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Clinical Case Studies
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1938965508314845v1
7/5/359    most recent
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Utilizing Neuropsychological Testing to Inform ADHD Diagnosis and Treatment

The Case of Phil

Thomas D. Sugalski

Psychology Associates of Bethlehem, Pennsylvania

Albert J. Scott

Hermitage, Pennsylvania

Michael J. Cleary

Slippery Rock University, Pennsylvania, michael.cleary@ sru.edu

This article describes a case study in which a 7-year-old first grade boy (Phil) underwent neuropsychological assessment to determine the possible existence of attention deficit hyperactivity disorder. Subsequent performances on tests of attention and executive functioning were quite variable. Specifically, there were indicators of inattention, erratic response style, and executive dysfunction evidenced by a large number of commission errors. In addition, there were difficulties maintaining attentional focus in the presence of distracters, weaknesses in working memory, information processing speed, and difficulties with planning and inhibition. Treatment implications are subsequently described, particularly the growing use of computer-assisted cognitive training to address working memory and executive functioning. Finally, the article concludes with a discussion about how to employ neuropsychological results in an effort to meaningfully engage the family of an attention deficit hyperactivity disorder child in long-term therapy.

Key Words: ADHD • clinical neuropsychology • therapy • cognitive rehabilitation

This version was published on October 1, 2008

Clinical Case Studies, Vol. 7, No. 5, 359-376 (2008)
DOI: 10.1177/1938965508314845
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