View Full Version : Diagnosis


mctavish23
09-27-03, 08:38 PM
dark blue I hope this is an area where I can help out some.I'm also curious as to how I can be of the most help.I've been at my present position since Jan of 84.My practice is children 6-19 with a couple of 4 yr old's thrown in.I'd say that my caseload is 80+% ADHD kids.In the last 15 yrs or so I've begun to re-treat mine after being dx'd in 1972.Since then I've worked hard on making ADHD my primary area of expertise.I have many many hours of CEU's invested from books to workshops and I believe that I'm always learning.I'm sure I'll learn lots in here as well.
As some of you know, I spent a week in Wisconsin in Aug at the Medical College of Wisconsin's 17th Annual Door County Summer Institute.I was priviledged to spend the week with Russell Barkley.He's the most respected researcher/author/scientist in my field of clinical psychology.He is certainly my personal favorite and I hope you all get a chance to read some of his work.He had a lot to say about diagnosis and treatment there; some of which changes the way I do things now.
In terms of diagnosis, what Barkley had to say was significant.Keep in mind also that he is a "pure" scientist, which means everything he says is supported by double blind longitudinal, valid & reliable research.He follows the data plain and simple.There is no one certain way to test for this disorder either.He said that "checklists trump tests", which is very important.The best two checklists are the Conners ADHD checklist, which we've used for years and the ADHD-IV, which I've never seen, The reason for this in both cases is that they're normed on BOTH boys and girls.That's critical.Many checklists aren't, so pay attention to that.This is a very complicated subject so I think what I'll do is make another post to cover the DSM-IV criteria and what Barkley had to say about that(since he was on that committee), as well as how I use it myself.Sorry for the long post.Take care.

Andrew
09-28-03, 09:56 AM
Thanks, Mct. While it may seem obvious to some, it is often easy to forget that there are real differences between ADHD Boys & Girls (besides the obvious :p)