An Adolescent with Undiagnosed Inattentive-Type Attention Deficit-Hyperactivity Disorder and Comorbid Migraine: A Case Report

Am J Nurs. 2025 Jun 1;125(6):28-34. doi: 10.1097/AJN.0000000000000085. Epub 2025 May 22.

ABSTRACT

Patients with attention deficit-hyperactivity disorder (ADHD) commonly exhibit symptoms such as difficulty paying attention and focusing, trouble controlling their behavior, and hyperactivity. Comorbidities frequently occur with ADHD, including a variety of psychiatric issues, medical conditions, and learning disorders. The lack of adequate pediatric mental health resources highlights the critical need for experienced nurses and NPs to play a pivotal role in diagnosing and treating ADHD, ensuring timely care for young patients. This article presents a case study of an adolescent with ADHD with inattention and migraine, but not hyperactivity or impulsivity. The patient was not diagnosed until adolescence, causing frustration for the patient and the family, and resulting in academic failure. An NP diagnosed the patient and treated him with the stimulant methylphenidate, which resulted in a positive academic outcome and improved quality of life. It is critical to identify, diagnose, and treat ADHD early and appropriately for optimal patient outcomes. This is especially true for adolescents with previously undiagnosed inattentive-type ADHD.

PMID:40403267 | DOI:10.1097/AJN.0000000000000085