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Extreme makeover: The case of a young adult man with severe ADHD
Clinical Case Studies
  • Bradley M. Rosenfield, Philadelphia College of Osteopathic Medicine
  • J. R. Ramsay
  • A. L. Rostain
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Publication Date
Attention-deficit/hyperactivity disorder (ADHD) is the most prevalent behavioral disorder among children in the United States. Many of these children continue to experience prominent functional difficulties through adolescence and into adulthood. Specific impairments common to adults with ADHD have only recently come to light. The goal of this article is to discuss the case of a young man, Ralph, who was first diagnosed with ADHD in early childhood. Although pharmacotherapy helped him function better at school as a child, he encountered newfound difficulties as an adult, which reactivated his sense of rejection and failure in virtually every domain of his life. His case illustrates the degree of impairment experienced by many adults with ADHD and the benefit of a multimodal treatment package, which, in Ralph's case, included pharmacotherapy, cognitive-behavioral psychotherapy, and marital therapy modified for adults with ADHD. © 2008 Sage Publications.

This article was published in Clinical Case Studies, Volume 7, Issue 6, Pages 471-490.

The published version is available at

Copyright © 2008 Sage.

Citation Information
Bradley M. Rosenfield, J. R. Ramsay and A. L. Rostain. "Extreme makeover: The case of a young adult man with severe ADHD" Clinical Case Studies Vol. 7 Iss. 6 (2008) p. 471 - 490
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