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Adult ADHD and Comorbid Disorders
Many adults suffering from ADHD also suffer from comorbid conditions such as major depression (Kessler and colleagues, 2006). Many people who suffer from depression are not able to respond well to medications and may be able to benefit from therapy.
Neurotransmitters are brain chemicals that regulate and boost levels of certain brain chemicals. The most frequently prescribed stimulants include amphetamine, methylphenidate and similar drugs.
Medicines
A variety of medications used to treat ADHD in children can also be used on adults. The dosages and the side effects differ. A doctor will consider the medical history of the patient as well as family history and other health issues to determine which medication is best for them.
The most common ADHD medication is a stimulant. It works by altering the levels of norepinephrine and dopamine in the brain. Stimulants such as methylphenidate or dextro-amphe (commonly known as Adderall) boost the supply of these neurotransmitters. They help improve focus and reduce impulsivity and aggression. These stimulants are available in a variety of forms, such as skin patches, liquids, and chewable tablets. Long-acting versions of these stimulants are more effective because they provide better patient compliance and longer lasting more smooth improvement in symptoms.
It is crucial to be aware that co-occurring disorders like anxiety or depression may affect the response to ADHD medication. Therefore, it is recommended that these psychiatric issues be treated first before medication used as secondary measure. The drugs that can be used for comorbidity disorders include atomoxetine (Bupropion) tricyclic antidepressants, and bupropion (Wilens, 2004).
Certain patients might have an "rebound effect" where their ADHD symptoms become worse after stopping stimulant medications. In these cases a short trial of a low dose of stimulant medication can be beneficial.
Certain people are not able to take stimulant medication or take it because of the misuse of drugs or other health issues such as severe hypertension or heart issues. In these cases, non-stimulant drugs like atomoxetine or viloxazine can be effective. These medications do not cause the same amount of side effects as stimulants and carry a less risk of abuse and diversion.
Psychotherapy
Psychotherapy (talk therapy) can be helpful for people with ADHD. It can help people with ADHD learn how to improve their lives, deal with anxiety and stress, resolve conflicts, or deal with issues in their relationships or at work. It can also help with co-existing mental illnesses such as depression and substance abuse disorders.
Talk therapies include cognitive behavioral therapy (CBT) and mindfulness-based cognitive therapy and schema therapy. These treatments are based on the idea that thoughts and beliefs influence how a person feels, thinks and acts. CBT helps a person recognize negative behavior and thought patterns, and then formulates and implements positive strategies to change them. Meditation techniques are used in mindfulness-based cognitive therapy to help someone focus on their emotions and thoughts, control impulses, and improve executive functioning. Schema therapy and other types of psychotherapy focusing on a person's family history could be beneficial for those suffering from ADHD who suffer from significant secondary issues.
Psychotherapy, as well as medication, can assist with specific ADHD issues, like difficulty completing schoolwork or getting along with others. It can also assist in forgetting important dates and responsibilities, and making impulsive decisions that can lead to financial and legal issues. Psychotherapy can help someone overcome issues of the underlying nature, such as depression and anxiety that may contribute to their ADHD symptoms.
Psychotherapy can assist a person to develop healthy coping methods and reduce stress through exercise, sleep improvement and healthy eating habits. It can also offer support to the family member or partner who is dealing with the effects ADHD has on their relationship. Family therapy and marriage counseling can help families and couples learn to communicate better and manage ADHD symptoms together.
Cognitive Behavioral Therapy
CBT is a form of psychotherapy that focuses on helping clients to change their negative thinking patterns. It uses skill-based dialogue with a skilled mental health professional (a therapist) to address the root causes of their symptoms. This treatment aims to assist clients overcome their difficulties and develop coping skills that are in line with their daily routines.
In addition to teaching clients to recognize unhelpful thoughts, therapists who specialize in adult ADHD CBT help them develop abilities that enable them to replace negative thoughts with more productive ones. This process can take a long time. However, adult add treatment is a viable option for those who do not receive enough relief from medications.
