Virtual Hallway recently hosted a highly anticipated session led by Dr. Celia Robichaud, a child and adolescent psychiatrist, focused on the challenges of managing Attention Deficit Hyperactivity Disorder (ADHD) in primary care settings. Dr. Robichaud shared expert strategies for identifying, diagnosing, and managing ADHD, from youth to adulthood, while addressing the complexities of comorbid conditions and the impact of social media on ADHD awareness.

Key Takeaways:

Accurate ADHD Diagnosis in Primary Care:

• Diagnosis should not be based solely on self-report, especially when influenced by social media content. Screening tools such as the Adult ADHD Self-Report Scale (ASRS) or SNAP-IV should complement clinical assessments.
• Collateral information, especially from childhood, is critical since ADHD symptoms must have been present before age 12.

ADHD and Comorbid Conditions:

• Dr. Robichaud emphasized the frequent overlap between ADHD and conditions like anxiety and depression. Misdiagnosis is common when relying on self-reported symptoms without proper clinical evaluation.
• Social media has heightened awareness but also contributed to misinformation, with up to 52% of TikTok content on ADHD deemed misleading.

Medication Management:

• Long-acting stimulants remain the first-line treatment for ADHD. Dr. Robichaud reviewed the differences between methylphenidate-based and amphetamine-based stimulants, noting that while both are effective, amphetamines may be more potent but also less tolerated.
• Non-stimulant options like atomoxetine and guanfacine offer alternatives, especially for patients with anxiety or those unable to tolerate stimulants.

Importance of Non-Pharmacological Strategies:

• Exercise and structured environments play crucial roles in managing ADHD symptoms. Physical activity enhances executive function and improves motor skills, while clear routines and expectations help foster success in both academic and personal settings.

The Role of Trauma:

• Trauma can mimic ADHD symptoms, making it important to distinguish between the two. In cases of trauma, medications like guanfacine may help with hyperarousal, but trauma-specific interventions are crucial for effective treatment.

Q&A Highlights: During the Q&A, participants discussed the role of diet, specifically high sugar intake, in ADHD management. Dr. Robichaud stressed the importance of balanced nutrition, while noting that no specific diet cures ADHD. The conversation also touched on the rising trend of adult ADHD diagnosis and the need for careful assessment beyond self-reported symptoms.

Missed the Lecture? Catch the full session on-demand and earn your MainPro+ credits here. Learn from Dr. Robichaud’s comprehensive approach to ADHD diagnosis and treatment, and enhance your practice with the latest insights.

Disclaimer: This lecture is for educational purposes only and does not replace medical advice or treatment plans tailored to individual patients."