Arab / Middle East Adult ADHD
Resources and Planning

Adult Attention Deficit Hyperactivity Disorder
In the Arab World and Beyond

Cairo March 2019
Jeff Marck
Institute of Advanced Studies
Australian National University
University of Hawai'i
University of Iowa
Research Officer 1992-1999
National Centre for Epidemiology
and Population Health

Moffitt et al. (2015): The first things to know about adult ADHD E.G.  "Unexpectedly, the childhood-ADHD and adult-ADHD groups comprised virtually non-overlapping sets; 90% of adult-ADHD cases lacked a history of childhood ADHD."
Adult ADHD PhD Thesis Copy Editing
Arabic Version, Adult ADHD Self-Report Scale (ASRS v.1.1)
  Dr. Susan Young's ACE (child [English], child [Arabic]) and ACE+ (adult [English]) ADHD diagnostic aids
Letter of introduction from Dr. Mona El Rakhawy, Diwan Center for Mental Health, Cairo, Egypt

Jeff Marck Home Page

There has been a great deal of attention paid internationally to the common comorbidity of SUD with adult ADHD.

But SUD is a minority comorbidity with ADHD in adults and testing persons with MDD, OCD, Bipolar, Anxiety D and other afflictions for  ADHD comorbidity has been widely neglected and results in significant case mismanagement. Even more widely neglected is general adult ADHD screening for Adult ADHD in the absense of other comorbidy and perhaps initial impressions of such patients' issues as involving conduct disorders.

But Adult ADHD normally involves adult onset rather retentions of childhood ADHD which tends to become less pronounced ("sub-threshhold"). The definitive study for that claim has been presented in Moffit et al. (2015) and it is beginning to receive the attention it deserves. Presented below are various links and the passionate plea for general psychiatric practitioners to routinely administer the 5 minute ASRS v.1.1 which has again and again proved its specificity and is moving tens of thousands of mysteriously troubled cases into simple, inexpensive, effacious case management.

Jeffrey Charles Marck
BA African Economic Anthropology, U. Iowa

MA MalayoPolynesian Prehistory,U. Iowa
MA Pacific Islands Linguistics, U. Hawai'i
PhD Polynesian Language & Culture History
The Institute of Advanced Studies
Australian National U.

Arabic Version
Adult ADHD Self-Report Scale (ASRS v.1.1)

Adult ADHD persons are ~3% of the male population
Usually  ~25% of a nation's male prisoners

Lack of childhood ADHD histories often result in failure to consider adult ADHD screening, diagnosis and treatment and may be behind about a quater to a third of adult male criminal incarcertations internationally. The rare statistics often show little evidence of wealthy countries having better screening, diagnosis and treatment outcomes than those countries with more limited resources.

Conduct of undiagnosed, untreated males while incarcerated and upon release involves a considerable amount of reoffending and subsequent reincarceration.

The good news for Egypt and other middle income countries is that diagnosis and treatment diversions are inexpensive and result in cost savings to incarcertation systems that can supply growing programs of diagnosis, treatment and reductions in reoffending of adult ADHD prisoners in prison and upon release. There are success stories to take to a doubtful public and prison administrators (cf. Konstenius 2013, Moffitt 2015, Cook 2017).

The same medications as used for childhood ADHD are effective in reducing impulsiveness and offending in adults as are those used for some of the comorbidities which do not find SUD in the majority.  Yet it is only SUD comorbidity that seems to be researched with some frequency... a bit lamely, in some instances... as much of the treatment community knows the SUD statistics are a result of the efficacy of methamphetamine in reducing ADHD symptoms.

When time is taken to include screening of all adults presenting with issues to clinics (gender balanced), diagnosis of adult ADHD has been found in
24.5% percent of cases  (gender balanced) in Egypt with the females more often having inattention issues rather than the well known impulsiveness of the afflicted males. The same medications as used with children result in improvements in the lives of both the adult male and adult female afflicted.
Jeff Marck is an anthropological linguist retired to his wife's native Cairo with experience:
    1) as an  attendant on a leading psychiatric research hospital's adult wards (1969-1971);
   2) as the lead research officer for Australia's beloved Emeritus Professor John C. Caldwell (1992-1999) in Caldwell's Health Transition Centre (HTC) at Australia's National Centre for Epidemiology and Population Health (NCEPH) including the three years Caldwell was President of the International Union for the Scientific Study of Population (IUSSP); a gentleman's gentleman.
   3) as a volunteer to one of the Australian Capital Territory mental health community activities, 2006-2008, meeting once a week at a Canberra cafe with schizophrenics returning to the community, conversing about their situation and options.

After assisting Moustafa and Mona Rakhawy of Cairo's Diwan Day Center in publishing their deceased colleague's adult ADHD research, Marck took the decision to make better outcomes for the Arab and Muslim worlds' afflicted ADHD adults his main project in retirement. He is doing this, in one element, by completing the native English copy editing of adult ADHD thesis and journal submissions concerning the Arab and Muslim world at no charge and by offering special rates for the native English copy editing of other kinds of Arab and Muslim world psychiatric research reports.

Arabic Version, Adult ADHD Self-Report Scale (ASRS)
Letter of Introduction from Dr. Mona El Rakhawy MD
Jeff Marck Home Page

Arabic Version, Adult ADHD Self-Report Scale (ASRS)
Letter of Introduction from Dr. Mona El Rakhawy MD
Jeff Marck Home Page