ADHD and driving safety
=======================

* Margaret Weiss
* Candice Murray

We thank Laurence Jerome for pointing out this omission from our article.1 One of the highlights of recent research on ADHD in adults has been the demonstration that this disorder is associated with increased risk for specific areas of impairment. Some of this impairment was anticipated clinically, such as the impairment in work and educational achievement predicted by long-term prospective follow-up studies.2 , 3 , 4 The increased risk for motor vehicle crashes, speeding and traffic violations,5 , 6 , 7 substance abuse8 and smoking9 clearly indicate that this disorder presents a serious public health concern. We agree that assessment of these specific areas of impairment should be part of both the clinical assessment and the outcome evaluation. In addition, we anticipate that other areas of impairment, such as difficulty with some aspects of parenting and activities of daily living, will be the subject of research evaluation in the future. 

**Margaret Weiss** Division of Child Psychiatry **Candice Murray** Department of Psychology University of British Columbia Vancouver, BC

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