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Treatment of ADHD in Adults Adults who suffer from adhd are treated by medication, therapy, and family support. Patients can also take part in clinical trials to test new methods of treating ADHD. Adults suffering from ADHD are the most likely to benefit from stimulant drugs. However, they must be constantly monitored. That includes monthly clinical appointments, and frequent reviews of side effects and symptoms. Medicines Many medications can be used to reduce the symptoms of ADHD in adults. These are called psychostimulants and they work by changing the levels of certain chemicals in your brain (neurotransmitters) which transmit messages between nerve cells. Your doctor will select the appropriate medication for you and will decide on the most appropriate dosage and timetable. It could take some time to find the right dosage and medication that is able to control your symptoms. Stimulants are typically the first prescribed medication by doctors for adults suffering from ADHD. These medicines increase the amounts of dopamine and norepinephrine in your brain, which enhances your ability to concentrate and manage impulses. They come in short-, intermediate- and long-acting forms. Short-acting stimulants can last up to up to 6 hours. Intermediate-acting medications last 8-10 hours. Long-acting drugs last up to 16 hours. Long-acting stimulants are less likely to cause negative 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 if stimulants do not work or cause unwanted adverse effects. These medications do not alter the levels of dopamine or norepinephrine, but they increase the amount of norepinephrine and improve your concentration. These capsules are consumed once or twice daily. Many people with ADHD also have other psychiatric disorders, including depression and anxiety. These disorders are referred to as comorbidities, and they can affect how you respond to ADHD treatment. Before starting treatment for ADHD it is essential to address any comorbidities. People who have a history of substance abuse disorder are more likely to use psychostimulants. It is best to wait until a person has quit using drugs before using stimulants. Psychotherapy Psychotherapy is an interactive process of talking and discussing things that can be troubling or troubling to a person. The therapist offers guidance in accordance with their education, experience, credentials, and therapeutic philosophy. Psychotherapy can be short-term (a few weeks or months) dealing with immediate issues or more long-term (months or years) in which a patient is working to address more complex and long-standing issues. treating add in adults and frequency of the treatment are determined by the patient and therapist together. Psychotherapy and medication together are a highly effective way to treat adults suffering from ADHD. Behavioral therapy can help people improve their time management, organizational skills, and prioritizing. treating adhd in adults can also teach methods to manage emotions such as anger and frustration. Medication can reduce symptoms, improve focus, and result in better work and academic performance. Adults who suffer from ADHD are more likely of co-existing illnesses. This is particularly true for mood disorders like anxiety and depression. Before starting treating add in adults for ADHD it is crucial to treat any co-existing condition. The treatment of co-existing conditions may require different types of medications and dosages than those that are used to treat ADHD. A person who suffers from ADHD may also suffer from hypertension. To select a medication to treat the ADHD symptoms without destabilizing the patient's hypertension it is essential to understand how various medications affect people over time as well as the interactions between medications. It is essential to choose a therapist with had experience working with adults suffering from ADHD and with whom you are comfortable. It is also crucial to schedule your initial sessions in a time when you're not distracted by your family obligations or work obligations. Counseling Adults suffering from 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 built up in their lives due to their symptoms. Psychosocial treatments can aid patients and their families develop new abilities, attitudes, and ways of relating. Psychotherapy may include cognitive behavioral therapy, a form of psychotherapy that helps individuals modify their thinking and behavior. It involves goal-setting, training and practice of skills, as well as strategies for teaching that help improve self-esteem and organizational skills. It can be conducted in individual or group sessions. A few studies have proven that the use of metacognitive therapy can reduce symptoms and improve functioning for adults suffering from ADHD (Stevenson and co-authors 2002). Certain people with ADHD might also require counseling to help them overcome certain life challenges. This could include family conflict, impulsive or aggressive behavior, or difficulty dealing with failures and disappointments. Counseling can help you develop the techniques to deal with these situations and enhance communication and problem-solving abilities. It can also help improve interpersonal relationships, especially in marriages and other long-term relationships. Family therapy and supportive groups therapy are two other types of psychotherapy that can be utilized to treat ADHD. These therapies can assist families in coping and improve their skills to manage conflict and improve communication when dealing with children who have ADHD. It can also assist parents to recognize the symptoms and develop parenting strategies that encourage positive outcomes for their children. Adults with ADHD should discuss their medication regularly with their doctors and also disclose any other medications, such as over-the drug products. Certain medications can interact with certain medications or trigger side effects that are worsened by other medicines. Medication Monitoring After a thorough examination and diagnosis is established, it is important that the patient is monitored to ensure he/she is getting the benefits of the medication and not experiencing adverse effects. It is recommended to consult a patient for the initial clinical monitoring within 30days of beginning treatment and then every month thereafter. This permits a thorough adjustment of psychostimulants like amphetamines and methylphenidate, to a well-tolerated and effective dose. This allows for a precise registration of the patient's reaction and assists in avoiding the patient from being kept on doses that are not sufficient (slow metabolizers) or forcing those who require higher doses on excessively high levels (rapid metabolizers). For adults who do not respond effectively to stimulant medications or have intolerable side effects the use of non-stimulant drugs might be suggested. This usually involves the use atomoxetine, or other methylphenidate-related alternatives. Adults who suffer from ADHD are usually affected by comorbid disorders such as depression or substance abuse. They might also be suffering from medical problems like hearing and vision problems, or chronic sleep disorders. It is crucial to identify and evaluate such conditions as part of the initial assessment for ADHD because they can have a significant impact on functional impairment in adults. ADHD can also be treated through marital therapy. Spouses often report that they feel overburdened by the responsibilities of caring for their spouses with ADHD and can become resentful and angry in the process. Reduced resentment can be achieved by increasing the patient's understanding of his/her condition, and helping them understand that the symptoms aren't due to a lack in love or willfulness. Couples who go through this kind of therapy tend to have better family functioning. Behavioral Therapy For those who suffer from ADHD, psychotherapy is generally recommended and should include an element of cognitive-behavioral therapy. Behavioral therapy helps patients improve their organizational skills, focus, and control impulsive behaviors. It teaches patients to manage their home, work and social settings more effectively. Psychotherapy can also help patients understand how their disorder affects different areas of their lives and relationships. This can help decrease the shame and low self-esteem that is often seen in those with ADHD, who may be viewed as lazy or insufficiently intelligent. ADHD symptoms can be mimicked by various mental disorders. For example anxiety disorders are found at a higher rate in adults ADHD patients, and depression is found in greater numbers among adults with the disorder. The presence of any other psychiatric problems should be evaluated in order to determine whether or not the patient's ADHD symptoms are linked to them. Adults with ADHD are usually treated with the combination of pharmacotherapy and psychotherapy. It has been demonstrated that when a combination of medication and psychotherapy is used the results are superior than treatment on its own. Future controlled medication studies will attempt to monitor and evaluate functional improvements, such as improvement in school performance or at work, as well as interpersonal relationships.