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Evidence Based Treatment For ADHD in Adults ADHD affects people in ways that affect their work, home and relationships. Standard treatments involve medication, skills training and psychological counseling. Atomoxetine is also known as Strattera is the sole FDA approved non-stimulant medication for use to treat adult ADHD. Research shows that it is effective and has low abuse potential. Psychosocial interventions that address issues with organizational skills and comorbid disorders have a strong scientific basis and are particularly effective in training parents to be behavioral (BPT). However, the precision of psychosocial guidelines is difficult to achieve. Medication For many people with ADHD, a combination of medication and psychosocial treatment is the best approach to manage their symptoms. It may take some time before someone can see any improvement in their ADHD symptoms. Talk to your doctor if you're considering taking medication to improve your ADHD symptoms. Be sure that the medication is safe for you, and that it won't interact with other medications you are taking. People suffering from ADHD may have trouble concentrating and focusing, controlling impulses, planning and completing tasks on time. These issues can impact school, work and social relationships. These difficulties can also make it difficult to relax and take pleasure in leisure activities. The most effective treatment for ADHD is medication. They can help reduce or eliminate the need for psychosocial interventions, and they can dramatically improve a person's quality of life. It is good to know that medications aren't addictive and have a the lowest risk of abuse. A number of studies have demonstrated that people suffering from ADHD benefit from the use of stimulants. If you are not able to handle the adverse effects of stimulant medication can choose non-stimulants, such as atomoxetine (Strattera). The medication isn't the only option. A thorough assessment should include a history of symptoms and a discussion of the impact of ADHD symptoms on a person's everyday functioning. It is also important to determine if the person suffers from any comorbid conditions, such as depression and anxiety, that could affect the effectiveness of treatment and medications. A medical exam does typically not reveal any indications of the disorder. However, a diagnosis is based on a clinical judgement, and an history of symptoms that began in the early years of childhood. In addition to a thorough interview, additional information such as medical records from schools and child health assessments can be helpful in making a diagnosis. There are a variety of psychosocial treatments available for ADHD that include cognitive remediation and metacognition. These psychosocial treatments do not appear to be as effective as pharmacotherapy, and are unlikely have the same level effectiveness. Complex regimens are not always adhered to and patients are advised to start with a small dosage of medication that can be easily combined with the use of behavioral therapy. Psychotherapy Many people suffering from ADHD discover that psychotherapy, or talk therapy, can help them improve their lives. Certain studies suggest that talk therapy, such as cognitive behavior therapy (CBT) or Relapse prevention treatment (RPT) can reduce ADHD symptoms. Talk therapy is psychosocial treatment that involves sessions with a professional therapist or counselor. Different modalities of talk therapy exist, and your choice of therapist should be based on your specific needs and goals. Combining medication and psychotherapy is a common way to treat adult ADHD. Studies have proven that combining psychotherapy and medication is more effective than any method by itself. The National Institute of Mental Health also recommends this method. Psychotherapy, also known as talk therapy can aid you in managing your ADHD symptoms and help you develop how to cope. It can teach you how to deal with problems at work, school and personal life. Based on your goals and needs, your therapist may recommend that you participate in individual or group therapy. Cognitive behavior therapy is a form of psychotherapy that helps people with ADHD to boost their self-esteem as well as functioning. CBT teaches you how to identify negative thoughts and change them, which may affect your mood and behavior. CBT, for example, can teach you how to alter your “all-or-nothing” thinking that can cause people with ADHD believe that they must be doing everything perfectly or else not do anything at all. During an appointment your therapist will listen to your and ask questions to understand your thoughts and emotions. The therapist will then give you advice based upon their knowledge and experience. You might also be assigned assignments, such as journaling or attempting a new activity. It's crucial to complete the homework as it will help you practice what you've learned. It is important to remember that seeking treatment isn't a sign of weakness. It's a bold move to live the life you deserve. You can achieve your goals and dreams with the help of psychotherapy. Education Education can be a powerful tool for adults suffering from ADHD. Classes can be taught to improve communication skills, to learn how to organize tasks and to learn how to talk and listen to other people. Therapy that focuses on helping the patient to recognize their symptoms and how they impact their behavior can also be helpful. This can be done in a group or individual therapy. Research has demonstrated that a variety of psychosocial treatments can reduce problematic symptoms in ADHD people and enhance their performance. Educational interventions can improve academic performance and self-reporting of ADHD symptoms. A variety of behavioral and cognitive therapies have been shown to be effective, including hypnotherapy, neurofeedback, metacognitive training, and cognitive remediation. However, not all of them have been proven to be superior to control methods and the results require further testing. In one study, an educational program that taught students to identify their own impulsive and inattentive behavior was found to be more effective than waitlist control program in improving self-report of ADHD symptoms. A daily report card on behavior was found to improve academic performance in children with ADHD in a separate study. It has been proven that training for parents to be a behavioral one is effective in decreasing negative parental behaviors and promoting positive family function. However, the results of therapist-led and self-directed training need further exploration. Adolescents with ADHD are at a higher chance of having impaired driving outcomes like crashes that cause injury or death. The intensive summer “bridge” programs have been proven to enhance driving skills among adolescents with ADHD. Other psychosocial interventions proven to be effective include central executive training and working memory training. Adults with ADHD frequently have difficulty maintaining a stable job or relationships. Inability to finish tasks or keep on track, poor organizational skills and inattention or impulsive behavior can make it difficult for co-workers, colleagues and family members. Psychotherapy that helps patients improve communication skills can help them deal with these issues. Couples counseling can help partners deal with problems that arise. Counseling While medication is effective for many people with ADHD it does not always alleviate the symptoms in all cases. Medicines can be unpredictably effective and can cause negative side effects that affect certain people in different ways. This is why counseling is a crucial element of the overall treatment plan. Counseling can assist people in learning to better manage their emotions, develop relationships, and increase self-esteem. Numerous randomized controlled studies have proven the efficacy of psychosocial therapy for ADHD. In adhd treatment for young adults , the academic performance of both the students and parents improved when a combination of medication and behavioral therapy was used. Studies have also demonstrated that the use of a low dose stimulant combined with a behavioral therapy program improved classroom behavior as well as the performance on homework when compared to a comparison group. In a recent study high school counselors were instructed to implement two short homework and organizational interventions for students with ADHD. These interventions were compared with an initial course low dose medication. The results indicate that a sequential multi-assignment randomized trial may be a feasible way to bridge the gap between research and practice in school-based intervention for ADHD. It is recommended that schools implement ADHD interventions that include behavior education and parental education, before taking medication. A combination of psychosocial and pharmacotherapy interventions should be the primary option for treating adolescents and adults. The first medications for adults and adolescents should be stimulants, such methylphenidate or dexamphetamine, unless other health conditions prevent them from taking these drugs. In such cases, atomoxetine or guanfacine can be considered. A thorough medical exam should be performed to rule out any other conditions that could affect learning and functioning, including neurological disorders (such as Tourette's syndrome, epilepsy or cerebral palsy) as well as nutrition issues and substance use disorders (SUD) chronic illnesses such as asthma, and comorbid psychological disorders. If the examination and history aren't particularly remarkable the psychiatrist or psychologist can diagnose ADHD with established diagnostic criteria if they find nothing unusual.