Lost a dozen? Using a day planner one of the most essential coping skills that a woman with ADD can develop, but it’s one that you need to practice and develop. Actually, using a dayplanner is not a single skill, but involves a set of skills that can be worked on, one-by-one.

1. Learn to have it with you at ALL times.
When I am helping someone develop the habit of using a daytimer, so often, in the beginning, I hear, “I’m using it, but I just didn’t bring it to the session.” Or, “It’s in the car.” The only way for your day planner to become your “exterior frontal lobes” – your life planner and manager – is if you have your exterior frontal lobes with you at all times! You wouldn’t intentionally leave your brain in the car, or at home, would you?

2.

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Vignette From a Mentoring Relationship

By Mary Beth Burns, Ed.D. – In the last edition, we read an informal letter of introduction Emily had received from her new mentor, Sara. What we didn’t know was that before Sara wrote that E-mail, she had cautiously weighed her options concerning how and when she would begin her relationship with Emily. After all, when she told Dr. Burns in late November that she would be was interested in working with Emily she hadn’t given careful consideration to the number of obligations and responsibilities that the holiday time can bring.

At first, Sara considered asking Emily if she wouldn’t mind waiting until after the holidays to start their work together, but then she remembered how thirsty she had been for knowledge and support when she first was diagnosed, so she decided to make the time to contact Emily. Yet in retrospect, Sara realized that if she wanted to fully

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Controlling Screen Addiction

Do you often miss important appointments, punch in late to work, fix cereal again for your family’s “dinner”, stay up until 3 a.m., not even go to the bathroom when you need to and want to? Have you been mesmerized by the computer screen, feel compelled to keep on working, play solitaire or “Mienstein” repeatedly, surf the shopping channels like your fingers and the mouse are super-glued together? You wanted to stop a half hour or two hours ago, but “just once more” zips through your brain, again and again. You wish you had a wireless laptop so you could take it to bed and fall asleep playing one last game of FreeCell. Does someone shouting: “All you ever do is sit at that d—– computer!” have a familiar ring to it?

A patient I will call Dorothy phoned our office yesterday. She said the medicine the doctor had prescribed …

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Smell the Air, See the Light

Smell the air, see the light coming through branches perceptibly dulled, though yet green; step outside and smell the light night air, with just the beginnings of fall-feel to its breezes. Early in the morning when you’re out for your daily constitutional (you have begun your walking routine, yes?), listen, and you’ll hear fewer bees and the robins, if chirping at all, sound less cheery.

They may not lack for good cheer so much as for a certain expectation — that tone particular to spring, which recalls, each year, the approach of another season of warmth and no jackets; of lengthening days, stretching ahead into the vague distance of time. Robins tell us we need not, briefly, try to remember, to keep in mind, Time as a Commodity to be saved, or spent, wasted, made up, lost or — wonder of wonders – found.

Stores are selling school supplies …

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