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Treatment of ADHD in Adults
Adults with adhd are treated through therapy, medication and support from the family. Individuals can also take part in clinical trials to test new methods of treating ADHD.
The stimulant medications are the most effective medications for adults with ADHD. They need to be monitored regularly. This includes monthly clinical appointments and regular review of symptoms.
Medicines
There are a variety of medications that can help to reduce the symptoms of ADHD in adults. These are known as psychostimulants. They work by altering the levels of certain neurotransmitters (chemicals) in your brain that transmit messages between nerve cells. Your doctor will choose the right medication for you and determine the most appropriate dosage and time to take it. It may take some time to find the right dosage and medication that control your symptoms.
The first medication that doctors that treat adhd in adults prescribe to adults with ADHD is stimulants. They increase the amount of dopamine and norepinephrine in your brain, which enhances your ability to concentrate and control impulses. They come in short-, intermediate-and long-acting versions. Short-acting stimulants can last up to 6 hours. Intermediate-acting medicines last for 8-10 hours. Long-acting stimulants last from 8 to 16. Long-acting stimulants have less adverse effects than shorter- and intermediate-acting medicines, but they still cause insomnia and changes in appetite.
Non-stimulant medications like atomoxetine (Strattera), are used to treat adults with ADHD when stimulants don't work or cause undesirable side effects. These medications don't affect your dopamine or norepinephrine levels however they do increase the amount of norepinephrine, which improves your concentration. These capsules are consumed once or two times a day.
Some people with ADHD suffer from co-occurring disorders such as anxiety or depression. These are known as comorbid disorders and they can influence how you react to treatment for ADHD. It's important to treat any comorbidities prior to starting treatment for Adhd Symptoms adults Treatment. People who have a history of substance abuse disorder are more likely to abuse psychostimulants. It is recommended to wait until someone has stopped using drugs before taking them on with stimulants.
Psychotherapy
Psychotherapy is a method of discussing and discussing issues that may be disturbing or troubling to a person. The therapist listens to the person and provides guidance based on his or his or her training, education and experience professional credentials and therapeutic philosophical philosophies. Psychotherapy may be short-term (a few weeks or months), addressing more immediate issues, or long-term. The patient and therapist decide on the duration and frequency of therapy.
Psychotherapy and medication together are an extremely effective method to treat adults suffering from ADHD. Behavioral therapy assists people in improving their organizational skills, time management and prioritizing. It can also teach strategies for managing emotions like anger and frustration. Treatment can ease symptoms and improve concentration, which results in more effective and efficient academic and work performance.
Adults with ADHD are more likely of having co-existing disorders. This is especially relevant for mood disorders such as anxiety and depression. Before beginning treatment for ADHD it is essential to treat any co-existing condition. The treatment of co-existing conditions may require different types of medications and dosages compared to those prescribed to treat ADHD.
A person with ADHD may also suffer from hypertension. Selecting a medication that addresses the ADHD symptoms but does not affect the patient's hypertension which is being controlled requires knowledge of how different medications affect people over time and an understanding of the interactions between medications.
It is essential to find a therapist with whom you have good relations, and who is experienced in treating adults suffering from ADHD. It is important to schedule your first few sessions at a time that you won't be distracted by family or work obligations.
Counseling
Adults suffering from ADHD often have many problems in their lives, such as relationships and work problems. A person with ADHD may also experience frustration, anger and blame that has been accumulated over time. Several psychosocial treatments have been proven to aid them and their families develop new behaviors, skills, and ways of relating.
Psychotherapy can also include cognitive behavioral therapy, a type of psychotherapy that helps individuals modify their thinking and behavior. It includes goal-setting, skills training and practice, as well as methods to help increase self-esteem and organizational skills. It may be done in individual or group sessions. Certain studies have demonstrated that the use of metacognitive therapy can reduce symptoms and improve functioning for adults suffering from ADHD (Stevenson and co-authors 2002).
Certain people with ADHD may also require counseling to help them overcome specific life issues. These challenges may include family conflicts, aggressive or impulsive behaviors, and difficulty coping with disappointments and failures. Counseling can help teach strategies to manage these situations, improve communication, and increase problem-solving capabilities. It can also improve interpersonal relationships, particularly in marriages or other long-term partnerships.
Other types of psychotherapy for ADHD include family therapy and supportive group therapy. These therapies can assist families in coping and improve their skills to manage conflict and improve communication when dealing with a child who has ADHD. It can aid parents understand the disorder and develop parenting methods that promote positive outcomes for their children.
Adults suffering from ADHD should discuss their medications regularly with their physicians and inform them of any other medications, including over-the prescription drugs. Some medications can cause side effects or interact with other medications.
Medication Monitoring
After a thorough evaluation and diagnosis is made it is crucial to monitor the patient to ensure that he or she is receiving the benefits of medication and not experiencing adverse effects. It is recommended that patients be seen for an initial medical check-up within 30 days of starting treatment, and every month thereafter. This allows for the proper titration of psychostimulants such as amphetamines and methylphenidate, to a safe, effective dose. This allows for a precise registration of the patient's response and assists in avoiding the patient from being kept on doses that are not sufficient (slow metabolism) or forcing those who require higher doses onto unnecessarily high levels (rapid metabolizers).
For adults who do not respond adequately to stimulant medication or suffer from uncontrollable side effects, the use of non-stimulant drugs might be suggested. This is usually the case with atomoxetine, or other methylphenidate-related alternatives.
Adults with ADHD frequently suffer from co-occurring disorders like mood disorder or anxiety disorder, substance abuse problems or depression. They might also be suffering from medical problems like hearing and vision problems or chronic sleep disorders. As part of the initial assessment for ADHD it is essential to identify such conditions and evaluate their severity. These conditions could have a significant impact on functional impairments for adults.
ADHD can also be managed through marital therapy. Spouses often report that they feel overburdened by the caretaking responsibilities of their spouses with ADHD and may become resentful and angry due to this. Reduced resentment can be achieved by increasing the patient's awareness of their condition, and assisting them understand that the symptoms are not caused by a lack in affection or willfulness. Couples who go through this kind of therapy typically experience better family functioning.
Behavioral Therapy
For those who suffer from ADHD, psychotherapy is generally recommended and should incorporate a cognitive-behavioral component. Behavioral therapy helps patients learn to improve their abilities to manage their time and focus, as well as control the impulsive behavior. It helps patients manage their social, work and home life more efficiently. Psychotherapy helps patients understand how their condition affects various aspects of their lives and relationships. This helps reduce the shame and low-esteem that are often felt by people with ADHD. They may be perceived by others as being lazy or inexperienced.
ADHD symptoms can be mimicked by many mental disorders. For instance 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 psychiatric problems should be assessed, as appropriate, to determine if 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 demonstrated that when a combination of medications and psychotherapy is used, the results are better than the results of either treatment alone. Future controlled medication studies will attempt to measure and assess improvements in functional performance, for example, better functioning at school as well as in the workplace and interpersonal relations.
