ADHD

Scenario: A 13 year old boy is accompanied by his parents into the community mental health clinic for the evaluation of Attention Deficit Hyperactivity Disorder (ADHD). Both parents are impatient, demanding and requesting for you to start their child on a CNS stimulant medication.

Based on this scenario, respond to the following prompts:

Which neurotransmitter(s) are involved in ADHD? How will you approach this clinical case?
According to the DSM V-TR, what is the criteria for this condition? What is the NICHQ Vanderbilt Assessment Scale and how will you apply it to this case study?
If the child meets diagnostic criteria for ADHD, what diagnostic(s) or lab(s) will you order prior to prescribing a CNS stimulant drug? Why is it important to assess and monitor a child’s weight and height once you start treatment for ADHD?

Sample Answer

1. Neurotransmitters Involved in ADHD

ADHD is primarily associated with dysregulation in dopamine and norepinephrine pathways. These neurotransmitters are critical for attention, impulse control, executive function, and reward processing. Stimulant medications (e.g., methylphenidate, amphetamines) work by increasing their availability in the synaptic cleft.

2. Approach to the Clinical Case

Step 1: Build Rapport & De-escalate Parental Pressure

Acknowledge parental concerns: "I understand your urgency to help your son, and we’ll take this step by step."
Educate gently: Explain that ADHD diagnosis requires comprehensive evaluation (not just symptom checklists) to rule out other conditions (e.g., anxiety, learning disorders).

We are here to help

We have crazy offers

It’s quick and easy to place an order. We have an efficient customer service that works 24/7 to assist you.It’s quick and easy to place an order. We have an efficient customer service that works 24/7 to assist you.

We are here and ready to help

Order Now