A Complex Case of Attention Deficit Hyperactivity Disorder in an Adult

  • Kuppuswami ShivakumarEmail author
  • Shabbir Amanullah
  • Adnan Rajeh


Once considered to be a childhood disorder, it is now considered to be a common disorder in adults. Often not recognized as a distinct entity due to comorbidity, ADHD is underrecognized and treated. According to available studies, adult ADHD is a frequently occurring neurobiological disorder with significant comorbidities and a substantial impact on the individuals functioning across the life spectrum. Compared to childhood ADHD, the prevalence of adult ADHD is less well studied. (Willcutt, Neurotherapeutics 9(3):490–499, 2012). The use of multiple steps is important in assessing and diagnosing adult ADHD. The use of rating scales is highly recommended and includes input from parents, family members, and preferably school records. It is critical to diagnose adult ADHD due to impact on patients’ lives as a whole. In the management of adult ADHD, various pharmacological and psychological interventions are available, and it is highly recommended to follow any available clinical guidelines.


Adult Attention Deficit Hyperactivity Disorder Occupational functioning Substance abuse Interpersonal relationship 


  1. 1.
    Faraone SV. Report from the third international meeting of the attention-deficit hyperactivity disorder molecular genetics network. Am J Med Genet A. 2002;114(3):272–6.CrossRefGoogle Scholar
  2. 2.
    Faraone SV, Sergeant J, Gillberg C, Biederman J. The worldwide prevalence of ADHD: is it an American condition? World Psychiatry. 2003;2(2):104.PubMedPubMedCentralGoogle Scholar
  3. 3.
    Kooij SJ, Bejerot S, Blackwell A, Caci H, Casas-Brugué M, Carpentier PJ, Edvinsson D, Fayyad J, Foeken K, Fitzgerald M, Ginsberg Y, Henry C, Krause J, Lensing MB, Manor I, Niederhofer H, Nunes-Filipe C, Ohlmeier MD, Oswald P, Pallanti S, Pehlivanidis A, Ramos-Quiroga JA, Rastam M, Ryffel-Rawak D, Stes S, Asherson P, Gaillac V. European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry. 2010;10(1):67.CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Levin FR, Evans SM, Kleber HD. Prevalence of adult attention-deficit hyperactivity disorder among cocaine abusers seeking treatment. Drug Alcohol Depend. 1998;52(1):15–25.CrossRefPubMedGoogle Scholar
  5. 5.
    Polanczyk G, de Lima MS, Horta BL, Biederman J, Rohde LA. The worldwide prevalence of ADHD: a systematic review and metaregression analysis. Am J Psychiatr. 2007;164(6):942–8.CrossRefPubMedGoogle Scholar
  6. 6.
    Searight HR, Burke JM, Rottnek FRED. Adult ADHD: evaluation and treatment in family medicine. Am Fam Physician. 2000;62(9):2077–86.PubMedGoogle Scholar
  7. 7.
    Solanto MV, Marks DJ, Mitchell KJ, Wasserstein J, Kofman MD. Development of a new psychosocial treatment for adult ADHD. J Atten Disord. 2008;11(6):728–36.CrossRefPubMedGoogle Scholar
  8. 8.
    Willcutt EG. The prevalence of DSM-IV attention-deficit/hyperactivity disorder: a meta-analytic review. Neurotherapeutics. 2012;9(3):490–9.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Kuppuswami Shivakumar
    • 1
    Email author
  • Shabbir Amanullah
    • 2
  • Adnan Rajeh
    • 3
  1. 1.Department of PsychiatryNorthern Ontario School of Medicine Psychiatry DepartmentSudburyCanada
  2. 2.University of Western OntarioWoodstock General Hospital University of Western OntarioWoodstockCanada
  3. 3.Victoria Hospital and Children’s Hospital of Western OntarioLondonCanada

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