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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, training in skills and psychological counseling. Atomoxetine is also referred to as Strattera is the only FDA approved non-stimulant medication for use to treat adult ADHD. It is safe and effective, according to research. Psychosocial interventions that address issues with organizational skills and comorbid disorders have a solid evidence base, particularly behavioral parent training (BPT). However, precision in psychosocial guidelines is not easy to achieve. Medication Many people with ADHD discover that a combination of psychosocial therapy and medication is the best for managing their symptoms. first line treatment for adhd in adults of medication has been proven to be highly effective in reducing symptoms of ADHD but it can take a few months for a person to see results. If you're thinking of using medication to treat your ADHD symptoms, consult your doctor to confirm that it is suitable for you and will not interfere with any other medication you're taking. People with ADHD have trouble focusing and concentrating, controlling impulses making plans and finishing tasks in a timely manner. These difficulties can affect the school, work and social interactions. They can also make it difficult to take pleasure in leisure activities and unwind. The most effective treatment for ADHD is medication. They can help reduce or eliminate the need for psychosocial interventions and can significantly improve a person's quality of life. Fortunately, they don't cause addiction and carry an extremely low chance of being misused. Several studies have shown that those with ADHD benefit from stimulants. If you are not able to handle the adverse effects of stimulant medication can opt for non-stimulants like atomoxetine (Strattera). Treatment isn't the only answer. A thorough assessment will include a detailed description of ADHD symptoms and the impact they have on daily functioning. It should also be able to identify if the person has any other comorbidities like depression or anxiety, that could affect the effectiveness of therapy and medication. A medical exam does not usually reveal any signs of the condition. The diagnosis is based on clinical judgement, and an history of symptoms that began in childhood. A detailed interview can be helpful when combined with collateral information, such as school records or child health assessments. There are a variety of psychosocial treatments available for ADHD that include cognitive remediation and metacognition. However, these do not appear to be more effective than pharmacotherapy, and are unlikely to have the same level of effectiveness as a dosed medication. Complex regimens are not always followed and patients are advised to start with a lower dose of medication that can be easily mixed with the use of behavioral therapy. Psychotherapy Many people with ADHD discover that psychotherapy, or talk therapy, helps to improve their lives. Certain studies suggest that talk therapy, like cognitive behavior therapy (CBT) or Relapse prevention therapy (RPT) can help reduce ADHD symptoms. Talk therapy is a form of psychosocial therapy that involves private sessions with a professional therapist or counselor. Different kinds of talk therapy exist, and your choice of therapy should be based on your specific needs and goals. Combining psychotherapy and medication is a common way to treat adult ADHD. Studies have proven that combining medication and psychotherapy is more effective than each method by itself. The National Institute of Mental Health also recommends this method. Psychotherapy, also known as psychotherapy can help you manage your ADHD symptoms and learn strategies for coping. It can also teach you strategies for dealing with problems in your work, relationships, and school life. Your therapist might suggest that you attend group, individual, or family therapy depending on your goals and needs. Cognitive behavior therapy (CBT) is a kind of psychotherapy that helps people suffering from ADHD improve their functioning and self-esteem. CBT will help you recognize negative thoughts and alter them, which can impact your emotions and behavior. CBT, for example can help you to overcome “all-or-nothing” thinking which can make people with ADHD believe that they must be doing everything perfectly or else not do anything at all. During a session the therapist will listen to your and ask questions to help you understand your thoughts and emotions. They will then give you advice based on their experience and research. They might also give you assignments, like journaling or trying something new. It's crucial to complete homework because it will allow you to practice what you've learned. It is important to keep in mind that seeking treatment doesn't mean you are weak. It's a bold move to live the life you deserve. You can reach your goals and dreams by utilizing psychotherapy. Education Education can be a beneficial tool for adults with ADHD. Classes can be taught to improve communication skills, to learn to organize tasks and to learn how to talk and listen to other people. It can be helpful to teach patients how to recognize symptoms and how they affect their behavior. This can be done in individual sessions or group therapy. Research has proven that a variety psychosocial interventions can help reduce the symptoms of ADHD people and enhance their performance. These include educational interventions that can improve academic achievement and self-report of ADHD symptoms. Many cognitive and behavioral therapies have been shown to be effective. They include hypnotherapy and neurofeedback. However, not all of them have been proved to be superior to control methods and the results need further replication. In an investigation it was discovered that an educational program which taught students how to identify their own inattention or impulsive behavior was more effective than relying on lists to improve self-reported ADHD symptoms. A daily behavior report card was discovered to improve academic performance of children suffering from ADHD in another study. The training of parents on behavior has been proven to be effective in decreasing negative parenting behaviors and enhancing positive family functioning, but the impact of self-directed parenting as opposed to therapist-led training for parents requires further investigation. Adolescents with ADHD are at a high risk of impaired driving outcomes like crashes that cause injury or death. The intensive summer “bridge” program has been proven to enhance driving abilities in adolescents with ADHD. Other psychosocial interventions have been found to be helpful, including central executive training and training for working memory. Adults suffering from ADHD are unable to maintain stable jobs or relationships. Inability to finish tasks or follow through, poor organizational skills and impulsive or inattentive behaviors can strain the patience of colleagues, family members and coworkers. members. Psychotherapy that helps patients improve their communication skills can help them manage these difficulties. Couples counseling helps partners resolve issues that arise. Counseling Although medications are effective for a lot of people with ADHD but it is not always enough to eliminate the symptoms in all cases. Medications can be unpredictable and trigger negative side effects that affect certain people in various ways. Counseling is therefore an important part of the overall treatment. Counseling can be used to help people learn to better manage their emotions, build relationships, and improve self-esteem. The effectiveness of psychosocial treatments for ADHD has been proven through multiple randomized controlled trials. In certain studies, the academic performance of both the parents and students improved when a combination medication and behavioral therapy was utilized. Additionally, studies have found that using a low dose of stimulant medication in combination with behavioral therapy improves both academic performance and classroom behavior compared to a control group. In a recent research study, high school counselors were trained to implement two short homework and organizational interventions for students suffering from ADHD. The two interventions were then compared with an initial course low dose medication. The results suggest that a sequential, multi-assignment randomized study could be a successful method to bridge the gap between research findings and practices in school-based programs for ADHD. It is recommended that schools implement ADHD interventions that include behavior education and education for parents, prior to trying medications. For adults and adolescents the initial treatment should consist of psychosocial interventions and pharmacotherapy. The first treatment for adults and adolescents must be stimulants, such dexamphetamine or methylphenidate, 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 conducted to determine the presence of any other disorder that may interfere with learning and functioning, such as neurological disorders (such epilepsy, Tourette's syndrome, or cerebral palsy) or nutritional issues and substance abuse disorders (SUD) chronic illnesses like asthma, and other comorbid mental disorders. If the history and exam are not revealing, a diagnosis of ADHD can be made by a qualified psychiatrist or psychologist using an established diagnostic criteria.