Expert: Dr Billy Levin - 9/26/2006

Question
Hi,
I'm a 21-year-old college student and I have trouble concentrating and symptoms very much similar to that of someone with ADHD, non-hyperactive-type. My question is, what can be done either with medication or therapy if I am living with symptoms of ADHD, but going according to the DSM, I simply cannot have ADHD (no known symptoms before age 8)? Any advice would be much appreciated. -Nick

Answer
A problem is not a problem unless or until it causes a problem! If you have symptoms of ADD (not ADHD) now, interfering with your ability to concentrate on your studies, you certainly would be entitled to go onto a  stimulant medication trial like Ritalin, after an assessment by a doctor familiar with adult ADD. You may certainly disregard the Psychiatric DSM lV as it is of no or little value for ADD/ADHD. It was not compiled by experts. In fact the Paediatric Association (USA) have stated as much and developed their own protocol. Many a high IQ ADD only starts having problems severe enough to warrent treatment as they get to higher levels of education. Forget about therapy. Monitored medication to optimal doses and study methods is probably all you will need and your owm  motivation to succeed.Good luck!