Masking in autism and ADHD: discuss

[R. Matey]

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That's interesting, because there was a neuropsychologist who told me that it was extremely rare to find childhood ADHD without any hyperactivity. I'm honestly not sure if that's true because I am by no means an expert.

It's a common trajectory (hyperactivity in childhood, followed by inattentiveness in adulthood) of ADHD symptoms, but I think it's overstating the data to say that deviations are extremely rare.

 

[cara susanna]

I don't work with children, so I can't comment.

Here's a paper I cite when physicians refer adults to me for differential diagnosis of ADHD.

For reference, when I say movement disorder, I mean something akin to Parkinson's (also treated dopaminergically) or Huntington's.

Do you have a full text of that article? It would be super useful when psychiatrists are giving me guff about declining ADHD testing consults.

 

[AcronymAllergy]

That's interesting, because there was a neuropsychologist who told me that it was extremely rare to find childhood ADHD without any hyperactivity. I'm honestly not sure if that's true because I am by no means an expert.

I'm not a peds person, but I believe this to be generally true. True, never-hyperactive/impulsive ADHD has been conceptualized as a separate disorder by some (Sluggish Cognitive Tempo).

 

[cara susanna]

I'm not a peds person, but I believe this to be generally true. True, never-hyperactive/impulsive ADHD has been conceptualized as a separate disorder by some (Sluggish Cognitive Tempo).

Oh, that's that subscale in the BAARS-IV that I never pay attention to!

 

[R. Matey]

Oh, that's that subscale in the BAARS-IV that I never pay attention to!

It's not really that meaningful clinically because there is a lot of disagreement and essentially no interventions that have been shown to act on SCT aside from one study that looked at study skills with children using SCT as an outcome measure (at least the last time I looked). Conceptually, there is a also a healthy amount of disagreement in whether it's a unitary or multifactored construct, and if the latter, whether those factors are better accounted for by other factors (e.g., effortful/cognitive control, processing speed).

I'm also skeptical of the BAARS total score due to the way the scale was developed, but I admit I haven't look at a any bifactor modeling that may justify it.