Attention deficit disorder

Marvin S. Beitner, Ph.D.
Long Beach Office 5199 E. Pacific Coast Hwy, Suite 304N    (562) 498-0777
Orange County Office 11770 Warner Ave, Suite 127     (714) 966-6634
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Marvin S Beitner PhD, Psychologist Lic. PSY1036, Marriage Counselor Lic. M646, Long Beach Office convenient to Lakewood, Los Alamitors, Palos Verdes, Rolling Hills, Cerritors, Cypress, Fountain Valley Office convenient to Costa Mesa, Huntington Beach, Newport Beach, Newport Coast, ZIP 90803 90804 90806 90807 90808 90811 90812 90813 90814 90814 90822 92708 92660 92661 92662 92663 92657 92627 92649 92648
You have probably seen many recent articles, books, and television programs about Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD). One might get the impression that these problems have just been discovered. Psychologists have, in fact recognized and have been addressing these problems for many years. In the 60ís there was a great flurry of attention to these problems in children. Diagnostic procedures    were not well developed at that time and some physicians were
prescribing Ritalin to children in an almost indiscriminate manner. Since that time much research has been done on these disorders as they affect both children and  adults. Great progress has been made both in the diagnosis and treatment of ADD and ADHD.

My approach involves the following steps:
        
(1) I take a careful history to evaluate the nature and the development of the symptoms. (2) I make use of appropriate, well validated behavior-rating scales to compare the patientís behavior patterns against norms based upon the gender and age of the patient. (3) I do direct testing of the patientís ability to focus his or her attention on a well designed and standardized psychological test. (4) I evaluate or test for the presence of any emotional problems which could be an alternative cause of the symptoms. (There are other psychological problems that could cause symptoms similar to ADHD or ADD, including anxiety, agitated depression, a thought disorder or mood disorder with manic components.)

It is essential to arrive at an accurate and proper diagnosis 

because inappropriate treatment based on an incorrect diagnosis could have negative consequences. In arriving at a proper diagnosis I always start by taking a history during the initial visit. Then, for adults, I use the Connersí Adult ADHD Rating Scale (CAARS). Sometimes I also use the Wender Utah Rating Scale. The Connerís generates a profile with measures of various patterns of inattentiveness, restlessness, impulsivity and hyperactivity as well as cognitive problems, perfectionism, social problems and other relevant dimensions of psychological functioning.  The results are evaluated in terms of normative data. This provides a comparison of the results with a normative group, which helps to establish an objective measure of the presence and pattern of problems that may be interfering with the patientís psychological functioning. In addition to having the patient complete this behavioral rating scale, I request that the patient have a relative or close friend complete the Connersí Adult ADHD Rating Scale Observer form. The comparison of the self-rating and observer rating profiles often provides important validating information.

  The IVA is a test of attentiveness to both visual and to auditory stimulation. The patientís pattern of responsiveness to visual images presented on a computer screen, and spoken words presented by the computer audio is measured. The results provide measures of speed, accuracy, perseverance, reliability, impulsivity and consistency of response. All scores are evaluated in terms of normative age-controlled data. The results represent an objective measure of important aspects of attentiveness and impulsivity.

Finally, in order to rule out the possibility that emotional factors may be creating symptoms similar to those caused by attention deficit disorder or attention deficit hyperactivity disorder (ADD or ADHD), I usually administer a Minnesota Multiphasic Personality Inventory-2 (MMPI-2). The MMPI-2 is arguably the best researched and validated psychological personality test available. It provides a wide range of information, which can be useful in gaining insight into a personís feelings, behavior and psychological functioning.

A similar method is used to diagnose ADD and ADHD problems in children. The history is taken from the parents, and the Connerís' Parent Rating Scale and the Connerís Teacher Rating Scale are used to get objective behavioral ratings as observed both in the home and in the school situation. The Integrated Visual and Auditory Continuous Performance Test (IVA) can be administered to most children who are 6 years of age or older. It is scored based on gender and age related norms and provides information similar to that provided in testing adults.

The results of a thorough psychodiagnostic evaluation helps to determine the most appropriate form of treatment: psychological/behavioral, medication or a combination of both treatment modalities.

How can you decide who is the right professional person to help you with this kind of problem? You may get information about me at Marvin S. Beitner, Ph.D.  You may get information about how to evaluate the credentials of any  psychologist at Check Qualifications.

For information about Dr. Beitner's private practice, training and experience, click on Marvin S. Beitner, Ph.D. You may see comments by some of Dr. Beitner's patients at his Internet telephone listings by clicking on the following link:    Superpages  You may have to page down to read comments at these sites. Dr. Beitner's Blog will soon be updated. 

If you live in Long Beach, Lakewood, Los Alamitos, Cerritos, Cypress, Signal Hill, Rolling Hills or Palos Verdes you have easy access to the Los Angeles County Office at 5199 E. PCH, Long Beach CA 90804 (562) 498-0777. If your live in Huntington Beach, Newport Beach, Newport Coast, Anaheim, Villa Park, Garden Grove, Santa Ana, Westminster, Costa Mesa or Fountain Valley you have easy access to the Orange County office at 11770 Warner Ave, Fountain Valley CA 92708 (714) 966-6634 or (949) 644-4641. 
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