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ADHD and Addiction: Diagnosis and Management

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Jacob Kagan
Jacob Kagan

Presentation by Jacob Kagan MD on the diagnosis and management of ADHD and Substance Abuse Disorders, including epidemiology and comorbid conditions, causality and functional impact, potential explanations for the ADHD/SUD association,stimulant treatment and the risk for SUDs, diversion and misuse of stimulant medications, and treatment recommendations. http://jacobkaganmd.com

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ADHD and Addiction: Diagnosis and Management Jake Kagan, MD Outpatient Addiction Services Cambridge Health Alliance
Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Making the ADHD diagnosis: DSM criteria
Inattention symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperactivity/Impulsivity Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DSM-IV Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Making the ADHD diagnosis (general points) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Making the ADHD diagnosis (clinical reality!) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Making the ADHD diagnosis (clinical reality!)
Epidemiology of ADHD ,[object Object],[object Object],[object Object],[object Object]
Epidemiology of ADHD (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object]
ADHD and SUD comorbidity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Potential impact of ADHD on SUDs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rethinking old data, and new research ,[object Object],[object Object],[object Object]
Conduct Disorder: A complicating factor? ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Conduct Disorder: A complicating factor? (continued)
Conduct Disorder: A complicating factor? (continued) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What to make of all this?!? ,[object Object],[object Object],[object Object],[object Object]
Why the relationship between SUD and ADHD? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ADHD and Substance Abuse: Potential biological pathways ,[object Object],[object Object],[object Object],[object Object],[object Object]
ADHD and Substance Abuse: Potential biological pathways ,[object Object],[object Object],[object Object],[object Object],[object Object]
Relationship between stimulant treatment and SUDs ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Relationship between stimulant treatment and SUDs
Relationship between stimulant treatment and SUDs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relationship between stimulant treatment and SUDs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Relationship between stimulant treatment and SUDs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Concerns about diversion/misuse of stimulants ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment Recommendations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],References
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],References
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],References

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  • 1. ADHD and Addiction: Diagnosis and Management Jake Kagan, MD Outpatient Addiction Services Cambridge Health Alliance
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