The first US clinical guidelines for diagnosing and treating attention-deficit/hyperactivity disorder (ADHD) in adults are expected to be released this fall, providing a standardized framework for patients, clinicians, insurers, and policymakers. The US lags behind other nations in having guidelines for ADHD in adults.
The first US clinical guidelines to diagnose and treat attention-deficit/hyperactivity disorder in adults are expected to be released this fall, providing patients, clinicians, insurers, and policymakers with a long overdue and much-needed standardized framework .
Surveys show that mental health professionals, including psychiatrists, report a lack of familiarity with ADHD in adults, said Margaret Sibley, PhD,at the University of Washington School of Medicine in Seattle and chair of the APSARD guidelines diagnostic and screening committee. Goodman is joined on the executive committee by Lenard Adler, MD , and Stephen Faraone, PhD , along with 30 others who have expertise in psychiatry, psychology, primary care, and other health professions.
The guidelines panel has been working closely with the APA and following the APA guideline development process in an effort to get buy-in from psychiatrists, he said."Doctors are often surprised to hear that there are no guidelines for adult ADHD in the US," said Ann Childress, MD, APSARD president, when the groupin 2023."Whether diagnosis and treatment are provided in office or online, the standard of care should be the same throughout the country," she said.
"Some people have been trained by people who are well versed in best practices and so they might be doing things that we would say have a research support to them, and other people might be doing things based on people who developed their own opinions about the best way to diagnose ADHD based on lived experience which may or may not be best practices," Sibley said.
Goodman said it is increasingly likely that primary care physicians will be writing more prescriptions for ADHD medications than psychiatrists."If that is the trajectory, the education of those providers seeing these patients is critical," he said.Guidelines can also help"shorten the learning curve," said Mason, who said that he's had to piece together evidence over the last few decades.
If an individual has several psychiatric conditions,"the question is how do you diagnostically prioritize which you treat first, second, and third, with the goal of treating one without making the others worse," said Goodman.
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