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ODD in Children with ADHD: Oppositional Defiant Disorder Strategies
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Sleeping Problems in Teens with ADHD: How to Improve Sleep
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Emotional dysregulation and moodiness are not included in the diagnostic criteria for ADHD – a detrimental omission, according to many researchers and clinicians. The reality is that children and adults with ADHD commonly experience irritability, low frustration tolerance, and mood lability – emotional symptoms that have long factored into resulting treatment and management plans.
However, emotional dysregulation is not exclusive to attention deficit hyperactivity disorder (ADHD or ADD). Chronic moodiness is also a central component of mood disorders like bipolar disorder, which may complicate the evaluation, diagnosis, and treatment process, particularly for adult patients. Differentiating moodiness as it appears in ADHD, bipolar disorder, and similar disorders is critically important and not always straightforward.
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ADHD is one of the most prevalent and chronic psychiatric conditions. It is widely studied and recognized except when it occurs in older adults. For a variety of reasons, research on ADHD in older age has historically lagged, resulting in a dearth of relevant diagnostic and treatment tools. Recent years, however, have brought increased awareness of and interest in this underserved group, particularly people over the age of 50 with attention deficit hyperactivity disorder (ADHD or ADD).
Regardless of research deficits, it is abundantly clear that older adults with ADHD have unique needs and characteristics – including age-related cognitive changes, co-existing psychiatric and medical conditions, and more – that influence evaluation and treatment for the disorder. To better serve this aging population, clinicians must anticipate and understand these myriad factors.
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Q: “How do I deal with a disrespectful teenager? My son often hurls mean, snarky comments our way with no restraint. Most of our interactions end in shouting matches, where he doesn’t hesitate to say that he ‘hates’ me. How can we make things better?”
When I work with families like yours in behavioral parent training – a therapy designed to improve a child’s behaviors – we always start by drawing the line between normal teenage attitudes and unhealthy behaviors that actually impair family functioning and need to be improved.
When the parent-teen relationship gets to this point, the primary focus should be on rebuilding connection and creating positive moments. This process can take a considerable amount of time, as parents have to think hard about genuine, neutral ways they can spend time and engage with their teen – without these moments turning negative, as seems to be the prevailing pattern for your family at the moment.
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