Raguraman Janakiraman is a senior registrar in the Acute Care Team and Liaison Psychiatry, Queensland Health, Australia. His areas of interest include psychopharmacology, electroconvulsive therapy, neuropsychiatry and attention-deficit hyperactivity disorder (ADHD). Tony Benning is a specialist registrar in liaison psychiatry, Sheffield Care Trust, UK. His interests include liaison psychiatry, neuropsychiatry and neurodevelopmental disorders, including ADHD and autism-spectrum disorders.
Correspondence: Correspondence Dr Raguraman Janakiraman, Hervey Bay Mental Health Service, Hervey Bay, Queensland, Australia 4655. Email: janakiraman.raguraman{at}gmail.com
Attention-deficit hyperactivity disorder (ADHD) is an established diagnosis in children but there is a lack of agreement about its validity as a distinct entity in adults. Literature suggests that between one-third and two-thirds of children diagnosed with ADHD continue to manifest symptoms into adulthood. An adult diagnosis should be done on the basis of a thorough assessment, structured and semi-structured clinical interview, and with a complete understanding of the symptoms that manifest in adults. This may be supplemented by the use of rating scales. We present a review of the literature covering aetiology, clinical presentations, diagnostic evaluation and management of ADHD in adults.
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