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ADHD in Adults - Treatment Options
ADHD is a common neurobiological disorder that affects 4.4 percent of the population. It is associated with a high rate of comorbidity, including depression, anxiety, and substance abuse, and significant emotional, social and occupational impairments.
Psychotherapy and medication are both effective treatments for adults with ADHD. The stimulants methylphenidate and amphetamine are the most frequently prescribed drugs.
Medicines
Many adults suffering from ADHD have significant improvements in symptoms and performance due to medications. It is important that people with ADHD find the combination of medication that works for them.
Adults with ADHD are prescribed stimulants like methylphenidate or amphetamines. They are available in immediate-release (short-acting) tablet or liquid forms and can be taken as often as every three to four hours. Adults can supplement their immediate-release medication with an extended-release, long-acting medicine every week to lessen the requirement to take it often throughout the day.
Adults with ADHD are also successfully treated with antidepressants, such as desipramine. This class of drugs may be used together with stimulants or in isolation to boost their effects. However, they may increase the risk of serious cardiovascular adverse effects like rapid heartbeat, EKG changes, and orthostatic hypotension.

Alpha-2 adrenergic agonists such as alprazolam and clonidine are also used for the treatment of adults suffering from ADHD. These medications were originally developed to treat hypertension. They are calming and can help improve focus and reduce the amount of hyperactivity and impulsivity in certain adults. These medications can lead to very low blood pressure when they are abruptly stopped or the dosage is reduced.
Psychotherapy is also useful for adults suffering from ADHD. Individual talk therapy helps them overcome feelings of embarrassment, shame, and resentment towards co-workers and supervisors, teachers, and family members that might nitpick or criticize them. Family and marriage counseling is also a great way to help couples with ADHD better understand each other and improve their communication.
Behavioral Therapy
A key goal of psychosocial therapy for adults with ADHD is to teach skills and strategies that improve function in everyday life. Psychotherapy can also aid those with ADHD to overcome the low self-esteem and sense of failure that is often associated with this condition.
online adhd treatment for adults (CBT) assists individuals in changing the negative thoughts that cause problems in their lives. It also helps to develop new ways of thinking and feeling, as well as doing. This short-term and goal-oriented psychotherapy has been proven effective in treating many conditions, including depression and anxiety. It can be utilized in conjunction with other therapies or on its own.
CBT can include group therapy. This is particularly beneficial for those suffering from ADHD because it allows them to meet others who have similar struggles and learn about how they manage their ADHD symptoms. It can be offered in person or over the phone. One study compared the effects of CBT against traditional therapy for adults with ADHD and discovered that both treatments resulted in improvements in self-report measures of symptoms, functioning, and quality of life.
A number of studies have compared CBT with other psychosocial treatments for adults suffering from ADHD, and all show significant reductions in self-reported ADHD symptoms with medium to large effect sizes. These improvements were attributed to a variety modalities including cognitive and interpersonal therapy as well as social skills training, problem solving training, and mindfulness mediation.
However, caution is required when comparing the effectiveness of different treatments for adults with ADHD. It is likely that differences in outcome results depend on a variety of factors, including the characteristics of the treatment, the measures used, and patient backgrounds. There are few studies that have investigated the effectiveness of neurofeedback. This technique involves wearing an electrode-lined hat while performing cognitive tasks to determine brain regions where there is excessive or inadequate activity. The person is then taught to regulate these patterns.
Counseling
Many people suffering from ADHD have mood or anxiety disorders that require treatment. Counseling can help address these issues that may be contributing ADHD symptoms. Certain psychotherapy strategies include the use of interpersonal therapy to improve a person's ability to build meaningful relationships and to resolve conflicts. Cognitive behavioral therapy is designed to help manage self-destructive, impulsive, and negative behaviors that could cause problems at school or work.
In some cases, psychotherapy can be used in combination with medication for adults adhd treatment. People with comorbid conditions like bipolar disorder and substance abuse should be evaluated with care to ensure they do not have symptoms that cannot be ameliorated by the medications used to treat ADHD. Patients with certain medical conditions such as thyroid disorders, lead poisoning and an history of seizures have to be treated with more vigor because they are more at risk of developing complications from the medications.
