@article{3183659, title = "Updated European Consensus Statement on diagnosis and treatment of adult ADHD", author = "Kooij, J. J. S. and Bijlenga, D. and Salerno, L. and Jaeschke, R. and and Bitter, I and Balazs, J. and Thome, J. and Dom, G. and Kasper, S. and and Nunes Filipe, C. and Stes, S. and Mohr, P. and Leppamaki, S. and Casas, and M. and Bobes, J. and Mccarthy, J. M. and Richarte, V and Philipsen, A. and Kjems and Pehlivanidis, A. and Niemela, A. and Styr, B. and Semerci, B. and and Bolea-Alamanac, B. and Edvinsson, D. and Baeyens, D. and Wynchank, and D. and Sobanski, E. and Philipsen, A. and McNicholas, F. and Caci, H. and and Mihailescu, I and Manor, I and Dobrescu, I and Saito, T. and Krause, and J. and Fayyad, J. and Ramos-Quiroga, J. A. and Foeken, K. and Rad, F. and and Adamou, M. and Ohlmeier, M. and Fitzgerald, M. and Gill, M. and and Lensing, M. and Mukaddes, N. Motavalli and Brudkiewicz, P. and and Gustafsson, P. and Tani, P. and Oswald, P. and Carpentier, P. J. and De and Rossi, P. and Delorme, R. and Simoska, S. Markovska and Pallanti, S. and and Young, S. and Bejerot, S. and Lehtonen, T. and Kustow, J. and and Mueller-Sedgwick, U. and Hirvikoski, T. and Pironti, V and Ginsberg, Y. and and Felegyhazy, Z. and Garcia-Portilla, M. P. and Asherson, P.", journal = "European Psychiatry", year = "2019", volume = "56", pages = "14-34", publisher = "ELSEVIER FRANCE-EDITIONS SCIENTIFIQUES MEDICALES ELSEVIER", issn = "0924-9338", doi = "10.1016/j.eurpsy.2018.11.001", keywords = "Adult ADHD; Updated European Consensus Statement; Diagnosis; Treatment; European Network Adult ADHD; EPA", abstract = "Background Attention-deficit/hyperactivity disorder (ADHD) is among the most common psychiatric disorders of childhood that often persists into adulthood and old age. Yet ADHD is currently underdiagnosed and undertreated in many European countries, leading to chronicity of symptoms and impairment, due to lack of, or ineffective treatment, and higher costs of illness. Methods The European Network Adult ADHD and the Section for Neurodevelopmental Disorders Across the Lifespan (NDAL) of the European Psychiatric Association (EPA), aim to increase awareness and knowledge of adult ADHD in and outside Europe. This Updated European Consensus Statement aims to support clinicians with research evidence and clinical experience from 63 experts of European and other countries in which ADHD in adults is recognized and treated. Results Besides reviewing the latest research on prevalence, persistence, genetics and neurobiology of ADHD, three major questions are addressed: (1) What is the clinical picture of ADHD in adults? (2) How should ADHD be properly diagnosed in adults? (3) How should adult ADHDbe effectively treated? Conclusions ADHD often presents as a lifelong impairing condition. The stigma surrounding ADHD, mainly due to lack of knowledge, increases the suffering of patients. Education on the lifespan perspective, diagnostic assessment, and treatment of ADHD must increase for students of general and mental health, and for psychiatry professionals. Instruments for screening and diagnosis of ADHD in adults are available, as are effective evidence-based treatments for ADHD and its negative outcomes. More research is needed on gender differences, and in older adults with ADHD. (c) 2018 The Author(s). Published by Elsevier Masson SAS." }