Indian Journal of Medical Research

: 2014  |  Volume : 139  |  Issue : 5  |  Page : 790--791

Attention-deficit hyperactivity disorder (ADHD) in adults

Prabhat Sitholey 
 Consultant Psychiatrist & Former Professor of Psychiatry, King George's Medical University, Lucknow 226 003, India

Correspondence Address:
Prabhat Sitholey
Consultant Psychiatrist & Former Professor of Psychiatry, King George«SQ»s Medical University, Lucknow 226 003

How to cite this article:
Sitholey P. Attention-deficit hyperactivity disorder (ADHD) in adults.Indian J Med Res 2014;139:790-791

How to cite this URL:
Sitholey P. Attention-deficit hyperactivity disorder (ADHD) in adults. Indian J Med Res [serial online] 2014 [cited 2021 Mar 2 ];139:790-791
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Full Text

Attention-deficit hyperactivity disorder (ADHD) in adults, W. Retz, R.G. Klein, editors (Karger, Basel, Switzerland) 192 pages. Price: US$ 81.00, CHF 69.00 ISBN 978-3-8055-9237-6

While paediatric ADHD is well known in India, the same cannot be said of adult ADHD. Though ADHD is a common diagnosis in Indian specialist child psychiatry clinics, adult ADHD diagnosis is a rarity. Disbelief and derision are common reactions when one talks of adult ADHD. Common sense and logic tells us otherwise. Western follow up studies tell us that paediatric ADHD persists into adult life in a significant proportion. Therefore, it may be said that adult ADHD almost always goes undiagnosed in India.

With this background the above book is a welcome addition to literature on adult ADHD. The book compiles information on nearly every aspect of adult ADHD. One will make most sense of the book if the overview by Wender and Tomb is carefully read. The overview is excellently written and referenced. The concept and the clinical picture of adult ADHD are well described. The two case reports at the end provide the reader with a life like view of adult ADHD.

The chapters on family and twin studies and molecular genetics give information on family and genetic aspects of adult ADHD. This is followed by chapters on neurophysiology and brain imaging of adult ADHD. The idea behind these chapters is to inform the reader about biological underpinnings of adult ADHD. Also, if the biological basis of a psychiatric disorder is established, it lends to its validity. In addition, continuity with paediatric ADHD is also demonstrated.

After the basics, the reader is led to three very good chapters on diagnosis and prevalence, comorbidity, and the crucial issues of functional impairment, conduct problems and criminality. Diagnosing adult ADHD is difficult for a newcomer in this area because one may not know when to suspect, and what clinical methods, tools, and diagnostic process to use to diagnose adult ADHD. Often, adult ADHD may be buried among multiple comorbidities making it difficult to diagnose. The text elucidates the above issues.

Finally, there are two well written chapters on psychological and pharmacological management of adult ADHD. There is a very useful subject index. Overall, in 192 pages this is an excellent textbook on adult ADHD. This is a must read for all sceptics and those child and general adult psychiatrists who wish to improve their knowledge base on adult ADHD. All medical libraries should have this book.