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https://www.iampsychiatry.uk/adhd-treatment-for-adults/
Treatment of ADHD in Adults Treatment for adhd in adults focuses on medication therapy and family support Clinical trials are available to test new treatments for ADHD Stimulant medications are the most effective medications for adults with ADHD They must be monitored regularly This includes regular appointments with a physician and frequent examinations of symptoms Medicines Numerous medications can be used to reduce the symptoms of ADHD in adults They are referred to as psychostimulants they work by changing the levels of certain chemicals in your brain neurotransmitters which transmit messages between nerve cells Your doctor will choose the appropriate medication for you and will determine the most effective dosage and timetable It may take some time to determine the proper dosage and medication that control your symptoms Stimulants are usually the first prescribed medication by doctors for adults suffering from ADHD These drugs increase the amount of dopamine found in your brain and norepinephrine which aids in controlling your impulses and improve your focus These medicines are available in short mediumand longacting varieties Shortacting stimulants last for about 6 hours intermediateacting drugs last between 8 and 10 hours and longacting drugs last up to 16 hours Longacting stimulants are less likely cause side effects than intermediate or shorteracting medications However adhd treatment guidelines can cause sleepiness and changes in appetite Nonstimulant drugs like atomoxetine Strattera are used to treat adult ADHD in cases where stimulants dont work or cause unwanted side effects These medicines do not affect your dopamine or norepinephrine levels however they do increase your brains availability of norepinephrine and improve your concentration The capsules are taken one or twice a day Some adults with ADHD also suffer from other mental disorders including depression and anxiety These are known as comorbid disorders and can affect how you respond to treatment for ADHD It is essential to treat any comorbidities prior to starting treatment for ADHD For instance those who have an addiction history to drugs or disorder are more likely to abuse psychostimulants This is why its generally advised to wait until a person has quit using substances before considering treatment with stimulants to treat ADHD Psychotherapy Psychotherapy is a process that involves talking and discussing topics that cause anxiety or are disturbing to a person The therapist listens and provides guidance based on his or her education training as well as experience professional credentials and therapeutic theories Psychotherapy can be shortterm a few weeks or even months or addressing more immediate issues or more longterm The therapist and the patient determine the length and frequency of therapy Psychotherapy and medication together are a highly effective way to treat adults with ADHD Behavioral therapy can help individuals improve their time management organizational skills and prioritizing It can also teach strategies to manage emotions such as anger and frustration The use of medication can help reduce symptoms increase focus and lead to better academic and work performance Adults with ADHD are more likely of coexisting illnesses This is especially relevant for mood disorders such as depression and anxiety Before beginning treatment for ADHD it is important to treat any coexisting condition Treatment of coexisting disorders may require different types and dosages of medication than that used to treat ADHD A person suffering from ADHD can also have hypertension Choosing a medication that treats the ADHD symptoms but doesnt affect the patients hypertension that is controlled requires understanding how different medications affect people over time and an understanding of the interactions between various medications Its crucial to choose a therapist with had experience working with adults suffering from ADHD and with whom you feel comfortable It is important to schedule your first few sessions at a time that you wont be distracted by work or family obligations Counseling Adults with ADHD typically face a variety of problems in their lives such as relationships and work issues They also may experience anger blame and frustration that have developed in their lives due to their symptoms Psychosocial treatments can aid patients and their families to develop new abilities attitudes and ways of communicating 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 and teaching strategies for improving selfesteem and organizational skills It can be conducted in individual or group sessions Metacognitive therapy has been shown to significantly reduce symptoms among adults suffering from ADHD and improve their functioning Stevenson et al 2002 Some people with ADHD may also require therapy to help them overcome specific life issues These difficulties could include family conflicts impulsive or aggressive behavior and difficulties in dealing with disappointments and failures Counseling can teach the how to handle these situations improve communication and increase problemsolving capabilities It can also help improve relationships particularly in marriages and other longterm partnerships Family therapy and supportive groups therapy are two other types of psychotherapy that can be used to treat ADHD These can help families deal with the stress of having a child who has ADHD as well as develop skills to improve communication and reduce conflict It also helps parents recognize the symptoms and develop parenting strategies that encourage positive outcomes for their children It is essential for people suffering from ADHD to discuss their medication with their health care providers regularly and to disclose all other medications theyre taking including overthecounter drugs Some medications can interact with certain medications or trigger adverse effects that are exacerbated by other medicines Medication Monitoring After a thorough examination and diagnosis it is crucial to monitor the patients condition to ensure that the patient receives the benefits of the medication and doesnt experience any adverse side effects It is recommended to see a patient for the initial medical monitoring within 30 days after starting treatment and then every month following that This allows for a thorough titration of psychostimulants such as amphetamines and methylphenidate to a safe effective dose This allows for accurate registration of the patients response and helps to avoid having sensitive patients remain on insufficient doses slow metabolizers or forcing those who require higher doses onto excessively high levels rapid metabolizers Adults who arent responding well to stimulant medication or who have side effects that are intolerable may benefit from nonstimulant medications This typically involves the use of the methylphenidate based atomoxetine alternatives Adults who suffer from ADHD are often affected by comorbid disorders like depression or drug abuse In addition they may experience chronic sleep disorders or medical issues like hearing and vision problems It is crucial to identify and assess these conditions in the initial assessment for ADHD because they could have a significant effects on functional impairment in adults ADHD can also be managed through marital therapy Many spouses report that they feel overwhelmed by the responsibilities of caring for their spouses who have ADHD and can become angry and angry as a result Increasing the patients awareness of the symptoms of hisher illness and helping them realize that these arent impulsive acts or a lack of affection can help reduce resentment and marital difficulties Couples who go through this type of therapy generally experience a better family functioning Behavioral Therapy Psychotherapy for adults with ADHD is typically recommended It should include a behavioral and cognitive component Behavioral therapy assists patients in improving their organization skills focus and control impulsive behaviors It helps patients manage their work home and social interactions in more productive ways Psychotherapy can also help patients understand how their condition impacts different aspects of their lives and relationships This can help decrease the feelings of shame and low selfesteem that is commonly seen in those with ADHD who may be viewed as lazy or less intelligent Many psychiatric disorders can mimic ADHD symptoms Adult ADHD patients are more likely to be suffering from depression and anxiety disorders The presence of other psychiatric issues should be analyzed in order to determine whether or not the patients ADHD symptoms are related to them A combination of pharmacotherapy and psychotherapy is typically recommended for the treatment of ADHD in adults It has been established that the combination of psychotherapy and medication can produce better results than either treatment by itself Future controlled medication studies should attempt to measure and track the effects of functional improvements such as better functioning at school workplace and interpersonal relationships