Thanks Elaine for the bottom line on their proposed DSM-V criteria. I was going to buy the book but when I read a blurb on it in Amazon.com, I didn't think I wanted to spend my little free time perusing the protocols and results of their research. The only thing I remained curious about was their DSM-V proposal. Thanks again for the information. How readable and practical was the book say, as compared to "Delivered from Distraction"?

The age 7 thing seemed inappropriate to me from the first time I read it. First,either the patient would have to remember (???) enough (6 or more) of the DSM-IV symptoms that occurred by age 7 or have a family member living and able to do so. Second, you would think that it would take a few years of schooling for teachers, report cards or parent/teacher conferences to flush out the "abnormal" behavior in a significant number of cases. That is especially so for anyone who was out of school by 1987 (the date I understand DSM-IV was put in place). I could go on but what do I know as I've not read anything about the basis for DSM-IV on AD/HD.

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Addaway,

The book is very dry reading (sure, there is some interesting and informative statistics) and scientific, a lot of graphs and tables and scientific, statistical talk. Nothing like "Delivered from Distraction". If someone could take the info from the book and present it in a more readable, condensed form with the highlights, it would be helpful. They did find that adults with ADHD were much more impaired in all areas of life (home, job, relationships, financial, mental health, school, driving, etc) than previously realized. No surprise to me but they now have the research to back it up. Also, 80% of adults with ADHD had at least one other psychiatric disorder, such as depression or anxiety, and more than 50% had two or more psychiatric disorders (substance abuse/dependence was included as a psychiatric disorder.)

Of particular interest to me was that ADHD in adults had a high comorbidity with personality disorders (antisocial, passive-aggressive, and borderline being the top three). This had not been researched in other studies. More than 25% of adults with ADHD also met the criteria for borderline personality disorder. I found this of interest because both my husband and my 26 yr. old daughter have the borderline personality disorder along with their Adhd. Fortunately, for us, we have a doctor who specializes in both disorders and they are both receiving the best medical treatment and doing quite well.

In my research and reading on the BPD, they have found a definite correlation between ADHD and BPD and some of the same areas of the brain are affected in both disorders. Our doctor has found a significant relationship between the two in his clinical practice, close to 50% of those with BPD also having ADHD. He also holds the theory that untreated ADHD in children who have the genetic predisposition for BPD, is a contributing factor to the development of BPD.

Elaine

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Elaine:

Thanks for the crib notes & validation. I was afraid to order the book for the very reasons you pointed out. I read that kind of "prose" all day.

Do comorbids get a volume discount on Rx or at least only one copay?

ADDAWAY

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I sure wish they gave a volume discount. My family spends a lot of money on meds. Fortunately we are able to get 5 of our meds at Walmart for only $4 each. That's a big help.

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ADDAWAY said:

Elaine:

Thanks for the crib notes & validation. I was afraid to order the book for the very reasons you pointed out. I read that kind of "prose" all day.

Do comorbids get a volume discount on Rx or at least only one copay?

ADDAWAY

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Elaine, I've tried to post a reply to you a bunch of times these last few days but haven't been successful. Hope this one works. You're a great mom and support to your family (and I'm sure a great office manager).

By the way, are any of those $4 meds for ADHD, dep. or anx.?

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Addaway,

The medications they have are generic only. I think the only ADHD medication they have is methylphenidate (Ritalin) but I'm not positve on that because someone told me they don't have it listed but it is one of the ones you can get. They have several antidepressants and anxiety meds but the only ones I know for sure are the ones we use--Fluoxetine (Prozac), Buspirone (Buspar) and Trazodone (an older anti-depressant but usually used for sleep problems). In our Walmart they show the whole listing of meds shortly after you enter the store and you can also find the listing online, I believe it is Walmart.com I have also been told that Target also offers $4 medications but I haven't checked that out. I hope you are able to find some medications that you use at the lower price. Good luck!

Elaine

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You're a sweetheart!

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