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Treatment of ADHD in Adults

Treatment for adhd in adults includes therapy, medication and family support. Clinical trials are available to test the effectiveness of new treatments for ADHD.

The stimulant medications are the most effective medications for adults suffering from ADHD. They need to be monitored regularly. This includes monthly clinical appointments and regular reviews of symptoms.

Medicines

There are many drugs that can help to reduce the symptoms of ADHD in adults. These are called psychostimulants and they affect the levels of certain chemicals in your brain (neurotransmitters) which transmit messages between nerve cells. Your doctor will select the best medication for you and determine the most appropriate dosage and time to take it. It could take a while to find the right dosage and medication that control your symptoms.

The first medication that doctors prescribe to adults suffering from ADHD is stimulants. They increase the amount of dopamine that is present in your brain, and also norepinephrine which allows you to manage your thoughts and improve your focus. These medications are available in short-, medium-and long-acting varieties. Short-acting stimulants last about 6 hours, intermediate-acting drugs last 8-10 hours, and long-acting medicines last up to 16 hours. Long-acting stimulants are less likely to cause negative effects than shorter- or intermediate-acting medicines, but they still can cause sleepiness and changes in appetite.

Nonstimulant medicines, such as atomoxetine (Strattera) can be used to treat adult ADHD when stimulants aren't effective or cause undesirable adverse side consequences. These medications do not alter the levels of dopamine or norepinephrine however they do increase your brain's availability of norepinephrine. They also improve your focus. These capsules are consumed once or two times a day.

Some adults with ADHD suffer from co-occurring disorders such as anxiety or depression. These are known as comorbid disorders and they can impact how you respond to treatment for ADHD. Before starting treatment for ADHD it is essential to address any comorbidities. People with a history substance abuse disorders are more likely to misuse psychostimulants. This is why it is generally recommended to wait until the patient has quit using substances before considering treatment for adult add with stimulants to treat ADHD.

Psychotherapy

Psychotherapy is a process that involves discussing and talking about topics that cause anxiety or are disturbing for a person. The therapist listens to the person and provides guidance based on his or his or her training, education, experience, professional credentials and therapeutic theories. Psychotherapy may be short-term (a few weeks or months) or addressing more immediate issues, or long-term. The duration and frequency of therapy is determined by the therapist and patient together.

The combination of psychotherapy and medication is an extremely effective method to treat adults with ADHD. Behavioral therapy can assist people improve their time management, organizational skills, and prioritizing. It can also teach methods to manage emotions like anger and frustration. Treatment can ease symptoms, improve concentration and improve academic and work performance.

Adults suffering from ADHD are more likely to be affected by co-existing disorders, including mood disorders such as depression and anxiety. It is crucial that any co-existing disorders be addressed prior to beginning treatment for ADHD. Treatment of co-existing disorders could require different types and doses of medication than those used to treat ADHD.

A person suffering from ADHD may also suffer from hypertension. To pick a medication that can treat the ADHD symptoms without destabilizing the hypertension of the patient it is crucial to understand how different medications affect individuals in the course of time, as well as the interactions between medications.

It is essential to find the right therapist with whom you have good relations, and who has experience treating adults with ADHD. It is also crucial to schedule your first few sessions during times when you won't be distracted by family responsibilities or work obligations.

Counseling

Adults with ADHD face a variety of challenges in their lives, including issues in their relationships and at work. People with ADHD can be prone to anger, frustration and blame that have built up over time. Psychosocial treatments can help patients and their families to develop new abilities, attitudes and ways of relating.

Psychotherapy may include cognitive behavioral therapy, a type of psychotherapy that aids individuals to change their behavior and thinking. It involves setting goals, training and the practice of skills, as well as methods of teaching to improve self-esteem and organizational skills. It can be conducted in individual or group sessions. Metacognitive therapy has proven to significantly reduce symptoms among adults suffering from ADHD and improve their functioning (Stevenson, et al. 2002).

Certain people with ADHD may also require counseling to help them overcome specific life challenges. These could include family conflict, impulsive or aggressive behaviors, or difficulty coping with disappointments and failures. Counseling can help develop skills to manage these situations, improve communication and increase problem-solving capabilities. It can also help improve relationships, especially in marriages and other long-term relationships.

Other forms of psychotherapy for ADHD include family therapy and supportive group therapy. These can help families deal with the stress of having a child who has ADHD, as well as teach skills to improve communication and reduce conflicts. It can also assist parents to recognize the symptoms and treatment Of Adhd In adults develop parenting strategies that encourage positive outcomes for their children.

Adults with ADHD must discuss their medication regularly with their doctor and inform them of any other medications, including over the drug products. Certain medications can interact with certain medications or trigger side effects that are worsened by other medications.

Medication Monitoring

After a comprehensive evaluation and diagnosis is made it is important that the patient is monitored to ensure that he or she is receiving the benefits of the medication and not experiencing adverse effects. It is recommended that a patient be examined for an initial medical check-up within 30 days of starting treatment and then every month afterward. This will allow for a thorough adjustment of psychostimulants, such as amphetamines and methylphenidate, to a safe, effective dose. This permits accurate recording of the patient's response and assists in avoiding keeping sensitive patients on insufficient doses (slow metabolizers) or forcing those who require higher doses on unnecessarily high levels (rapid metabolizers).

Adults who do not respond well to stimulant medications or who have unwanted side effects that are difficult to tolerate may benefit from nonstimulant medications. This is usually the case with the methylphenidate based atomoxetine alternatives.

Adults suffering from ADHD frequently suffer from co-occurring disorders like mood or anxiety disorder, substance abuse issues or depression. Additionally, they may suffer from persistent sleep disturbances or medical issues such as hearing and vision problems. It is crucial to identify and evaluate such conditions in the initial assessment for ADHD because they could have a significant impact on functional impairment in adults.

ADHD can also be controlled through marital therapy. Spouses often report that they feel overburdened by the responsibilities to care for their spouses with ADHD and can become resentful and angry as a result. Reduced resentment can be achieved by enhancing the patient's understanding of his/her illness, and helping them understand that the symptoms are not the result of an absence of willfulness or love. Couples who go through this type of therapy generally experience a better family functioning.

Behavioral Therapy

Psychotherapy for adults suffering from ADHD is typically recommended. It should include a cognitive and behavioral component. Behavioral therapy can help patients improve their organization skills, focus and treatment Of Adhd in adults manage impulsive behavior. It helps patients manage their work, home, and social situations in more productive ways. Psychotherapy can also help patients understand how their condition affects different areas of their lives and relationships. This can help decrease the shame and low self-esteem that is often seen in people with ADHD, who may be thought of as lazy or less intelligent.

Many psychiatric disorders mimic ADHD symptoms. For example anxiety disorders are found at a high rate in adult ADHD patients, and depression is found at increased levels in those suffering from the disorder. The presence of other mental health issues should be analyzed, as appropriate, to determine if the patient's ADHD symptoms are related to them.

A combination of psychotherapy and pharmacotherapy is generally recommended for treatment of adhd in adults (hyperlink). It has been proven that the combination of psychotherapy and medication yields superior results over either treatment on its own. Future controlled medication studies will try to track and evaluate improvements in functional performance, for example, improved functioning in school as well as in the workplace and interpersonal relationships.