Le Trouble de Déficit de l’Attention et d’Hyperactivité (TDAH) de l’adulte : Quand certains symptômes en cachent d’autres.

Publié-e 2022-09-20
Mots-clés
- Mots clés : TDAH de l’adulte, TDAH de l’enfant et l’adolescent, diagnostic, traitement.
(c) Tous droits réservés Maria Rio Benito 2022

Cette œuvre est sous licence Creative Commons Attribution 4.0 International.
Résumé
Le diagnostic de TDAH de l’adulte a été inclus dans la cinquième version du Manuel des Troubles Mentaux de l’Association Américaine de Psychiatrie (DSM5), en 2013. Ce diagnostic se réfère à un trouble neurodéveloppemental avec, comme symptômes cardinaux, l’inattention, l’hyperactivité et l’impulsivité. Les études montrent une prévalence de 5,29% pour les enfants, et de 2,5% pour les adultes entre 19 et 45 ans. Le taux de comorbidités chez les adultes diagnostiqués de TDAH est élevé. L’objectif de cet article est double : 1. l’exploration des pistes d’amélioration du processus diagnostic et thérapeutique du TDAH afin d’éviter un diagnostic tardif, et 2. Un regard rétrospectif sur le parcours des adultes diagnostiqués de TDAH en quête d’idées pour l’amélioration de la prise en charge familiale, scolaire et sociétale des enfants diagnostiqués de TDAH. Les données utilisées pour l’étude proviennent de deux sources : 1. les dossiers cliniques des patients de la file active de l’auteure pour lesquels le diagnostic de TDAH de l’adulte a été posé tardivement, et 2. de l’expérience propre des patients, obtenue via le remplissage volontaire d’un questionnaire anonyme présenté cidessous. Les données ont été analysées qualitativement. Les résultats montrent qu’un diagnostic précoce de TDAH et des comorbidités éventuelles apparaît comme la meilleure option pour orienter les choix de style de vie, de cursus académique et de travail les plus adaptés au fonctionnement de la personne.
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