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Posts Tagged ‘adult ADHD treatment’

WYPR interview on ADHD with Dr. David W. Goodman


My discussion with Dale Archer, M.D. (psychiatrist, best-selling author) on WYPR September 27, 2014 about ADHD, over- diagnosis, and  over-prescribed medications was lively. While Dr. Archer advocates “medication as a last resort” and “the goal of treatment is to get off medication” after learning new skills, I offered the research on medication benefit and a quality of life measure to evaluate medication utility. Certainly, treatment of ADHD at all ages incorporates behavioral therapy, organization skills, couple/family/individual therapies, and academic/occupational accommodations, in addition to medication, when indicated.

For those of you interested, the radio broadcast is available and runs 35 minutes. I invite you to listen and decide for yourself the merits of each position. Ultimately, this information best serves those who have ADHD and their families.

 

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Dr. David W. Goodman quoted in The New York Times Today (December 15, 2013)


Today the New York Times published an article “The Selling of  Attention Deficit Disorder” by Alan Schwarz. This is a lengthy article highlighting the increased identification of people with ADHD and  the concomitant increase in the prescriptions of effective medications.  The article is a feature story on the New York Times website today.

Toward the end of this article I am  quoted for the authorship of a continuing medical education article I wrote for Medscape.com in August 2012. In the Times article, he references a six-minute video clip of an interview between physician and patient I had included in my Medscape article.  He uses my quote “That was not an acceptable way to evaluate and conclude that the patient has A.D.H.D.” to  indict me for using  the short video as an example of how to evaluate adult ADHD. He sat with me for 30 minutes in Washington DC and recorded our interview.  However, what he failed to mention in his New York Times article was that the video clip he referenced accompanied a 2000 word continuing medical education article with 86 scientific references that was estimated to take physicians 2.5 hours to complete.  It would appear that Mr. Swartz had an a priori agenda in presenting his information. His remarks in the article malign and misrepresents physicians’ and researchers’ commitment to exploring causes and effective treatments for ADHD.  Unfortunately this is not my first experience with journalists dispensing with facts that don’t support their biased premise.

This evening I composed my  Letter to the editor and have forwarded it to them.   Let’s wait and see what develops. And now you have the back story to my quote.  Thank you for your interest.

David W. Goodman M.D.

 

High school students and stimulant use in Baltimore


Style magazine in Baltimore has  published an article in September 2012 edition on stimulant misuse in high school students in Baltimore. The article distinguishes between the use of stimulants for performance enhancement by students vs the use of stimulants to treat legitimately diagnosed ADHD in young adults. I, along with Dr. Alain Joffe, director of Johns Hopkins University’s Student Health Center, were interviewed for our thoughts on this important issue.  Students interviewed offer their perspective as well.

The take-home point for me as a psychiatrist treating late adolescents and young adults is to obtain a complete history of ADHD since childhood confirmed with input from a parent. Other co-existing psychiatric and medical condition are also considered. Only after I am confident of the presence of ADHD do I write a prescription and recommend behavioral/organizational therapy.

As it is important to treat those who need medication, it is equally important to not prescribe to those students who don’t have ADHD.

ADHD over age 50 – WebMD


For those with ADHD as an adult, it doesn’t go away.  According to the National Comorbidity Survey Replication study published 2006, of those with adult ADHD, 75% were not diagnosed as children.

In my practice it is not uncommon for patients over age 50 to be newly diagnosed. I provided my expertise in this area to the author of an article for WebMD published live this week. The “moral of the story” is it is never too late to get evaluated and seek treatment. Daily functioning can improve at any age.

ADHD Drug Shortage on Maryland Public TV Jan 30 7:30pm


With the increasing shortage of ADHD stimulant medications, Maryland Public Television invited me to a live interview by Jeff Salkin on Direct Connection with Jeff Salkin on January 30, 2012 Monday at 7:30 pm. I had been invited on his show a few years ago about adults with ADHD.

I will discuss the possible explanations for these shortages in addition to the large picture of drug shortages across all medication categories. As is frequently the case, there is no one cause. I hope to lay out the explanations. More importantly, I’ll offer suggestions to work around these shortages for you and your family members.

Join us this Monday night. I want to thank my patients who have offered their stories about the impact of the shortages.

David W. Goodman, M.D.

Medical Crossfire- 4 videos by experts on adult ADD


Education about ADHD in adults is critical for everyone. In addition to my work in the public sector and assistance to public media (newspaper, magazines, and TV), I’m also involved in teaching physicians how to best identify their patients who have ADHD/ADD. My friend, Anthony Rostain, MD at the University of Pennsylvania and I did a 4 part video series (Medical Crossfire) explaining diagnosis, co-existing psychiatric conditions and treatments, both medication and therapies for adult ADD.

You are invited to view each of the segments here. You will need to register first. Don’t worry if you are not a physician. You will be able to understand the discussion. When you register: under “Profession” click on No Profession; under “Specialty” click on Non-clinical; under degree, well, you choose what’s appropriate.

These segments represent the opinions of internationally recognized experts speaking about the state of the art for this disorder. You will be very well informed after viewing each segment.

As I have said before, let science be the designated driver in the highway of opinions. Thank you again for your interest in my writings. I will be adding these video segments to my website in the near future.