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Evidence Based Treatment For ADHD in Adults ADHD can affect someone's work, family life and relationships. Standard treatments involve medication, training in skills and psychological counseling. Atomoxetine is also known as Strattera, is the only FDA approved non-stimulant medication to treat adult ADHD. It is safe and effective, according to research. Psychosocial interventions addressing issues with organizational skills and comorbid disorders have a strong scientific basis, particularly behavioral parent training (BPT). It is difficult to provide precise psychosocial guidelines. Medication For many people with ADHD it is believed that a combination of psychosocial treatment and medication is the best approach to manage their symptoms. It may take some time for a person to notice any improvements in their ADHD symptoms. Consult your physician if you're considering taking medication to help improve your ADHD symptoms. Make sure that it's suitable for you, and doesn't interfere with other medications you are taking. People suffering from ADHD might have difficulty focus and concentration, regulating impulses as well as planning and completing tasks in time. These issues can affect work, school and social interactions. These issues can make it difficult to relax and take pleasure in leisure activities. Medicines are the most effective evidence-based treatment for ADHD. The use of medications can decrease or eliminate the need for psychosocial interventions, and they can greatly enhance a person's quality of life. Fortunately, they don't create addiction and carry an extremely low risk of abuse. People suffering from ADHD can benefit from stimulants, based on various studies. Non-stimulant drugs like atomoxetine or Strattera, are available for people who are unable to take stimulants' side effects. Medication is only part of the solution. A thorough evaluation will include a detailed description of ADHD symptoms and the impact they have on daily functioning. It is important to determine if the patient is suffering from any co-morbid conditions such as anxiety or depression that could affect the effectiveness of medication and treatment. A medical examination will not usually reveal any signs of the condition. Instead, a diagnosis is based upon clinical judgment and an history of symptoms that started in the earliest years of childhood. A thorough interview can be helpful when combined with other information, like medical records from schools or child health assessments. Various psychosocial treatments for ADHD are available such as cognitive remediation, metacognition and working memory training. However, they do not appear to be more effective than psychotherapy, and aren't likely to have the same level of effectiveness as a well-dosed medication. Patients are advised to begin with a low dose medication that can be combined with behavioral therapy. Psychotherapy Many people with ADHD discover that therapy or psychotherapy can help improve their lives. Certain studies suggest that certain forms of talk therapy, like cognitive behavioral therapy (CBT) and relapse prevention therapy (RPT), can help to reduce symptoms of ADHD. Talk therapy is a form of psychosocial treatment that involves sessions with a professional therapist or counselor. Different types of talk therapy are available and your choice of therapy should be based on your specific needs and goals. A common approach to treating adult ADHD is to use the combination of medication and psychotherapy. Studies have shown that combining psychotherapy and medication is more effective than either method by itself. The National Institute of Mental Health also recommends this approach. Talk therapy or psychotherapy can help you learn to manage ADHD symptoms and manage these symptoms. It can help you learn how to handle problems at work, school and in your relationship. Your therapist might suggest that you attend group, individual or family therapy based on your goals and needs. adhd treatment for older adults is a type of psychotherapy that helps people with ADHD to improve their self-esteem and functioning. CBT works by teaching you how to recognize and alter negative thoughts that can affect your emotions and behaviors. For example, CBT can teach you to alter your “all or nothing” thinking which can lead people with ADHD to believe that they must do everything flawlessly or not at all. In an appointment your therapist will listen to you and ask questions to understand your thoughts and emotions. They will then provide you with suggestions based on their experience and research. You might also be assigned homework, like journaling or trying a different activity. It is important to complete the homework as it will allow you to practice what you've learned. It's important to keep in mind that seeking treatment doesn't necessarily mean you're weak. It's a brave move to live the life you've always wanted. With the structure and support, as well as the skills gained through psychotherapy, it is possible to attain your most important goals and dreams. Education Education can be a potent tool to help adults with ADHD. Education can include classes to teach organizational skills, how to prepare for tasks, and methods to improve the way one talks and listens to others. Therapy that focuses on helping the patient to identify their symptoms and how they affect behavior can be helpful. This can be accomplished in individual sessions or in group therapy. Research has demonstrated that a variety of psychosocial treatments can help reduce the symptoms of ADHD individuals and improve their performance. These include educational interventions, which can improve academic achievement and self-report of ADHD symptoms. A variety of behavioral and cognitive treatments have been proven to be effective. These include hypnotherapy and neurofeedback. However, not all of them have been proven to be superior to the controls. Further research is required to verify the results. In a study it was discovered that an educational program which taught students how to identify their own inattention or impulsive behavior was more effective than waiting for a list to improve self-reported ADHD symptoms. A daily behavior report card was found to improve academic performance for children with ADHD in another study. It has been demonstrated that behavioral parenting training can be effective in reducing negative parental behavior and enhancing positive family functioning. However, the effects of self-directed versus therapist-led training require further investigation. Adolescents who have ADHD are at a high chance of having impaired driving outcomes like crashes that result in injury or death. Intensive summer “bridge” programs have been shown to improve driving skills in adolescents with ADHD. Other psychosocial interventions have also been discovered to be beneficial such as central executive training and training for working memory. Adults with ADHD are unable to maintain stable relationships or jobs. Inability to complete tasks or follow through, poor organizational skills and uncontrollable or inattentive behavior can strain the patience of colleagues, family members and coworkers. members. Psychotherapy that helps patients improve their communication skills can help manage these difficulties. The same can be said for couples counseling, which helps couples learn how to deal with each other's problems when they occur. Counseling Although medication is effective for a lot of people with ADHD but it is not always sufficient to treat all symptoms. The adverse effects of medications can be unpredictable, and they may affect some people differently. Counseling is therefore an essential part of the treatment plan. Counseling can help patients discover better ways to manage their emotions, improve their relationships and self-esteem, as well as learn strategies to face the unique challenges associated with living with ADHD. Numerous randomized controlled studies have proven the effectiveness of psychosocial therapy for ADHD. In certain studies, academic functioning of both parents and students improved when a combination of medication and behavioral therapy was utilized. Studies have also shown that a low dose stimulant medication combined with behavioral therapy improved classroom behavior as well as homework performance when compared to a comparison group. In a recent study high school counselors were trained to implement two short homework and organizational interventions for students with ADHD. The interventions were compared to an initial course of low dose medication. The results suggest that a sequential, multi-assignment, randomized trial may be an effective method to bridge the gap between research findings and actual practice in school-based interventions for ADHD. It is recommended that schools implement ADHD interventions, which include behavior training and education for parents, prior to trying medications. For adolescents and adults the first course of treatment should be a combination of pharmacotherapy with psychosocial interventions. The first medications for adults and adolescents should be stimulants such as methylphenidate or dexamphetamine, unless other health conditions prevent the use of these drugs. In such cases either atomoxetine, or guanfacine may be considered. A thorough medical examination should be performed to determine if there are any other conditions that might affect learning and functioning, including neurological disorders (such epilepsy, Tourette's Syndrome or cerebral palsy) as well as nutritional issues and substance abuse disorders (SUD) chronic diseases like asthma, and comorbid mental disorders. If the history and exam are not significant, a diagnosis of ADHD is made by a qualified psychologist or psychiatrist based on established diagnostic criteria.