Paediatria Croatica, Vol. 62 No. 4, 2018.
Professional paper
https://doi.org/10.13112/PC.2018.22
Correlations between attention deficit/hyperactivity disorder, obsessive-compulsive disorder and tics in children and adolescents: case report
Aleksandra Klobučar
; Klinika za dječje bolesti Zagreb
Iva Prvčić
Nenad Jakušić
Barbara Dawidowsky
Bruno Cindrić
Abstract
The relationship between the attention deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD) and tics is primarily
discussed through genetic, neurobiological, neurocognitive and neurochemical substrates of reduced impulse control. The
comorbidity of these disorders in children and adolescents is not a rarity. In our 14-year-old patient, ADHD and simple motor tics
were diagnosed at pre-school age and OCD at the age of 10. We diagnosed these disorders by DSM-IV criteria and semi-structured
interviews based on it. In a multimodal treatment we used techniques from cognitive behavioural psychotherapy, psychoeducation
and parental support, sensory integration therapy with a assistance dog, neurofeedback, medication therapy (methylphenidate,
fluvoxamine), group therapy aimed at enhancing social skills and expressing emotions, individualized approach to learning in
school with a personal assistant. We discuss the complexity of treatment of clinical presentation complicated by comorbidity and
emotional distress, and some known and possible links between these disorders. Treatment of ADHD demands multimodal approach
and cooperation of different professionals. Among other things, timely recognition of associated symptoms and other psychiatric
disorders and their linkage is very important to prevent intensification of symptoms and signs of the disorder and to determine
therapeutic guidelines. Further investigation is needed.
Keywords
Attention Deficit/Hyperactivity Disorder; comorbidity; treatment; children; adolescents
Hrčak ID:
216977
URI
Publication date:
26.12.2018.
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