First Argentine Consensus on the management of Attention Deficit Hyperactivity Disorder in adults. Part 1: introduction, working methodology and generalities

Abstract

Attention Deficit Hyperactivity Disorder (ADHD) has traditionally been understood as a condition primarily associated with childhood. However, growing evidence indicates that ADHD persists into adulthood, manifesting in various ways. Despite its prevalence and significant impact on daily life, adult ADHD has been considerably underestimated and underdiagnosed, resulting in a substantial burden for affected individuals, as well as their families and social environment. This comprehensive review aims to explore the complexity of ADHD in adulthood by addressing its etiology, definition, clinical presentation, risk factors, common comorbidities, evaluation methods, and neuropsychological aspects, alongside both pharmacotherapeutic and non- pharmacotherapeutic approaches for treatment. Additionally, the implications for diagnosis and treatment are examined, emphasizing the need for a thorough understanding of this condition. Through this document, the Argentine Association of Biological Psychiatry (Asociación Argentina de Psiquiatría Biológica, AAPB) not only seeks to compile and analyze the evidence on adult ADHD but also to provide a practical guide for healthcare professionals treating this disorder. The ultimate goal of this article is to contribute to the development of effective strategies for the evaluation and management of ADHD, ultimately improving the quality of life for patients.