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ADHD in Adults Treatment ADHD is associated with significant problems in academic performance and social functioning. Adults who suffer from ADHD are at a higher risk of developing anxiety disorders, depression and abuse of substances. The use of medications to treat the core ADHD symptoms are shown to be effective by increasing the supply of neurotransmitters responsible for controlling the ability to focus and impulsivity. The majority of trials conducted are to determine which medications and at what dosages work best for each individual. Medication Treatments that are quick, such as medication, can aid in reducing symptoms of ADHD in adults. They are the most effective way to treat the underlying ADHD symptoms by altering neurotransmitters such as dopamine and norepinephrine. They improve the availability of these neurotransmitters in the presynaptic transportation systems and reducing their reuptake, which prevents their breakdown. Since physicians cannot determine which medications will be the most effective for a particular person, they usually conduct a medication trial. It starts with a small dose that is slowly increased over 3-7 days until the clinical benefits are realized. Methylphenidate is a psychostimulant that is used to treat ADHD. It is available as tablets, liquids extended-release (Concerta). The extended-release preparation is the most secure because it cannot be crushed or used in other ways, like getting high. Adults who use stimulant medications can suffer serious health problems. So, those with a background of alcohol or drug abuse should discuss the use of psychostimulants with a mental health professional. The stimulants can cause mood fluctuations and sleep disturbances. If these symptoms occur, a person may need to change to a different form of medication or stop taking it altogether. Some stimulants are also not recommended for people with a history of Tourette’s disorder or severe aorexia, mental illnesses such as schizoaffective disorders and antisocial personality disorders, or for certain medical conditions, such as high blood-pressure or heart disease. Mood stabilizers, such as bupropion, (Wellbutrin XL), may improve mood and reduce the amount of impulsivity and hyperactivity among adults with ADHD. They block the reuptake process of norepinephrine by the presynaptic transporter, which allows more of the substance to reach the brain. They can be given in combination with other ADHD medications or as a stand-alone. Adults who suffer from ADHD typically suffer from co-occurring conditions, such as anxiety or depression. These can be treated with psychotherapy and/or non-medicative treatments, such as cognitive-behavioral therapy. This treatment helps patients manage their symptoms and improve their functioning, self-esteem and relationships. Some therapists are trained to treat adult ADHD. Counseling A key part of adhd treatment for adults is counseling, which is a form of psychotherapy. Talk therapy can help you work through your feelings improve your relationships and learn how to manage stress and anger. It can also teach you techniques to improve your self-control as well as reduce impulsive behavior. Counseling can be conducted in person or over the phone. Counseling can include cognitive behavioral therapy. It teaches you to recognize and alter negative attitudes and behaviors that contribute to ADHD symptoms. It could also involve counseling for families or couples, which helps family members cope and find ways to support you. Lifestyle coaching could be added, which teaches skills to manage ADHD. Adults suffering from ADHD often have difficulty getting up in the morning and going through the day without feeling tired or irritable. A therapist may suggest a schedule for sleep, which could include a bedtime and wake-up time that is consistent each day and night. It is crucial to get enough sleep so that your body can function optimally. Many people with ADHD have difficulty working through tasks and staying on track at school, work and in their personal lives. Most of the time, their issues result from long-standing patterns of failure and underachievement academic issues as well as job loss and conflicts in relationships. Individual talk therapy can help address emotional baggage such as low self-esteem and feelings of shame, embarrassment resulting from past mistakes and resentment towards criticism and nagging from those closest. Behavioral coaching is a type of therapy for adults with ADHD that is focused on practical everyday living solutions, such as organizing your workplace and home and arranging your day, prioritizing your work and managing your money. The therapy is usually offered in person or online and is designed to help you develop strategies for improving your life as a person with ADHD. Adults who suffer from ADHD are more likely to suffer from co-occurring disorders than those with other psychiatric conditions, and it is important to treat these conditions as well. In some cases, a combination between medications and behavioral therapy can result in the best results. A Therapist can assist you in learning to manage your mood and anxiety with mindfulness-based treatments like meditation and yoga, and treat other comorbid conditions, such as substance abuse or depression. Therapy Many psychiatric conditions can resemble ADHD symptoms. To determine the root cause of these symptoms of ADHD A thorough assessment is required. This may include an assessment of a person's medical history, psychological tests and a thorough analysis of the behavior of a person. The evaluation will also include an examination of a person's family history. Psychotherapy is a key part of treatment for adhd in adults. It can assist people in dealing with the emotional stress caused by their inability function at a level which meets their expectations. It can also enhance the relationships with their families and assist them in developing coping strategies. Behavioral therapy can help patients focus on their work and break large tasks into smaller ones which are easier to manage. It can also help them learn to manage their impulsive behavior and gain confidence in their ability to succeed. Marriage and family counseling can help couples to understand the issues that ADHD can create in their relationships. They can also learn to constructively discuss issues that arise within their families or marriages, instead of blaming one other. Individual psychotherapy can help individuals explore the root causes of their problems, including feelings of guilt or sadness. It can also assist people to develop healthy coping strategies like meditation or exercise. Certain adults suffering from ADHD can be treated with a calming medication, such as Clonidine. This is a 2 adrenergic antagonist. It is especially beneficial for those who have Tourette's Syndrome or other disorders of the tic. It is typically prescribed as a second line medication after nonstimulant medications have been tried but found to not be effective. Clinical trials are research studies that test the effectiveness and safety of new treatments and diseases. They can be an essential part of treatment for adhd in adults, and offer an opportunity to participate in the most cutting-edge research that could lead to improved care in the future. Patients should always consult their doctor prior to participating in a clinical trial. The health professional will be able provide a list with current clinical trials for patients. Nutrition Adults who suffer from ADHD often find that diet plays a significant influence on how they feel and how they function. A balanced, healthy diet can help reduce the impulsivity of people and help improve focus. Avoiding sodas and junk food can help reduce or eliminate ADHD symptoms. Adults who suffer from ADHD should also eat regular meals, snacks and drinks to maintain their blood sugar levels constant throughout the day. This can help boost their mood, energy and sleep quality at night. Many psychiatric disorders may have symptoms that are similar to the symptoms of ADHD, so it is important for adults with these conditions to be examined carefully to ensure that their symptoms are due to a different condition. Numerous medical conditions can cause symptoms and signs reminiscent of ADHD like thyroid disorders, lead poisoning, and problems with vision and hearing. Depression and anxiety, a drug or alcohol history and certain medications are also possible. Adults may have a difficult time diagnosing ADHD than children. A diagnosis requires a history of childhood symptoms consistent with ADHD, as well as an evaluation of functional impairment. Many adults do not have a clear childhood ADHD background, or may not have a parent or an older sibling who can confirm their symptoms. Someone who is drinking or using drugs may not be a good candidate for treatment with psychostimulants, and their physician should take into account this when deciding whether or not to prescribe these medications. There are several FDA approved medications that are able to help adults with ADHD. These include stimulants and nonstimulant drugs. Stimulants are effective in the reduction of ADHD symptoms however they must be used with caution and those who suffer from the disorder should be checked regularly for adverse effects. The medications are available in long-acting versions that can be taken two or three times per day by adults with ADHD. These preparations are available in tablet, liquid or chewable forms, and they can be taken with or without food.