14 Mental Illness in Young Adult Literature ADHD diagnosis is evidence of symptoms in two or more different settings and presentation of symptoms before age 12. Researchers in a 2014 School Mental Health article note that many indi- viduals with ADHD struggle with educational success because they have trouble focusing on and finishing work, often resulting in lower grades and failing classes. They also drop out more frequently and are more likely to be absent or late to class. In addition, these teens have difficulty sustaining relationships with peers and are often targets of teasing. Related and Comorbid Disorders Research reports demonstrate that up to two-thirds of those with ADHD have additional disorders, including depression, anxiety, obsessive compulsive disorder, oppositional defiant disorder, and so on. According to the DSM-5, approximately 50 percent of children with ADHD who pres- ent with symptoms of both inattention and hyperactivity-impulsivity also have oppositional defiance disorder (ODD), while 25 percent also have conduct disorder. A 2015 study published in Clinical Psychiatry noted that ADHD is often comorbid with mood disorders, anxiety disorders, and conduct disorders the researchers also noted that ADHD has been associ- ated with eating disorders, especially in females. Treatment Options According to the American Psychiatric Association, a combination of behavioral therapy and medication can help most individuals improve symptoms of ADHD. Therapy focuses on helping families and educators give positive feedback and consequences in a consistent manner to help children manage their behavior. Medication typically prescribed for ADHD includes stimulants such as methylphenidate (e.g., Ritalin) or amphetamine (e.g., Adderall) and nonstimulants such as atomoxetine (e.g., Strattera) or guanfacine (e.g., Tenex). A study published in the 2017 Journal of Attention Disorders shows a rising trend in diagnosis and treatment of ADHD, a trend that started over 25 years ago of special note is that rates of increase in diagnosis and treat- ment were greater in female youth. This is especially interesting because the DSM-5 reports that ADHD occurs more frequently in males, with a ratio of 2:1 in children. In this chapter, two books featuring young adults with ADHD are described and analyzed. Club Meds (2006) by Katherine Hall Page and Motorcycles, Sushi, and One Strange Book (2010) by Nancy Rue.
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