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How I Treat: Adult ADHD With Dr Birgit Amann Case Presentation
The Case:
JD is a 44 year old Caucasian male who presents for an initial evaluation.
His top concerns are that he has struggled for years with feeling very overwhelmed and unable to perform adequately at his job. He has been passed up on many promotions. JD reports issues with his relationship with his wife, in part due to financial stress. Additionally, these matters have caused him to experience some depression.
JD gave a history of having been on many different antidepressants over the years, stating, "I've been on all of them." Most offered him little to no relief. He has had brief psychotherapy and some marital therapy courses but was not consistent in maintaining either.
JD talks about feeling like he has never worked up to his full potential - not as an adult, nor in his younger years, and he recalls hearing this from many of his teachers and parents multiple times. This has had a very negative impact on his self-esteem.
When asked about a family history of psychiatric illness, JD recalls a niece or nephew being treated for ADHD.
Currently, JD is on no medications. He is hesitant to try 'the same old thing' and 'get no help,' but he is receptive to getting a new opinion on his diagnosis and perhaps a different type of treatment approach.
