[Diagnosis and treatment of the attention-deficit/hyperactivity syndrome (ADHS) in adults with drug addiction in in-patient and out-patient setting].
OBJECTIVE
Children with untreated ADHS have a high risk of becoming adult addicts and often present as problem patients on psychiatric detoxification units. We present our experience with the task of recognizing ADHS and initiating treatment during the short period of in-patient detoxification.


METHODS
Typical case histories illustrate the structural framework of the setting, the diagnosis and therapeutic process and the course of treatment.


RESULTS
Assessment of ADHS and initiation of specific treatment during in-hospital care is practical and useful to stop further chronification of illness.


CONCLUSIONS
This work requires a new approach to these often difficult patients by establishing a continuous therapeutic milieu.
Wolf
Uwe
U
Abteilung für Psychiatrie und Psychotherapie des Evangelischen Krankenhauses Königin Elisabeth Herzberge, Berlin. u.wolf@keh-berlin.de
Golombek
Ute
U
Diefenbacher
Albert
A
D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000534:rehabilitation*; D000553:Ambulatory Care; D001289:Attention Deficit Disorder with Hyperactivity / Q000175:diagnosis / Q000534:rehabilitation*; D001883:Borderline Personality Disorder / Q000175:diagnosis / Q000534:rehabilitation; D003131:Combined Modality Therapy; D015897:Comorbidity; D004305:Dose-Response Relationship, Drug; D019263:Dysthymic Disorder / Q000175:diagnosis / Q000534:rehabilitation; D006760:Hospitalization; D006801:Humans; D008134:Long-Term Care; D008297:Male; D008774:Methylphenidate / Q000008:administration & dosage; D011613:Psychotherapy; D011615:Psychotherapy, Group; D012008:Recurrence; D012047:Rehabilitation Centers; D019966:Substance-Related Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D013808:Therapeutic Community; D016896:Treatment Outcome; D016312:Treatment Refusal / Q000523:psychology
D008774:Methylphenidate