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Unmasking ADHD in Adults

  • Authors: David W. Goodman, MD
  • CME Released: 8/10/2012
  • Valid for credit through: 8/10/2013
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Target Audience and Goal Statement

This activity is intended for psychiatrists, family physicians, primary care providers, internists, neurologists.

The goal of this activity is to apprise clinicians of the symptoms of adult attention-deficit/hyperactivity disorder (ADHD), the comorbidities commonly associated with the disorder, and the pharmacotherapy and nonpharmacotherapy treatment options available.

Upon completion of this activity, participants will be able to:

  1. Identify the manifestations of ADHD in adults that should initiate an evaluation
  2. Differentiate ADHD symptoms from those of comorbid psychiatric disorders
  3. Discuss evidence-based approaches to individualize treatment of adult ADHD to address comorbidities and residual ADHD symptoms and improve treatment response


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Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


  • David W. Goodman, MD

    Assistant Professor, Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, Maryland; Director, Adult Attention Deficit Disorder Center of Maryland, Lutherville, Maryland


    Disclosure: David W. Goodman, MD, has disclosed the following relevant financial relationships:
    Served as an advisor or consultant for: Shire; Ortho-McNeil-Janssen Pharmaceuticals, Inc.; Cephalon, Inc.; Teva Pharmaceuticals USA; Otsuka Pharmaceutical Co., Ltd.; Novartis Pharmaceuticals Corporation
    Received grants for clinical research from: Shire; Ortho-McNeil-Janssen Pharmaceuticals, Inc.

    Dr Goodman does intend to discuss off-label uses of drugs, mechanical devices, biologics, or diagnostics approved by the FDA for use in the United States.

    Dr Goodman does not intend to discuss investigational drugs, mechanical devices, biologics, or diagnostics not approved by the FDA for use in the United States.


  • Priscilla Scherer, RN

    Scientific Director, Medscape, LLC


    Disclosure: Priscilla Scherer, RN, has disclosed no relevant financial relationships.

  • Neil Chesanow

    Senior Clinical Editor, Medscape, LLC


    Disclosure: Neil Chesanow has disclosed no relevant financial relationships.


  • Lynne K. Schneider, PhD

    Freelance Medical Writer, Boca Raton, Florida


    Disclosure: Lynne K. Schneider, PhD, has disclosed no relevant financial relationships.

CME Reviewer(s)

  • Nafeez Zawahir, MD

    CME Clinical Director, Medscape, LLC


    Disclosure: Nafeez Zawahir, MD, has disclosed no relevant financial relationships.

Peer Reviewer

This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.

Accreditation Statements

    For Physicians

  • Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    Medscape, LLC designates this enduring material for a maximum of 2.5 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates from the CME/CE Tracker.

*The credit that you receive is based on your user profile.


Unmasking ADHD in Adults

Authors: David W. Goodman, MDFaculty and Disclosures

CME Released: 8/10/2012

Valid for credit through: 8/10/2013


The following test-and-teach case is an educational activity modeled on the interactive grand rounds approach. The questions within the activity are designed to test your current knowledge. After each question, you will be able to see whether you answered correctly and will then read evidence-based information that supports the most appropriate answer choice. Please note that these questions are designed to challenge you; you will not be penalized for answering the questions incorrectly. At the end of the case, there will be a short post-test assessment based on material covered in the activity.

Patient History

Marlene Jones is a 32-year-old single mother of 2 younger children. Her husband died 18 months ago while serving in Iraq. She is seeing her primary care provider (PCP) because of growing difficulties focusing on her job as an administrative assistant for a local manufacturing company. She has become more forgetful, easily distracted, and slow to complete her work. She is feeling challenged in completing assignments on time and is worried about possibly losing her job and about being able to care for her 2 young girls. On questioning by the PCP, she also notes having "unreasonable" worries about the safety of her children, a sense of tension all day, a hypervigilant need for order and to repeatedly check with her childcare provider. She complains about difficulty falling asleep because of her concerns. She is also concerned because she can't seem to stay focused when helping her older daughter with her homework and has become short-tempered with both her girls. Although she knows that some of her anxiety symptoms are related to the death of her husband, she has done some research on the Internet and believes she has quite a few symptoms of attention-deficit/hyperactivity disorder (ADHD). The PCP considers that Ms Jones might have depression or anxiety but asks her to complete the brief Adult Self-Report ADHD Screener v1.1 (ASRS) and notes that she has checked "often" or "very often" on 4 of the 6 items.

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