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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.
A mother brings in her eight-year-old son for evaluation after he is suspended from riding the school bus for jumping out of his seat, teasing other children, and not following directions. He spends two to three hours a night with homework that he never successfully completes. His mother wants to know whether he has attention deficithyperactivity disorder. How should he be evaluated
The Clinical Problem
Strategies and Evidence
Diagnosis
Treatment of the Patient
Therapy
Pharmacologic Interventions
Methylphenidate and Dextroamphetamine
Other Medications
Nonpharmacologic Interventions
Behavioral Therapy
Other Interventions
Special Populations
Areas of Uncertainty
Guidelines
Conclusions and Recommendations
Source Information
From the Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, East Lansing.
Address reprint requests to Dr. Rappley at the Department of Pediatrics and Human Development, College of Human Medicine, Michigan State University, A118 E. Fee Hall, East Lansing, MI 48824, or at rappley@msu.edu.
Related Letters:
Attention DeficitHyperactivity Disorder
Selman J. E., Rappley M. D.
Extract |
Full Text |
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N Engl J Med 2005;
352:1607-1608, Apr 14, 2005.
Correspondence
This article has been cited by other articles:
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