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Treatment of ADHD in Adults Adults who suffer from adhd are treated through medication, therapy and support from the family. Patients can also take part in clinical trials to test new approaches to treating ADHD. The stimulant medications are the most effective treatment for adults with ADHD. They must be monitored regularly. This includes monthly appointments with a doctor as well as frequent reviews of symptoms and side effects. Medicines Many medications can be used to reduce symptoms of ADHD in adults. These are called psychostimulants and they work by changing the levels of certain chemicals in your brain (neurotransmitters) that transmit messages between nerve cells. Your doctor will select the right medication for you and will determine the most effective dosage and schedule. It could take a while to determine the proper dosage and medication to control your symptoms. Stimulants are usually the first prescription medication doctors recommend to adults suffering from ADHD. These medications increase the amount of dopamine found in your brain and norepinephrine, which helps you to control your impulses and improve your focus. They come in short-, intermediateand long-acting versions. Short-acting stimulants last for 6 hours. Intermediate-acting medicines last for 8-10 hours. Long-acting drugs can last up to 16 hours. Long-acting stimulants are less likely to cause side effects than shorter- or intermediate-acting medications, but they still can cause sleepiness and changes in appetite. Nonstimulant medicines such as atomoxetine, (Strattera), are used to treat adult ADHD in cases where stimulants don't perform or cause unwanted adverse effects. These medicines don't affect your norepinephrine or dopamine levels however they increase the amount of norepinephrine available to your brain and increase your ability to focus. These medications are in capsules and can be taken once or twice every day. Many people with ADHD may also suffer from other psychiatric disorders, including anxiety and depression. These are referred to as comorbid conditions and can affect how you react to treatment for ADHD. It's important to treat any comorbid disorders prior to beginning treatment for ADHD. People with a history substance abuse disorders are more likely to use psychostimulants. It is best to wait until a person has stopped using drugs before using stimulants. Psychotherapy Psychotherapy is a process that involves discussing and talking about topics that cause anxiety or are disturbing to a person. The therapist gives advice in accordance with their education, experience, credentials, and therapeutic philosophy. Psychotherapy may be short-term (a couple of weeks or months) or addressing more immediate issues, or long-term. The duration and frequency of therapy is decided by the therapist and patient together. The use of psychotherapy and medications together is a highly effective treatment for adults with ADHD. Behavioral therapy assists people in improving their ability to manage their time, organize and prioritizing. It can also teach strategies to manage emotions, such as anger and frustration. The use of medication can help reduce symptoms and improve focus, leading to more productive and effective work and academic performance. Adults suffering from ADHD are more likely to be affected by co-existing issues, especially mood disorders like depression and anxiety. It is crucial that any co-existing condition be treated before beginning treatment for ADHD. Treatment of co-existing disorders may require different types and doses of medication than those used to treat ADHD. A person with ADHD may also suffer from hypertension. To choose a medication to treat the ADHD symptoms without destabilizing the patient's hypertension it is crucial to understand how different medications affect people over time and the interactions between the medications. It's important to find a professional with whom you share a good relations, and who has experience in treating adults suffering from ADHD. It's important to schedule your initial sessions at times when you won't be distracted by family or work obligations. how to treat adhd who suffer from ADHD face a variety of challenges in their lives, including problems in their relationships and at work. They also may experience frustration, blame and anger that have accumulated in their lives due to their symptoms. Psychosocial treatments can aid patients and their families develop new attitudes, skills and ways of communicating. Psychotherapy may include cognitive behavioral therapy, which is a type of psychotherapy that aids individuals to change 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 organization. It can be done in a private or in a group setting. Certain studies have demonstrated that metacognitive treatment can significantly reduce symptoms and improve performance for adults suffering from ADHD (Stevenson et al, 2002). In addition to psychotherapy, some individuals with ADHD require counseling to deal with specific life challenges. These difficulties could include family conflicts, aggressive or impulsive behaviors, or difficulty in dealing with disappointments and failures. Counseling can help develop techniques to deal with these situations and enhance communication and problem-solving abilities. It can also enhance interpersonal relationships, especially in marriages or other long-term partnerships. Family therapy and supportive groups therapy are other forms of psychotherapy that could 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 a child suffering from ADHD. It can also assist parents to recognize the symptoms and develop parenting strategies that promote positive outcomes for their children. Adults with ADHD must discuss their medication regularly with their doctors and disclose any other medications, including over-the counter drugs. Certain medications can trigger adverse reactions or interact with other medications. Medication Monitoring After a thorough evaluation and diagnosis, it is important to monitor the patient's condition to ensure that the patient receives the benefits of the medication and doesn't suffer from side adverse effects. It is recommended to see a patient for the initial clinical monitoring within 30days of beginning treatment, and then every month after that. This will allow for the proper adjustment of psychostimulants, such as amphetamines and methylphenidate, to a well-tolerated, effective dose. This allows for accurate registration of the patient's reaction and helps to avoid keeping sensitive patients on doses that are not sufficient (slow metabolizers) or forcing those who require higher doses to unnecessarily high levels (rapid metabolizers). Adults who aren't responding well to stimulant medications or suffer from unwanted side effects that are difficult to tolerate could benefit from non-stimulant medications. This typically involves the use of atomoxetine or other alternatives to methylphenidate. Adults who suffer from ADHD are usually affected by comorbid disorders, like depression or drug abuse. They may also suffer from medical conditions like hearing or vision problems, or chronic sleep disorders. It is important to screen and evaluate such conditions in the initial evaluation for ADHD because they could have a significant impact on functional impairment in adults. ADHD can also be controlled through marital therapy. Spouses report feeling overburdened with the responsibilities of caring for their spouses suffering from ADHD and can become resentful or angry due to this. Reducing resentment can be achieved by enhancing the understanding of the condition, and helping them understand that the symptoms are not caused by a lack in affection or willfulness. Couples who undergo this type of therapy usually experience improved family functioning. Behavioral Therapy Psychotherapy for adults with ADHD is usually suggested. It should include a cognitive and behavioral component. Behavioral therapy assists patients in learning to improve their ability to organize their lives and focus, as well as control an impulsive behaviour. It helps patients manage their home, work and social interactions in more productive ways. Psychotherapy helps patients understand how their condition impacts different aspects of their lives and relationships. This can help reduce the self-doubt and shame that are often experienced by adults with ADHD who are viewed as inept or unintelligent. ADHD symptoms can be mirrored by many mental disorders. For instance anxiety disorders are seen at a high rate in adults ADHD patients and depression is seen in greater numbers among adults with the disorder. If it is necessary, the presence of other mental disorders should be analyzed to determine if ADHD symptoms are a result of them. Adults with ADHD are typically treated with an amalgamation of pharmacotherapy and psychotherapy. It has been demonstrated that when a combination of medication and psychotherapy is used the results are superior than the results of either treatment alone. Future controlled medication studies will attempt to monitor and evaluate functional improvements, such as better functioning at school or at work, as well as interpersonal relationships.