Exclude Patient Type Detail Header
No
Footnote
<sup>1</sup> [<b>DSM-IV</b> in effect in 2011; <b>DSM-V</b> released in May 2013 | Epocrates note].<br><br>
<sup>2</sup> Evaluate child (as appropriate for age/developmental status): Discuss peer/family relationship concerns, encourage self-assessment of fxn/performance (ADHD self-report instrument for teens), perform PE/neuro exam, observe behavior. For children 4-5 yo not yet in school, validated rating scales (eg, Conners or ADHD Rating Scale IV) may be helpful in the dx eval. Also consider a parent-training program and/or preschool program (eg, Head Start) before confirming dx.
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<sup>3</sup>
Obtain info from family (parent, guardian, other frequent caregiver): Ascertain concerns/HPI, obtain PMH/psychosocial history/ROS, apply validated ADHD instrument, consider concomitant issues, ascertain general fxn.
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<sup>4</sup> Gather info from school: Ascertain concerns, apply validated ADHD instrument, consider concomitant issues, review academic/administrative reports.
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<sup>5</sup>
For example, anxiety, depressive, oppositional defiant, and conduct disorders.
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<sup>6</sup> For example, learning and language disorders/other neurodevelopmental disorders.
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<sup>7</sup> For example, tics, sleep apnea.
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<sup>8</sup> For example, suicidal thoughts/acts or other behaviors w/ potential to severely injure child/adolescent or others, such as severe temper outbursts or child abuse.
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<sup>9</sup> [<b>DSM-IV</b> in effect in 2011; in <b>DSM-V</b> (adopted May 2013): only 5 (rather than 6) criteria needed for pts ≥17 yo | Epocrates note].
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<sup>10</sup> Adapted from <b>DSM-IV-TR.</b> The subtypes detailed might
not be valid for preschool-aged children (ages 4-5 yo).
<br><br>
<sup>11</sup> [<b>DSM-IV</b> in effect in 2011; in <b>DSM-V</b> (adopted 2013): <12 yo for sx onset (as opposed to <7 yo) | Epocrates note].
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<sup>12</sup> [<b>DSM-IV</b> (in effect in 2011) requires impairment in ≥2 settings; <b>DSM-V</b> (adopted May 2013) specifies only the presence of sx in ≥2 settings | Epocrates note].
<br><br>
<sup>13</sup> [<b>DSM-IV</b> (in effect 2011) mandates “…clear evidence of clinically significant impairment in social, academic, or occupational functioning” while <b>DSM-V</b> (adopted 2013) requires “…clear evidence that sx interfere w/, or reduce quality of, social, academic, or occupational functioning.” | Epocrates note]
<sup>2</sup> Evaluate child (as appropriate for age/developmental status): Discuss peer/family relationship concerns, encourage self-assessment of fxn/performance (ADHD self-report instrument for teens), perform PE/neuro exam, observe behavior. For children 4-5 yo not yet in school, validated rating scales (eg, Conners or ADHD Rating Scale IV) may be helpful in the dx eval. Also consider a parent-training program and/or preschool program (eg, Head Start) before confirming dx.
<br><br>
<sup>3</sup>
Obtain info from family (parent, guardian, other frequent caregiver): Ascertain concerns/HPI, obtain PMH/psychosocial history/ROS, apply validated ADHD instrument, consider concomitant issues, ascertain general fxn.
<br><br>
<sup>4</sup> Gather info from school: Ascertain concerns, apply validated ADHD instrument, consider concomitant issues, review academic/administrative reports.
<br><br>
<sup>5</sup>
For example, anxiety, depressive, oppositional defiant, and conduct disorders.
<br><br>
<sup>6</sup> For example, learning and language disorders/other neurodevelopmental disorders.
<br><br>
<sup>7</sup> For example, tics, sleep apnea.
<br><br>
<sup>8</sup> For example, suicidal thoughts/acts or other behaviors w/ potential to severely injure child/adolescent or others, such as severe temper outbursts or child abuse.
<br><br>
<sup>9</sup> [<b>DSM-IV</b> in effect in 2011; in <b>DSM-V</b> (adopted May 2013): only 5 (rather than 6) criteria needed for pts ≥17 yo | Epocrates note].
<br><br>
<sup>10</sup> Adapted from <b>DSM-IV-TR.</b> The subtypes detailed might
not be valid for preschool-aged children (ages 4-5 yo).
<br><br>
<sup>11</sup> [<b>DSM-IV</b> in effect in 2011; in <b>DSM-V</b> (adopted 2013): <12 yo for sx onset (as opposed to <7 yo) | Epocrates note].
<br><br>
<sup>12</sup> [<b>DSM-IV</b> (in effect in 2011) requires impairment in ≥2 settings; <b>DSM-V</b> (adopted May 2013) specifies only the presence of sx in ≥2 settings | Epocrates note].
<br><br>
<sup>13</sup> [<b>DSM-IV</b> (in effect 2011) mandates “…clear evidence of clinically significant impairment in social, academic, or occupational functioning” while <b>DSM-V</b> (adopted 2013) requires “…clear evidence that sx interfere w/, or reduce quality of, social, academic, or occupational functioning.” | Epocrates note]
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