Assessing & treating adult ADHD can be both very challenging as well as highly rewarding for client and clinician alike. Professor, psychiatrist & author, Dr. Sandra Kooij joins us for an in-depth discussion of the assessment and treatment of adult ADHD.  In this discussion we cover:     description of the main symptom clusters of adult ADHD (attention, hyperactivity, impulsivity) and how risk stratifies by various demographic factorsconsideration of the frequent presence of emotion dysregulation with adult ADHDthe challenge of under and over diagnosis in the context of adult ADHDcomorbidity in the context of ADHD and the challenge of differential diagnosisthe relationship between borderline personality and ADHD and why they may reflect the same underlying biological vulnerabilityassessment of ADHD in the context of active substance use, in particular cannabisthe special role that sleep disruption may play in the etiology and maintenance of ADHDthe differentiation between ADHD and cognitive ability and Dr. Kooij's thoughts on the role of cognitive testing in ADHD assessmenthow perfectionism, pleasing etc. - especially in the context of high functioning clients (and in particular, women) - can hide underlying adult ADHDconceptualizing diagnostic situations in which symptoms only become clinically significant later in life (or as life demands grow e.g., starting university, starting a family etc.) - particularly for high functioning clients or clients who grew up in a highly structured/supportive environment the challenge of navigating diagnosis in the context of subsyndromal symptomatology which may be better served by a continuum vs. categorical framework the relationship between hormonal disturbance, dopaminergic imbalance and ADHD in womenthe relationship between cardiovascular disease and ADHD in womenDr. Kooij's suggested resources for clinicians and consumersComments or feedback?  Email the show: [email protected] Sandra Kooij, MD, Ph.D., is a professor at Amsterdam University Medical Center and Head of the Expertise Center Adult ADHD at PsyQ in the Hague, the Netherlands. She has more than 25 years of clinical experience and founded the ExpertiseCenter, the DIVA Foundation (Diagnostic Interview for ADHD in adults in 29 languages), The European Network Adult ADHD, and The Dutch Network Adult ADHD.  Her research focuses on ADHD, sleep and health, on women with ADHD and hormonal mood changes during the lifespan, and on ADHD in older people.  She is the author of “Adult ADHD - Diagnostic Assessment & Treatment” (Third Edition) published by SpringerLink.  She is involved in research, treating patients, training professionals, informing the public, publishing articles, books, webinars and podcasts.