Carmen Hernandez February 4, 2017 SPARC Supporting Pediatric adjustment and Resilience through Counseling Carmen Hernandez February 4, 2017

Attention Deficit Hyperactivity Disorder (ADHD affects 5%-8% of children in U.S.) Characteristics of a client with ADHD: Inattentive: Client may be able to sit still but have trouble focusing. Hyperactive/Impulsive: Client may be able to focus on topics but can have difficulty sitting still, may speak and act without thinking of the consequences. Combined: Client may have difficulty focusing, sitting still and act impulsively. Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media.

Attention Deficit Hyperactivity D/O Four – nine times more common in boys Can be observed as young as four Onset is usually 7-8 years of age Accompanied with: poor frustration sleep difficulties poor self-image Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media.

Cycle of impulse response >>>>Impulse or desire Tension Arousal Commitment of the act Pleasure, Gratification, Tension Regret, Self-Reproach, or Guilt>>>> Townsend, A. A., (2012). Impulse Control Disorders. In Jones, J.S., Fitzpatrick, J.J., & Rogers, V. L. (Eds.), Psychiatric Mental Health Nursing, An Interpersonal Approach (pp.370-387). New York, NY: Springer Publishing Co.

Townsend, A. A. , (2012). Impulse Control Disorders. In Jones, J. S Townsend, A. A., (2012). Impulse Control Disorders. In Jones, J.S., Fitzpatrick, J.J., & Rogers, V. L. (Eds.), Psychiatric Mental Health Nursing, An Interpersonal Approach (pp.370-387). New York, NY: Springer Publishing Co.

Children and Adolescents Things to Consider: Some children may metabolize medications equal to or greater than adults. Therefore they may require doses equal to an adult. Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media.

Use of psychostimulants Used as they increase pre-frontal cortex levels of norepinephrine and dopamine. This leads to increased attention levels and improved behavioral impulses. Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media.

Medications for ADD/ADHD Wegmann, J. (2012) Medications for ADD/ADHD Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media. BRAND NAME GENERIC NAME Adderall dextroamphetamine/amphetamine Adderall XR Catapres clonadine Concerta methyplenidate Daytrana Methyplenidate transdermal Dexedrine dextroamphetamine Dexedrine Spansule Dextrostat Focalin dexmethylphenidate Focalin XR

Medications for ADD/ADHD Wegmann, J. (2012) Medications for ADD/ADHD Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media. BRAND NAME GENERIC NAME Intuniv guanfacine LA Metadate CD methylphenidate Methylin Ritalin Ritalin LA, SR Strattera atomoxetine Tenex guanfacine Vyvance lisdexamfetamine Wellbutrin bupropion Wellbutrin SR, LA

References Townsend, A. A., (2012). Impulse Control Disorders. In Jones, J.S., Fitzpatrick, J.J., & Rogers, V. L. (Eds.), Psychiatric Mental Health Nursing, An Interpersonal Approach (pp.370-387). New York, NY: Springer Publishing Co. Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media,