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May 2004 - Volume I - Issue V

"Recent Updates on Co-morbidity"

Statement: My intent in this newsletter is to express as quickly as possible my own beliefs and opinions on matters. I have no problems with people who disagree with my opinion and have even been swayed to rethink my position from time to time. We are still taking book orders for my new book "ADHD and The Criminal Justice System" and you can get my author's discount from the AMAZON.COM price...

Patrick Hurley was recently appointed to the Professional Advisory Board of the Attention Deficit Disorder Association. For more information you can go to www.add.org

Patrick also spoke on October 15, 2007 at the National Conference on Correctional Health Care in Nashville, TN on his book. The Conference is sponsored by the National Commission on Correctional Health Care (NCCHC), which has an impressive membership.

If you need a good planner, you might want to check out the Delta Planner

Read past issues of my newsletters >>>


Rather than my normal topic based letter I wanted to let you in on a few of the many highlights of the ADDA conference held in St. Louis May 13-16, 2004. Although like any conference you cannot go to all the break out sessions the ones I did go to were all good. We also had excellent Main Speakers such as Thomas E. Brown Ph.D., Michele Novotni Ph.D. (Outgoing President), David Giwerc (Incoming President), Edward Hallowell M.D. of "Driven to Distraction" fame, Thomas Phelan Ph.D. (1-2-3 Magic) and Sari Solden MS, LMFT, LPC who is author of "Women with Attention Deficit Disorder" and "Journeys through ADDulthood." Join ADDA at www.add.org.

Dr. Brown presented information on the May 1, 2004 release of the "National Co morbidity Survey." This survey involved face to face interviews with 9,282 families for two hours. It replicated a study done ten years earlier. Some of the statistics were very enlightening as they relate to ADHD. Bear with me on this information as it is not long and is really interesting if you give it some thought.

In the area of Mood, it was found that in the last 12 months, 25.5% of persons with full DSM-IV criteria ADHD have also suffered from full DSM-IV criteria for Mood disorder. This is an odds ratio of 3.5 the normal population. When questioned over their lifetime experience, 45.4% reported suffering from full DSM-IV criteria Mood Disorder. This is an odds ratio of 3.0 the normal population.

In the area of Anxiety, it was found that in the last 12 months, 47% of persons with full DSM-IV criteria ADHD also suffered from full DSM-IV criteria for Anxiety disorder. This is an odds ratio of 3.4 the normal population. When questioned over their lifetime experience, 59% reported suffering from full DSM-IV criteria for Anxiety disorder. This is an odds ratio of 3.2 the normal population.

In the area of Substance Abuse, it was found that in the last 12 months, 14.7% of persons with full DSM-IV criteria for ADHD have also suffered from full DSM-IV criteria for Substance Abuse. This is an odds ratio of 2.8 the normal population. When questioned over their lifetime experience, 35.8% reported suffering full DSM-IV criteria for Substance abuse. This is an odds ratio of 2.8 the normal population.

In the area of Impulse Disorder, it was found that in the last 12 months, 35% of persons with full DSM-IV criteria for ADHD have also suffered from full DSM-IV criteria for Impulse disorder. This is an odds ratio of 5.6 the normal population. When questioned over their lifetime experience, 69.8% reported suffering full DSM-IV criteria for Impulse Disorder. This is an odds ratio of 5.9 the normal population.

Finally, in the Category of All Psychiatric Disorders, which includes those mentioned and others in the DSM-IV, the results were pretty astonishing. Over the previous 12 month period, persons with full DSM-IV criteria for ADHD, 66.9% of those reported also meeting full DSM-IV criteria for one or more other Psychiatric Disorders. This is an odd ratio of 4.2 the normal population. When questioned over their lifetime experience, 88.6% reported suffering full criteria DSM-IV for one or more other Psychiatric disorders. This is an odds ration of 6.9 the normal population.

In other words, over their lifetime, a person meeting DSM-IV criteria for ADHD is 6.9 times more likely to have one or more comorbid psychiatric disorders that also meet DSM-IV criteria. Pretty amazing information when you think about it.

Dr. Brown emphasized that ADHD is NOT A SIMPLE PROBLEM, but rather a very complex impairment of the management system of the brain.

He also says that since emotion is such a key element in ADHD, that he feels it should be included in the next DSM criteria.

If you have any comments feel free to e-mail me a "short note" (if possible). I have ADHD too so I know how difficult it is to write short notes.

Thanks and talk to you next month.

Patrick Hurley
addcorridorcoach@aol.com

If you know on anyone who might like this newsletter, please forward it to them, and tell them to go to my web site at www.addcorridorcoaching.com and sign up.

 

 

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