In-depth outpatient programs could be recommended when the person's ADHD is so severe that it significantly affects their daily functioning and quality of life. These programs offer an organized treatment that is more intensive than traditional outpatient psychotherapy.
Cognitive behavioral therapy (CBT) is a type of cognitive therapy, aids adults suffering from ADHD to improve their ability to manage time planning, impulse control and executive function. It helps them recognize and express feelings, and it uses worksheets and activities to make the lessons interesting. Mindfulness meditation training improves CBT and improves a person's ability to focus and regulate their emotions. It increases the capacity of a person to manage the effects of stress and arousal. It helps them deal with sadness, anger, and other difficult feelings which could be contributing to their ADHD.
Occupational Therapy
Adults suffering from ADHD experience difficulties at work and at home. In addition to impacting work performance, these conditions can cause problems with relationships and may lead to financial difficulties. Therapy that addresses these issues can help improve your self-esteem, resolve the root causes of your issues and establish healthy coping mechanisms.
Cognitive-behavioral Therapy is a great treatment for adults with ADHD because it teaches you how to modify your negative beliefs and behaviors. In particular, it focuses on teaching you to utilize strategies to manage your time and eliminate mental distortions that lead to negative moods and a perception of limited choices.
Many people with ADHD have anxiety or depression disorders as comorbid conditions. These psychiatric disorders can diminish or exacerbate the effectiveness of certain medications that are used to treat ADHD. Therefore it is recommended that you treat the most severe comorbid disorder first and then monitor the effect of medication before proceeding to treatment of the other condition.
Occupational therapy can help you manage your life and work and establish routines that are predictable that help you control your time and money, and develop a positive image of yourself. It will also help you learn relaxation techniques that can decrease your impulsivity and hyperactivity. Yoga and other exercises can also help you improve focus by stabilizing your body during various poses.
Family and marriage counseling can help address the issues that adults with ADHD frequently cause their children, spouses, and other family members. They often complain about being unreliable and disorganized. They are also prone to forget things or make decisions impulsively. You can strengthen relationships by educating your spouses and family members about ADHD. It can aid you and your family members realize that the problems are due to ADHD instead of the lack of care or an unwillingness to cooperate.
Clinical Trials
Adult ADHD is a prevalent neurobiological disorder. It is often associated with comorbid conditions such as anxiety, depression and substance abuse disorders. The use of medication and psychosocial interventions is available as treatment options. There are a variety of medications available for adults suffering from ADHD, and some of them have been evaluated in clinical trials. These studies have revealed the strengths and limitations of the drugs.
Adults suffering from ADHD have the same symptoms as children, but it can be difficult to recognize them since childhood symptoms might not last until adulthood. In addition, adults who suffer from ADHD may not have a history of the disorder in their family or they may not even remember experiencing symptoms. A thorough medical history is important to help determine whether the symptoms are due to medical conditions like thyroid problems or sleep apnea, issues with vision and hearing or lead poisoning.
Adults suffering from ADHD are treated with stimulants or non-stimulants. The stimulants have the highest response rates for adults suffering from ADHD. Their responsiveness rates range from 70% to 70% to 80%. Amphetamine and methylphenidate are among the most commonly prescribed stimulants. Methylphenidate can also be found as a transdermal solution, which allows for a continuous supply of medication throughout the day.
Nonstimulant medications for adults with ADHD are mostly tricyclic antidepressants which work on dopamine and norepinephrine. Desipramine is one of the most studied tricyclic and has been shown to be effective for adults suffering from ADHD. It is a low dose drug and is recommended to increase the dose by 50 mg every seven days until the desired effect is observed.
Bupropion XL, another antidepressant, was shown to work in adults with ADHD. It is a dopamine agonist that works by blocking norepinephrine reuptake in the presynaptic cellular transporter, increasing its availability in brain. The drug is known to improve the mood of adults and reduce hyperactivity however, it's not as effective in improving concentration or cognitive function as stimulants.