Attention Deficit Hyperactivity Disorder (ADHD) is a prevalent neurodevelopmental disorder that affects both children and adults. Characterized by symptoms such as inattention, hyperactivity, and impulsivity, ADHD can significantly impact daily functioning and quality of life. Dr. Matthew Goldenberg, D.O., a renowned expert in ADHD, provides an in-depth look at this condition, offering valuable insights and answering common questions. Dr. Goldenberg is based in Santa Monica, but sees patients by telehealth all across California and the State of Alaska.
What is ADHD?
ADHD is a chronic condition marked by persistent patterns of inattention and/or hyperactivity-impulsivity that interfere with daily functioning or development. The exact cause of ADHD is unknown, but it is believed to involve genetic, environmental, and neurological factors.
Symptoms of ADHD
ADHD symptoms are generally categorized into two types: inattention and hyperactivity-impulsivity.
Inattention:
- Difficulty sustaining attention in tasks or play activities
- Frequent careless mistakes in schoolwork, work, or other activities
- Often seems not to listen when spoken to directly
- Fails to follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace
- Difficulty organizing tasks and activities
- Avoids, dislikes, or is reluctant to engage in tasks that require sustained mental effort
- Loses items necessary for tasks and activities
- Easily distracted by extraneous stimuli
- Forgetful in daily activities
Hyperactivity-Impulsivity:
- Fidgets with or taps hands or feet, or squirms in seat
- Leaves seat in situations when remaining seated is expected
- Runs about or climbs in situations where it is inappropriate
- Unable to play or engage in leisure activities quietly
- “On the go” or acts as if “driven by a motor”
- Talks excessively
- Blurts out answers before a question has been completed
- Difficulty waiting their turn
- Interrupts or intrudes on others
Diagnosis of ADHD
Diagnosing ADHD involves a comprehensive evaluation by a well trained and experienced psychiatrist or psychologist. The evaluation should both establish a diagnosis of ADHD and rule out other mental health conditions that can cause or make ADHD symptoms worse. An evaluation often includes:
- Medical history review
- Psychiatric history review
- Family, social, developmental history review
- Interviews with the individual and their family
- Behavioral assessments
- Standardized ADHD rating scales
Treatment of ADHD
Treatment for ADHD often involves a combination of medication, psychotherapy, coaching and/or behavioral interventions.
Medication:
- Stimulants (e.g., methylphenidate, amphetamines)
- Non-stimulants (e.g., atomoxetine, bupropion,, guanfacine)
Psychotherapy:
- Cognitive-behavioral therapy (CBT)
- Psychoeducation
- Social skills training
- Parent training
Behavioral Interventions:
- Establishing routine and structure
- Positive reinforcement strategies
- Organizational aids and techniques
Q&A with Dr. Goldenberg
Q1: Can ADHD be outgrown?
- A1: While ADHD is a lifelong condition, its symptoms can change over time. Some children may experience a decrease in hyperactivity as they age, but inattention and impulsivity symptoms often persist into adulthood.
Q2: What are the common misconceptions about ADHD?
- A2: Common misconceptions include:
Q3: What are the challenges faced by adults with ADHD?
- A3: Adults with ADHD may face many challenges such as:
- Difficulty maintaining employment or receiving promotions
- Struggles with time management and organization at work and home
- Problems in relationships with friends, family and loved ones.
- Higher risk of substance abuse due to untreated symptoms
- Increased likelihood of co-occurring mental health disorders like anxiety, depression and insomnia.
Q4: Are there any lifestyle changes that can help manage ADHD symptoms?
- A4: Yes, lifestyle changes can help, such as:
- Regular physical activity
- Balanced diet
- Adequate sleep
- Mindfulness and stress-reduction techniques
- Structured routines
Q5: Is ADHD hereditary?
- A5: ADHD has a strong genetic component. If a parent has ADHD, there is a higher likelihood that their child may also have the condition.
Q6: Can diet affect ADHD symptoms?
- A6: Some studies suggest that certain dietary changes, such as reducing sugar intake and avoiding food additives, may help manage ADHD symptoms. However, more research is needed to establish a definitive link.
Q7: What should I do if I suspect that I might have ADHD?
- A7: If you suspect that you might have undiagnosed ADHD, it is essential to seek a professional evaluation. Consult with a specialist, such as a well-trained and experienced psychiatrist who specializes in ADHD for a comprehensive assessment.
Conclusion
ADHD is a complex and multifaceted disorder that requires a tailored approach to treatment and management. With the right support and interventions, individuals with ADHD can lead successful and fulfilling lives. For more information or to schedule a consultation, please contact Dr. Matthew Goldenberg, D.O. at (424) 276-0777.
This comprehensive guide aims to provide a thorough understanding of ADHD, offering valuable insights and practical advice. If you have any further questions or need personalized assistance, don’t hesitate to reach out to Dr. Goldenberg’s office.
Matthew Goldenberg D.O.
2708 Wilshire Blvd
Santa Monica, CA 90403
Phone: (424) 276-0777
Business Hours
Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed