| Contributors | p. xv |
| Foreword | p. xvii |
| Preface | p. xix |
| An Overview of Childhood and Adolescent ADHD: Understanding the Complexities of Development into the Adult Years | |
| Transactional Model of ADHD: Impact of Biogenetic, Neuropsychological, Cognitive, and Psychosocial Deficits | p. 2 |
| Interaction of Neurobiological and Environmental Factors | p. 6 |
| Cognitive and Academic Findings | p. 6 |
| The Developmental Context: Characteristics and Associated Features of ADHD | p. 10 |
| Cumulative Effects of Living with a Developmental Disorder: From Childhood to Adulthood | p. 14 |
| ADHD Risk and Resiliency | p. 15 |
| A Developmental Perspective: Implications for Treatment of ADHD in Adulthood | p. 18 |
| References | p. 19 |
| Continuity of ADHD in Adulthood: Hypothesis and Theory Meet Reality | |
| Introduction | p. 25 |
| Outcome of ADHD in the Adult Years | p. 27 |
| Evaluation | p. 35 |
| Factors Affecting Outcome | p. 37 |
| Conclusion | p. 39 |
| References | p. 39 |
| Research on Comorbidity, Adaptive Functioning, and Cognitive Impairments in Adults with ADHD: Implications for a Clinical Practice | |
| Disorders Comorbid with ADHD in Adults | p. 46 |
| Cognitive Deficits | p. 49 |
| Domains of Adaptive Functioning Examined in Adults with ADHD | p. 55 |
| Clinical Implications | p. 61 |
| Conclusion | p. 66 |
| References | p. 66 |
| The Assessment Process: Conditions and Comorbidities | |
| Introduction to ADHD in Adulthood: Presentation and Risks | p. 72 |
| Current ADHD Diagnostic Criteria, The DSM-IV | p. 73 |
| Practice Parameters for the Assessment of Adult ADHD | p. 77 |
| Making the Diagnosis of ADHD in Adults | p. 78 |
| Guarding Against Overdiagnosing ADHD in Adults and the Issue of Comorbidity | p. 81 |
| References | p. 82 |
| Clinical Case Studies | |
| Assigning the ADHD Diagnosis Incorrectly Can Cause Harm | p. 86 |
| ADHD or Bipolar Disorder or both? | p. 91 |
| ADHD with Comorbid Substance Dependence and Conduct Disorder | p. 95 |
| ADHD/LD and Test Accommodations for a Professional Licensing Exam: Effective Advocacy | p. 99 |
| References | p. 105 |
| The Clinician's Role in the Treatment of ADHD | |
| Overview | p. 107 |
| A Multi-level Approach in Treating ADHD in Adults | p. 109 |
| Basic Issues in Treating Adults with ADHD | p. 111 |
| Treating ADHD Across the Adult Life Span | p. 113 |
| The Challenges of the Middle Adult Years | p. 121 |
| Treating Adults with ADHD in Their Middle Years | p. 122 |
| Summary | p. 126 |
| References | p. 126 |
| Changing the Mindset of Adults with ADHD: Strategies for Fostering Hope, Optimism, and Resilience | |
| The Characteristics of Adults with ADHD | p. 128 |
| The Unfortunate Mindset of Adults with ADHD | p. 131 |
| Assessing the Mindset of Individuals with ADHD | p. 135 |
| Coping Strategies: Helping or Exacerbating the Problem? | p. 135 |
| Steps for Changing Negative into Positive Mindsets | p. 138 |
| Concluding Thoughts About Two Men | p. 145 |
| References | p. 146 |
| A Model of Psychotherapy for Adults with ADHD | |
| Who Are Adults with ADHD and What Are Their Problems? | p. 148 |
| Psychological Therapy | p. 150 |
| Conclusions | p. 158 |
| Appendix | p. 159 |
| References | p. 162 |
| Pharmacotherapy of Adult ADHD | |
| Introduction | p. 165 |
| Overview of the Neurobiology and Genetics of ADHD | p. 166 |
