Mk. Dulcan et Rs. Benson, SUMMARY OF THE PRACTICE PARAMETERS FOR THE ASSESSMENT AND TREATMENT OF CHILDREN, ADOLESCENTS, ACID ADULTS WITH ADHD, Journal of the American Academy of Child and Adolescent Psychiatry, 36(9), 1997, pp. 1311-1317
This summary of the practice parameters describes the assessment, diff
erential diagnosis, and treatment of children, adolescents, and adults
who present with symptoms of attention-deficit/hyperactivity disorder
. The rationales for specific recommendations are based on a review of
the scientific literature and clinical consensus which is contained i
n the complete document. Assessment includes clinical interviews with
the child and parents and standardized rating scales from parent and t
eachers. Testing of intelligence and academic achievement is usually r
equired. Comorbidity is common. The cornerstones of treatment are supp
ort and education of parents, appropriate school placement, and psycho
pharmacology. The primary medications are psychostimulants, but antide
pressants and a-adrenergic agonists are used in special circumstances.
Other treatments such as behavior modification, school consultation,
family therapy, and group therapy address remaining symptoms.