Cover image for ADHD with comorbid disorders : clinical assessment and management
ADHD with comorbid disorders : clinical assessment and management
Pliszka, Steven R.
Personal Author:
Publication Information:
New York : Guilford Press, [1999]

Physical Description:
x, 325 pages : illustrations ; 24 cm
Overview of issues in comorbidity -- Psychiatric assessment -- Behavioral assessment -- Psychopharmacological interventions -- Behavioral interventions -- Disruptive behavior disorders and substance abuse -- Neurological disorders -- Affective disorders -- Anxiety disorders -- Mental retardation and pervasive developmental disorders -- Medical disorders -- Learning disorders -- Tic and obsessive-compulsive disorders -- Behavioral interventions for problems at home -- Behavioral interventions for problems at school -- Behavioral interventions for problems on the playground -- Epilogue: Future directions in research and treatment.
Format :


Call Number
Material Type
Home Location
Item Holds
RJ506.H9 P55 1999 Adult Non-Fiction Central Closed Stacks

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Treating a child or adolescent with ADHD is especially challenging when hyperactivity and inattention are accompanied by many other symptoms. It is not uncommon to encounter such complex ADHD cases as the child who also presents with aggression or antisocial behavior, the teen who has made a suicide attempt, or the hyperactive child with mental retardation. Integrating the latest biomedical and psychosocial knowledge, this practice-oriented volume is designed to help clinicians meet the needs of these tough-to-treat clients. The authors review the evaluation and treatment of ADHD with major comorbidities including mood and anxiety disorders, conduct disorders, learning disorders, medical illnesses, and severe developmental disorders. Distinguishing clinical features of each condition are delineated, current psychopharmacological treatments are described, and effective approaches are presented for managing behavioral problems in the home, school, and playground. Filled with illustrative case examples that reflect the authors' extensive clinical experience, the book provides thoughtful coverage of knotty diagnostic and treatment issues.

Author Notes

Steven R. Pliszka, MD, is Associate Professor and Chief of the Division of Child and Adolescent Psychiatry at the University of Texas Health Science Center at San Antonio. The recipient of a National Institute of Mental Health Physician Scientist Award, he conducts research in the areas of psychopharmacology and the comorbidity of psychiatric disorder with ADHD.

Caryn L. Carlson, PhD, is Associate Professor at the University of Texas at Austin. She received her doctorate in psychology from the University of Georgia and completed her postdoctoral training at Indiana University. Her research has been funded by the National Institute of Mental Health, and she has published widely on the assessment and treatment of children with ADHD.

James M. Swanson, PhD, is Professor of Pediatrics and Cognitive Sciences at the University of California, Irvine. In 1983, Dr. Swanson founded the UCI Child Development Center, which offers specialty programs for children with ADHD and also conducts research in this area. His work with children with ADHD has been supported by an array of leading foundations as well as the U.S. Department of Education, the National Institute of Mental Health, and the National Institute of Child Health and Development.

Reviews 1

Choice Review

The diagnosis and treatment of ADHD, in and of itself, is controversial. The variability of expressions may lead to misdiagnoses and ineffective treatment. And to make the clinical sequela even more complex, ADHD can be marked by the manifestation of an additional disorder, or other clearly identifiable disorders. Identifying which disorder serves as the primary dysfunction is paramount in making treatment decisions. The primary disorder should be treated first before comorbid issues are addressed. The authors interpret current findings in relation to ADHD and evaluate popular assessment and treatment approaches. They explain the range of expression of ADHD, review pharmacological interventions, and discuss effective compounds. The authors review a number of ADHD-comorbid disorders and discuss schemes for unraveling primary versus secondary issues. They propose differential treatments based on the comorbid diagnosis and whether or not the ADHD serves as the initial or the contributing problem. Warning against relying on medications alone as a "quick fix," the authors outline behavioral interventions appropriate in the home, school, and community. A must for clinicians, educators, and parents working with victims of ADHD. L. G. Worthy; Andrew College

Table of Contents

I Introduction
1 Overview of Issues in Comorbidity
II Assessment
2 Psychiatric Assessment
3 Behavioral Assessment
III Overview of Treatment Approaches
4 Psychopharmacology
5 Psychosocial Interventions
IV Comorbid Conditions
6 Disruptive Behavior Disorders and Substance Abuse
7 Neurological Disorders
8 Affective Disorders
9 Anxiety Disorders
10 Mental Retardation and Severe Developmental Disorders
11 Medical Disorders
12 Learning Disorders
13 Tic and Obsessive-Compulsive Disorders
V Addressing Specific Areas of Impaired Functioning
14 Home
15 Classroom
16 Playground
Epilogue: Future Directions