RT Journal A1 Parker RA, Hartman EE T1 A 55-year-old man with attention-deficit/hyperactivity disorder, 1 year later JF JAMA JO JAMA YR 1999 FD May 26 VO 281 IS 20 SP 1945 OP 1945 DO 10.1001/jama.281.20.1945 UL http://dx.doi.org/10.1001/jama.281.20.1945 AB In March 1998, at Psychiatry Grand Rounds, Joseph Biederman, MD, discussed the epidemiology, diagnosis, and treatment of attention-deficit/hyperactivity disorder (ADHD).1 Mr L, a 55-year-old man, had recently started taking methylphenidate hydrochloride, 10 mg 3 times per day. He reported almost immediate improvement in his ability to concentrate and reflected on substantial advances in relationships both at home and at work. His only complaint was occasionally feeling "a little speedy." Dr Biederman suggested that Mr L would do well if he continued working with his physicians and taking methylphenidate or another appropriate medication.