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Evidence Based Treatment For ADHD in Adults ADHD affects people in ways that impact their work, home and relationships. The most common treatments include medication, training in skills and psychological counseling. Atomoxetine (Strattera) is the only FDA-approved non-stimulant medication for adults with ADHD. It is safe and effective, according to research. Psychosocial interventions addressing the comorbid disorder and organizational skills have a strong evidence base including behavioral parent training (BPT). However, accuracy in psychosocial guidelines is a challenge to achieve. Medication For many people suffering from ADHD the combination of medication and psychosocial treatment is the best approach to manage their symptoms. It may take some time before someone can see any improvements in their ADHD symptoms. If you are considering taking medication to improve your ADHD symptoms, talk to your doctor to make sure that it is suitable for you and will not interfere with other medications you're taking. People with ADHD have trouble focusing and concentrating, regulating impulses planning and finishing tasks on time. These issues can affect work, school and social interactions. These difficulties can also make it hard to relax and enjoy leisure activities. first line treatment for adhd in adults for ADHD is medication. Medications are able to reduce or eliminate the need for psychosocial interventions, and improve the quality of life. Fortunately, medications are not addictive and they have low risk of misuse. A number of studies have demonstrated that people with ADHD benefit from using stimulants. Non-stimulant medications such as atomoxetine or Strattera are available for those who are unable to tolerate stimulant adverse effects. Medication is only part of the answer. A thorough evaluation should include a description of symptoms and a description of the effects of ADHD symptoms on a person's daily functioning. It is important to determine if the individual has any co-morbid conditions like anxiety or depression which could impact the response to medication or treatment. A medical examination does typically not reveal any indications of the condition. However, a diagnosis is based upon clinical judgment and a history of symptoms that started in the earliest years of childhood. A thorough interview can be useful in conjunction with additional information, such as medical records from schools or child health assessments. There are a myriad of psychosocial therapies available for ADHD, including cognitive remediation and metacognition. These psychosocial treatments don't appear to be as effective as pharmacotherapy, and are unlikely have the same effectiveness. Patients are advised to start with a low dose medication that is able to be combined with behavioral therapy. Psychotherapy Many people with ADHD find that psychotherapy, or talk therapy, can help them improve their lives. Certain studies suggest that certain kinds of therapy, like cognitive behavioral therapy (CBT) and Relapse prevention therapy (RPT), can help alleviate symptoms of ADHD. Talk therapy is a psychosocial treatment which involves individual sessions with a professional counselor or therapist. There are various types of therapy that can be used, and the therapist you select should be based on your goals and requirements. A common approach to treating adult ADHD is using a combination of medications and psychotherapy. Studies have demonstrated that combining therapy and medication is more effective than either one alone. The National Institute of Mental Health also recommends this method. Psychotherapy, also known as talk therapy can help you manage your ADHD symptoms and develop strategies for coping. It can teach you strategies to cope with problems in your relationships, work, and school life. Your therapist might suggest that you attend individual, group, or family therapy depending on your needs and goals. Cognitive behavior therapy (CBT) is a type of psychotherapy that can assist people suffering from ADHD improve their self-esteem and functioning. CBT works by teaching you how to recognize and alter negative thoughts that can influence your mood and behavior. CBT for instance, can teach you how to overcome “all-or-nothing” thinking which can make people with ADHD believe that they must be doing everything perfect or else not do anything at all. In a therapy session your therapy therapist listens to you and asks questions to gain a better understanding of your thoughts and feelings. They will then provide you with suggestions based on their experience and research. You may also be given homework, such as journaling or attempting a new activity. It's important to do homework because it will allow you to apply what you've learned. It's important to remember that seeking treatment does not mean you are weak. In fact, it's a brave step towards living the life you deserve. You can reach your goals and dreams with the help of psychotherapy. Education Education can be an effective tool for adults with ADHD. It can be used to teach organizational skills, how to prepare for work, and ways to improve the way one speaks and listens to others. Therapy that focuses on teaching the patient to recognize their symptoms and how they affect their behavior could also be beneficial. This can be done in private sessions or through group therapy. Research has demonstrated that many psychosocial interventions can dramatically reduce the symptoms of ADHD and improve performance in people with ADHD. Educational interventions can help improve academic performance and self-reporting of ADHD symptoms. A variety of behavioral and cognitive therapies have been proven to be effective. They include hypnotherapy and neurofeedback. However, not all of them have been proven to be superior to control methods and the results require more research. In a study, an educational program that taught students to recognize their own impulsive and inattentive behaviors was discovered to be more effective than a waitlist control in improving self-report of ADHD symptoms. Another study found that a daily behavior report card enhanced academic performance in children with ADHD. It has been proven that behavioral parent training is effective in reducing negative parental behaviors and increasing positive family function. However, the effects of self-directed versus therapist-led training need further exploration. Adolescents suffering from ADHD are at a high risk of impaired driving, such as crashes that cause injuries or even death. The intense summer “bridge” program has been proven to improve driving abilities in adolescents with ADHD. Other psychosocial interventions have also been found to be helpful, including central executive training and training for working memory. Adults suffering from ADHD often have trouble maintaining stability in their jobs or relationships. Inability to finish tasks or complete them, poor organizational skills and impulsive or inattentive behaviors can cause stress for co-workers, colleagues and family members. Psychotherapy that helps patients improve communication skills can help them manage these difficulties. Couples counseling can help partners resolve issues that arise. Counseling Although medications are effective for a large number of people with ADHD but it is not always enough to eliminate the severity of symptoms. Medications can be unpredictable and trigger negative side effects that affect certain people in different ways. Counseling is therefore an important component of the overall treatment. Counseling can be used to aid people in learning how to better manage their emotions, build relationships, and improve self-esteem. Multiple studies that have been randomized controlled have proven the effectiveness of psychosocial therapy for ADHD. Some studies found that when the combination of therapy and medication is employed, both the parents and students' ratings of academic functioning improves. Studies have also proven that the use of a low dose stimulant coupled with behavioral therapy can improve both 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 brief homework and organization interventions for students with ADHD. The two interventions were then compared with the initial course, which contained a low dose medication. The results suggest that a sequential, multiple assignment trial that is randomized could be a feasible method to bridge the gap between research and practice in school-based intervention for ADHD. Before attempting to take medication it is recommended that schools implement ADHD intervention, which includes behavior training and education for parents. A combination of psychosocial and pharmacotherapy interventions should be the primary option for treatment for adults and adolescents. For how to get treated for adhd in adults and adolescents the first treatment should be stimulants (methylphenidate, dexamphetamine or lisdexamfetamine), unless they cannot take these drugs due to health issues. In these cases either atomoxetine, or guanfacine may be considered. A thorough medical exam should be conducted to rule out any other conditions that could affect functioning and learning, including neurological disorders (such as epilepsy, Tourette's Syndrome, or cerebral palsy), nutrition problems, substance use disorder (SUD), chronic illnesses like asthma and comorbid psychological issues. If the medical history and examination are not remarkable the psychiatrist or psychologist may be able to diagnose ADHD with established diagnostic criteria if they find nothing unusual.