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Treatment of ADHD in Adults
Adults with adhd are treated by medication, therapy and support from family members. Clinical trials are available to test the effectiveness of new treatments for ADHD.
Adults suffering from ADHD are the most likely to benefit from stimulant medications. They require monitoring regularly. This includes monthly appointments with a doctor, and frequent reviews of symptoms and side effects.
Medications
There are a variety of medications that can help to reduce the symptoms of ADHD in adults. adult add treatments are known as psychostimulants and they work by changing the levels of certain chemicals in your brain (neurotransmitters) that pass messages between nerve cells. Your doctor will recommend the best medication for you and determine the most effective dose and time to take it. It could take some time to find the right dosage and medication that will control your symptoms.
Stimulants are typically the first prescription medication doctors recommend for adults with ADHD. These medicines increase the amounts of dopamine and norepinephrine in your brain, which improve your ability to concentrate and manage impulses. They are available in short-, intermediate-- and long-acting forms. Short-acting stimulants last around 6 hours, intermediate-acting medications last 8-10 hours, and long-acting drugs last up to 16 hours. Long-acting stimulants have fewer side effects than shorterand intermediate-acting drugs, however they still cause an increase in appetite and sleepiness.
Nonstimulant drugs like atomoxetine, (Strattera), are used to treat adults with ADHD in cases where stimulants don't work or cause undesirable side effects. These medications don't alter the levels of norepinephrine or dopamine however they increase the amount of norepinephrine available to your brain and increase your ability to concentrate. These medicines come in capsules and are taken twice or once every day.
Many people with ADHD may also suffer from other psychiatric disorders, such as anxiety and depression. These are known as comorbid disorders and can affect how you react to treatment for ADHD. It's important to treat any comorbid conditions before starting treatment for ADHD. People with a history substance abuse disorder are more likely to abuse psychostimulants. It is best to wait until a person has quit using drugs before treating them with stimulants.
Psychotherapy
Psychotherapy is a method of therapy that involves talking and discussing topics that cause anxiety or are disturbing to a person. The therapist listens to the person and provides guidance based on their education, training, experience, professional credentials and therapeutic theories. Psychotherapy may be short-term (a couple of weeks or months), addressing more immediate issues, or more long-term. The therapist and the patient decide on the duration and frequency of therapy.
The use of psychotherapy and medications together is an extremely effective treatment for adults suffering from ADHD. Behavioral therapy can help individuals improve their time management, organizational skills, and prioritizing. It can also teach strategies to manage emotions like anger and frustration. Medication can reduce symptoms, increase concentration and improve work and academic performance.
Adults with ADHD are more likely of having co-existing disorders. This is especially applicable to mood disorders like anxiety and depression. It is essential that any co-existing conditions be treated prior to starting treatment for ADHD. Treatment of co-existing disorders may require different types and doses of medication than those used to treat ADHD.
A person who suffers from ADHD can also have hypertension. Selecting a medication that addresses the ADHD symptoms but does not destabilize the patient's hypertension that is controlled requires knowledge of how different medications affect individuals over time and an understanding of the interactions between medications.
It's important to find an therapy provider with whom you have a a good relationship, and who has experience in treating adults with ADHD. It is also crucial to schedule your first few sessions during times when you're not distracted by family responsibilities or work obligations.
Counseling
Adults who suffer from ADHD often have many problems in their lives, such as relationships and work problems. The person who has ADHD might also experience anger, frustration and guilt that has developed over time. Numerous psychosocial therapies have been proven effective in helping their families and patients learn new skills, attitudes and ways of connecting.
Psychotherapy may include cognitive behavioral therapy, a form of psychotherapy that aids individuals to change their thinking and behavior. It involves goal-setting, training and practicing of skills, and strategies for teaching that help improve self-esteem and organization. It may be done in group or individual sessions. Metacognitive therapy has been proven to significantly reduce symptoms in adults with ADHD and improve their functioning (Stevenson and colleagues. 2002).
Some people suffering from ADHD might also require counseling to help them overcome particular issues in their lives. This could include family conflict, impulsive or aggressive behavior, or difficulty coping with disappointments and failures. Counseling can teach strategies to help manage these situations and improve communication and problem-solving abilities. It can also improve interpersonal relationships, especially in marriages or other long-term partnerships.
Family therapy and support groups therapy are also types of psychotherapy that can be used to treat ADHD. These can help families deal with the anxiety of having a child suffering from ADHD and teach skills to improve communication and reduce conflicts. It can help parents understand the condition and develop parenting strategies that encourage positive results in their children.
Adults suffering from ADHD should discuss their medications regularly with their doctors and disclose any other medications, such as over-the prescription drugs. Certain medications may interact with certain medications or trigger adverse reactions that are made worse by other medications.
Medication Monitoring
After a thorough assessment and diagnosis, it is important to monitor the patient's condition to ensure that he/she reaps the benefits of the medication and doesn't experience any adverse side effects. It is recommended to visit the patient for the initial clinical assessment within 30 days of starting treatment, and then every month following that. In the case of psychostimulants (methylphenidate amphetamines) this allows for complete titration to an effective and well-tolerated dose. This permits accurate recording of the patient's reaction and helps avoid keeping the patient with a sensitive response on doses that are not sufficient.
For adults who do not respond effectively to stimulant medications or suffer from uncontrollable side effects, the use of nonstimulant medication might be suggested. Typically this involves the use of atomoxetine, or other related methylphenidate alternatives.
Adults who suffer from ADHD are frequently affected by comorbid disorders, like depression or substance abuse. Moreover, they may have chronic sleep disturbances or medical issues like hearing and vision problems. It is important to screen and evaluate such conditions as part of the initial assessment for ADHD since these can have significant effects on functional impairment in adults.
ADHD can also be treated through marital therapy. Spouses report feeling overburdened with the responsibilities of caring for their spouses who suffer from ADHD and may become angry or resentful as a consequence. Increasing the patient's awareness of the signs of their condition and helping them realize that these are not willful acts or a lack of affection can help reduce marital conflict and resentment. Couples who go through this type of therapy are more likely to have better functioning families.
Behavioral Therapy
Psychotherapy for adults with ADHD is usually suggested. It should include a behavioral and cognitive component. Behavioral therapy can help patients improve their organization skills, focus and control their impulsive behaviors. It helps patients manage their work, home and social settings in more productive ways. Psychotherapy can also help patients understand how their condition affects different areas of their lives and relationships. This can reduce the stigma and feelings of shame that are often seen among adults with ADHD. They may be viewed by others as lazy or unintelligent.
ADHD symptoms can be mimicked by various psychiatric disorders. Adult ADHD patients are more likely to be suffering from depression and anxiety. The presence of any other psychiatric problems should be assessed according to the need, to determine if the patient's ADHD symptoms are connected to them.
A combination of pharmacotherapy and psychotherapy is generally recommended for treatment of ADHD in adults. It has been proven that when a combination of medications and psychotherapy is employed, the results are better than treatment on its own. Future controlled studies will aim to track and evaluate functional improvements, such as improved functioning in school, the workplace, and interpersonal relations.
Read More: https://www.iampsychiatry.uk/adhd-treatment-for-adults/
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