Treatment of ADHD in Adults





Treatment for adhd in adults is based on therapy, medication and support from family members. Clinical trials are available to test new treatments for ADHD.





Adults with ADHD are most likely to benefit from stimulant medications. But they need to be constantly monitored. That includes monthly clinical appointments, and Treatment Adhd frequent reviews of symptoms and side effects.





Medicines





There are many medications that can help reduce the symptoms of ADHD in adults. These are called psychostimulants and they affect the levels of certain chemicals in your brain (neurotransmitters) that pass messages between nerve cells. Your doctor will determine the right medication for you and will determine the most effective dosage and schedule. It could take some time to find the right dosage and medication that is able to control your symptoms.





Stimulants are often the first prescription medication doctors recommend to adults suffering from ADHD. These medicines increase the amounts of norepinephrine and dopamine in your brain, which improve your ability to concentrate and manage impulses. They come in short-, intermediateand long-acting varieties. Short-acting stimulants last about 6 hours, intermediate-acting drugs last between 8 and 10 hours, and long-acting medicines last up to 16 hours. Long-acting stimulants have less side effects than shorterand intermediate-acting drugs, however they can still 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 side effects. These medicines don't affect the levels of norepinephrine or dopamine however they increase the amount of norepinephrine that's available to your brain, and improve your ability to focus. These capsules are consumed once or twice a day.





Some adults with ADHD may also suffer from other psychiatric disorders, including anxiety and depression. These disorders are referred to as comorbidities and can affect your response to ADHD treatment. It's important to treat any comorbid conditions before starting treatment for ADHD. People who have a history of addiction to drugs are more likely to use psychostimulants. It's best to wait until a person has stopped using drugs before taking them on with stimulants.





Psychotherapy





Psychotherapy is a process that involves discussing and discussing issues that cause anxiety or are disturbing to a person. The therapist provides guidance based upon his or her training, experience, credentials, and the therapeutic philosophy. Psychotherapy can be short-term (a few weeks or months) dealing with immediate issues, or long-term (months or years) where a person is working on more complicated and longstanding issues. The duration and frequency of therapy are determined by the therapist and the patient together.





The use of psychotherapy and drugs together is an extremely effective treatment option for adults suffering from ADHD. Behavioral therapy helps people improve their abilities to organize their lives, manage their time and prioritizing; it can also teach techniques for managing emotions like anger and frustration. Medication can reduce symptoms and improve concentration, which results in more effective and efficient academic and work.





Adults who suffer from ADHD are more likely to suffer from co-existing issues, especially mood disorders such as depression and anxiety. Before starting treatment adhd for ADHD, it is important to treat any co-existing condition. Treatment of co-existing disorders could require different forms and dosages of medication than those used to treat ADHD.





For instance, a patient who suffers from ADHD might also be suffering from hypertension. Finding a medication that can treat the ADHD symptoms but does not alter the patient's hypertension which is being controlled requires understanding how different medications affect people over time and an understanding of the interactions between various medications.





It is essential to locate a therapist who has expertise in treating adults with ADHD and with whom you are comfortable. It is also crucial to schedule your first few sessions when you aren't distracted by family responsibilities or work obligations.





Counseling





Adults with ADHD often have many issues in their lives, including relationships and work problems. They may also experience frustration, blame and anger that have built up in their lives because of their symptoms. Psychosocial therapies can aid patients and their families to develop new abilities, attitudes and natural ways to treat adhd of relating.





Cognitive behavioral therapy is a form of psychotherapy that helps people alter their habits and thoughts. It involves setting goals, training and the practice of skills, as well as teaching strategies for improving self-esteem and organization. This can be accomplished individually or in a group setting. Some studies have shown that treatment for adhd and ptsd combined for metacognitive disorders can reduce symptoms and improve functioning in adults with ADHD (Stevenson et al 2002).





In addition to psychotherapy, some people with ADHD also need counseling to deal with specific life issues. These issues could include family conflicts, aggressive or impulsive behaviors, or difficulty in dealing with failures and disappointments. Counseling can help develop how to handle these situations, improve communication, and increase problem-solving capabilities. It can also help improve interpersonal relationships, especially in marriages or other long-term partnerships.





Family therapy and support groups therapy are two other types of psychotherapy that could be utilized to treat adhd overstimulation treatment. These therapies can assist families in coping and learn skills to reduce conflict and improve communication when dealing with children who have ADHD. It can also help parents learn about the disorder and develop parenting strategies that promote positive outcomes for their children.





Adults with ADHD should discuss their medication regularly with their doctors and inform them of any other medications, including over the counter drugs. Certain medications may interact with specific medications or cause adverse reactions that are made worse by other medicines.





Medication Monitoring





After a thorough assessment and diagnosis, it is important to monitor the patient to ensure that he/she reaps the benefits of the medication and does not experience any adverse side negative effects. It is recommended that a patient be seen for an initial medical check-up within 30 days of initiating treatment, and every month afterward. In the case of psychostimulants (methylphenidate, amphetamines) this allows for a complete titration to an effective dose that is well-tolerated. This allows for a precise registration of the patient's response and assists in avoiding the patient from being kept on insufficient doses (slow metabolism) or forcing those who require higher doses onto excessively high levels (rapid metabolizers).





For adults who are unable to respond effectively to stimulant medications or have intolerable side effects the use of nonstimulant medication could be recommended. Typically this involves the use of atomoxetine or other methylphenidate alternatives.





Adults with ADHD are usually affected by comorbid disorders like depression or drug abuse. Additionally, they may suffer from chronic sleep disorders or medical problems such as hearing and vision disorders. As part of the initial assessment for ADHD it is essential to identify for these conditions and then evaluate their severity. These conditions could have a significant impact on functional impairments in adults.





Marital therapy can also be beneficial in managing ADHD. Many spouses report that they feel overwhelmed by the caretaking responsibilities of their spouses with ADHD and can become resentful and angry as a result. The way to reduce resentment is by enhancing the awareness of their condition, and helping them to understand that the symptoms are not due to a lack in willfulness or love. Couples who go through this type of therapy typically experience better family functioning.





Behavioral Therapy





Psychotherapy for adults with ADHD is generally recommended. It should include a behavioral and cognitive component. Behavioral therapy helps patients learn to improve their abilities to manage their time and focus, as well as control impulsive behavior. It helps patients manage their social, work and home life more efficiently. Psychotherapy assists patients in understanding how their condition impacts various aspects of their lives and relationships. This can help decrease the feelings of shame and low self-esteem that is commonly seen in people with ADHD who are considered inept or unintelligent.





Many psychiatric disorders can mimic ADHD symptoms. For example, anxiety disorders occur at high rates in adult ADHD patients, and depression is found at increased levels in people suffering from the disorder. If needed, the presence of other psychiatric disorders should be analyzed to determine if ADHD symptoms are caused by them.





A combination of pharmacotherapy and psychotherapy is generally recommended for treatment of ADHD in adults. It has been established that the combination of psychotherapy with medication produces superior results over either treatment on its own. Future controlled studies must attempt to measure and track the effects of functional improvements, such as better functioning at school, workplace, and interpersonal relationships.