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Treatment of ADHD in Adults Treatment of adhd in adults includes therapy, medication and support from family members. Patients can also take part in clinical trials to test new ways of treating ADHD. Stimulant medications are the most effective drugs for adults with ADHD. They require monitoring regularly. This means monthly appointments with a doctor and regular examinations of symptoms. Medicines There are many drugs that can help reduce the symptoms of ADHD in adults. These are called psychostimulants and they alter the levels of certain chemicals in your brain (neurotransmitters) that transmit messages between nerve cells. Your doctor will select the most appropriate medication for your needs, and determine the best dosage and timetable. It may take some time to determine the appropriate dosage and medication that will control your symptoms. The first drug that doctors prescribe to adults suffering from ADHD is stimulants. These drugs increase the amount of dopamine that is present in your brain and norepinephrine, which helps you to control your impulses and keep your focus. The medications are available in short-, mediumand long-acting forms. Short-acting stimulants last for 6 hours. Intermediate-acting drugs last between 8 and 10 hours. Long-acting drugs can last up to 16 hours. Long-acting stimulants are less likely to cause side effects than intermediate- or shorter-acting medications. However, they may induce sleepiness and a change in appetite. Non-stimulant medications like atomoxetine (Strattera), are used to treat adult ADHD if stimulants do not perform or cause unwanted side effects. These medicines do not affect your dopamine or norepinephrine, but they increase the amount of norepinephrine available to your brain and increase your ability to focus. These medications are in capsule form and are taken once or twice each day. Certain adults who suffer from ADHD have co-occurring disorders, such as depression or anxiety. These disorders are referred to as comorbidities, and they can influence how you respond to ADHD treatment. Before beginning treatment for ADHD, it's important to address any comorbidities. People with a history substance abuse disorders are more likely to abuse psychostimulants. It is recommended to wait until someone has stopped using drugs before taking them on with stimulants. Psychotherapy Psychotherapy is a process that involves discussing and talking about topics that cause distress or anxiety to the person. The therapist offers guidance in accordance with their qualifications, experience, training, and the therapeutic philosophy. Psychotherapy can be short-term (a couple of weeks or months), addressing more immediate issues, or long-term. The therapist and patient determine the duration and frequency of treatment. Psychotherapy and medication together are an extremely effective way to treat adults with ADHD. Behavioral therapy can help people improve their time management, organizational skills, and prioritizing. It can also teach techniques to manage emotions such as anger and frustration. Treatment can ease symptoms, increase concentration and improve academic and work performance. Adults who suffer from ADHD are more likely to have co-existing disorders, including mood disorders such as depression and anxiety. It is essential that any co-existing disorders be treated prior to starting treatment for ADHD. Treatment of co-existing disorders may require different types and dosages of medication than those used to treat ADHD. A person with ADHD may also suffer from hypertension. To select a medication to treat the ADHD symptoms without destabilizing the hypertension of the patient it is crucial to understand how various medications affect individuals over time and the interactions between the medications. It is essential to locate a therapist who has had experience working with adults suffering from ADHD and with whom you are at ease. It's also important to schedule your first few sessions when you're not distracted by family obligations or work obligations. Counseling Adults suffering from ADHD often face many life challenges, including relationships and work issues. People with ADHD can also experience anger, frustration and guilt that has developed over time. A variety of psychosocial treatments have been proven to help them and their families learn new attitudes, skills and ways of communicating. Cognitive behavioral therapy is a kind of psychotherapy that assists people in changing their behavior and thinking. It involves setting goals, training and the practice of skills, as well as methods of teaching to improve organization and self-esteem. This can be accomplished individually or in a group. Metacognitive therapy has proven to significantly reduce symptoms among adults with ADHD and improve their performance (Stevenson, et al. 2002). In addition to psychotherapy, some individuals with ADHD require counseling to address specific difficulties. These may include family conflict, impulsive and aggressive behaviors, or difficulty coping with disappointments and failures. Counseling can help develop skills to help deal with these situations and increase communication and problem-solving abilities. It can also enhance interpersonal relationships, especially in long-term marriages or other partnerships. Other types of psychotherapy for ADHD include family therapy as well as supportive group therapy. These therapies can assist families in coping and improve their skills to manage conflict and improve communication when dealing with a child who has ADHD. It can aid parents to understand the disorder and develop parenting strategies that promote positive outcomes for their children. holistic treatment for adhd with ADHD should discuss their medications regularly with their doctor and also disclose any other medications, including over-the drug products. Some medications can cause adverse effects or interact with other medications. Medication Monitoring After a comprehensive evaluation and diagnosis is established, it is essential that the patient is monitored to ensure that they are receiving the benefits of the medication and is not experiencing any adverse side effects. It is recommended that a patient be examined for a first clinical examination within 30 days of initiating treatment and monthly thereafter. In the case of psychostimulants (methylphenidate, amphetamines) this allows for a thorough titration to an effective dose that is well-tolerated. This allows for accurate registration of the patient's reaction and assists in avoiding having sensitive patients remain on doses that are not sufficient (slow metabolizers) or forcing those who require higher doses to excessively high levels (rapid metabolizers). For adults who do not respond adequately to stimulant medication or have intolerable side effects the use of nonstimulant medications may be indicated. This typically involves the use of atomoxetine or other methylphenidate alternatives. Adults suffering from ADHD often have comorbid disorders like mood disorder or anxiety disorder, substance abuse problems or depression. In addition, they may experience chronic sleep disorders or medical problems such as hearing and vision disorders. It is essential to identify and assess these conditions in the initial evaluation for ADHD because they can have a significant impact on functional impairment in adults. ADHD can also be managed through marital therapy. Many spouses report that they are overwhelmed by the responsibilities of caring for their spouses who have ADHD and can become resentful and angry due to this. increasing the awareness of the patient about the symptoms of his/her condition and helping them realize that these aren't willful acts or a lack of love can help reduce marital conflict and resentment. Couples who go through this kind of therapy usually experience improved family functioning. Behavioral Therapy Psychotherapy for adults suffering from ADHD is generally advised. It should include a cognitive and behavioral component. Behavioral therapy can help patients improve their focus, organization skills, and control impulsive behaviors. It helps patients learn to manage their work, social and home environments more efficiently. Psychotherapy also helps patients understand how their disorder affects different areas of their lives and relationships. This can help reduce the shame and low-esteem that are often felt by people suffering from ADHD. They could be viewed by others as lazy or unintelligent. ADHD symptoms can be mimicked by many psychiatric disorders. Adult ADHD patients are more likely to be suffering from anxiety disorders and depression. If it is necessary the presence of other psychiatric disorders must be evaluated to determine whether ADHD symptoms are a result of them. Adults with ADHD are typically treated with the combination of pharmacotherapy and psychotherapy. It has been established that the combination of psychotherapy and medication can produce better results than either treatment on its own. Future controlled studies must attempt to track and measure the improvement in functional aspects such as improved performance at work, school, and interpersonal relationships.