FYI
Nowell Neuropsychological Services, Inc. - David D. Nowell, Ph.D.
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Could brain scans have clinical utility for ADHD diagnosis?
Q: Dr Nowell could you share that Journaling Template with me again?
Changes to ADHD diagnosis in the DSM-5
Experience Auditory Processing Disorder for Yourself!
Catching up with the conversation about DSM-5

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FYI

stimulant

Stimulant Medications with Pediatric TBI Survivors

I was doing some research last week for a talk I gave at theannual conferenceof the Brain Injury Association of Massachusetts (thanks to the survivors, family members, and clinicians who attended!).  Thought I'd share with you something I found regarding efficacy of stimulant medications with brain injury survivors.  

While use of these agents is a fairly common practice with both adult and pediatric TBI patients, these "ADHD medications" have not been FDA approved for this use, and clinical implementation relies heavily on anecdotal data.

ADHD and the Cortico-Striatal Loop

I had a great conversation at a recent ADHDworkshopabout the role of frontal synaptic dopamine transmission on the one hand and subcortical dopaminergic function on the other. (...and why should you care about any of this?  scroll down to the last paragraph...)

I was makingsome pointorotherabout about the role of the basal ganglia in the dopaminergic pathway, and an attendee (hi, Barry!)  noted that his understanding was that stimulant medications (which increase available dopamine) have their mechanism of action at the level of the synapse, and in the prefrontal cortex (where we believe planning and sequencing and inhibiting take place).

What recommendations might follow a neuropsychological evaluation for attentional or learning problems?

Earlier this week I blogged about a practical alternative which I regularly offer to individuals and families who have questions about ADHD and related disorders, but aren't sure they're ready to spring for a full neuropsychological evaluation.  The next post here at this blog was a consideration ofhow to determine when such evaluationis in fact right for you or your family member.

So what happens after a neuropsychological evaluation?  After all the testing and scoring and writing up the results.

Coming Soon: The ADHD Rescue Kit








Hey I want to let you in on something I'm excited about!  HypnotherapistDan Candelland I, along with mytireless staff(hi Vivian and Susan!) are putting together a resource for parents and partners of individuals living with the frustrations and challenges of ADHD.  

This audio/workbook product is a resource for clinicians and teachers who want to know more about supports for folks with ADHD, and it's a great jumping-off point for newly diagnosed teens and adults themselves.

The Kit provides a brief overview of the clinical work of a neuropsychologist and a hypnotherapist and what these specialties bring to the table in terms of ADHD support.

Q&A: Who Has the Right to Say I Will or Will Not Benefit from Medication?

Aftermy recent postingat Psychology Today, I got the following great question from a reader.  I'm offering my response to that question here because this is the kind of concern that comes up frequently at workshops and in the clinical setting.

Q:   Why is it that a people with a certain title are more qualified to say i'm doing "good enough"? if i could benefit from medication why is it their right to say i won't benefit enough to get it?

A:  This is a great comment and hits on a couple of things that clinicians as well as clients might consider.

A facebook reader asks," Could you explain that in layman's terms?" (Dopamine transporter changes and stimulant medication use)

I recentlytweeteda link toan articlein the American Journal of Psychiatry suggesting there are specific brain changes in individuals with ADHD who have history of stimulant medication use. 

The tweet bounced to myFacebook pagewhere a reader (hi, Lindsey!) asked:

Okay David, I took a look at the article... I'm wondering if you could explain what was said in layman's terms?

Sure - quite simply:  It's an exciting time to be doing this work!  Now, a somewhat longer explanation follows.