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ISBN# 1-57230-710-2
ADHD with Comorbid Disorders

Publication Date: 2001
Steven Pliszka, M.D.,
Caryn Carlson, Ph.D.,
James Swanson, Ph.D.
 

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Paperback, 325pp

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About the Author

Steven R. Pliszka, MD, is Associate Professor and Chief of the Division of Child and Adolescent Psychiatry at the University of Texas Health Science Center at San Antonio. He was the recipient of a Career Development Award from the National Institute of Mental Health (NIMH) and currently has an NIMH grant to study attention-deficit/hyperactivity disorder using neuroimaging techniques. Dr. Pliszka has a very active clinical practice and teaches neurobiology to Child and Adolescent Psychiatry residents. He is coauthor of ADHD with Comorbid Disorders .

Caryn L. Carlson, Ph.D. received her doctorate in psychology from the University of Georgia. After completing postdoctoral work at Indiana University, she was a faculty member in the psychology department at Virginia Tech for three years before joining the UT faculty in 1989. Her research program, which has been funded by the National Institutes of Mental Health, has examined numerous aspects of the functioning of childen with ADHD, including the effects of contingencies on performance and motivation, the ADHD Predominantly Inattentive Type, comorbidity, and social, cognitive and attentional correlates of ADHD.

James M. Swanson, Ph.D., Professor of Pediatrics and Cognitive Sciences at the University of California Irvine, received his doctorate from Ohio State University. In 1983, Dr. Swanson founded the UCI Child Development Center (UCI-CDC), which has specialty programs for ADHD children. The UCI-CDC school programs include a school-based day-treatment program and a paraprofessional program for delivering school-based interventions for ADHD students in regular classrooms in public schools. The UCI-CDC research program includes investigations of multimodality treatment of ADHD children, investigations of the neurobiology of ADHD and pharmacological investigations of new medications for ADHD. Over the past 20 years, his work with ADHD children has been supported by the Ontario Mental Health Foundation, the MacArthur Foundation, the Irving Community Foundation, the Educational Foundation of America, the Sackler Foundation, the U.S. Department of Education, the National Institute of Mental Health, and the National Institute on Child Health and Development.

Summary

Treating a child or adolescent with ADHD is especially challenging when hyperactivity and inattention are accompanied by many other symptoms. It is not uncommon to encounter such complex ADHD cases as the child who also presents with aggression or antisocial behavior, the teen who has made a suicide attempt, or the hyperactive child with mental retardation. Integrating the latest biomedical and psychosocial knowledge, this practice-oriented volume is designed to help clinicians meet the needs of these tough-to-treat clients. Major comorbidities are described in depth and empirically grounded guidelines are presented for evaluation and treatment. Filled with illustrative case examples and pointers to facilitate time- and cost-effective practice, this book will enhance the work of clinicians and students in a range of settings.

Reviews

"Given the high rate of comorbidity in children with ADHD, this text is essential reading for anyone working in this area. Pliszka and colleagues have provided valuable information for those struggling to develop effective interventions for the most challenging clinical presentations of ADHD."
-Behaviour Research and Therapy

"Informative, authoritative, thoughtful, and scholarly....The authors serve up the most encyclopedic, well-informed review of pediatric psychopharmacology that I have read in a long time....Rather than describing idealized patients, Pliszka and his colleagues present children who fail the 'easy' treatments, and who only start mending after they have been taken all the way through the authors' logical treatment algorithms. Run, don't walk, to get this book you shouldn't practice child psychiatry without it!"
-Laurence Greenhill, MD

"The field has long awaited a book of this kind, that integrates up-to-date research data on conditions co-occurring with ADHD with a systematic approach to treatment. The authors' rich accumulated clinical wisdom comes through in a variety of informative practice recommendations and guidelines throughout each section, with a balance of approaches that is rare. This text should be invaluable to a broad audience of child researchers and clinicians child psychologists, child psychiatrists, pediatricians, pediatric neurologists as well as forming an excellent framework for review of ADHD comorbidity for trainees."
-James T. McCracken, MD

Contents

  1. Introduction
    1. Overview of Issues in Comorbidity
  2. Assessment
    1. Psychiatric Assessment
    2. Behavioral Assessment
  3. Overview of Treatment Approaches
    1. Psychopharmacological Interventions
    2. Behavioral Interventions
  4. Comorbid Conditions
    1. Disruptive Behavior Disorders and Substance Abuse
    2. Neurological Disorders
    3. Affective Disorders
    4. Anxiety Disorders
    5. Mental Retardation and Pervasive Developmental Disorders
    6. Medical Disorders
    7. Learning Disorders
    8. Tic and Obsessive Compulsive Disorders
  5. Addressing Specific Areas of Impaired Functioning
    1. Behavioral Interventions for Problems at Home
    2. Behavioral Interventions for Problems at School
    3. Behavioral Interventions for Problems on the Playground
  6. Epilogue: Future Directions in Research and Treatment