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https://www.iampsychiatry.com/adult-adhd-treatment

ADHD in Adults Treatment Options ADHD is a wellknown neurobiological disorder that affects 44 percent of the population It is accompanied by high levels of comorbidity depression anxiety anxiety and addiction to drugs and significant emotional social and occupational impairments Psychotherapy and medications are both effective treatments for adults suffering from ADHD The most frequently prescribed drugs are stimulants like methylphenidate or amphetamine Medicines Many people with ADHD notice significant improvements in symptoms and performance due to medications Due to the various ways people respond to medications it is essential for those with ADHD to discover a combination that is most effective Adults suffering from ADHD are prescribed stimulants such as methylphenidate or amphetamines They are available in immediaterelease shortacting tablet or liquid form and can be taken as often as every three to four hours Some adults may supplement an immediaterelease dose with an extendedrelease or longacting medication that is taken daily to reduce the requirement for frequent doses throughout the day Adults suffering from ADHD are also treated effectively with antidepressants like desipramine This class of medications can be used by itself or in conjunction with stimulants to boost their effects They can also increase the risk of serious side effects including rapid heartbeats EKG changes and orthostatic hypotension Alpha2 adrenergic agonists such as alprazolam and clonidine can also be used to treat adults suffering from ADHD These drugs initially developed to treat high blood pressure can have an calming effect and are able to increase focus and reduce the level of hyperactivity and impulsivity among certain adults These medications can lead to very low blood pressure if they suddenly stop or the dosage is reduced Adults with ADHD can also benefit from psychotherapy Individual talk therapy can help them cope with feelings of shame and embarrassment regarding their ADHD and anger toward supervisors colleagues teachers family members and others who might nag or criticize them Counseling for families and marriage is also a great way to help couples suffering from ADHD to better understand each other and improve communication Behavioral Therapy One of the main goals of psychosocial therapy for adult ADHD is to teach skills and strategies that improve functioning in daily life Psychotherapy can also assist people with ADHD overcome low selfesteem and feelings of inadequacy that can be a result of this condition Cognitive behavioral therapy CBT also known as cognitive behavior therapy assists people in changing their negative thoughts and feelings that cause problems in their life It helps them learn new ways to think feel and act This shortterm goaloriented psychotherapy has been proven to be effective in treating a variety of disorders such as depression and anxiety It can be used on its own or in conjunction with other therapies CBT can also incorporate group therapy This is particularly beneficial for those suffering from ADHD as it allows them to connect with other people who have similar struggles and learn how they manage their ADHD symptoms It can be provided in person or via the phone In one study CBT was compared to standard therapy for adults who have ADHD Both treatments improved selfreport measures like symptoms functioning and quality of life A number of studies have compared CBT with other psychosocial treatments for adults with ADHD and have all shown significant reductions in selfreported ADHD symptoms with medium to large effect size These improvements were associated with various modalities including interpersonal and cognitive behavioral therapy social skills training problemsolving exercises and mindfulness meditation It is essential to assess the effectiveness of different treatments for adults with ADHD with caution It is likely that differences in outcomes results are due to a range of factors including the treatment characteristics and the measures used Few studies have examined the effectiveness neurofeedback This technique involves wearing an electrodelined hat while performing cognitive tasks in order to determine brain regions where there is excessive or insufficient activity The person then learns to control these patterns Counseling Many people suffering from ADHD suffer from anxiety or mood disorders that require treatment Counseling can help to address these issues which may contribute to ADHD symptoms Certain psychotherapy methods include interpersonal therapy to improve the ability of a person to form meaningful relationships and resolve conflicts Cognitive behavioral therapy is designed to help people manage selfdestructive impulsive and negative behaviors that can cause difficulties at school or at work In some cases psychotherapy may be utilized in combination with medication for adults adhd treatment Patients suffering from multiple disorders like depression substance abuse and bipolar disorder should be evaluated to ensure that their symptoms arent made worse through the use of medications to treat ADHD Certain medical conditions like thyroid disorders lead poisoning and a history of seizures need to be treated more aggressively When ADHD is serious enough to affect everyday functioning and quality of life intensive outpatient programs might be suggested These programs provide structured treatment that is more intensive than conventional outpatient psychotherapy Cognitive behavioral therapy CBT assists adults suffering from ADHD improve their abilities to manage time and impulse control as well as organizing and executive function It helps them understand and express their emotions and utilizes exercises and worksheets to make the lessons interesting Mindfulness meditation training enhances CBT and improves a persons ability to focus and regulate their emotions It improves the ability of a person to manage stress and arousal It can assist them in dealing with anger sadness and other emotional issues which could be contributing to their ADHD Occupational Therapy Adults with ADHD experience difficulties at work and at home In addition to affecting their work performance these issues can interfere with relationships and may result in financial issues Therapy that addresses these issues will allow you build confidence in yourself and address the root of the issue It will also assist you in developing healthy ways of coping Cognitivebehavioral therapy is an effective treatment for adults with ADHD as it helps them to alter their negative attitudes and behaviors Particularly it is focused on teaching you how to utilize strategies to manage your time and eliminate thinking distortions that contribute to negative moods and the perception of a limited range of choices Many adults with ADHD also suffer from anxiety or depression These psychiatric disorders can exacerbate or reduce the effectiveness of certain treatments for ADHD It is therefore recommended that you first treat the most severe comorbid condition and then monitor the response to the medication before treating the other condition Occupational therapy can help you learn methods to organize your life and your work establish predictable routines manage time and money and create confidence in yourself It can also help you learn relaxation techniques that can reduce your hyperactivity and impulsivity Similarly yoga and other forms of exercise can help you focus better by stabilizing your body in different poses Counseling for families and marriage can help adults with ADHD to solve the problems they cause their spouses kids and other family members They often complain of being undependable and unorganized They often forget things or make impulsive choices Therapy and classes where spouses and other family members are educated about ADHD can help you build healthier relationships It can also help you and your family members realize that the issues are due to ADHD instead of a lack in caring or an unwillingness to cooperate Clinical Trials Adult ADHD is a frequent neurobiological disorder It is often accompanied by comorbid conditions such as depression anxiety and substance abuse disorders Treatment options include psychosocial and medication interventions There are a variety of medications available to adults suffering from ADHD and some of these have been evaluated in clinical trials adhd treatment for adults medication have revealed the advantages and drawbacks of the drugs Adults with ADHD may have the same symptoms as children have but its difficult to diagnose since childhood symptoms may not last into adulthood In addition adults who suffer from ADHD might not have a family history of the disorder in their family or they may not even remember having symptoms A thorough medical history is essential to determine if the symptoms are due to an illness like thyroid problems or sleep apnea vision and hearing problems or lead poisoning Treatments for adults suffering from ADHD generally fall into two categories stimulants and nonstimulant medications Stimulants are the most effective medication to treat adults suffering from ADHD and their responsiveness rates are within the 7080 percentage range The most commonly used stimulants are amphetamine and methylphenidate compounds Methylphenidate is also available as a transdermal solution that allows for continuous drug delivery throughout the day Adults with ADHD are able to take nonstimulant medication that act on norepinephrine or dopamine Desipramine which is the most researched tricyclic has been proven to work in adult ADHD patients It is a medication with a low dose which should be increased each seven days by 50mg until the desired effect is noticed Bupropion XL is a second antidepressant that has been shown to be effective for adults suffering from ADHD It is a dopamine agonist and blocks the reuptake of norepinephrine at the presynaptic transportation system thus increasing its availability in the brain This drug has been shown to improve mood and decrease hyperactivity in adults but it isnt as effective as stimulants when it comes to improving concentration or cognitive function