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Case Reports in Psychiatry
Volume 2017 (2017), Article ID 1364894, 7 pages
Case Report

Adult ADHD: Questioning Diagnosis and Treatment in a Patient with Multiple Psychiatric Comorbidities

1Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
2Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada

Correspondence should be addressed to Zainab Samaan

Received 9 January 2017; Revised 19 April 2017; Accepted 30 April 2017; Published 11 June 2017

Academic Editor: Toshiya Inada

Copyright © 2017 Robert Karoly Chu et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Adult Attention-Deficit/Hyperactivity Disorder (ADHD) is a contentious diagnostic issue, which has been increasing in prevalence in recent years, and is often comorbid with other psychiatric disorders. This report presents a detailed account of a clinical case involving a middle-aged man with a history of recurrent depressive episodes and an unsubstantiated diagnosis of ADHD, treated with stimulants. There is persistent debate around the use of psychostimulants both in adult ADHD and in the treatment of depression. Despite promising activating properties, psychostimulants carry significant risks of misuse and substance use disorder. In this report, we consider the potential benefits and adverse effects of stimulants in the treatment of adult ADHD and mood disorders and review the learning points of this complicated, but not uncommon, clinical case.