European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD
1 PsyQ, psycho medische programma's, Department Adult ADHD, Carel Reinierszkade 197, Den Haag, The Netherlands
2 Department of Clinical Neuroscience, Karolinksa Institutet, Section Psychiatry, St. Goran, Stockholm, Sweden
3 University Department of Psychiatry, Addenbrookes Hospital, Cambridge, UK
4 Pediatric Department, Hôpitaux Pédiatriques CHU-Lenval, 06200 Nice, France
5 Servicio de Psiquiatria, Hospital Universitari Vall d' Hebron, Universidad Autonoma de Barcelona, Barcelona, Spain
6 Reinier van Arkel Groep, Postbus 70058, 5201 DZ 's-Hertogenbosch, The Netherlands
7 Department of Neuroscience/Psychiatri Ulleråker, MK 75, S-750 17 Uppsala, Sweden
8 Institute of Development, Research, Advocacy and Applied Care (IDRAAC), Department of Psychiatry and Clinical Psychology, St George Hospital University Medical Centre, Balamand University, Beirut, Lebanon
9 Centre des Consultations, Institut A Tzanck, Mougins, France
10 Department of Psychiatry, Trinity College Dublin (TCD), Dublin 2, Ireland
11 Clinique des Maladies Mentales et de l'Encéphale (CMME), Sainte Anne Hospital Paris, France
12 Affektiva mottagningen, M 59, Psykiatri Sydväst, 141 86 Stockholm, Sweden
13 Département de Psychiatrie Adulte, Unité Lescure, CH Charles Perrens, Bordeaux, France
14 Private clinic for psychiatry and psychotherapy, 11a Schillerstrasse, Ottobrunn, Germany
15 Department of Child Neurology, Oslo University Hospital, Ullevaal, Oslo, Norway
16 Geha Mental Health Center, Petach-Tiqva, Sackler Faculty of Medicine, Tel-Aviv University, Israel
17 Department of Child Psychiatry, Regional Hospital of Bolzano, Via Guncina, Bolzano, Italy
18 Faculty of Medical Sciences, New University of Lisbon, Campo dos Mártires da Pátria, 1169-056 Lisboa, Portugal
19 Department of Psychiatry, Social Psychiatry and Psychotherapy, Hannover Medical School, Germany
20 Department of Psychiatry, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium
21 Department of Neurosciences, Florence University, Florence, Italy
22 Department of Psychiatry, National and Kapodistrian University of Athens Medical School, Eginition Hospital, Athens, Greece
23 Programa Integral del Déficit de Atención en el Adulto (P.I.D.A.A), Servei de Psiquiatria, Hospital Universitari Vall d'Hebron, Barcelona, Spain
24 Department of Clinical Sciences, Lund, Child and Adolescent Psychiatry, Lund University, Sweden
25 Johanniterstraße 1, CH-3047 Bremgarten, Bern, Switzerland
26 ADHD Program, University Psychiatric Center, Catholic University Leuven, Kortenberg, Belgium
27 MRC Social Genetic and Developmental Psychiatry, Institute of Psychiatry, Kings College London, London, UK
BMC Psychiatry 2010, 10:67 doi:10.1186/1471-244X-10-67Published: 3 September 2010
Attention deficit hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that persists into adulthood in the majority of cases. The evidence on persistence poses several difficulties for adult psychiatry considering the lack of expertise for diagnostic assessment, limited treatment options and patient facilities across Europe.
The European Network Adult ADHD, founded in 2003, aims to increase awareness of this disorder and improve knowledge and patient care for adults with ADHD across Europe. This Consensus Statement is one of the actions taken by the European Network Adult ADHD in order to support the clinician with research evidence and clinical experience from 18 European countries in which ADHD in adults is recognised and treated.
Besides information on the genetics and neurobiology of ADHD, three major questions are addressed in this statement: (1) What is the clinical picture of ADHD in adults? (2) How can ADHD in adults be properly diagnosed? (3) How should ADHD in adults be effectively treated?
ADHD often presents as an impairing lifelong condition in adults, yet it is currently underdiagnosed and treated in many European countries, leading to ineffective treatment and higher costs of illness. Expertise in diagnostic assessment and treatment of ADHD in adults must increase in psychiatry. Instruments for screening and diagnosis of ADHD in adults are available and appropriate treatments exist, although more research is needed in this age group.