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Biomedical subjects

Lisa A Efron

Publications and source records attributed to Lisa A Efron.

5 recordsLinked to original sources

Attention deficit disorder: implications for dental practice.

ADHD is a common disorder that affects individuals of all ages. A thorough evaluation is necessary to make an accurate diagnosis. Symptoms of the disorder can be managed by pharmacological and psychosocial interventions. Due to the high baserate of the disorder as well as its chronic nature, ADHD patients are likely seen frequently in any dental practice. Accordingly, it is necessary for the clinician to be familiar with the disorder as well as with strategies for managing it.

Attention Deficit Disorder with Hyperactivity↗

Tips for managing children with attention deficit hyperactivity disorder in the dental setting.

It has been estimated that between 3% and 7% of children suffer from attention deficit hyperactivity disorder (ADHD). It is probable, therefore, that these children will present in any dental office. ADHD is characterized by inattention, overactivity and impulsivity. Such symptoms can be quite severe and often present challenges in the dental setting. ADHD symptoms are often managed by medication; and it is important for the clinician to be familiar with these medications to determine when to schedule dental appointments. In dealing with ADHD children, adjunctive behavioral strategies are often useful. Several basic techniques are discussed here.

Attention Deficit Disorder with Hyperactivity↗

Can stimulant rebound mimic pediatric bipolar disorder?

The authors describe the case of a 7-year-old girl diagnosed with attention deficit hyperactivity disorder (ADHD) who, following an unsuccessful trial of stimulant medication and subsequent mood symptoms, was diagnosed with bipolar disorder. Following a comprehensive, multidisciplinary assessment, and withdrawal of her complex medication regimen, she was rediagnosed with ADHD. She displayed a positive response to behavioral parent training and pharmacological treatment with a long-acting stimulant. The case illustrates the benefits of a comprehensive, multidisciplinary evaluation and multimodal treatment. Her dramatic response to the long-acting stimulant suggests that many of her affective symptoms were due to stimulant "rebound" versus bipolar disorder. This case highlights the complexities of differentiating severe ADHD from bipolar disorder and suggests that stimulant rebound and other iatrogenic effects should be considered during the differential diagnostic process as potential mimics of bipolar disorder.

Age Factors↗