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Evidence Based Treatment For ADHD in Adults ADHD affects people in ways that impact their work, home life and relationships. The most common treatments include medication, training in skills and psychological counseling. Atomoxetine, also known as Strattera is the only FDA approved non-stimulant medication to treat adult ADHD. Research shows that it is safe and has low abuse potential. Psychosocial interventions that address organizational skills and comorbid conditions have a solid evidence base particularly BPT, which is a form of behavioral parent education (BPT). It is difficult to provide specific psychosocial guidelines. Medication For many people suffering from ADHD, a combination of medication and psychosocial treatment is the best approach to manage their symptoms. The use of medication has been proven to be very effective in reducing symptoms of ADHD, but it can take a while for someone to see the results. If you're thinking of taking medication to improve your ADHD symptoms, consult your doctor to ensure that it is suitable for you and won't interact with any other medications you're taking. People with ADHD have difficulty with focusing and concentrating, controlling impulses making plans and finishing tasks on time. These difficulties can affect the school, work and social relationships. These difficulties can also make it hard to relax and take advantage of leisure activities. The most effective treatment for ADHD is medication. They can reduce or eliminate the need for psychosocial interventions and improve the quality of life. Fortunately, medications are not addictive and have a low risk of misuse. People suffering from ADHD are able to benefit from stimulants, based on several studies. Non-stimulant medications such as atomoxetine, also known as Strattera, are available for those who are unable to tolerate stimulant side effects. The medication isn't the only solution. A thorough assessment should include a thorough description of ADHD symptoms and the impact they have on daily functioning. It is important to determine if the individual has any co-morbid conditions like anxiety or depression which could impact the effectiveness of medication and treatment. A medical examination will not usually reveal any signs of the disorder. However, adhd in adults treatment iampsychiatry is based upon clinical judgment, and an history of symptoms that began in the early years of childhood. In addition to a thorough interview, other information like school records and health assessments can be helpful in diagnosing the condition. There are many psychosocial treatments available for ADHD such as metacognition and cognitive rehabilitation. However, none of these 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 start with a lower dose of medication that is able to be combined with behavioral therapy. Psychotherapy Many people suffering from ADHD find 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 help reduce ADHD symptoms. Talk therapy is a form of psychosocial treatment that consists of one-on-one sessions with a professional counselor or therapist. Different types of talk therapy exist and the choice of therapist should be based on your specific needs and goals. A typical approach to treating adult ADHD is to employ the combination of medication and psychotherapy. Studies have proven that combining psychotherapy and medication is more effective than either one on its own. The National Institute of Mental Health also recommends this approach. Psychotherapy, also known as psychotherapy, can aid you in managing your ADHD symptoms and learn coping skills. It can teach you how to deal with problems at work, school and personal life. Depending on your needs and goals, your therapist may recommend that you attend individual or family therapy. Cognitive behavior therapy is a kind of psychotherapy that helps people with ADHD to improve their self-esteem and functioning. CBT helps you learn how to recognize and change negative thoughts that affect your emotions and behaviors. CBT can, for instance can help you learn to alter your “all-or-nothing” thinking which can make people with ADHD believe they must do everything perfectly or not at all. In an appointment your therapist will listen to you and ask questions to better understand your thoughts and emotions. The therapist will then give you advice based upon their knowledge and experience. You might also be assigned homework, such as journaling or attempting a new activity. It's important to do homework because it will allow you to practice what you've learned. It is important to keep in mind that seeking treatment does not necessarily mean you're weak. It's a brave move to live the life you've always wanted. You can reach your goals and ambitions by utilizing psychotherapy. Education Education can be a potent instrument to assist adults with ADHD. Classes can be taught to improve communication skills, to learn to organize tasks, and to learn to listen and speak to others. Therapy that focuses on helping the patient to recognize their symptoms and how they affect their behavior could also be beneficial. This can be done in individual sessions or through group therapy. Research has demonstrated that various psychosocial interventions can significantly reduce problematic symptoms and improve the functioning of people with ADHD. Educational interventions can enhance academic performance and self-reporting of ADHD symptoms. Different behavioral and cognitive therapies have been proven to be effective, including hypnotherapy, neurofeedback, metacognitive training, and cognitive remediation. However none of them have been proven to be superior to the controls and the results need further replication. In an investigation it was found that an educational program which taught students to recognize their own inattention or impulsive behavior was more effective than waiting on lists to improve self-reported ADHD symptoms. A daily report card on behavior was found to improve academic performance for children with ADHD in another study. It has been established 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 with ADHD are at a higher chance of having impaired driving outcomes like crashes that cause injury or death. The intense summer “bridge” program has been shown to improve driving abilities in adolescents with ADHD. Other psychosocial interventions proven to be effective include central executive training and working memory training. Adults suffering from ADHD are unable to maintain stable jobs or relationships. Poor organizational skills as well as inability to complete or complete tasks and inattention and impulsive behavior can leave coworkers and family members angry. Psychotherapy that assists patients in improving their communication skills can aid in overcoming these difficulties. This is also true for couples counseling, which teaches partners how to deal with each other's problems when they occur. Counseling While medication is effective for many people with ADHD but it doesn't always eliminate all symptoms. The effects of medication are not always predictable, and they may affect some people differently. Counseling is therefore an important component of the treatment plan. Counseling can be used to help people learn to manage their emotions, develop relationships, and improve self-esteem. Multiple randomized controlled studies have demonstrated the effectiveness of psychosocial treatment for ADHD. In certain studies, academic functioning of both students and parents improved when a combination of medication and behavioral therapy was used. Studies have also proven 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 with a comparably group. In a recent study high school counselors received training on how to implement two short homework and organization interventions with ADHD students. These interventions were compared with an initial course low dose medication. The results suggest that a sequential, multiple assignment trial that is randomized could be a viable way to bridge the gap between research and practice in school-based treatment for ADHD. It is recommended that schools implement ADHD interventions that include behavior management and education for parents, prior to trying medication. A combination of psychosocial and pharmacotherapy interventions should be the primary line of treatment for adolescents and adults. The first medications for adolescents and adults should be stimulants, such dexamphetamine or methylphenidate, except that any other health issues prevent them from taking these drugs. In these cases the use of atomoxetine or guanfacine could be considered. A thorough medical examination should be conducted to rule out any other disorders that could affect learning and functioning, such as neurological disorders (such epilepsy, Tourette's Syndrome, or cerebral palsy) as well as nutritional issues and substance abuse disorders (SUD) chronic diseases such as asthma, and comorbid mental disorders. If the examination and history are not significant and the diagnosis is not clear, ADHD is made by a licensed psychologist or psychiatrist using established diagnostic criteria.