Clinical practice: Adult attention deficit-hyperactivity disorder.
Clinical practice: Adult attention deficit-hyperactivity disorder.
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DOI：
10.1056/nejmcp1212625
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发表时间：
2013-11-14
期刊：
影响因子：
--
通讯作者：
Swanson JM
中科院分区：
文献类型：
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作者：
Volkow ND;Swanson JM
一名31岁的中学教师寻求医疗帮助，因为她难以跟上工作任务和责任。她的主要症状是无法集中注意力，很容易分心。她报告说，她同时做白日梦，不能按时完成任务，经常忘记在工作中做事情，在孤独的活动中(例如，看电影和看书)无法保持静止。她的朋友们形容她过于健谈、没有条理、不耐烦和粗心大意。从孩提时代起，她的老师就注意到她注意力不集中，杂乱无章，经常不交作业。尽管有症状，但她在学校的表现还算不错，但最近，她的工作要求让她不堪重负，她正在考虑辞职。你有什么建议吗？
A 31-year-old middle-school teacher sought medical help because she was having trouble keeping up with her job assignments and responsibilities. Her primary symptoms were an inability to stay focused and being easily distracted. She reported daydreaming with multiple thoughts at the same time, an inability to complete tasks on time, frequently forgetting to do things at work, and being unable to remain still during solitary activities (e.g., watching a movie and reading a book). Her friends described her as excessively talkative, disorganized, impatient, and careless. From childhood, her teachers noted that she was inattentive and messy and often did not turn in homework. She was able to do reasonably well in school despite her symptoms, but more recently, her job demands have overwhelmed her, and she is considering quitting. What would you advise?