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Treatments For ADD - Drugs and Counselling
Treatment options for ADD include counseling and medication. It is essential to try both to determine which one is more effective.
People suffering from classic ADD are disorganized, inattentional and often hyperactive. They have a low blood flow to their prefrontal cortex, basal ganglia, and the thalamus. They also have low levels of dopamine. Treatment usually involves increasing the levels of dopamine.
Stimulants
Stimulants speed up the body's systems. They are legally available as prescription drugs, such as amphetamines (Adder-all and Dexedrine), methylphenidates (Concerta and Ritalin) and diet aids such as Didrex, Bontril and Fastin; and illegally used often in combination with other substances, such as methcathinone and cocaine (crack). They are available in the form of syrups, pills, liquids or patches that are placed on the skin.
They boost the levels of dopamine and norepinephrine in the brain's synapses, thereby improving concentration. They also reduce hyperactivity, impulsivity and enhance working memory. They are the most frequently prescribed medication for adults suffering from ADHD. natural add treatment can cause negative side effects, such as a decreased appetite, trouble sleeping and an increase in heart rate or blood pressure. They may interact with certain medications and medical conditions. It is important to speak with your physician about any concerns.
About 70% to 80 percent of people who are taking ADHD medications will experience reduced symptoms. Not all people respond the same way to the medication, and the effects may not last long.
Some people discover that stimulants aren't working well, or they can't tolerate the adverse effects. If this is the case, doctors may prescribe nonstimulant drugs. These drugs might not be as effective as stimulants, but they can help improve focus and attention as well as control impulses. Doctors often prescribe these with stimulants to increase their effectiveness.
Nonstimulant medications are more difficult to use and don't work as quickly. They don't raise dopamine levels and have a different impact on neurotransmitters. Examples include the atomoxetine (clonidine) as well as guanfacine and the clonidine. The most frequent adverse effect of these drugs is sleepiness. The drowsiness can be decreased by increasing the dose or taking the medication prior to the time of sleep. The drowsiness should diminish within a few weeks after the beginning of treatment.
Antidepressants
Most antidepressants affect the chemical substances in the brain known as neurotransmitters. They are grouped according to how they affect these neurotransmitters, with each group having drugs that act in slightly different ways. These include selective serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), atypical antidepressants, tricyclic antidepressants and monoamine oxidase inhibitors (MAOIs).
A doctor might recommend a medication from one of these groups to alleviate anxiety and depression symptoms. These medications may not offer immediate relief, since it can take weeks before you can feel the full benefits. Your doctor and you will determine the best treatment for you. They may combine two antidepressants, or add other medicines to improve the effectiveness of your treatment. This is called augmenting. The most popular augmenting drugs are aripiprazole quetiapine and lithium.
Different antidepressants have distinct adverse effects. It is important to speak with your doctor about these side effects, because some could affect your daily activities. These side effects may be severe or mild, depending on the type antidepressant you're taking. Inform your doctor if taking any other medications, including herbal remedies and over-the-counter drugs like St. John's Wort.
SSRIs are the most commonly prescribed antidepressants and are believed to have less adverse effects than other antidepressants. The SSRIs include fluoxetine (Prozac), paroxetine (Paxil, Pexeva) and sertraline (Zoloft).
SNRIs boost levels of serotonin and norepinephrine within the brain. This is why they are considered to be more effective than SSRIs. They also have a shorter half-life and are less likely than SSRIs to interact with other medications. The SNRIs include duloxetine (Cymbalta), and venlafaxine, (Effexor).
Atypical antidepressants are utilized for their energizing effects which help you feel more awake. They may be useful for people who have anxiety or insomnia that is very severe. Bupropion (Wellbutrin and Zyban) as well as mirtazapine are two of the most commonly used. These drugs can cause jitteriness, sleepiness or drowsiness, but they can be useful for many people suffering from depression, ADHD and anxiety. They are also used for the treatment of bulimia as well as for smoking cessation.
Cognitive therapy for behavioural issues
Cognitive behavioural therapy is a proven treatment for mental disorders. It is based on the belief that feelings and thoughts are interconnected and can be changed. CBT is a short-term, goal-oriented procedure which can help you develop new strategies to handle anxiety and negative habits. It can also be used to treat depression, anxiety and bipolar disorder.
The purpose of CBT is to transform negative thoughts into positive emotions and behavior. It is an amalgamation of two treatments which are cognitive therapy and behaviour therapy. It's a kind of psychotherapy which is usually short-term and can be performed in a group or individual setting. You will be taught various methods by a therapist and then you will practice them in your daily life. Some of these techniques include learning to recognize your negative automatic thoughts, practicing mindfulness meditation and keeping a mental journal.
A therapist can help you identify the negative thoughts that lead to ineffective behaviors, and then teach you strategies to change these beliefs. They'll also teach you problem solving techniques so that you are able to deal with challenges that arise in your day-to-day life. CBT therapists advise you to set SMART goals to help you to keep track of your progress.
While each type of CBT takes a different approach, all cognitive behavioral therapies focus on identifying and changing the thinking patterns that cause emotional distress. Therapists employ various methods however they all are based on the principles operant and classic conditioning which involves associating stimuli to their effects. While you are in treatment you will be rewarded for completing tasks. You'll also be punished for failing to complete them.
In the first few sessions your therapist will assist you to identify the problem behaviors and replace them with healthier ones. They might also assign homework to help you master the abilities. Depending on the degree of your illness it could take anywhere from 6-20 one-on-one sessions.
CBT can be used to treat a variety of disorders that include depression, anxiety and post-traumatic stress disorders (PTSD). It also works for adults suffering from ADHD that affects people as young as seven.
Counseling
Counselling is a type of psychotherapy that uses regular, scheduled meetings with a therapist to discuss your concerns. Typically, these sessions last about 50 minutes. They may be face-to-face in groups, or over the phone. Counselling can be utilized to treat a variety of mental health problems, including schizophrenia, depression and bipolar disorder. Counselling can be used to discuss relationship, family and friendship issues as well as work-related problems.
A counselor will listen to your issues and provide an objective viewpoint. They can spot patterns of behavior and suggest ways to change them. They can teach you techniques and coping techniques to manage anxiety, stress or depression. They can help you adjust to major life changes such as divorce or the loss of loved ones. They can also show you how to deal with addictions or chronic illnesses.
Some counsellors charge a fee for their services, and others are covered by Medicare rebates when you have a mental health care plan from your doctor.
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