This is a case scenario where a mother has a daughter who has been diagnosed with ADHD condition. This is a hereditary condition, and therefore, there is a high likelihood that the mother could also be living with the condition. However, this has never been confirmed become no tests were done on the mother before. It is, therefore, important that some diagnostics tests should be taken on the mother to determine whether she has the same condition or not (Antshel et al., 2012). As a medical officer attending to such a patient, a few questions and responses from the patient will help analyze their condition. The following three questions are helpful when determining if a patient has ADHD:
Ask about family history on the condition, whether there is anybody else in the family who has ever been diagnosed with the condition.
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Ask about their social and personal history
Ask about any medical history on the patient
These questions will help understand some of the basics that may indicate whether the patient has ADHD or not (Caye et al., 2019). Further, speaking to family members of the patient will help obtain useful information on some of the behaviors that the patient has been exhibiting. This will give more information to help assess the patient’s situation. Some of the questions to ask family members may include:
Whether the patient shows anxiety at times
Whether the patient has ever been in depression
Whether the patient feels very emotional at times
The physical examination might be conducted on aspects such as BP, BMI, and other routine lab tests.
The patient might be diagnosed with ADHD, just stress and anxiety or GAD.
For the case of this particular patient, there is a high likelihood that she will be diagnosed with ADHD. From the revelations made and the fact that her daughter has already been diagnosed with the hereditary condition, then the mother might as well have the condition (Mattingly et al., 2017).
For the patient’s ADHD therapy, a dose of 20 mg of mixed salts of d, I-amphetamine XR could work with the patient (Kratochvil,2002).
From the follow-up data at weeks 4, 8, and 12, the dose can be lowered further to 20 mg in order to lower the patient’s BP and pulse.
From the case study, I have been able to learn of the signs, diagnostic process, and treatment of ADHD patients.
References
Antshel, K. M., Faraone, S. V., & Gordon, M. (2012). Cognitive behavioral treatment outcomes in adolescent ADHD. Journal of Attention Disorders, 18 (6):483-495. https://doi.org/10.1177/1087054712443155
Caye, A., Swanson, J. M., Coghill, D., & Rohde, L. A. (2019). Treatment strategies for ADHD: an evidence-based guide to select optimal treatment. Molecular Psychiatry , 24 (3), 390-408. https://doi.org/10.1038/s41380-018-0116-3.
Kratochvil, C. J. (2002). New ADHD treatment options on the horizon. Advanced Studies in Medicine, 2 (25), 915-8. https://pdfs.semanticscholar.org/c6b6/1215b143263251babd7e545877a6cdf67cab.pdf
Mattingly, G. W., Wilson, J., & Rostain, A. L. (2017). A clinician’s guide to ADHD treatment options. Postgraduate medicine , 129 (7), 657-666. https://doi.org/10.1080/00325481.2017.1354648.
