NOTE: The seminar manual, CE information, and CE test are contained on disc #1 in PDF format. To access these documents, play disc #1 in your computer. For the video presentation, begin playing disc #1 in your DVD player. Dr. Barkley has developed one of the leading theories of executive functioning and its role in the nature of ADHD. Watch this seminar recording and learn the clinical implications of Dr. Barkley’s theory on diagnosis and management of ADHD. Take home specific management principles that extend across multiple domains of major life activities. Dr. Barkley’s work shows that emotional impulsiveness and deficient emotional self-regulation are an integral part of ADHD. Understand the role of emotions as a core feature of the development of comorbid disorders, such as oppositional defiant disorder, and well as various life course impairments. Learn how to determine which aspects of emotional adjustment problems in ADHD cases are the result of the disorder and which are likely to be the consequence of comorbidity or other life course circumstances. You will also understand how effective management is driven by the role of emotion. Over 80% of children and adults with ADHD have at least one other psychiatric disorder which has a significant clinical impact on the treatment. All ADHD is not the same in terms of management. OBJECTIVES Discuss the significant implications of executive functioning for a deeper understanding of ADHD Recognize the history of ADHD and the central place of emotion in the conceptualization of the disorder Explain the neuro-anatomy of ADHD and why those brain regions implicated in the disorder would be associated with poor emotional self-regulation Distinguish the most common comorbid disorders that co-exist with ADHD and the reasons they may be associated with ADHD Describe the effects select comorbid disorders have on understanding the clinical case and in selecting treatment options to address ADHD and the comorbid disorder OUTLINE ADHD, Self-Regulation, and Executive Functioning Surface symptoms of ADHD Linkage of ADHD to deficits in executive functioning (EF) The role of executive functioning in self-regulation Evidence that ADHD is EFDD (executive function deficit disorder) The poor ecological validity of psychometric tests of EF – implications for assessment Building a multi-level model of EF as an extended phenotype into everyday life activities Implications of the model for understanding and managing ADHD as EFDD Importance of Emotion as a Central Feature of ADHD The link of emotion to the two central dimensions of ADHD The history of emotion in ADHD The evidence from neuro-anatomy and neuropsychology for emotion in ADHD The nature of emotional impulsiveness and poor emotion regulation in ADHD How emotion contributes to impairment in various major life domains beyond the traditional symptoms of ADHD The importance of emotion in the diagnosis of ADHD The impact of emotional dysregulation in the management of ADHD Optimizing ADHD Treatment – The Impact of Comorbidity Past approaches to ADHD subtyping Using comorbidity to clinically subtype ADHD Prevalence of comorbidity in ADHD Nature of Oppositional Defiant Disorder Why it is the most common comorbidity? Impact on treatment planning Conduct Disorder and ADHD Impact on treatment planning Anxiety Disorders and ADHD The stealth disorder within ADHD Impact on treatment planning Depression and ADHD Why does it develop? Which to treat first? Bipolar Disorder and ADHD A one-way comorbidity? Differential diagnosis Impact on treatment planning Tics and OCD in ADHD Another one-way comorbidity? Effect on treatment Sleep Disorders and ADHD Learning disabilities and ADHD ABOUT RUSSELL BARKLEY, Ph.D. Russell A. Barkley, Ph.D. is a clinical professor of psychiatry at the Medical University of South Carolina and research professor of psychiatry at the State University of New York Upstate Medical University in Syracuse. He is a Diplomate in three specialties: Clinical Psychology (ABPP), Clinical Child and Adolescent Psychology and Clinical Neuropsychology (ABCN, ABPP). Dr. Barkley is a clinical scientist, educator and practitioner who has authored, co-authored or co-edited 15 books and clinical manuals now numbering 24 separate editions. He has published more than 230 scientific articles and book chapters related to the nature, assessment and treatment of ADHD and related disorders. His most recent books include ADHD in Adults: What the Science Says (2008); ADHD in Adults: Diagnosis and Management (2009); Your Defiant Teen (2008); Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment (3rd ed., 2006), Taking Charge of ADHD: The Complete Authoritative Guide for Parents (2005, 3rd ed.) and Assessment of Childhood Disorders (2007). In 1993, he founded a bimonthly newsletter for clinical professionals, The ADHD Report (Guilford). Dr. Barkley has presented more than 700 invited workshops, public addresses and scientific presentations internationally and has appeared on the nationally-televised 60 Minutes, the Today Show, Good Morning America, CBS Sunday Morning, CNN and many other programs on behalf of those with ADHD. He has received numerous awards from professional associations for his research career in child development and psychopathology and his efforts to disseminate the science of ADHD to both professionals and the general public. |