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Clinical Crossroads Update
May 26, 1999

A 55-Year-Old Man With Attention-Deficit/Hyperactivity Disorder, 1 Year Later

Author Affiliations

From the Division of General Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1999;281(20):1945. doi:10.1001/jama.281.20.1945

In March 1998, at Psychiatry Grand Rounds, Joseph Biederman, MD, discussed the epidemiology, diagnosis, and treatment of attention-deficit/hyperactivity disorder (ADHD).1 Mr L, a 55-year-old man, had recently started taking methylphenidate hydrochloride, 10 mg 3 times per day. He reported almost immediate improvement in his ability to concentrate and reflected on substantial advances in relationships both at home and at work. His only complaint was occasionally feeling "a little speedy." Dr Biederman suggested that Mr L would do well if he continued working with his physicians and taking methylphenidate or another appropriate medication.

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