treatment for add in adults of ADHD in Adults
Adults who suffer from adhd are treated with therapy, medication, and family support. Clinical trials are available to test the effectiveness of new treatments for ADHD.
Adults with ADHD are more likely to benefit from stimulant medication. They must be monitored regularly. This includes regular clinical appointments, and frequent reviews of side effects and symptoms.
Medicines
Numerous medications can be used to treat the symptoms of ADHD among 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 cells. Your doctor will recommend the right medication for you and will decide the most effective dose and time to take it. It may take some time to find the right dosage and medication that will control your symptoms.
The first medication that doctors prescribe to adults suffering from ADHD is stimulants. These drugs increase the amount of dopamine in your brain and norepinephrine which helps you to control your impulses and focus. These medicines are available in short-, mediumand long-acting forms. Short-acting stimulants last for about 6 hours, intermediate-acting drugs last between 8 and 10 hours, and long-acting drugs last up to 16 hours. Long-acting stimulants are less likely to cause adverse reactions than intermediate or shorter-acting medications. However, they can still cause sleepiness and change in appetite.
Nonstimulant medications, like Atomoxetine (Strattera) are used to treat adult ADHD when stimulants don't work or cause unpleasant adverse side negative effects. These medications don't affect your norepinephrine or dopamine however, they can increase the brain's supply of norepinephrine. They also improve your focus. These capsules are taken once or two times a day.
Many people with ADHD may also suffer from other psychiatric disorders, such as depression and anxiety. These disorders are referred to as comorbidities and may influence how you respond to ADHD treatment. Before beginning treatment for ADHD it is important to address any comorbid issues. People with a history substance abuse disorders are more likely to abuse psychostimulants. For this reason, it is generally recommended to wait until the patient has quit using substances before considering treatment with stimulants to treat ADHD.
Psychotherapy
Psychotherapy is an interactive process of talking and discussing issues that may be disturbing or troubling to a person. The therapist provides guidance on the basis of his or her training, experience, credentials, and the therapeutic philosophy. Psychotherapy may be short-term (a few weeks or even months), addressing more immediate issues, or more long-term. The therapist and patient decide on the duration 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 assist people improve their time management, organizational skills and prioritizing. It can also teach methods to manage emotions like anger and frustration. The use of medication can help reduce symptoms and increase focus, which leads to more productive and effective academic and work.
Adults who suffer from ADHD have a higher risk of co-existing illnesses. This is particularly applicable to mood disorders like anxiety and depression. It is essential that any co-existing conditions be addressed prior to beginning treatment for ADHD. Treatment for co-existing disorders might require different forms and dosages of medication than those used to treat ADHD.
A person who suffers from ADHD may also suffer from hypertension. Selecting a medication that addresses the ADHD symptoms, but does not affect the patient's tentatively controlled hypertension requires knowledge of how different medications affect people over time and an understanding of the interactions between different medications.
It is important to choose an professional with whom you share a a good relationship, and who is experienced in treating adults with ADHD. It is also crucial to schedule your first few sessions during times when you're not distracted by family responsibilities or work obligations.
Counseling
Adults who suffer from ADHD typically face a variety of issues in their lives, including relationships and work problems. The person who has ADHD might also experience anger, frustration and blame that has developed over time. Psychosocial treatments can help patients and their families develop new skills, attitudes and ways of communicating.
Cognitive behavioral therapy is a form of psychotherapy that helps people change their behavior and thinking. It involves goal-setting, training and practice of skills, as well as strategies for teaching that help improve self-esteem and organization. This can be accomplished individually or in a group. Metacognitive therapy has proven to significantly reduce symptoms in adults with ADHD and improve their performance (Stevenson et al., 2002).
In addition to psychotherapy, some people with ADHD require counseling to address specific issues. These could include family conflict, impulsive or aggressive behaviors, or difficulty dealing with failures and disappointments. Counseling can help you develop the skills to help deal with these situations and increase the ability to communicate and solve problems. It can also help improve interpersonal relationships, especially in long-term marriages or other relationships.
Other types of psychotherapy for ADHD are family therapy and supportive group therapy. These can help families cope with the anxiety of having a child suffering from ADHD, as well as develop skills to improve communication and reduce conflicts. It also helps parents understand the disorder and develop parenting techniques that encourage positive outcomes for their children.
It is essential for adults with ADHD to discuss their medications with their health care professionals regularly, and to reveal all other medications they're taking, including any over-the-counter medications. Certain medications can trigger adverse effects or interact with other medications.
Medication Monitoring
After a thorough assessment and diagnosis, it is crucial to monitor the patient to ensure that he/she receives the benefits of the medication and doesn't experience side adverse effects. It is recommended to see patients for initial clinical monitoring within 30days of starting treatment and then every month after that. For psychostimulants (methylphenidate amphetamines) this allows for a complete titration to an effective dose that is well-tolerated. This permits accurate recording of the patient's response and helps to avoid keeping a the patient with a sensitive response on doses that are not sufficient.
Adults who are not responding well to stimulant medications or who have adverse effects that are unpalatable may benefit from nonstimulant medications. This usually involves the use atomoxetine, or other methylphenidate-related alternatives.
Adults who suffer from ADHD often have comorbid disorders such as mood or anxiety disorder, substance abuse problems or depression. In addition, they may experience chronic sleep disorders or medical problems such as vision and hearing disorders. It is crucial to identify and analyze these conditions as part of the initial assessment for ADHD because they could have a significant impact on functional impairment in adults.
ADHD can also be controlled through marital therapy. Couples complain of being overwhelmed by the caretaking duties of their spouses suffering from ADHD and may be angry or resentful due to this. The way to reduce resentment is by enhancing the awareness of their condition, and helping them understand that the symptoms are not due to a lack in willfulness or love. Couples who undergo this type of therapy typically experience better family functioning.
Behavioral Therapy

For those who suffer from ADHD, psychotherapy is generally recommended and should incorporate an element of cognitive-behavioral therapy. Behavioral therapy can help patients improve their focus, organization skills and control their impulsive behaviors. It helps patients manage their social, work and home life more effectively. Psychotherapy also helps patients understand how their condition impacts different aspects of their lives and relationships. This can help reduce the shame and low self-esteem that is commonly seen in adults with ADHD, who may be viewed as lazy or less intelligent.
ADHD symptoms can be mirrored by various mental disorders. Adult ADHD patients are more likely to suffer from anxiety disorders and depression. The presence of any other psychiatric problems should be evaluated according to the need, to determine if the patient's ADHD symptoms are related to them.
A combination of psychotherapy and pharmacotherapy is typically recommended for the treatment of ADHD in adults. It has been proven that a combination of psychotherapy and medication can produce better results than either treatment by itself. Future controlled studies will aim to track and evaluate the effects of functional improvement, like improved functioning in school or at work, as well as interpersonal relations.