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Many adults with psychiatric disorders may also have undiagnosed ADHD
October 30, 2006
Shire plc (LSE: SHP, NASDAQ: SHPGY, TSX: SHQ) announced today that many adults with a depressive disorder, Bipolar Disorder (BPD), or an anxiety disorder may also have undiagnosed Attention-Deficit/Hyperactivity Disorder (ADHD), according to a longitudinal retrospective medical claims analysis presented today at a major medical meeting of child and adolescent psychiatrists. According to an analysis of medical claims derived from a large managed care database in the United States, approximately 2.5 percent of adults initially diagnosed with a depressive disorder, BPD or an anxiety disorder were also diagnosed with ADHD within the 12-month analysis period spanning January 1, 2005 through December 31, 2005. However, recent findings from the National Comorbidity Survey (NCS) showed that among adult patients surveyed ADHD existed comorbidly in 32.0 percent of those with a depressive disorder, 21.2 percent of those with BPD, and 9.5 percent of those with an anxiety disorder. When compared with these high overall levels of psychiatric comorbidity detected in the NCS, the low comorbid diagnosis rates of the medical claims analysis suggest that many adult patients with psychiatric disorders such as a depressive disorder, BPD or an anxiety disorder may also have undiagnosed ADHD.
"The large discrepancy between the known rates of ADHD comorbidity and the number of patients actually being diagnosed with comorbid ADHD clearly demonstrates that there is still a strong need for increased awareness of adult ADHD, and that physicians treating the adult population may benefit from additional training in evaluating and diagnosing this disorder," said Lenard A. Adler, M.D., lead researcher and director of the Adult ADHD Program in the Departments of Psychiatry and Neurology at New York University (NYU) School of Medicine and author of Scattered Minds: Hope and Help for Adults with ADHD (Putnam).
There are potentially serious consequences of ADHD in adults, including lower educational and occupational achievement, challenges with relationships, anti-social thoughts and poor self-esteem. "The NCS data show us that a fairly high proportion of adults with depressive, bipolar, or anxiety disorders may also suffer from ADHD, and evaluating adult patients for the symptoms of this disorder must become standard practice in the healthcare community," says Dr. Adler.
About the Study
Researchers conducted a retrospective analysis on data from a 12-month period spanning January 1, 2005 through December 31, 2005 using medical claims derived from a large managed care database in the United States. All claims used in the analysis were from adult patients 18 years and older and no claims with the same diagnosis in the 6 months preceding the index date were used.
Throughout the period analyzed, patients were tracked for claims citing one or more of the other targeted conditions with a total of 900,897 new diagnoses of ADHD; 12,036,905 new diagnoses of a depressive disorder; 1,148,175 new diagnoses of BPD and 6,573,576 new diagnoses of anxiety disorders. Of those patients initially diagnosed with BPD, 2.5 percent were also diagnosed with ADHD and of those patients initially diagnosed with a depressive or anxiety disorder, 1.7 percent were also diagnosed with comorbid ADHD.
Porter Novelli
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Interview Guide for Evaluating Dsm-IV Psychiatric Disorders and the Mental Status Examination
by Mark Zimmerman (Author)
Brown University, Providence, Rhode Island. Pocket-sized quick-reference to the psychiatric interview for residents. Includes components of the full psychiatric evaluation and glossary. Trim size 6 x 4 inches.
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Living Well with Bipolar Disorder: A New Look
Starring: Guilford Press Directed By: Monkey See Productions
In this engaging video, six individuals of different ages and backgrounds candidly describe the impact bipolar disorder has had on their lives and the strategies they have learned for dealing with it. Produced in consultation with mood disorder experts Dr. Philip Mitchell and Dr. Meg Smith, the program provides an informative, optimistic discussion of the elements of effective clinical management. Viewers see how individuals can get and stay well by combining medication, counseling or psychotherapy, attention to early warning signs of relapse, and sensible lifestyle choices. The video's clear factual presentation, vivid first-hand accounts, and nonstigmatizing tone make it an indispensable resource.
