ADHD in Adults: What the Science Says

ADHD in Adults: What the Science Says

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Providing a New Perspective on ADHD in Adults, This Compelling Book Analyzes Findings From two major studies directed by leading authority Russell A. Barkley. Important information is presented on the significant impairments produced by the disorder across major functional domains and life activities, including educational outcomes, work, relationships, health behaviors, and mental health. Thoughtfully considering the treatment implications of these findings, the book also demonstrates that existing diagnostic criteria do not accurately reflect the way ADHD is experienced by adults, and points the way toward developing better criteria that center on executive function deficits. Accessible tables, figures, and sidebars encapsulate the study results and methods.

Product Details

ISBN-13: 9781609180751
Publisher: Guilford Publications, Inc.
Publication date: 11/03/2010
Edition description: New Edition
Pages: 489
Product dimensions: 6.00(w) x 9.00(h) x 1.30(d)

About the Author

Russell A. Barkley, PhD, ABPP, ABCN, is Clinical Professor of Psychiatry at the Virginia Treatment Center for Children and Virginia Commonwealth University School of Medicine. Dr. Barkley has worked with children, adolescents, and families since the 1970s and is the author of numerous bestselling books for both professionals and the public, including Taking Charge of ADHD and Your Defiant Child. He has also published six assessment scales and more than 280 scientific articles and book chapters on attention-deficit/hyperactivity disorder, executive functioning, and childhood defiance, and is editor of the newsletter The ADHD Report. A frequent conference presenter and speaker who is widely cited in the national media, Dr. Barkley is past president of the Section on Clinical Child Psychology (the former Division 12) of the American Psychological Association (APA), and of the International Society for Research in Child and Adolescent Psychopathology. He is a recipient of awards from the American Academy of Pediatrics and the APA, among other honors. His website is

Kevin R. Murphy, PhD, is founder and Director of the Adult ADHD Clinic of Central Massachusetts in Northborough and is also Research Associate Professor of Psychiatry, State University of New York Upstate Medical University in Syracuse. He was previously Director of the Adult ADHD Clinic and an Associate Professor of Psychiatry at the University of Massachusetts Medical School. He has published extensively on adults with ADHD and consults widely on the clinical diagnosis and management of ADHD in adults. Dr. Murphy served as the coinvestigator on the research study of clinic-referred adults with ADHD reported in this volume and conducted the clinical evaluations of all of the adults in that project.

Mariellen Fischer, PhD, is currently in private practice and was previously a pediatric neuropsychologist and Professor in the Division of Neuropsychology, Department of Neurology, Medical College of Wisconsin. Dr. Fischer has published numerous articles on ADHD, developmental psychopathology, and neuropsychology. She and Dr. Barkley have reported the earlier results of the Milwaukee longitudinal study of hyperactive children, the adult outcome of which is presented in this book. Dr. Fischer served as coinvestigator and the Milwaukee site principal investigator on the longitudinal study reported in this volume.

Table of Contents

Chapter 1 Introduction 1

Chapter 2 History and Prevalence of ADHD in Adults 9

Chapter 3 Diagnostic Criteria for ADHD in Adults 26

Chapter 4 Defining ADHD in Adults: Making the Diagnosis in the UMASS and Milwaukee Studies 41

Chapter 5 DSM Symptom Utility and the Issue of Age of Onset 78

Chapter 6 Impairment in Major Life Activities 130

Chapter 7 Identifying New Symptoms of ADHD in Adulthood 170

Chapter 8 Comorbid Psychiatric Disorders and Psychological Maladjustment 205

Chapter 9 Educational and Occupational Functioning 245

Chapter 10 Drug Use and Antisocial Behavior 291

Chapter 11 Health, Lifestyle, Money Management, and Driving 330

Chapter 12 Sex, Dating and Marriage, Parenting, and Psychological Adjustment of Offspring 377

Chapter 13 Neuropsychological Functioning 400

Chapter 14 Summary, Conclusions, and Treatment Implications 434

References 467

Index 489


Researchers and advanced students in clinical psychology, psychiatry, and related fields; also of interest to mental health practitioners working with both adults and children. May serve as a supplemental text in graduate-level courses on adult psychopathology and ADHD.

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