Unlocking The Potential Of Patients With Adhd: A Model For Clinical Practice

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Written by a clinical researcher who has evaluated and treated over 10,000 patients with ADHD, this volume provides a foundation for translating the complex scientific literature on ADHD into a model for community-based care. Drawing from molecular genetics, neuroimaging, and neurophysiology, award-winning clinical researcher Vincent J. Monastra guides practitioners through the steps of a comprehensive evaluation that includes medical, neuropsychological, neurophysiological, behavioral, and functional assessments. The multi-modal treatment plan detailed in these chapters can be implemented in the context of individual or group practices. Following a detailed review of core symptoms, comorbidities, and areas of functional impairment, Monastra reviews the neuroscience of ADHD, emphasizing recent developments in neuroimaging and quantitative electroencephalography. He translates neuroscience findings into a workable reality that practitioners can use to understand the day-to-day struggle of patients with ADHD and to guide treatment planning. The multiple medical conditions that can mimic the effects of ADHD are discussed, and the frequently overlooked roles of inadequate dietary, sleep and exercise patterns are examined. Detailed chapters describe pharmacological and educational interventions as well as strategies for conducting outpatient parenting and social-skills programs. In addition, the author reviews psychological therapies (including EEG biofeedback and cognitive behavioral therapies) that are proving useful for this challenging population.

E-Book Content

Unlocking the Potential of Patients With ADHD A MODEL FOR C L I N I C A L P R A C T I C E VINCENT J. MONASTRA AMERICAN PSYCHOLOGICAL WASHINGTON, DC ASSOCIATION Copyright © 2008 by the American Psychological Association. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, including, but not limited to, the process of scanning and digitization, or stored in a database or retrieval system, without the prior written permission of the publisher. Published by American Psychological Association 750 First Street, NE Washington, DC 20002 www.apa.org To order APA Order Department P.O. Box 92984 Washington, DC 20090-2984 Tel: (800) 374-2721; Direct: (202) 336-5510 Fax: (202) 336-5502; TDD/TTY: (202) 336-6123 Online: www.apa.org/books/ E-mail: [email protected] In the U.K., Europe, Africa, and the Middle East, copies may be ordered from American Psychological Association 3 Henrietta Street Covent Garden, London WC2E 8LU England Typeset in Goudy by Stephen McDougal, Mechanicsville, MD Printer: Book-mart Press, Inc., North Bergen, NJ Cover Designer. Berg Design, Albany, NY Technical/Production Editor: Devon Bourexis The opinions and statements published are the responsibility of the authors, and such opinions and statements do not necessarily represent the policies of the American Psychological Association. Library of Congress Cataloging-in-Publication Data Monastra, Vincent J. Unlocking the potential of patients with ADHD : a model for clinical practice / Vincent J. Monastra. — 1st ed. p. ; cm. Includes bibliographical references. ISBN-13: 978-1-4338-0238-6 ISBN-10: 1-4338-0238-4 1. Attention-deficit disorder in adolescence. 2. Attention-deficit hyperactivity disorder. I. American Psychological Association. II. Title. [DNLM: 1. Attention Deficit Disorder with Hyperactivity. 2. Adolescent. 3. Child. WS 350.8.A8 M736u 2008] RJ506.H9M654 2008 618.928589—dc22 British Library Cataloguing-in-Publication Data A CIP record is available from the British Library. Printed in the United States of Americ
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