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작성일 24-10-15 13:07

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Treatment of ADHD in Adults

Treatment for adhd in adults includes therapy, medication and support from family members. Patients can also take part in clinical trials that test new methods of treating ADHD.

human-givens-institute-logo.pngAdults suffering from ADHD are most likely to benefit from stimulant medications. But they need to be monitored regularly. This includes regular appointments with a physician and frequent examinations of symptoms.

Medicines

There are a variety of medications that can help to reduce the symptoms of ADHD in adults. These medications are called 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 a medication that's right for you and will determine the most effective dose and time to take it. It could take some time to determine the proper dosage and medication that control your symptoms.

The first drug that doctors prescribe to adults suffering from adhd symptoms and treatment is stimulants. These medications increase the amount of dopamine that is present in your brain, and also norepinephrine which aids in controlling your impulses and keep your focus. These medications are available in short-, medium-and long-acting forms. Short-acting stimulants can last for 6 hours. Intermediate-acting drugs last between 8 and 10 hours. Long-acting drugs can last up to 16. Long-acting stimulants have fewer negative effects than shorterand intermediate-acting medications, but they can still cause an increase in appetite and sleepiness.

Nonstimulant medicines such as atomoxetine (Strattera), are used to treat adult ADHD in cases where stimulants don't work or cause unwanted side effects. These medications do not alter your dopamine or norepinephrine levels however, they can increase the brain's supply of norepinephrine. They also improve your focus. These capsules are taken once or twice daily.

Certain adults suffering from ADHD also have other psychiatric disorders, such as depression and anxiety. These are called comorbid conditions and they can influence how you react to treatment for ADHD. It's important to treat any comorbidities prior to starting treatment for adhd Treatment for Adults without medication. People who have a history of addiction to drugs are more likely to abuse psychostimulants. This is why it is generally recommended to wait until the patient has removed themselves from using substances before evaluating treatment with stimulants for ADHD.

Royal_College_of_Psychiatrists_logo.pngPsychotherapy

Psychotherapy involves talking and discussing topics that cause distress or anxiety to a person. The therapist listens and provides guidance based on his or his or her training, education and experience professional credentials and therapeutic philosophies. Psychotherapy may be short-term (a few weeks or even months) or addressing more immediate issues, or longer-term. The patient and therapist decide on the length and frequency of treatment.

The use of psychotherapy and medications together is an extremely effective treatment option for adults suffering from ADHD. Behavioral therapy can help individuals improve their time management, organizational skills, and prioritizing. It can also teach techniques to manage emotions like anger and frustration. Medication can reduce symptoms, increase focus, and result in better work and academic performance.

Adults suffering from ADHD are more likely to have co-existing issues, especially mood disorders like anxiety and depression. Before starting treatment for ADHD it is essential to treat any co-existing conditions. The treatment of co-existing conditions may require different types of medication and doses than the medications that are used to treat ADHD.

A person with ADHD may also suffer from hypertension. Choosing a medication that treats the ADHD symptoms but does not destabilize the patient's tentatively controlled hypertension requires knowledge of how various medications affect people over time and an understanding of 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 first few sessions during times when you aren't distracted by your family obligations or work obligations.

Counseling

Adults who suffer from ADHD often have many life challenges, including work and relationship problems. A person with ADHD may also experience frustration, anger and blame that have been accumulated over time. Psychosocial therapies can aid patients and their families to develop new abilities, attitudes and ways of relating.

Cognitive behavioral therapy is a kind of psychotherapy that helps people change their behavior and thinking. It involves goal-setting, training and practicing of skills, and teaching strategies for improving organization and self-esteem. This can be done individually or in a group setting. Some studies have shown that metacognitive treatment can significantly reduce symptoms and improve performance in adults with ADHD (Stevenson and co-authors 2002).

In addition to psychotherapy, some people with ADHD also need counseling to address specific life issues. These challenges may include family conflicts, impulsive or aggressive behaviors, and difficulty coping with failures and disappointments. Counseling can help develop strategies to manage these situations, improve communication, and improve problem-solving skills. It can also help improve relationships, particularly in marriages and other long-term relationships.

Other forms of psychotherapy for adhd treatment for older adults include family therapy and supportive group therapy. These can assist families to cope with the anxiety of having a child suffering from ADHD and develop skills to improve communication and reduce conflicts. It can also assist parents to understand the disorder and develop parenting techniques that encourage positive outcomes for their children.

It is crucial for adults with ADHD to discuss their medications with their health care providers regularly, and to disclose any other medications they're taking, including any over-the-counter medications. Certain medications can trigger adverse reactions or interact with other medications.

Medication Monitoring

After a comprehensive evaluation and diagnosis is made it is crucial that the patient be monitored to ensure that they are receiving the benefits of medication and not experiencing side effects. It is recommended that a patient be referred for an initial medical check-up within 30 days of beginning treatment, and every month following that. In the case of psychostimulants (methylphenidate, amphetamines) this allows for a complete titration to an effective and well-tolerated dosage. This allows for a precise registration of the patient's reaction and helps to avoid having sensitive patients remain on insufficient doses (slow metabolism) or forcing those who require higher doses to excessively high levels (rapid metabolizers).

For adults who are not responding adequately to stimulant medication or suffer from uncontrollable side effects, the use of non-stimulant drugs could be recommended. This is usually the case with the methylphenidate based atomoxetine alternatives.

Adults with ADHD are often affected by comorbid disorders, such as depression or substance abuse. They might also be suffering from medical issues like hearing and vision problems or chronic sleep disorders. As part of the initial assessment for ADHD it is essential to detect such conditions and evaluate them. These conditions can have a significant impact on functional impairments for adults.

Marital therapy can also be beneficial in the management of ADHD. Couples often say that they feel overburdened by the responsibilities of caring for their spouses with ADHD and can become resentful and angry in the process. The way to reduce resentment is by enhancing the understanding of the illness, and helping them to understand that the symptoms are not the result of a lack in love or willfulness. Couples who undergo this kind of therapy tend to be more functional as a family.

Behavioral Therapy

For adults with ADHD, psychotherapy what is adhd treatment for adults generally recommended and should incorporate an element of cognitive-behavioral therapy. Behavioral therapy can help patients to improve their organizational skills and focus and control their an impulsive behaviour. It helps patients manage their work, home and social interactions more effectively. Psychotherapy helps patients understand how their condition affects different areas of their lives and relationships. This can help reduce the shame and low self-esteem that is commonly seen in adults with ADHD who are thought of as inept or unintelligent.

Many psychiatric disorders can be akin to ADHD symptoms. Adult ADHD patients are more likely to suffer from anxiety disorders and depression. The presence of other mental health problems should be assessed according to the need, to determine if the patient's ADHD symptoms are related to them.

Adults suffering from ADHD are usually treated with an amalgamation of pharmacotherapy and psychotherapy. It has been proven that when a combination of medication and psychotherapy is employed, the results are better than treatment on its own. Future controlled medication studies will try to track and evaluate the effects of functional improvement, like better functioning at school as well as in the workplace and interpersonal relations.