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Quick Reference to the American Psychiatric Association Practice Guidelines for the Treatment of Psychiatric Disorders Compendium 2006 powered by Skyscape
by Skyscape
This reference contains Quick Reference Guides (QRGs) to all of the published APA Practice Guidelines. QRGs are created by abstracting the crucial information from the text of the full guideline, with greatest emphasis placed on retaining the material most directly relevant to the treatment decision making, and are intended for day-to-day work with patients. This compendium contains 13 Quick Reference Guides: Acute Stress Disorder and Posttraumtic Stress Disorder Alzheimers Disease and Other Dementias of Late Life Borderline Personality Disorder Bipolar Disorder Delirium Eating Disorders HIV/AIDS Major Depressive Disorder Panic Disorder Psychiatric Evaluation of Adults Schizophrenia Substance Use Disorders Suicide New interactive flowcharts: Now, complex algorithms and...
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Dual Diagnosis An Integrated Model for the Treatment of People with Co-occurring Psychiatric and Substance Disorders
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by Lippincott Williams & Wilkins
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Since the DSM-IV® was published in 1994, we’ve seen many advances in our knowledge of psychiatric illness. This Text Revision incorporates information culled from a comprehensive literature review of research about mental disorders published since DSM-IV® was completed in 1994. Updated information is included about the associated features, culture, age, and gender features, prevalence, course, and familial pattern of mental disorders. The DSM-IV® brings this essential diagnostic tool up-to-date, to promote effective diagnosis, treatment, and quality of care. Now you can get all the essential diagnostic information you rely on from the DSM-IV® along with important updates not found in the 1994 edition. Stay current with important updates to the DSM-IV®: ...
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by Red Toad Road Company
CE/CME CREDITS ONLY: Please note that you must already have access to the training material (book, etc.) for this CE/CME course to purchase the CE/CME packet (CE/CME credits, test, training objectives rating form) by itself. If you do not already have access, then purchase the training material together with the CE/CME packet by searching for the combination (training material + CE/CME packet) by browsing under the title of the training material in the RTR store..........................
TRAINING OBJECTIVES are to learn the following: Which mental health disorders benefit from BFT, the treatment outcome research for BFT, the underlying biological vulnerability-stress theory, the core treatment strategies in BFT, the communication skills training that is emphasized, the importance of...
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4th edition Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR Fourth Edition by American Psychiatric Association (Author) (APA Textbook For College and University Students)
by by American Psychiatric Association
Product Description
The last 6 years has seen many advances in our knowledge of illnesses. The DSM-IV-TRV spans the bridge between DSM- IVV and DSM-VV to ensur e that the most relevant new information since the DSM- IVV literature review in 1992 was incorporated and to enhance the educational value. Specifically, new information on associated features, including asso ciated laboratory and physical findings, has been added for many of th e disorders. Sections on prevalence, gender/age/culture, course, and familial pattern have also been revised to reflect recent research fin dings. More comprehensive differential diagnoses have been incorporat ed for many of the disorders.
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Kundalini Yoga Meditation: Techniques Specific for Psychiatric Disorders, Couples Therapy, and Personal Growth
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For several decades, yoga has been a popular mainstream approach to health conscious living, and is used by those with medical disorders. Now, following a bevy of recent research studies, yoga has exploded onto the mental health scene, and clinicians and patients alike are embracing the use of yoga to effectively help combat psychiatric disorders. In Kundalini Yoga Meditation, Shannahoff-Khalsa—researcher, Kundalini yoga teacher for over 30 years, and worldwide authority in the field of alternative therapies for psychiatric disorders—weaves scientific insights, clinical trials, case histories, and disorder-specific techniques to explain how the ancient science of Kundalini yoga can be a useful stand-alone or supplemental treatment for psychiatric...
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Multifamily Groups in the Treatment of Severe Psychiatric Disorders
by William R. McFarlane (Author)
This volume presents a proven psychoeducational therapy approach for persons with severe mental illness and their families. Pioneering schizophrenia treatment developer William R. McFarlane first lays out the theoretical and empirical foundations of the multifamily model. Chapters coauthored with other leading clinician-researchers then provide detailed "how-to" instructions for forming groups; implementing educational and problem-solving interventions; managing clinical, relationship, and functional issues that may arise; and integrating psychoeducation with other forms of treatment. Also addressed are applications of the model--some described here for the first time--to a variety of disorders other than schizophrenia, including bipolar disorder, depression, obsessive-compulsive...
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