Portal de Periódicos da CAPES

Carta Acesso aberto Produção Nacional Revisado por pares

BIBTEX RIS

Suicídio em Belo Horizonte entre 2004 e 2006

2007; Associação Brasileira de Psiquiatria; Volume: 29; Issue: 2 Linguagem: Inglês

10.1590/s1516-44462007000200022

1809-452X

Felipe Filardi da Rocha, Karla Cristhina Alves de Sousa, Naray Paulino, Juarez Oliveira Castro, Humberto Corrêa,

Attention Deficit Hyperactivity Disorder

Cartas aos Editores methylphenidate, methylphenidate SR, chlordiazepoxide and imipramine.At the end of evaluation, the diagnostic hypotheses were ADHD and depression.At the beginning of treatment, all the medications were gradually tapered off.Without medication, P. became more aggressive, agitated, manipulative, and presented out-of-control behavior.P. had to leave the school due to violent behavior towards his peers.Next, bupropion was prescribed, 37.5 mg twice a day and, after 15 days, the dosage was gradually increased to 75 mg twice a day.Bupropion was the drug of choice for several reasons: 1) P. had already been treated with many different medications, including stimulants and SSRIs which are the first and second choice, respectively, to treat comorbid ADHD and depression, 2 without improvement; 2) P. had both severe ADHD and depressive symptoms; 3) bupropion has been helpful in the treatment of children who have both ADHD and depression. 3 Pharmacotherapy was associated with cognitive behavioral psychotherapy, including individual work with the child and the parents.After three months of treatment, P.'s agitation and aggressive behavior had reduced.His speech, walking, and affect had improved significantly.He was able to express his interests and his frustrations in a more appropriate way.Eighteen months after the beginning of the treatment, P. is still on monotherapy with bupropion.He is polite, compassioned and is well adapted to school.He doesn't experience any fears, sadness or thoughts of death.Some restlessness is still observed and he presents occasional tantrums.ADHD may be mistaken by depression because both disorders share some of the same symptoms. 4 In addition, some depressive symptoms may be caused by the patients' problems in several areas of their lives. 4When treating ADHD children, it is important to consider that depression may coexist.Bupropion may be useful when treating children who have both ADHD and depression. 3Bupropion has few side effects, 3 and since psychostimulants have been associated with physical and psychological dependence, 5 it may be a good alternative.