Neuropsychological Assessment of Adult Attention Deficit/Hyperactivity Disorder

Abstract

Attention-deficit/hyperactivity disorder (AD/HD) is a developmental brain disorder that is marked by persistent inattention and/or hyperactivity/impulsivity that interferes with daily functioning. The diagnosis of AD/HD in adulthood is challenging due to the high rate of comorbidity with other psychiatric, developmental, and medical disorders. In this chapter, we outline a case presented in a primary care clinic in which a neuropsychological evaluation was requested to assist with diagnostic clarification and assist with treatment recommendations. We explain how the clinical diagnoses were rendered from the patient history, symptoms, and neuropsychological test findings. We also explore complicating case factors of bilingualism, sleep and psychiatric disturbance, learning disorder, and past marijuana use. Comprehensive treatment recommendations based on the patient’s history, psychosocial challenges, and cognitive profile were described.