In the course of a recent RCT, it was found that cognitive behavioral therapy paired with medication is superior to cognitive behavior therapy alone in terms of improving core symptoms, emotional symptom, self-esteem, and social functioning in adults with ADHD (Clarke and co. 2017). CBT combined with methylphenidate can be particularly effective for people who suffer from more severe underlying issues.
The therapists who offer this treatment usually work with the client to develop an action plan specific to solving their issues. They typically teach them a series of practical skills that are simple to implement and have a high chance of success. Charts are typically used to track progress and reward positive behaviors. For an infant, this could be a daily journal which outlines the school-related activities or positive behaviors they have to perform, as well as a method of monitoring and gaining rewards. The therapists can also discuss the possibility that negative consequences could be imposed if a child fails to complete their tasks. This can be done in a sensitive and supportive way.
Metacognitive Therapy
A newer form of therapy, metacognitive therapy assists individuals in changing how they think. This kind of therapy can be beneficial for those who suffer from various mental health problems, such as depression. It is a form of cognitive behavioral therapy that helps people recognize negative thoughts and their effects on their moods. This kind of therapy can help to develop mental tools that are adaptable and beneficial.
The aim of this study was to explore the relationship between metacognitive abilities and daily functioning in adults with ADHD. To this end, we examined the relationship between self- and informant-rated impairments in daily functioning with predictors of metacognition (comprehensive knowledge and cognition regulation debugging, information management and evaluation). It was found that comprehensive knowledge was connected to daily functioning in adults with ADHD but that the processes of regulation were not. Metacognition predictors had moderate predictive power which indicates that they can explain an important amount of variations in the daily functioning of adults with ADHD.
Metacognitive therapy (MCT) is a form of psychotherapy that focuses on changing metacognitive beliefs that are dysfunctional and perpetuate states of worry, rumination and attention fixation. Adrian Wells developed MCT based on the model of information processing by Wells and Gerald Matthews. MCT has been shown to be effective in treating illness anxiety disorder. However, it is still a relatively new treatment and further research is required to determine if it could aid in other disorders.
This study was created to evaluate the efficacy of MCT to alleviate symptoms of illness anxiety disorder. However it is also able to treat a variety of disorders and is more effective than other treatment. It is important to keep in mind that this is not an effective treatment for ADHD, but it can be used as an adjunctive therapy.
Family Therapy
In family therapy, the therapy therapist works with the entire family. This helps all family members be aware of the issues facing the client and learn how to support their loved ones better. It also assists them in dealing with their frustrations and build better communication skills. Additionally, this kind of counseling is useful in addressing comorbid conditions like depression or addiction to drugs, which are typically associated with ADHD.
The therapist will start with an intake session to better understand the family's views and determine whether they are appropriate for family intervention. This can be done in person or via the internet. The therapist will discuss the nature of the therapy with each client and lay out the do's and don'ts of family therapy.
A therapist who has experience in treating adults with ADHD will ask a lot of questions to gain understanding of the client's present symptoms, their past and their impacts on their work, family life and relationships. They will also inquire whether there are any other mental health issues present like anxiety or depression.
Cognitive behavioral therapy is a structured type of counseling that teaches you how to manage your behavior and change negative patterns of thinking into positive ones. It focuses on improving your self-esteem and self-control through teaching techniques to cope with anger and stress. add in adults treatment is a temporary option that can be used in conjunction with other types psychotherapy.
Individual talk therapy can help people suffering from ADHD deal with emotional baggage from longstanding patterns of underachievement and failure academic issues, frequent job changes and relationship conflict. It can teach you strategies for managing stress and coping and teach you how to manage your time and finances more efficiently. It can also be used to address comorbid conditions, such as mood and anxiety disorders, which are often seen alongside ADHD.
Homepage: http://www.stes.tyc.edu.tw/xoops/modules/profile/userinfo.php?uid=2591966
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