A Young Caucasian Girl with ADHD

Introduction
Attention deficit hyperactivity disorder (ADHD) refers to a mental disorder of the neurodevelopmental type. Some of its features include difficulties in paying attention, too much activity, or difficulty controlling behavior which is inappropriate for a person’s age (Cormier, 2008). A person suffering from this condition has trouble concentrating and focusing on tasks, has a tendency of acting without thinking, and faces difficulty sitting still. While condition may begin in early childhood, it can continue in adulthood. According to Eme (2012), if ADHD is not treated, it can result to problems at home, at learning institutions, at workplace, and with relationships (Parritz, 2013). This case considers an 8 year old girl who has been diagnosed with attention deficit hyperactivity disorder, predominantly inattentive presentation to determine the best therapy for the girl.
Decision Point One
Selected Decision
Begin Ritalin (methylphenidate) chewable tablets 10 mg orally in the morning.
Reason for Selection
Whereas there is no cure for ADHD, the current available treatments involve medications which can reduce its symptoms and enhance functioning. Such treatments comprise medication, psychotherapy, education or training, or a blend of treatments. Methylphenidate is a good prescription because it appears to improve symptoms according to reports by teachers and parents. Other non-stimulant medications are available but they are more equal to methylphenidate in terms of side effects. Moreover, the drug was chosen to reduce hyperactivity and impulsivity and enhance Kate’s ability to concentrate, work, and learn.
Expected Results
It is expected that Kate’s symptoms will be much better when she returns to the hospital four weeks later. In particular, her hyperactivity and impulsivity is expected to reduce and her ability to concentrate, work, and learn expected to improve (Jensen, Arnold & Swanson, 2007). All these changes will sum up to improve her performance in school.
Difference between Expected Results and Actual Results
Actual results reveal that the symptoms are much better though this is only in the morning. In the afternoon she stares off into space and day dreams again. Moreover, the drug has led to a funny feeling in the heart. Kate’s heartbeat has increased to beating about 130 beats per minute.
Decision Point Two
Selected Decision
Discontinue Ritalin and begin Adderall XR 15 mg orally daily.
Reason for Selection
Adderall XR was selected because it is a once-daily, timed-release stimulant medication. It is mainly used to treat ADHD in children ages 6-12, adolescents, and adults. Kate is currently 8 years old which means she falls in this age bracket. It was administered because it can improve focus for people with inattentive ADHD, and reduce impulsivity and hyperactive conduct.
Expected Results
It is expected to improve Kate’s focus and reduce her impulsivity and hyperactive conduct which could lead to better performance in school. In addition, it is expected to continue treating ADHD (Faraone, 2005). However, unlike Ritalin (methylphenidate) which was only effective in the morning, this drug will sustain Kate’s attention throughout the school day.
Difference between Expected Results and Actual Results
While Kate reported improving academic performance and sustained performance throughout the school day, the experienced tachycardia with this medication.

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