Izazovi u dijagnostikovanju poremećaja pažnje i hiperaktivnosti kod odraslih – nedovoljno dijagnos-tikovan, pogrešno dijagnostikovan ili prekomerno dijagnostikovan: prikaz slučaja

Prikaz slučaja

Amin Mehmedović, Milutin Kostić

89–92

https://doi.org/10.5937/medrec2502089M

Apstrakt

Poremećaj pažnje sa hiperaktivnošću (engl. Attention-deficit hyperactivity disorder – ADHD) je neurorazvojni poremećaj koji ponekad ostaje neprepoznat, pogrešno dijagnostikovan ili prekomerno dijagnostikovan, naročito kod odraslih. Iako se ADHD obično dijagnostikuje u detinjstvu, njegovi simptomi često perzistiraju i u odraslom dobu, što otežava postavljanje dijagnoze, posebno kod žena. Cilj ovog prikaza slučaja bio je da ukaže na izazove prilikom postavljanja dijagnoze kod odraslih. Prikazujemo 30-godišnju ženu sa kompleksnom psihijatrijskom istorijom kod koje je razmatrana dijagnoza ADHD u odraslom dobu. Sa prvobitnom dijagnozom depresije i graničnog poremećaja ličnosti, njeni simptomi nedostatka motivacije i loše koncentracije trajali su preko jedne decenije. Uprkos različitim psihijatrijskim pristupima, njeno funkcionisanje je ostalo narušeno. Nakon poslednjih pokušaja lečenja, njeni simptomi, uključujući impulsivnost, pokazali su delimično poboljšanje, ali prognoza ostaje neizvesna. Postavljanju dijagnoze ADHD-a kod odraslih treba pristupiti sa oprezom, uzimajući u obzir rizike od nedovoljno dijagnostikovanih, pogrešno dijagnostikovanih i prekomerno dijagnostikovanih slučajeva, naročito kod pacijenata sa preklapanjem simptoma drugih mentalnih poremećaja.

Ključne reči: poremećaj pažnje sa hiperaktivnošću kod odraslih, dijagnostički izazovi, pokušaj samoubistva

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