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작성자 Nichole
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Treatment of ADHD in Adults

Adults with adhd are treated with therapy, medication and support from the family. Patients can also take part in clinical trials that test new methods of treating ADHD.

top-doctors-logo.pngThe stimulant medications are the most effective medications for adults with ADHD. But they need to be constantly monitored. This includes monthly appointments with a doctor and regular reviews of symptoms and side effects.

Medicines

There are many medications that can help reduce the symptoms of ADHD in adults. These are known as psychostimulants, and they work by altering the levels of certain neurotransmitters (chemicals) in your brain that transmit messages between nerve cell. Your doctor will select the best medication for you and will decide the most effective dose and time to take it. It could take a while to determine the appropriate dosage and medication that control your symptoms.

The first drug that doctors prescribe to adults suffering from ADHD is stimulants. They increase the amount of dopamine found in your brain, and also norepinephrine which aids in controlling your impulses and focus. They come in short-, intermediateand long-acting versions. Short-acting stimulants can last up to 6 hours. Intermediate-acting drugs last between 8 and 10 hours. Long-acting stimulants last from 8 to 16. Long-acting stimulants are less likely to cause adverse effects than shorter- and intermediate-acting medications, but they still cause insomnia and changes in appetite.

Nonstimulant drugs, such as atomoxetine (Strattera) are used to treat adults with ADHD when stimulants aren't effective or cause undesirable adverse effects. These medicines do not affect your dopamine or norepinephrine however they increase the amount of norepinephrine available to your brain and improve your ability to concentrate. These medications are available in capsule form and are taken either twice or three times each day.

Some people with ADHD suffer from co-occurring disorders such as anxiety or depression. These disorders are referred to as comorbidities and may influence how you respond to ADHD treatment. Before starting treatment for ADHD it is important to address any comorbidities. People who have a history of substance abuse disorder are more likely to abuse psychostimulants. It is recommended to wait until a person has quit using drugs before Treating adhd without Medication 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 gives advice in accordance with their qualifications, experience, training, and the philosophy of therapy. Psychotherapy can be short-term (a few weeks or even months), addressing more immediate issues, or longer-term. The duration and frequency of therapy is determined by the therapist and the patient together.

Psychotherapy and medication are an extremely effective method to treat adults suffering from ADHD. Behavioral therapy can assist people improve their time management, organizational skills, and prioritizing. It can also teach techniques to manage emotions like anger and frustration. The use of medication can help reduce symptoms and improve concentration, which results in more efficient and successful academic and work.

Adults with ADHD have a higher risk of co-existing conditions. This is particularly relevant for mood disorders such as depression and anxiety. It is essential that any co-existing condition be addressed prior to beginning treatment for ADHD. Treatment for co-existing disorders might require different forms and dosages of medication than that used to treat severe untreated adhd in adults.

A person suffering from ADHD may also be suffering from hypertension. To choose a medication to treat the ADHD symptoms without causing destabilization of the hypertension of the patient it is crucial to understand how various medications affect people over time as well as the interactions between medications.

It is essential to locate a therapist who has had experience working with adults suffering from ADHD and with whom you feel at ease. It's important to schedule your initial sessions at times when you will not be distracted by work or family obligations.

Counseling

Adults who suffer from ADHD typically face a variety of problems in their lives, such as relationships and work problems. People with ADHD can be prone to anger, frustration and guilt that has been accumulated over time. Psychosocial therapies can aid patients and their families develop new abilities, attitudes and ways of communicating.

Psychotherapy can include cognitive behavior therapy, a type of psychotherapy that aids individuals to modify their thinking and behavior. It involves goal-setting, training and practice of skills, as well as teaching strategies for improving self-esteem and organizational skills. It can be conducted in individual or group sessions. Some studies have shown that treatment for metacognitive disorders can reduce symptoms and improve performance in adults with ADHD (Stevenson et al 2002).

Some people suffering from ADHD may also require therapy to help them overcome particular issues in their lives. These could include family conflict, impulsive or aggressive behavior, or difficulty coping with disappointments and failures. Counseling can teach the skills to manage these situations, improve communication and enhance problem-solving abilities. It can also enhance interpersonal relationships, especially in marriages or other long-term relationships.

Other forms 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 suffering from ADHD. It can help parents understand the disorder, and develop parenting techniques that encourage positive outcomes in their children.

It is important for people with ADHD to discuss their medication with their health care providers regularly, and to inform them of all other medications they're taking, including prescription drugs. Some medications can interact with certain medications or cause side effects that are worsened by other medicines.

Medication Monitoring

After a thorough evaluation and diagnosis is established, it is crucial to monitor the patient to ensure that he or she is receiving the benefits of the medication and not experiencing adverse effects. It is recommended that patients be examined for an initial medical check-up within 30 days of initiating treatment, and every month following that. This permits a thorough adjustment of psychostimulants like methylphenidate and amphetamines to a well-tolerated and effective dose. This allows for a precise registration of the patient's response. It also assists in avoiding the patient from being kept on doses that are not sufficient (slow metabolism) or forcing those who require higher doses on excessively high levels (rapid metabolizers).

Adults who do not respond well to stimulant medications or who have side effects that are intolerable could benefit from non-stimulant medications. This is usually the case with the methylphenidate based atomoxetine alternatives.

Adults suffering from ADHD are frequently affected by comorbid disorders like depression or substance abuse. They may also have medical problems like hearing and vision problems or chronic sleep disorders. As part of the initial evaluation for ADHD it is essential to detect such conditions and evaluate them. These conditions can have a significant effect on functional impairments for adults.

Marital therapy can be helpful in managing ADHD. Spouses report feeling overburdened with the responsibilities of caring for their spouses suffering from ADHD and can become resentful or angry in response. The way to reduce resentment is by enhancing the understanding of his/her illness, and helping them understand that the symptoms aren't caused by a lack in love or willfulness. Couples who undergo this type of therapy tend to have better family functioning.

Behavioral Therapy

Psychotherapy for adults suffering from ADHD is usually advised. It should include a cognitive and behavioral component. Behavioral therapy assists patients in improving their focus, organization skills and manage impulsive behavior. It teaches patients to manage their work, home and social interactions more effectively. Psychotherapy also helps patients understand how their disorder affects different areas of their lives and relationships. This can 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.

Many psychiatric disorders may mimic ADHD symptoms. Adult ADHD patients are more likely to be suffering from depression and anxiety. The presence of other mental health issues should be analyzed according to the need, to determine if the patient's ADHD symptoms are connected to them.

human-givens-institute-logo.pngA combination of pharmacotherapy and psychotherapy what is adhd treatment for adults generally recommended for treatment of ADHD in adults. It has been proven that the combination of psychotherapy and medication yields better results than either treatment alone. Future controlled studies will aim to monitor and evaluate the effects of functional improvement, like improved functioning in school as well as in the workplace and interpersonal relationships.

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