Article Figures & Data
Tables
- TABLE 1
Diagnostic and Statistical Manual of Mental Disorders diagnostic criteria for attention deficit hyperactivity disorder in adults4,5
Symptom criteria (minimum 5/9) for inattention
Makes careless mistakes when working on boring or difficult tasks
Difficulty sustaining attention while working on boring or repetitive tasks
Difficulty concentrating on what people say even when spoken to directly
Difficulty wrapping-up final details; fails to complete tasks
Difficulty with organization and getting tasks in order
Avoids or delays tasks requiring sustained mental effort
Loses or misplaces personal possessions; difficulty finding things
Easily distracted by surrounding activity or noise
Forgetful; difficulty remembering appointments or obligations
Symptom criteria (minimum 5/9) for hyperactivity/impulsivity
Fidgets or squirms with hands or feet
Leaves the seat in meetings or situations where sitting is expected
Feels restless or needs to be chronically active
Difficulty unwinding, relaxing, or engaging in leisure activities quietly
Feels compelled to stay active ("on the go" or "driven by a motor")
Talks excessively in social situations
Blurts out or finishes sentences of others who are talking
Difficulty awaiting turn; has to have demands met immediately
Interrupts or intrudes on others when they are busy
Immediate-releasea Extended-releasea Methylphenidate Methylphenidate HCl chewable, 3–4 hrs
Methylin liquid, 3–4 hrs
Ritalin, 3–4 hrsAdhansia XR, > 12 hrs (discontinued)
Aptensio XR, 12 hrs
Concerta, 12 hrs
Cotempla XRODT, 12–13 hrsb
Daytrana (patch), 9 hrs wear-time
Jornay PM (night before), 12–14 hrs
Metadate CD, 8–10 hrs
Methylphenidate HCl, 6–8 hrs
Quillichew ER, 8 hrs
Quillivant XR (suspension), 12 hrs
Ritalin LA, 8–12 hrs
Ritalin SR, 8 hrsSerdexmethylphenidate and dexmethylphenidate Azstarys, 13 hrs Dexmethylphenidate Focalin, 4–6 hrs Focalin XR, 8–12 hrs Amphetamine Adzenys ER, 10–12 hrs
Adzenys XR-ODT, 10–12 hrs
Dyanavel XR (suspension), 13 hrsDextroamphetamine Dexedrine, 3–4 hrs
Procentra (suspension), 3–6 hrs
Zenzedi, 4–6 hrsDexedrine ER, 5–10 hrs
Xelstrym (patch), 9 hrsMethamphetamine Dexosyn, 4–6 hrs Mixed amphetamine salts Adderall, 4–6 hrs Adderall XR, 10–12 hrs
Mydayis, 14–16 hrsAmphetamine sulfate Evekeo, 4–6 hrs Lisdexamfetamine Vyvanse, 10–13 hrs
Vyvanse (chewable), 10–13 hrs↵a Numbers following drug name represent approximate upper limit of duration of action in hours.
↵b Extended-release orally disintegrating tablet.
CD = controlled delivery; ER = extended release; HCl =hydrochloride; LA = long-acting; ODT = orally disintegrating; SR = sustained release; XR = extended release
Adapted from references 10 and 12
- TABLE 3
Questions to support patients with attention deficit hyperactivity disorder regarding agreements and task completions
Physician/patient query Agreement with home/office/family/friends/self What did you say you would do in the past week that you did do? (label frequency of occurrence) Agreements made and kept; monitor frequency Whom did you say that to? (eg, spouse, family member, colleague) Agreements made and kept What is your experience of actually doing what you said you would do? (especially the effect on relationships, eg, spouse, family member, colleague) Agreements made and kept What did you say you would do in the past week that you did not do? (label frequency of occurrence) Broken agreement; monitor frequency Whom did you say that to? Broken agreements with whom—spouse, family member, colleague What is your experience of actually not doing what you said you would do? (especially the effect on relationships, eg, spouse, family member, colleague) Empowering/disempowering How might you clean up the things you said you would do that you didn’t do? • Complete the thing you said you would do
• Change the thing you said you would do (eg, make a new agreement)
• Cancel the thing you said you would do
ADHD Coaches Organization (ACO): https://www.adhdcoaches.org/ Children and Adults with Attention-Deficit/Hyperactivity Disorder (CHADD): https://chadd.org/ The American Professional Society of ADHD and Related Disorder (APSARD): https://apsard.org/ ADHD World Federation: From Child to Adult Disorder: https://www.adhd-federation.org/ ADHD Success Network Coaching: https://www.adhd-coach-asn.com/ ADDITUDE ADHD Experts Podcast: https://www.additudemag.com/adhd-expert-webinars-index/