Abstract
Treatment of ADHD in Perinatal Women with Dual Diagnosis: A Comprehensive Pharmacological and Psychosocial approach
Highlights
We present the case of M, a middle-aged woman suffering from inadequately treated Attention deficit hyperactivity disorder (ADHD), comorbid with Bipolar disorder, TBI (Traumatic Brain Injury), and history of polysubstance use
We present the case of M, a middle-aged woman suffering from inadequately treated ADHD, comorbid with Bipolar disorder, TBI (Traumatic Brain Injury), and history of polysubstance use
We highlight the challenges ADHD presents for mothers with multiple children during a global pandemic, with financial stressors and limited social supports adding to that stress
Summary
We present the case of M, a middle-aged woman suffering from inadequately treated ADHD, comorbid with Bipolar disorder, TBI (Traumatic Brain Injury), and history of polysubstance use. We describe the patient’s clinical presentation during pregnancy, difficulties in engagement, and a treatment course with multiple complications such as severe manic psychosis with relapse, multiple head injuries, and involvement with legal and child welfare agencies. We discuss her ADHD-related challenges persisting into the first two years postpartum, despite stabilization of bipolarity and sobriety. We discuss outcomes of this longterm, individualized treatment. Treating such complex psychopathology can be overwhelming for most clinicians. We describe how multi-disciplinary clinicians can implement pharmacological and psychotherapeutic interventions at different levels of care to treat distressing ADHD symptoms and maintain sobriety
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