5 Killer Quora Answers On Evidence Based Treatment For ADHD In Adults > 자유게시판

• 목록
• 답변
• 글쓰기
• 게시판 리스트 옵션
  • 수정
  • 삭제

Evidence Based Treatment For ADHD in Adults

ADHD can affect a person's work, family life and relationships. Treatments typically include medication, training in skills and psychological counseling.

Atomoxetine (Strattera) is the only FDA-approved non-stimulant medication for adult ADHD. It is safe and effective, according to research. Psychosocial interventions to improve organizational skills and comorbid disorders have a solid evidence base including behavioral parent training (BPT). It is challenging to provide precise psychosocial guidelines.

Medication

For many people with ADHD the combination of psychosocial treatment and medication is the best approach to manage their symptoms. The use of medication has been proven to be very effective in reducing symptoms of ADHD however, it may take a while for someone to see results. Talk to your doctor when you're thinking of taking medication to help improve your ADHD symptoms. Be sure that the medication is suitable for you, and that it won't interact with other medications that you take.

People with ADHD have difficulty with focusing and concentrating, controlling their impulses, making plans and accomplishing tasks in a timely manner. These issues can have a negative impact on school, work and social relationships. They can make it difficult to take time out and relax.

The most effective treatment for ADHD is medication. The use of medications can decrease or eliminate the need for psychosocial interventions and they can dramatically improve the quality of life. Fortunately, medications are not addicting and carry a the lowest risk of misuse. Numerous studies have proven that people with adhd in adults characterization diagnosis and treatment benefit from the use of stimulants. Those who cannot tolerate the negative effects of stimulant medications may choose non-stimulants, such as atomoxetine (Strattera).

Medication is not the solution. A thorough evaluation should include a description of symptoms as well as a description of the impact of ADHD symptoms on a person's daily functioning. It is also important to determine if the person suffers from any comorbid conditions, such as depression and anxiety, which may impact the effectiveness of treatment and medications.

A medical examination does typically not reveal any indications of the condition. Instead, a diagnosis is based on a clinical judgment and the history of symptoms that began in childhood. A thorough interview may be useful in conjunction with other information, like medical records from schools or child health assessments.

There are a myriad of psychosocial therapies available for ADHD such as metacognition and cognitive remediation. However, they do not appear to be superior to the pharmacotherapy method, and are not likely to achieve the same level of effectiveness as a well-dosed medication. 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 talking 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 to reduce ADHD symptoms. Talk therapy is a psychosocial therapy that involves private sessions with a professional counselor or therapist. There are many kinds of talk therapy and the therapist you choose will depend on your goals and needs.

A typical approach to treating adult ADHD is to use a combination of medications and psychotherapy. Studies have shown that combining medication and psychotherapy is more effective than each approach alone. 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 develop how to get treated for adhd in adults to cope. It can also teach you strategies to cope with issues in your relationships, work and school. Your therapist might suggest that you attend group, individual, or family therapy depending on your needs and goals.

Cognitive behavior therapy is a kind of psychotherapy which can help people with ADHD to improve their self-esteem as well as functioning. CBT teaches you how to recognize negative thoughts and alter them, which can impact your behavior and emotions. CBT, for example, can teach you how to alter your "all-or-nothing" thinking that can cause people with ADHD believe they must do everything perfect or not at all.

In a therapy session your counselor listens to your story and asks questions to help you understand your thoughts and feelings. The therapist will then offer you suggestions based on their knowledge and experience. They might also provide you with homework, such as journaling or trying something new. You must complete your homework as it will aid you in putting what you have learned into action.

It is important to keep in mind that seeking treatment does not mean you are weak. In fact, it's an empowering step towards living the life you've always wanted. You can reach your goals and ambitions by utilizing psychotherapy.

Education

Education can be a beneficial method for adults suffering from ADHD. Classes can be taught to improve communication skills, to learn to organize tasks and to learn how to talk and listen to others. It is beneficial to concentrate on teaching patients to recognize signs and how they affect their behavior. This can be done either in individual sessions or group therapy.

Research has proven that a variety of psychosocial interventions can reduce problematic symptoms in ADHD individuals and improve their functioning. Educational interventions can improve academic performance and self-reporting of ADHD symptoms. Various cognitive and behavior therapies have been shown to be effective, including hypnotherapy, metacognitive training, neurofeedback and cognitive remediation. However none of them have been proven superior to controls. Further replication is needed to confirm the results.

In one study, an educational program that taught students to identify their own inattention and impulsive behavior was found to be more effective than a waitlist control in improving self-reports of ADHD symptoms. A daily report card for behavior was found to boost academic performance of children suffering from ADHD in a separate study. Behavioral parent training has been proven to be effective in decreasing negative parenting behaviors and enhancing positive family functioning, however the impact of self-directed parenting training for parents versus therapist-led parenting needs further exploration.

Adolescents doctors who treat adhd in adults have ADHD are at a higher risk of impaired driving outcomes such as crashes resulting in injury or death. The intense summer "bridge" program has been shown to improve driving abilities in adolescents with ADHD. Other psychosocial interventions discovered to be beneficial include central executive training and working memory training.

Adults with ADHD are unable to maintain stable relationships or jobs. Inability to complete tasks or complete them, poor organizational skills and impulsive or inattentive behaviors can cause stress for colleagues, coworkers and family members. Psychotherapy that teaches patients to improve communication skills can help them manage these issues. Couples counseling helps partners resolve issues that arise.

Counseling

While medications can be beneficial for many people suffering from ADHD but it doesn't always reduce the symptoms in all cases. Medications can be unpredictable and trigger side effects that impact some people in various ways. This is why counseling is a crucial element of the overall treatment plan. Counseling can help people find better methods to manage their emotions, improve relationships build self-esteem and develop strategies to cope with the unique challenges associated with living with ADHD.

Multiple studies that have been randomized controlled have demonstrated the effectiveness of psychosocial therapy for ADHD. In some studies, the academic performance of both the students and parents improved when a combination medication and behavioral therapy was used. Studies have also proven that a low dose stimulant medication coupled with behavioral therapy can improve classroom behavior as well as the performance on homework when compared to a control group.

In a recent study high school counselors were trained on how to implement two short homework and organization programs for ADHD students. These interventions were compared with the initial course, which contained a low dose medication. The results suggest that a continuous, multi-assignment randomized study could be a viable method of bridging the gap between research findings and practice in school-based interventions for ADHD.

Before attempting to take medication it is recommended that schools implement ADHD intervention which includes behavior education and education for parents. For adults and adolescents the initial treatment should be a combination of psychosocial and pharmacotherapy. For adolescents and adults the first treatment should be stimulants (methylphenidate dexamphetamine, lisdexamfetamine or dexamphe), unless they cannot take such medications due to other health issues. In these instances either atomoxetine, or guanfacine may be considered.

A thorough medical examination must be performed to rule out any other conditions that could affect functioning and learning, including neurological disorders (such as epilepsy, Tourette's syndrome or cerebral palsy) and nutrition-related issues and substance use disorders (SUD), chronic illnesses like asthma and comorbid psychological issues. If the examination and history are unremarkable and the diagnosis is not clear, ADHD can be determined by a qualified psychologist or psychiatrist based on established diagnostic criteria.