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what is Perla’s preliminary diagnosis and possible causes ? Perla is a 50-year-old woman in a same sex partnership. She arrived with a stack of pages from the Internet that “proved” that she has adult-onset ADHD. She mentions that she has long periods of activity, including not sleeping for days. She says she “self-medicates” with marijuana, energy drinks like Red Bull, and sleeping pills. During the interview, it is hard to keep up with Perla. She bounces around the room and from topic to topic. When the interviewer asks her to fill out a questionnaire, she asks for a stapler. She then proceeds to simply staple her ADHD pages to the form. The interviewer asks Perla to complete the survey on the form, Perla becomes irate: “I already did your damn work for you. I told you I have ADHD!” Family History: Unknown. Perla was adopted from Venezuela as a baby