Okay this is actually very interesting. Until now, there was little reason to be super optimistic about the use of brain imaging to facilitate ADHD diagnosis. Group differences, yes, but at the individual level not so much - just too much variability.
But thisrecent study
by researchers in London and Singapore suggests we may be turning a corner. Using a procedure known as voxel-based morphometry
the researchers found they could reliably distinguish (with correct classification of 75.
WGBH has a great series called "Misunderstood Minds
" which includes a unique activity to experience what Auditory Processing Disorder might "feel like."
Did you notice the irritating noise at the beginning of the activity, like someone was bumping the microphone? And the multiple competing conversations going on around you? Really an effective and quick illustration of the challenges of "bottom up" auditory processing.
The site includes activities which simulate
Well I did it. I was resisting it, telling myself I wouldn't do it this time. Telling myself "I won't buy the new edition of the DSM, I'll just make use of a staff copy somewhere."
But of course I was always going to do it - I was always going to buy the DSM-5. I believe my first one was the light blue one - the III-R. I had professors who still used the green one and I was like "how old are you?" Then we all bought the maroon one.
I ran into my colleagueDr Van Kleeck
today while doing a consult at a local hospital and had a conversation about self-report checklists for adult Aspergers symptoms.
I returned to my office and ran across a checklist another colleague had passed on to me awhile back. Are any of you familiar with the Ritvo Autism and Asperger Diagnostic Scale
? At that link you'll find an article with the instrument itself towards the end.
Q: Hi Dr. Nowell, I have symptoms of both Bipolar Disorder Type II as well as ADHD. My
"baseline" is very ADD. Then, every 3-4 months, I seem to have 2
weeks where I cycle through hypomania/depression, and I am very different from
my baseline self. I am being treated for both via medication.
So, is it possible to be both? Are there any recommendations or
resources that you feel are especially helpful for those who might have both conditions?
A: Any two
conditions can be co-occurring.
Amber, who connected with me onLinkedIn
, is thinking of a career in neuropsychology and had a few questions for me. I'm sharing my responses to her questions here.
Q: What education/training is involved to become a Neuropsychologist?
neuropsychologist's training includes academic and supervised clinical
placement experiences in graduate school, and then continues with a predoctoral
internship focused on evaluation and treatment of brain-behavior disorders.
A postdoctoral fellowship (1-2 years) or residency in neuropsychology
provides the additional supervised clinical experience, brain labs, and
directed reading necessary for independent practice.
Q: How common is daydreaming with ADHD?The reason I ask is that I've heard that daydreaming is more common with Asperger's Syndrome than with ADHD. With ADHD the problem is more distractibility than with daydreaming. So -- if a person demonstrates excessive daydreaming would we say it's more consistent with Asperger's than ADHD?
A: You've described a difficult clinical distinction, but this might help:
There exists the emerging concept of Sluggish Cognitive Tempo, which has at points gone by the awkward moniker "pathological mind wandering.
, adhd evaluation
, adult adhd
, executive functioning
, mind wandering
, slow cognitive tempo
, sluggish cognitive tempo
It was my pleasure to spend some time yesterday at theSTAR Center
, and to speak to the staff there about ways we address the ADHD-SPD symptom overlap.
In advance of that meeting, I'd asked for your questions forDr Lucy Jane Miller
, clinical director of the program and author ofSensational Kids
andNo Longer a Secret
- either of which would be a great place for parents or clinicians (including non-OTs like me!) to begin to understand sensory challenges in children.
So, here are your questions for Dr Miller, followed by my best recollection of her responses.
Happy New Year - one week into 2013, I hope everything's going to plan. No? Great, you get to start over today!
Over the course of next 12 months I'll be sharing tips and strategies for managing time and focus and passion.
A really useful question for clinicians in the ADHD evaluation is"these problems with focus and attention that we've been talking about....where do you NOT see these?" And that question is also worth considering by parents, spouses, and adults with attentional and organizational challenges.
In arecent article
by scientists at Shiraz University of Medical Sciences (Iran), authors note support for the 2-factor (inattention and hyperactivity) model of ADHD. Many ADHD symptom checklist items load strongly onto one factor or the other. For example, the symptoms "talks excessively" and "is on the go" load heavily onto thehyperactive
factor but not theinattentive
factor. And the symptoms "difficulty sustaining focus" and "difficulty organizing tasks" load heavily onto the