• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Treatment of ADHD in Adults

Adults with adhd are treated with therapy, medication and support from the family. Individuals can also take part in clinical trials to test new ways of treating ADHD.

Adults with ADHD are most likely to benefit from stimulant medication. But they need to be closely monitored. This includes regular clinical appointments and regular reviews of side effects and symptoms.

Medicines

There are a variety of medications that can help reduce the symptoms of ADHD in adults. These are referred to as psychostimulants, and they work by altering the levels of certain neurotransmitters (chemicals) in your brain that transmit messages between nerve cell. Your doctor will recommend a medication that's right for you and determine the best dose and schedule to take it. It could take a while to determine the proper dosage and medication to control your symptoms.

Stimulants are often the first prescription medication doctors recommend for adults with ADHD. These medications increase the amount of dopamine found in your brain and norepinephrine, which helps you to control your thoughts and improve your focus. They come in short-, intermediate-- and long-acting forms. Short-acting stimulants last about 6 hours, intermediate-acting medications last 8-10 hours, and long-acting medications last for up to 16 hours. Long-acting stimulants are less likely to cause adverse effects than intermediate or shorter-acting medications. However, they can cause sleepiness and changes in appetite.

Nonstimulant drugs like atomoxetine (Strattera), are used to treat adults with ADHD if stimulants do not work or cause unwanted adverse effects. These medicines don't affect your norepinephrine or dopamine levels, but they increase the amount of norepinephrine available to your brain and improve your ability to focus. These medications are in capsule form and are taken once or twice each day.

Some adults with ADHD also suffer from other mental disorders, including anxiety and depression. These conditions are known as comorbidities, and they can influence how you respond to ADHD treatment. It is important to address any comorbid disorders prior to beginning treatment for ADHD. For instance, those who have an addiction history to drugs or disorder are more likely to abuse psychostimulants. For this reason, it is generally recommended to wait until a person has removed themselves from using substances before evaluating treatment with stimulants for ADHD.

Psychotherapy

Psychotherapy is a method of therapy that involves discussing and discussing issues that cause anxiety or are disturbing to the person. The therapist listens and offers advice based on their education, training as well as experience, professional credentials and therapeutic philosophies. Psychotherapy could be short-term (a few weeks or months) dealing with more immediate challenges, or long-term (months or years) where a person is working on more complex and long-standing issues. The therapist and the patient decide on the length and frequency of therapy.

The use of psychotherapy and medications together is a highly effective treatment for adults suffering from ADHD. Behavioral therapy can help individuals improve their time management, organizational skills and prioritizing. It can also teach techniques to manage emotions, such as anger and frustration. Treatment can ease symptoms, improve focus, and result in better academic and work performance.

Adults who suffer from ADHD have a higher likelihood of co-existing illnesses. This is especially true for mood disorders like depression and anxiety. It is crucial that any co-existing condition be treated before beginning treatment for ADHD. The treatment of co-existing disorders might require different kinds of medication and doses than the ones used to treat ADHD.

For instance, a person with ADHD might also be suffering from hypertension. Finding a medication that can treat the adhd diagnosis and treatment symptoms, but does not affect the patient's hypertension that is controlled requires knowledge of how various medications affect people over time and an understanding of the interactions between different medications.

It is essential to find a therapist who has experience treating adults with inattentive adhd treatment adults and with whom you feel at ease. It's important to schedule your initial sessions at a time when you aren't distracted by work or family obligations.

Counseling

Adults suffering from ADHD typically face a variety of life challenges, including relationships and work problems. People with ADHD can be prone to anger, frustration and blame that has developed over time. Psychosocial therapies can help patients and their families develop new abilities, attitudes, and ways of relating.

Cognitive behavioral therapy is a type psychotherapy that helps people alter their habits and thoughts. It involves goal-setting, training and practicing of skills, as well as teaching strategies for improving self-esteem and organization. It can be done in a private or in a group. Metacognitive therapy has been proven to significantly reduce symptoms among adults suffering from ADHD and improve their functioning (Stevenson, et al., 2002).

In addition to psychotherapy, some people with ADHD require counseling to address specific life difficulties. These challenges may include family conflicts, impulsive or aggressive behaviors, or difficulty in dealing with failures and disappointments. Counseling can help you develop the techniques to manage these situations and improve the ability to communicate and solve problems. It can also improve interpersonal relationships, particularly in long-term marriages or other relationships.

Family therapy and supportive group therapy are other forms of psychotherapy that could be utilized to treat ADHD. These therapies can assist families in coping and develop skills to lessen conflict and improve communication when dealing with a child who has ADHD. It also helps parents recognize the symptoms and develop parenting techniques that encourage positive outcomes for their children.

Adults with ADHD must discuss their medication regularly with their physicians and inform them of any other medications, such as over-the drug products. Some medications can cause side effects or interact with other medications.

Medication Monitoring

After a thorough evaluation and diagnosis, it is important to monitor the patient's condition to ensure that he/she receives the benefits of the medication and does not experience side negative effects. It is recommended that patients be examined for an initial medical check-up within 30 days of initiating treatment and monthly afterward. This allows for a thorough adjustment of psychostimulants, such as amphetamines and methylphenidate to a safe, effective dose. This allows for accurate registration of the patient's reaction and assists in avoiding the patient from being kept on doses that are not sufficient (slow metabolism) or forcing those who require higher doses on unnecessarily high levels (rapid metabolizers).

Adults who do not respond well to stimulant medication or suffer from unwanted side effects that are difficult to tolerate could benefit from non-stimulant medications. This is usually the case with atomoxetine, or other methylphenidate-related alternatives.

Adults suffering from ADHD are often affected by comorbid disorders like depression or drug abuse. Additionally, they may suffer from chronic sleep disturbances or medical issues like hearing and vision disorders. As part of the initial assessment for ADHD, it is important to detect for these conditions and then evaluate their severity. These conditions can have a significant effect on functional impairments in adults.

Marital therapy can be helpful in managing ADHD. Many spouses report that they are overwhelmed by the responsibilities to care for their spouses who have ADHD and can become resentful and angry as a result. Making the patient aware of the signs of their condition and helping to understand that these aren't impulsive actions or a lack of affection can help to reduce marital conflict and resentment. Couples who go through this type of therapy are more likely to have better functioning families.

Behavioral Therapy

For those who suffer from ADHD Psychotherapy is generally recommended and should incorporate a cognitive-behavioral component. Behavioral therapy assists patients in learning to improve their abilities to manage their time and focus, as well as control the impulsive behavior. It helps patients manage their work, social and home life more effectively. Psychotherapy can also help patients understand how their disorder affects different areas of their lives and relationships. This can help decrease the feelings of shame and low self-esteem that is often seen in those with ADHD who are considered inept or unintelligent.

Many psychiatric disorders may be akin to ADHD symptoms. For example anxiety disorders are found at a higher rate in adult ADHD patients, and depression is found at increased levels in people suffering from the disorder. The presence of other mental health problems should be evaluated, as appropriate, to determine whether or not the patient's ADHD symptoms are connected to them.

A combination of psychotherapy and pharmacotherapy is generally recommended for treatment of ADHD in adults. It has been proven that when a combination of medication and psychotherapy is used results are more favorable than the results of either treatment alone. Future controlled medication studies should attempt to measure and track the effects of functional improvements, such as better functioning at school, workplace and interpersonal relationships.