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This page is an AI-assisted Turkish summary of the study presented at the 26th World Congress of Psychiatry. The study belongs to the presenting authors; please refer to the original source when citing it.

EV0066

A clinical case of attention-deficit/hyperactivity disorder and impulsivity in young adults

CLINICAL CASE ON ADHD AND IMPULSIVITY IN YOUNG ADULTS

The most disruptive symptom of attention-deficit/hyperactivity disorder in young adults is not motor hyperactivity but impulsivity manifested in speech, finances, and decision-making.

The aim of this poster is to highlight and distinguish impulsivity as a symptom through a case of attention-deficit/hyperactivity disorder (ADHD) in a young adult. The methodology included a literature review on the diagnosis presented and its symptoms; the patient's personal and clinical history, impulsive symptoms, assessment and findings, diagnosis and case analysis, causes, and treatment were addressed. The case concerns a 24-year-old patient reporting recurrent explosive outbursts at work and in their relationship, as well as financial difficulties. The patient's impulsivity manifests not as motor hyperactivity in the form of pacing around the room, but as an urge to act without considering the consequences: verbal impulsivity involving constantly interrupting others in work meetings and saying the first thing that comes to mind; financial impulsivity involving unnecessary spending instead of covering essential expenses such as rent, without planning or saving; decision-making impulsivity involving sending abrupt resignation messages at the slightest disappointment and regretting them a few hours later; and motor impulsivity and risk-taking. Although features of inattention are also present, the case was considered typical of ADHD, predominantly hyperactive/impulsive presentation. In conclusion, the authors emphasize that impulsivity is the most disruptive symptom in young adults because it directly conflicts with the responsibilities of independent living.

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