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Russell Barkley, Ph.D.

Life Course and Health Outcomes of ADHD

Saturday, January 23, 2021 9:00 am – 12:00 pm

Health Outcomes of Childhood ADHD by Adulthood:

Implications for Life Expectancy and Clinical Management

This presentation will include suggestions for our current pandemic situation. Dr. Barkley will address dealing with ADHD during home schooling or sheltering in. That childhood ADHD predisposes to increased risks for impairment in educational, family, peer, and eventual occupational functioning by young adulthood, among many other major domains of life activities is well established in research. Less appreciated is that the disorder also predisposes to increased health, medical, and dental risks, such as an increased risk for accidental injuries as well as suicide across the lifespan. But ADHD also predisposes to certain personality traits and lifestyle choices that have a significant impact on these health related factors. Such risks and impairments are known to influence estimated life expectancy. This lecture describes the various health and lifestyle domains of major life activities that have been found to be significantly impaired in children growing up with ADHD by their young adult years. It will show that ADHD adversely affects health outcomes and that such outcomes may have a substantial detrimental impact on estimated life expectancy by young adulthood. The implications of these findings for alterations in ADHD management will also be discussed.

  • Increase knowledge about impaired major life activities.
  • Improve understanding of impact of childhood ADHD on various health and medical problems.
  • Be aware of the evidence that such adverse health effects adversely impact estimated life expectancy.
  • Review the implications of these findings for revising approaches to clinical management of ADHD.

Life Course Outcomes of ADHD & Treatment Implications

ADHD in children and adults is among the most impairing outpatient disorders seen in clinical practice. ADHD is viewed as a disorder of self-regulation and executive functioning that results in an adverse impact on family functioning, self-care and independence, education, peer relationships, sexual activities, driving, money management, occupational functioning, antisocial behavior, substance abuse, marriage, and child-rearing among others. This presentation is drawn from Dr. Barkley’s books on the life course outcomes of children and adults with ADHD and the many domains of major life activities affected by it, updated with the most recent research from the 4 edition of his professional textbook and from his weekly review of all newly published research on ADHD. The treatment implications for these various life course risks will be discussed.

  • Understand the results of follow-up studies of ADHD children into adulthood with regard to various major domains of life activities and their impairments.
  • Appreciate the outcomes for the domains of psychiatric disorders, educational functioning, occupational functioning, financial management, driving, social relationships, risky sexual activities, and health behavior.
  • Discover the treatment implications that arise from these findings.

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