Kelly Pickens Pickens – Adult ADHD Medications & The Recent Increase in Prevalence

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Exploring the Essential Features of “Kelly Pickens Pickens – Adult ADHD Medications & The Recent Increase in Prevalence”

Adult ADHD Medications & The Recent Increase in Prevalence
Speaker: Kelly Pickens, APNP, FNP-BC, ADC-C
Duration: 2 Hours 01 Minutes
Format: Audio and Video

Description

There has been a lot of buzz about Attention-Deficit/Hyperactivity Disorder (ADHD) in the media lately. The number of adults seeking ADHD diagnosis and treatment has rapidly increased in the past 3 years and as a result, we now have a shortage of Adderall. However, it remains to be estimated that 80% of adults with ADHD are UNDIAGNOSED.

In this session for the Modern Clinician, you’ll understand:

• Implicit Bias – are you harboring negative feelings about diagnosing and treating Adult ADHD, or whether Adult ADHD is real?
• Neurobiology of ADHD – a brief and digestible, yet thorough update on our current understanding of pathophysiology of ADHD
• Safely treating attention deficit symptoms with stimulants and non-stimulants
• Medication Management: how to choose, start, taper, and monitor effectiveness

Speaker

Kelly Pickens, APNP, FNP-BC, ADC-C 
Undivided Attention, LLC
Kelly A. Pickens, APNP, FNP-BC, ADC-C,is a family nurse practitioner with over 20 years of experience in a variety of clinical settings. She is a certified Attention Deficit Consultant and owns a private practice in Madison, WI where she provides specialized care for women and girls with ADHD. She is deeply passionate about spreading awareness about and encouraging empathy for those who live with neurodivergence. And she has ADHD.

Speaker Disclosures:
Financial: Kelly Pickens maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Kelly Pickens is a member of the American Academy of Nurse Practitioners, the Wisconsin Nurses Association, and the Alliance for Applied Therapeutic Humor.

Objectives

1. Analyze the prevalence, pathophysiology, and manifestations of Adult ADHD.
2. Anticipate the deficits in, and impacts of, Adult ADHD.
3. Acknowledge any implicit bias and develop a position of compassion and empathy.
4. Express confidence that you can diagnose and manage Adult ADHD.

Outline

Neuroanatomy and pathophysiology

• The cortex, limbic system, and brain stem structures and functions
• Genetics of ADHD and brain structures involved
• Dopamine pathway
• Norepinephrine pathway
• Brain wave patterns – regulating alertness

Executive Function (EF)

• Disorder of doing what you know
• Elements of EF
• Evolution of and innate development of EF
• Deficits result in Impairments = Executive Dysfunction
• Executive Dysfunction is situationally dependent
• heterogeneity of impairments/symptoms

Assessment

• DSM-V
• A clinicians’ duty
• Diagnosis rates, average ages and impacts of late diagnosis
• Differential diagnosis and Diagnostic process
  • Rating scales
  • Getting input from collaterals
  • tips for differentiating diagnosis

Treatment

• Guiding principles of treatment
• Stimulants deep dive
  • Amphetamine
  • Methylphenidate
• Non-stimulants deep dive
  • Alpha agonists
  • Norepinephrine reuptake inhibitors
  • Off-label medications
• Benefits are addictive, combinations limited by side effects
  • A handy prescribing reference chart to use in practice
• Micronutrients
• Lifestyle and therapeutic interventions
  • Guiding principles and evidence-based recommendations
• Comorbidities
  • MDD and treatment options
  • GAD and treatment options
  • ASD and treatment options

Target Audience

• Nurses
• Nurse Practitioners
• Clinical Nurse Specialists
• Physicians
• Physician Assistants

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