Thursday, November 12, 2015

You No Longer Have to be Young to be Hyperactive


Old age tends to be linked with dementia and Alzheimer’s.  Grandma not being able to remember the conversation she just had ten minutes ago is brushed off as a “perk” of getting older.  The fact that she cannot keep focus while trying to finish a task is acceptable because that’s what we have been told happens when someone gets older, but what if there was another cause to her lack of attention?  There have been many cases of attention deficit hyperactivity disorder (A.D.H.D.) in children, but what if I told you there are cases of A.D.H.D. in adults?

According to the article in the New York Times, Is It Old Age or A.D.H.D.?, by Judith Berck doctors have been diagnosing more and more elderly people with A.D.H.D. Within the article we take a look at a 73-year-old widowed patient of Dr. David Goodman, an assistant professor in the psychiatry and behavioral sciences department at Johns Hopkins School of Medicine.  This woman was often losing her pocketbook and keys and had trouble remembering a conversation minutes after it took place.  Upon reading this I was solely taking her age into consideration and writing it off as dementia or memory loss due to getting older, but Dr. Goodman had a different idea.

The article stated that the doctor had taken her past into consideration when diagnosing her. Apparently she had never had a good attention span, and would usually have to sit in the front of the class because of it.  Through this information the doctor concluded that she had adult A.D.H.D. and he prescribed Vyvanse to her. Within weeks she had a better attention span and finished things that she started. 

This was so fascinating to me.  I was always taught that attention deficit disorder and attention deficit hyperactivity disorder were disorders prevalent in childhood.  Even in my neuroscience class we went over the fact that A.D.H.D. is a childhood disorder full of impulsivity, hyperactivity, and motor impersistence.  I never really saw this as a disorder in adulthood, but now this article has opened my mind to a new way of thinking.  According to Berck’s article doctors are not well trained on the disorder so adult cases get overlooked.  Grandma and grandpa may not be succumbing to the terrors of old age they may just be dealing with an undiagnosed disorder.  This would open up a whole new world for these adults.  Imagine being able to live your life in an entirely different way than how you have been living it for the last 73 years.  It would be amazing to be able to get these people the proper medications in order to aid in their attention disorders. 

http://well.blogs.nytimes.com/2015/09/28/is-it-alzheimers-or-a-d-h-d/

3 comments:

  1. It would be interesting if suddenly many older individuals added Vyvanse to their cocktail of medications. To further appreciate these results, I think we need more longitudinal studies on attention disorders. I wonder if the older individual approached by Dr. Goodman would have been diagnosed with A.D.H.D. as a child if she was part of our generation. I know it is too late to collect that data, but I have a hunch future studies will rely on these differences to contribute to our understanding of attention disorders.

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  2. Mental health in later years of life is a growing problem all over the world but I feel like it's more of an issue in the United States. The fact that modern medicine keeps improving and working towards finding solutions gives light to a bright future of pharmaceuticals. I would like to see more and more studies on this because I work as a pharmacy technician and it's generally a younger crowd that get superscribed amphetamines and not so much older people. Maybe with more and more evidence emerging through studies, it would force doctors to act and add drugs such as Vyvanse to an elderly person's regimen. I also can see why doctors would prescribe Vyvanse over adderall because people that are older don't have internal organs as healthy as young patients so the fact that Vyvanse gets absorbed through the stomach instead of the liver like adderall, makes taking it and being on it for some time easier for the older person. Overworking such a vital and sensitive organ like the liver would in-itself lead to more health complications.

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  3. Attention deficit hyperactivity disorder is one of the most common childhood disorders and can continue through adolescence and adulthood. As to my understanding the symptoms are the fact that you can't control your behavior, you are very hyperactive, and it is very hard for you to focus and pay any attention. I was reading an article that said why or how come they can't find the cause of ADHD, although many Some children with ADHD continue to have it as adults. And many adults who have the disorder don't know it.


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