• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Treatment of ADHD in Adults

Adults suffering from adhd are treated through therapy, medication and support from the family. Patients can also take part in clinical trials that test new approaches to treating ADHD.

Adults with ADHD are the most likely to benefit from stimulant drugs. But they need to be constantly monitored. This includes monthly appointments with a doctor as well as frequent reviews of side effects and symptoms.

Medicines

There are a variety of medications that can help reduce the symptoms of ADHD in adults. They are known as psychostimulants and they affect the levels of certain chemicals in your brain (neurotransmitters) that pass messages between nerve cells. Your doctor will select the appropriate medication for you and will determine the most effective dosage and timetable. It may take some time to determine the proper dosage and medication that control your symptoms.

The first medication that doctors prescribe to adults with ADHD is stimulants. These medications increase the amount of dopamine in your brain and norepinephrine, which allows you to manage your impulses and focus. These medications are available in short-, medium- and long-acting versions. Short-acting stimulants can last for 6 hours. Intermediate-acting medications last 8-10 hours. Long-acting stimulants last from 8 to 16. Long-acting stimulants are less likely cause adverse reactions than intermediate or shorter-acting medicines. However, they can induce sleepiness and a change in appetite.

Nonstimulant drugs like atomoxetine, (Strattera) are used to treat adult ADHD in cases where stimulants don't perform or cause undesirable side effects. These medicines don't affect the levels of norepinephrine or dopamine however they increase the amount of norepinephrine that's available to your brain and improve your ability to concentrate. The capsules are taken one or two times a day.

Some adults with ADHD have co-occurring disorders such as anxiety or depression. These are known as comorbid disorders and they can influence the way you respond to treatment for adhd symptoms and treatment in adults. It is important to address any comorbid disorders prior to beginning treatment for ADHD. People who have a history of addiction to drugs are more likely to abuse psychostimulants. It's best to wait until a person has stopped using drugs before taking them on with stimulants.

Psychotherapy

Psychotherapy involves discussing and discussing issues that are troubling or disturbing for a person. The therapist provides guidance based upon his or her qualifications, experience, training and the therapeutic philosophy. Psychotherapy can be short-term (a few weeks or months) dealing with more immediate challenges or longer-term (months or years) in which a patient is working to address more complicated and longstanding issues. The therapist and patient decide on the duration and frequency of therapy.

The use of psychotherapy and drugs together is a highly effective treatment for adults with ADHD. Behavioral therapy assists people in improving their abilities to organize their lives, manage their time and prioritizing; it can also teach techniques to manage emotions, such as anger and frustration. Treatment can ease symptoms, increase focus, and result in better work and academic performance.

Adults with ADHD are more likely to suffer from co-existing issues, especially mood disorders like anxiety and depression. Before beginning treatment for ADHD it is essential to treat any co-existing conditions. The treatment of co-existing conditions may require different types of medications and dosages than those prescribed to treat adhd symptoms and treatment.

For example, a person with ADHD might also be suffering from hypertension. To pick a medication that can treat the ADHD symptoms without destabilizing the patient's hypertension it is crucial to understand how different medications affect individuals over time and the interactions between medications.

It is important to choose the right therapist with whom you have an excellent relationship and who has experience in treating adults with ADHD. It's important to schedule your initial sessions at a time when you will not be distracted by work or family obligations.

Counseling

Adults with untreated adhd in female adults typically face a variety of problems in their lives, such as relationships and work issues. They may also experience anger, blame and frustration that have accumulated in their lives because of their symptoms. Psychosocial therapies can help patients and their families to develop new abilities, attitudes, and ways of relating.

Cognitive behavioral therapy is a kind of psychotherapy that assists people in changing their thinking and behavior. It includes goal-setting, skill training and practice, as well as methods to help improve self-esteem and organization. It may be done in groups or individually. Metacognitive therapy has been proven to significantly reduce symptoms among adults suffering from ADHD and improve their functioning (Stevenson and colleagues. 2002).

Some people with ADHD might also require counseling to help them overcome specific life challenges. These challenges may include family conflicts, impulsive or aggressive behaviors, or difficulty in dealing with disappointments and failures. Counseling can teach strategies to help manage these situations and improve communication and problem-solving abilities. It can also improve interpersonal relationships, especially in marriages and other long-term relationships.

Family therapy and supportive group therapy are also types of psychotherapy that could be utilized to treat ADHD. These can assist families to cope with the stress of having a child suffering from ADHD and teach skills to improve communication and reduce conflicts. It can aid parents to understand the disorder, and develop parenting techniques that encourage positive outcomes in their children.

It is crucial for people suffering from ADHD to discuss their medication with their healthcare providers regularly, and to reveal any other medications they're taking, including over-the-counter drugs. Some medications can cause adverse reactions or interact with other medications.

Medication Monitoring

After a comprehensive evaluation and diagnosis is made it is essential to monitor the patient to ensure that he or she is receiving the benefits of medication and not experiencing side effects. It is recommended that a patient be examined for an initial medical check-up within 30 days of initiating treatment and monthly afterward. This permits the proper adjustment of psychostimulants, such as methylphenidate and amphetamines to a safe, effective dose. This permits accurate recording of the patient's reaction and prevents the patient from being a sensitive patient on insufficient doses.

For adults who are not responding effectively to stimulant medications or have intolerable side effects the use of non-stimulant drugs might be suggested. This is usually the case with atomoxetine or other methylphenidate-related alternatives.

Adults who suffer from ADHD often have comorbid disorders like mood disorder or anxiety disorder, substance abuse issues or depression. In addition, they may experience persistent sleep disturbances or medical issues such as hearing and vision disorders. It is important to screen and assess these conditions as part of the initial evaluation for ADHD since these can have significant effects on functional impairment in adults.

Marital therapy can also be beneficial in the treatment of ADHD. spouses feel overwhelmed by the caretaking duties of their spouses suffering from ADHD and may become angry or resentful due to this. increasing the awareness of the patient about the signs of their condition and helping to understand that these aren't impulsive acts or a lack of affection can reduce marital conflict and resentment. Couples who go through this kind of therapy usually experience improved family functioning.

Behavioral Therapy

Psychotherapy for adults with ADHD is typically advised. It should include a behavioral and cognitive component. Behavioral therapy assists patients in learning to improve their ability to organize their lives and focus, as well as control the impulsive behavior. It helps patients manage their work, social and home life more efficiently. Psychotherapy helps patients to understand how their condition affects various aspects of their lives and relationships. This can reduce the stigma and feelings of shame that are commonly seen in people with ADHD. They may be perceived by others as lazy or unintelligent.

ADHD symptoms can be mimicked by various psychiatric disorders. Adult ADHD patients are more likely to suffer from depression and anxiety disorders. If needed the presence of other mental disorders should be assessed to determine if ADHD symptoms are a result of them.

A combination of pharmacotherapy and psychotherapy is usually recommended for the treatment of ADHD in adults. It has been shown that when a combination of medications and psychotherapy is employed, the results are better than treatment on its own. Future controlled medication studies will attempt to measure and assess improvements in functional performance, for example, improved functioning in school or at work, as well as interpersonal relations.