Japanese Journal of Psychosomatic Medicine
Online ISSN : 2189-5996
Print ISSN : 0385-0307
ISSN-L : 0385-0307
Special Issues / Understanding of Developmental Disorders in Clinical Psychosomatic Medicine
Understanding the Characteristics of ADHD
Katsumi Murakami
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JOURNAL FREE ACCESS

2017 Volume 57 Issue 1 Pages 27-38

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Abstract

Attention deficit hyperactivity disorder (ADHD) is characterized mainly by hyperactivity, impulsiveness, and carelessness. Diagnoses are based on 3 cardinal symptoms included in DSM-Ⅴ. However, each of these symptoms varies markedly depending on the patient’s age ; therefore, it should be taken into consideration when making a diagnosis. Concerning differential diagnosis, it is particularly important to differentiate ADHD from autism spectrum disorder, which is challenging. Regarding treatment and support, psychosocial treatment is prioritized in which the following 4 domains are combined : environmental adjustment, psychosocial support for parents, psychosocial treatment of children, and cooperation with relevant specialized organizations (e. g., schools). If necessary, pharmacotherapy is performed, in which methylphenidate sustained-release tablets and/or atomoxetine are indicated, but they should be used with caution.

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© 2017 Japanese Society of Psychosomatic Medicine
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