Saturday, November 19, 2016

Blog Post 6A - Richard Wilkins Response to Andrea Barber

1) What are the different types of ADHD medications?

            Though there are different names associated with ADHD medications such as Methylphenidate, Dexmethylphenidate, Amphetamine-Dextroamphetamine, Dextroamphetamine, and Lisdexafetamine (UMMC), they are all essentially psychostimulants. The irony of ADHD medications is that they actually stimulate the central nervous system; however, in the case of those with ADHD, they act as a palliative agent.

It is important to address the side effects associated with psychostimulants. These may include a lack of appetite, pain within the abdominal region, headaches, and general insomnia; however, further consequences could include ‘jerks’ and ‘ticks’ (UMMC). Given the varied age and size of those afflicted with the onset of this condition, it is always important to monitor the effects of the medication. Therefore, adjustments can be made as negative outcomes appear.


2) What is one type of medical intervention that you believe is most efficient?

            In the case of ADHD, the underlying cause of the condition is structural  (which we will discuss specifically in question 4). However, considering the limited physical adaptation possible to the brain, chemical therapies are the next best option. Thus, by beginning treatments emphasizing specific chemical imbalances within the brain, further therapies including, behavioral and social modifications, could prove useful.

3) Explain the symptoms one may have if diagnosed with ADHD?

In order to properly discuss the symptoms associated with Attention Deficit Hyperactivity Disorder, one must first clarify the various categories of ADHD—the first is ‘Predominantly Hyperactive-Impulsive Type, the second is the ‘Predominately Inattentive Type’, and the third is the ‘Combined Type’. Symptoms associated with the ‘Predominantly Hyperactive-Impulsive Type include fidgeting, social difficulties, excessive talking, leaving ones seat, speaking out of turn, difficulties taking turns, and interruptions. The ‘Predominately Inattentive Type’, reveals itself in a lack of attention, not being able to follow through on activities and directions, poor organizational skills, being easily distracted, and generally forgetful. The third and most common, the ‘Combined Type’, is a combination of the previous two types (Turnbull, pgs. 213&214).

4) Name the causes of ADHD.

            As mentioned in question two, ADHD is a chemical and structural issue. A person with ADHD’s prefrontal cortex, the caudate nucleus, the globus pallidus, and the cerebellum (UMMC) developed differently and consequently resulted in various chemical balances within the neurotransmitters. Specifically affecting the output of dopamine and norepinephrine, the ‘roadways’ that carry these chemicals may be influenced by a deficient supply of glutamine and GABA. Further research suggests that corrections in these levels may hold promising results in the treatment of ADHD.

5) What type of medical intervention do you feel is least efficient?

            In my opinion, one must remember that ADHD is a based in a structural abnormality in the brain. Consequently, as an initial course-of-action, psycho-social therapies would prove to be the least effective for obvious reasons. It is important to note that psycho-social treatments may prove useful later in treatment; however, the true cause of ADHD cannot be addressed until the chemical contingency associated with the onset of the disability is considered.




Additional information regarding ADHD was obtained through the University of Maryland Medical Center at http://umm.edu/health/medical/reports/articles/attention-deficit-hyperactivity-disorder


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