| Clinical Features of ADHD in Adults | p. 167 |
| Assessment and Diagnosis of ADHD in Adults | p. 168 |
| General Principles of Pharmacotherapy of ADHD in Adults | p. 169 |
| Stimulants in the Treatment of Adults with ADHD | p. 170 |
| Nonstimulant Medications in the Treatment of Adults with ADHD | p. 175 |
| Clinical Strategies for the Pharmacotherapy of ADHD in Adults | p. 179 |
| Combined Pharmacotherapy | p. 181 |
| Summary | p. 182 |
| References | p. 182 |
| Career Impact: Finding the Key to Issues Facing Adults with ADHD | |
| Introduction | p. 187 |
| Barriers to Realistic Career Decision Making | p. 187 |
| Starting Out with a Realistic Picture | p. 189 |
| Reframing and Involvement | p. 192 |
| Client Involvement and Developing Self-Determination | p. 193 |
| The Role of the Professional as Mentor and Facilitator | p. 194 |
| Practical Tools and Strategies for Career Decision Making | p. 196 |
| Gaining Control of the Decision | p. 198 |
| Generating Reasonable Alternatives | p. 200 |
| Living with the Consequences Without Suffering | p. 201 |
| Managing Uncertainties and Assessing Risk Tolerance | p. 202 |
| Conclusion | p. 203 |
| References | p. 204 |
| What Clinicians Need to Know About Legal Issues Relative to ADHD | |
| Introduction | p. 205 |
| Two Statutes | p. 206 |
| Individual with a Disability | p. 206 |
| Otherwise Qualified | p. 213 |
| The Right to Reasonable Accommodation | p. 215 |
| The Professional's Opinion | p. 216 |
| Conclusion | p. 217 |
| Notes | p. 217 |
| References | p. 218 |
| Making Marriages Work for Individuals with ADHD | |
| Overview | p. 220 |
| Foundations: Setting the Initial Stages of Therapy | p. 221 |
| Two Therapeutic Approaches | p. 222 |
| Supplemental Interaction Strategies | p. 233 |
| Substance Abuse in the Relationship | p. 236 |
| Assuming Individual Responsibility | p. 238 |
| Summary | p. 239 |
| References | p. 239 |
| Families and ADHD | |
| Introduction | p. 241 |
| Effects of ADHD on Home and Family | p. 242 |
| Parenting and Marriage | p. 245 |
| Good Parenting and Straight Thinking | p. 248 |
| Managing Family Life: What to Do | p. 251 |
| Summary | p. 260 |
| References | p. 260 |
| Life Coaching for Adult ADHD | |
| Claire's Story | p. 261 |
| What Is Personal Coaching? | p. 262 |
| What Is ADHD Coaching? | p. 262 |
| How Coaching Helped Claire | p. 263 |
| Theoretical Underpinnings of ADHD Coaching | p. 263 |
| The Precepts of ADHD Coaching | p. 265 |
| The Process of Coaching | p. 266 |
| How Does Coaching Work? | p. 267 |
| Distinguishing Coaching from Other Services | p. 272 |
| The Power of Collaboration | p. 273 |
| Coaching Is Never a Substitute for Therapy | p. 274 |
| Issues That Can Complicate the Coaching Process | p. 274 |
| Finding and Choosing a Coach | p. 275 |
| Creating the Right Match | p. 275 |
| Qualities to Look For in a Coach | p. 276 |
| Conclusion | p. 277 |
| Lifestyle Issues | |
| Theoretical Underpinnings | p. 280 |
| Lifestyle Management Model | p. 280 |
| Understanding Strengths and Weaknesses | p. 281 |
| Maximizing Medication | p. 283 |
| Achieving Balance and Establishing Long-Term Goals | p. 283 |
| Planning to Attain Goals: The Day Planner | p. 286 |
| Organizing "Things" | p. 288 |
| Conclusion | p. 290 |
| References | p. 291 |
| Index | p. 293 |
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