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

2. 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.

3. 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.

4. 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 ). New York, NY: Springer Publishing Co.

5. 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 ). New York, NY: Springer Publishing Co.

6. 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.

7. 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.

8. 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

9. 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

10. 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 ). New York, NY: Springer Publishing Co.
Wegmann, J. (2012). Psychopharmacology Straight Talk on Mental Health Medications. Eau Claire, Wisconsin, Premier Publishing & Media,