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Evidence Based Treatment For ADHD in Adults ADHD affects people in ways that affect their work, home life and relationships. The most common treatments are medication, skill-training and psychological counseling. Atomoxetine (Strattera) is the only FDA-approved non-stimulant drug for adults with ADHD. Recommended Web site has proven that it is safe and has a low risk of abuse. Psychosocial interventions that address organizational skills and comorbid conditions have a solid evidence base, notably BPT, which is a form of behavioral parent education (BPT). However, accuracy in psychosocial guidelines is not easy to achieve. Medication For many people with ADHD the combination of medication and psychosocial treatment is the best way to manage their symptoms. It can take a while for a person to notice any improvements in their ADHD symptoms. Consult your physician in the event that you're considering using medication to treat your ADHD symptoms. Make sure it's suitable for you, and that it won't interact with other medications you are taking. People with ADHD have difficulty with focusing and concentrating, controlling their impulses planning and completing tasks on time. These issues can impact work, school and social interactions. They can make it difficult to take time out and take time to relax. Medicines are the most effective evidence-based treatment for ADHD. They can help reduce or eliminate the need for psychosocial interventions and they can dramatically improve the quality of life. Fortunately, medications do not create addiction and carry the lowest chance of being misused. Numerous studies have proven that people suffering from ADHD benefit from the use of stimulants. Non-stimulant drugs like atomoxetine, also known as Strattera, are available for people who are unable to take stimulants' side effects. Medication is only part of the answer. A thorough evaluation should include a detailed history of symptoms and a discussion of the effects of ADHD symptoms on the person's daily life. It should also address whether the person has any other comorbidities like depression or anxiety, which could affect the response to therapy and medication. A medical exam does typically not reveal any indications of the disorder. Instead, a diagnosis is based on clinical judgment, and the history of symptoms that started in the earliest years of childhood. A thorough interview can be helpful when combined with collateral information, like medical records from schools or child health assessments. There are a variety of psychosocial treatments available for ADHD, including cognitive remediation and metacognition. These treatments do not seem to be as effective as pharmacotherapy, and are not likely to have the same level effectiveness. The more complex regimens are usually not followed and patients are advised to begin with a lower dose of medication that can be easily combined with behavioral therapy. Psychotherapy Many people suffering from ADHD discover that talk therapy or psychotherapy can help them enhance 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 psychosocial treatment that involves sessions with a trained therapist or counselor. Different kinds of therapy are available and the choice of therapy should be based on your specific needs and goals. Combining psychotherapy and medication is a popular method to treat adult ADHD. Studies have demonstrated that combining medication and psychotherapy is more effective than either one on its own. This method is also recommended by the National Institute of Mental Health (NIMH). Talk therapy, or psychotherapy, can aid you in managing your ADHD symptoms and learn how to cope. It can help you learn how to deal with problems at work, school and in your relationship. Based on your goals and needs your therapist might suggest that you take part in individual, family, or group therapy. Cognitive behavior therapy (CBT) is a kind of psychotherapy that helps people with ADHD improve their self-esteem and functioning. CBT works by teaching you how to recognize and modify negative thoughts, which can influence your behavior and emotions. For example, CBT can teach you to shift your “all or nothing” thinking that can cause people with ADHD to believe that they must perform everything perfectly or not at all. During a therapy session, your counselor listens to your story and asks questions to gain a better understanding of your thoughts and feelings. The therapist will then offer you advice based upon their experience and research. They might also provide you with homework assignments, such as journaling or trying something new. It's important to do the homework, as it will help you practice what you've learned. It's important to remember that seeking treatment does not necessarily mean you're weak. In fact, it's a courageous step toward living the life you've always wanted. With the structure, support, and skills that you acquire through psychotherapy, you will be able to reach your highest goals and ambitions. Education Education can be a beneficial method for adults suffering from ADHD. Education may include classes that teach organizational skills, how to prepare for tasks, and ways to improve the way one talks and listens to other people. Therapy that focuses on teaching the patient to recognize their symptoms and how they impact their behavior could also be beneficial. This can be done in a group or individual therapy. Research has proven that various psychosocial interventions can significantly reduce problematic symptoms and improve functioning in individuals with ADHD. These include educational interventions, which can boost academic performance and self-reporting of ADHD symptoms. Many behavioral and cognitive treatments have been proven to be efficient. These include hypnotherapy and neurofeedback. However, not all of them have been proven to be superior to control methods and the results need further testing. In the course of a study, an educational program that taught students to identify their own impulsive and inattentive behavior was discovered to be more effective than waitlist control program in improving self-reports of ADHD symptoms. A daily behavior report card was found to improve academic performance for children with ADHD in a different study. It has been demonstrated that behavioral parent training is effective in decreasing negative parental behaviors and increasing positive family function. However, the results of self-directed versus therapist-led training need further exploration. Adolescents with ADHD are at a greater risk risk of impaired driving outcomes like crashes that cause injury or death. Intense summer “bridge” programs have been shown to improve driving skills in adolescents with ADHD. Other psychosocial interventions that have been found to be useful include central executive training and working memory training. Adults suffering from ADHD are unable to maintain stable relationships or jobs. Inability to organize their lives and inability to finish or finish tasks, and impulsive and inattentive behavior can leave coworkers and family members unhappy. Psychotherapy that teaches patients to improve their communication skills can help them deal with these issues. Couples counseling teaches partners to manage issues that arise. Counseling While medication is effective for a lot of people with ADHD but it is not always enough to eliminate all symptoms. Medicines can be unpredictably effective and cause side effects that impact some people in various ways. Therefore, counseling is a crucial element of the overall treatment plan. Counseling can aid people in learning how to manage their emotions, build relationships, and boost self-esteem. The efficacy of psychosocial treatment for ADHD has been demonstrated in several controlled studies that are randomized. Certain studies have shown that when the combination of behavioral therapy and medication is used, both parents and students' ratings of academic performance improves. Additionally, research has found that using an extremely low dose of stimulant medication with behavioral therapy improves academic performance and classroom behavior when compared to a control group. In a recent research study, high school counselors were trained to implement two brief homework and organization strategies for students with ADHD. The interventions were compared with an initial course of medication that was low dose. The results indicate that a sequential multi-assignment trial that is randomized could be an effective way to overcome the gap between research and practice in school-based interventions for ADHD. It is recommended that schools implement ADHD interventions that include behavior management and education for parents, prior to taking medication. For adults and adolescents, the first treatment should consist of a combination of pharmacotherapy with psychosocial interventions. For adults and adolescents the first drug to be considered should be stimulants (methylphenidate dexamphetamine, lisdexamfetamine or dexamphe) in the event that they are unable to take these medications due to other health issues. In such cases the use of atomoxetine or guanfacine could be considered. A thorough medical examination must be conducted to rule out other disorders that could affect learning and functioning, such as neurological disorders (such as epilepsy, Tourette's Syndrome, or cerebral palsy), nutrition problems and substance use disorders (SUD), chronic illnesses like asthma and comorbid psychological disorders. If the examination and history are unremarkable and the diagnosis is not clear, ADHD is made by a licensed psychologist or psychiatrist based on established diagnostic criteria.