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Interference of attention-deficit hyperactivity disorder in an older adult with a severe personality disorder and dermatillomania

Published online by Cambridge University Press:  29 October 2013

L. H. Weusten*
Affiliation:
Department of Old Age Psychiatry, Mondriaan Hospital, Heerlen-Maastricht, the Netherlands
S. M. J. Heijnen-Kohl
Affiliation:
Department of Old Age Psychiatry, Mondriaan Hospital, Heerlen-Maastricht, the Netherlands
J. Ellison
Affiliation:
McLean Hospital, Harvard Medical School, Belmont, Massachusetts, USA
S. P. J. van Alphen
Affiliation:
Department of Old Age Psychiatry, Mondriaan Hospital, Heerlen-Maastricht, the Netherlands Department of Clinical and Life Span Psychology, Free University of Brussels (VUB), Brussels, Belgium
*
Correspondence should be addressed to: L. H. Weusten, Department of Old Age Psychiatry, Mondriaan Hospital, John F. Kennedylaan 301, 6419 XZ, Heerlen, the Netherlands. Phone: +31-45-5736363; Fax: +31-88-5066680. Email: [email protected].

Abstract

This case of a 65-year-old male with dermatillomania, diffuse anxiety symptoms, and avoidant personality disorder (PD) illustrates the interference of attention-deficit hyperactivity disorder (ADHD) in the diagnostic process and during schema-focused therapy. In conclusion, ADHD in older adults and interference with PD is a subject of clinical importance and worth further investigation.

Type
Case Report
Copyright
Copyright © International Psychogeriatric Association 2013 

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References

Ivanchak, N., Abner, E. L., Carr, S. A., Feeeman, S. J., Seybert, A., Ranseen, J. and Jicha, G. A. (2011). Attention-deficit/hyperactivity disorder in childhood is associated with cognitive test profiles in the geriatric population but not with mild cognitive impairment or Alzheimer's disease. Journal of Aging Research, 2011, 729801. doi:10.4061/2011/729801.CrossRefGoogle ScholarPubMed
Kooij, J. J. S., Buitelaar, J. K., van den Oord, E. J., Furer, J. W., Rijnders, C. A. T. and Hodiamont, P. P. G. (2005). Internal and external validity of attention-deficit hyperactivity disorder in a population-based sample of adults. Psychological Medicine, 35, 817827.Google Scholar
Manor, I., Rozen, S., Zemishlani, Z., Weizman, A. and Zalsman, G. (2012). When does it end? Attention-deficit/hyperactivity disorder in the middle aged and older populations. Clinical Neuropharmacology, 34, 148154. doi:10.1097/WNF.0b013e3182206dc1.Google Scholar
Michielsen, M.et al. (2012). Prevalence of attention-deficit hyperactivity disorder in older adults in The Netherlands. British Journal of Psychiatry, 201, 298305 doi:10.1192/bjp.bp.111.101196.CrossRefGoogle ScholarPubMed
Michielsen, M., Comijs, H. C., Semeijn, E. J., Beekman, A. T., Deeg, D. J. and Kooij, S. J. J. (2013). The comorbidity of anxiety and depressive symptoms in older adults with attention-deficit/hyperactivity disorder: a longitudinal study. Journal of Affective Disorders, 148, 220227. doi:10.1016/j.jad.2012.11.063.CrossRefGoogle ScholarPubMed
Reimherr, F. W, Marchant, B. K., Williams, E. D., Strong, R. E., Halls, C. and Soni, P. (2010). Personality disorders in ADHD part 3: personality disorder, social adjustment, and their relation to dimensions of adult ADHD. Annals of Clinical Psychiatry, 22, 103122.Google Scholar
Van Alphen, S. P. J., Rossi, G., Segal, D. L. and Rosowsky, E. (2013). Issues regarding the proposed DSM-5 personality disorders in geriatric psychology and psychiatry. International Psychogeriatrics, 25, 15. doi:10.1017/S1041610212001597.CrossRefGoogle ScholarPubMed
Young, J. E., Klosko, J. S. and Weishaar, M. E. (2003). Schematherapy: A Practitioner's Guide. New York: Guilford Press.Google Scholar