Attention Deficit Disorder in Adolescents

Attention deficit disorder may be part of a cluster of observable behaviors that reflect a dysfunctional central nervous system. The authors describe the differential diagnosis of attention deficit disorder in adolescents, a complex process in which the clinician must determine if observed distractibility, hyperactivity, or both are due to the disorder or are a reflection of anxiety, depression, or emotional, social, or family problems. In addition, the clinician must determine the relationship of these factors to the learning disabilities so often associated with attention deficit disorder. The authors discuss the clinical management of attention deficit disorder and review the literature on the clinical course and outcome of children and adolescents with the disorder.