The Challenges and Limitations of Diagnosing and Pharmacologically Treating ADHD in University Students

The diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) in university students present particular challenges. The lack of quality childhood historical data and limitations of existing neuropsychological instruments can create difficulties, especially when this easily feigned condition presents with numerous incentives for it to be feigned (i.e. access to psychostimulants, academic accommodations). The need for a thorough history in combination with symptom validity test (SVT) use is emphasized. A brief overview of psychostimulant mechanism of action, risks, side effects and long-term effects is provided, followed by suggestions for future research directions.