Explore a comprehensive physician grand rounds presentation on adolescent mental health disorders, focusing on Attention Deficit Hyperactivity Disorder (ADHD), Disruptive Mood Dysregulation Disorder (DMDD), and Major Depressive Disorder. Delve into the developmental impacts, diagnostic criteria, comorbidities, and treatment options for these conditions. Examine the neurobiological underpinnings, including brain structure and function changes, and learn about the latest research on emotion regulation in ADHD. Gain insights into the overlap between ADHD and emotion dysregulation, and understand the importance of accurate diagnosis and appropriate interventions for adolescents struggling with these complex disorders.
Overview
Syllabus
Intro
OBJECTIVES
DEVELOPMENTAL IMPACT OF ADHD
DSM-5 CRITERIA: ADHD
DSM-IV vs. DSM-5 COMPARISON
CO-MORBIDITY IS THE RULE
EMOTIONAL IMPULSIVENESS IN ADHD
ETIOLOGY - RISK FACTORS
PATHOPHYSIOLOGY OF ADHD
TREATMENT OPTIONS - STIMULANTS
TREATMENT RESPONSE TO STIMULANTS AND TOLERABILITY
EFFECTS OF PSYCHOSTIMULANTS ON BRAIN STRUCTURE/FUNCTION AND LATER COMORBIDITY
NON-STIMULANT RESPONSE AND TOLERABILITY
HEIRARCHY OF ADHD TREATMENT
NON-PHARMACOLOGIC INTERVENTIONS - DO THEY WORK?
NON-PHARMACOLOGIC AND PSYCHOSOCIAL TREATMENT IN ADHD
EMOTION REGULATION
CHARACTERISTICS OF
DSM-5'S SOLUTION TO UNDERSTANDING
MISDIAGNOSIS WAS THE RULE
IS IT BIPOLAR DISORDER?
EPIDEMIOLOGY OF DMDD
NATURAL HISTORY OF DMDD
CONSEQUENCES OF DMDD
DISRUPTIVE BEHAVIOR DISORDERS Why Do They Keep Making Bad Choices?
CHILDREN AND ADOLESCENTS
DSM-5 DEFINITION
EPIDEMIOLOGY OF CHILDHOOD MAJOR DEPRESSIVE DISORDER
DEVELOPMENTAL CHANGE IN AMYGDALA REACTIVITY
DIFFERENTIAL DIAGNOSIS AND COMORBIDITY IN CHILDREN
TREATMENT OF MAJOR DEPRESSIVE DISORDER
EMOTION DYSREGULATION IN ADHD PROPOSED MODELS
UNDERSTANDING THE CORRELATION BETWEEN ADHD AND DMDD
PATTERNS OBSERVED OVER TIME
PATHOPHYSIOLOGY OF OVERLAP
BOTTOM UP PROCESSES
TOP DOWN PROCESSES
SUMMARY OF OVERLAP IN ADHD AND EMOTION DYSREGULATION
3 ANATOMICAL HUBS IMPORTANT IN BOTTOM-UP DYSFUNCTION
CORTICAL CHANGES IN ADHD AND EMOTION DYSREGULATION
Taught by
Mary Greeley Medical Center
