Adult ADHD Medications & The Recent Increase in Prevalence

CPD

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Handouts

Speaker

Kelly Pickens, APNP, FNP-BC, ADC-C Related seminars and products

Undivided Attention, LLC

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Kelly A. Pickens, APNP, FNP-BC, ADC-C, is a family nurse practitioner with over 20 years of experience in a variety of clinical settings. She is a certified Attention Deficit Consultant and owns a private practice in Madison, WI where she provides specialized care for women and girls with ADHD. She is deeply passionate about spreading awareness about and encouraging empathy for those who live with neurodivergence. And she has ADHD.

Speaker Disclosures:
Financial: Kelly Pickens maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kelly Pickens is a member of the American Academy of Nurse Practitioners, the Wisconsin Nurses Association, and the Alliance for Applied Therapeutic Humor.

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Objectives

1. Analyse the prevalence, pathophysiology, and manifestations of Adult ADHD.
2. Anticipate the deficits in, and impacts of, Adult ADHD.
3. Acknowledge any implicit bias and develop a position of compassion and empathy.
4. Express confidence that you can diagnose and manage Adult ADHD.

Outline

• The cortex, limbic system, and brain stem structures and functions
• Genetics of ADHD and brain structures involved
• Dopamine pathway
• Norepinephrine pathway
• Brain wave patterns – regulating alertness

• Disorder of doing what you know
• Elements of EF
• Evolution of and innate development of EF
• Deficits result in Impairments = Executive Dysfunction
• Executive Dysfunction is situationally dependent
• heterogeneity of impairments/symptoms

• DSM-V
• A clinicians’ duty
• Diagnosis rates, average ages and impacts of late diagnosis
• Differential diagnosis and Diagnostic process
  • Rating scales
  • Getting input from collaterals
  • tips for differentiating diagnosis

• Guiding principles of treatment
• Stimulants deep dive
  • Amphetamine
  • Methylphenidate
• Non-stimulants deep dive
  • Alpha agonists
  • Norepinephrine reuptake inhibitors
  • Off-label medications
• Benefits are addictive, combinations limited by side effects
  • A handy prescribing reference chart to use in practice
• Micronutrients
• Lifestyle and therapeutic interventions
  • Guiding principles and evidence-based recommendations
• Comorbidities
  • MDD and treatment options
  • GAD and treatment options
  • ASD and treatment options

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physicians
• Physician Assistants