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Evidence Based Treatment For ADHD in Adults ADHD affects people in ways that affect their work, home and relationships. The most common treatments are medications, skill training and psychological counseling. Atomoxetine (Strattera) is the only FDA-approved, non-stimulant medication for adults with ADHD. Research shows that it is safe and has low abuse potential. Psychosocial interventions to improve issues with organizational skills and comorbid disorders have a strong evidence base, particularly behavioral parent training (BPT). However, accuracy in psychosocial guidelines is not easy to achieve. Medication Many people suffering from ADHD are able to determine that a mix of psychosocial therapy and medication is best for managing their symptoms. The use of medication has been proven to be very effective in reducing symptoms of ADHD, but it can take some time for a person to see results. If you're considering taking medication to improve your ADHD symptoms, talk to your doctor to confirm that it is safe for you and won't interact with any other medications you're taking. People suffering from ADHD might have difficulty focus and concentration, regulating impulses, planning and completing tasks on time. These issues can have a negative impact on school, work and social interactions. They can make it difficult for people to take pleasure in leisure activities and unwind. Medicines are the most effective treatment based on research-based evidence for ADHD. The use of medications can reduce or eliminate the requirement for psychosocial interventions and improve the quality of life. Fortunately, medication does not create addiction and carry the lowest risk of abuse. A number of studies have demonstrated that people suffering from ADHD benefit from the use of stimulants. Non-stimulant medications such as atomoxetine, also known as Strattera are available to people who are unable to take stimulants' adverse effects. Treatment isn't the only option. A thorough assessment will include a thorough description of ADHD symptoms and the impact they have on everyday functioning. It is also important to determine if the person suffers from any other conditions that are comorbid such as depression and anxiety, which could affect the response to treatment and medications. Medical examinations usually do not reveal any signs of the disorder and a diagnosis is based on clinical judgement, with an established history of symptoms from childhood onwards. A thorough interview may be useful in conjunction with other information, such as school records or health assessments. There are many psychosocial treatments available for ADHD that include metacognition and cognitive rehabilitation. However, they do not appear to be more effective than psychotherapy, and aren't likely to achieve the same level of effectiveness as a dosed medication. The more complex regimens are usually not followed and patients are advised to begin with a lower dosage of medication that can be easily combined with behavioral therapy. Psychotherapy Many people with ADHD discover that therapy or psychotherapy can help them improve their lives. Certain studies suggest that talking therapy such as cognitive behavior therapy (CBT) or Relapse prevention therapy (RPT) can reduce ADHD symptoms. Talk therapy is psychosocial treatment which involves individual sessions with a trained counselor or therapist. There are various types of talk therapy and the therapist you select will depend on your goals and requirements. Combining medication and psychotherapy is a popular method to treat adult ADHD. 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. Talk therapy or psychotherapy can help you to cope with ADHD symptoms and manage these symptoms. It can also teach you strategies to cope with problems in your relationships, work and school. Your therapist might suggest that you attend group, individual or family therapy, based on your goals and requirements. Cognitive behavior therapy (CBT) is a kind of psychotherapy that can help adults with ADHD improve their functioning and self-esteem. CBT teaches you how to identify negative thoughts and change them, which may affect your emotions and behavior. For instance, CBT can teach you to shift your “all or nothing” thinking which can lead people with ADHD to believe that they must do everything perfectly or not at all. In a therapy session your therapy therapist listens to you and asks questions to better understand your thoughts and emotions. The therapist will then give you advice based upon their experience and research. They might also provide you with homework, such as journaling or trying something new. It's crucial to complete the homework, as it will allow you to 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 brave step towards living the life you deserve. With the structure and support, as well as the skills that you build through psychotherapy, you will be able to reach your highest goals and ambitions. Education Education can be a powerful tool for adults suffering from 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 identify their symptoms and how they affect behavior can be helpful. This can be done in private sessions or through group therapy. Research has shown that a variety of psychosocial interventions can dramatically reduce symptoms that cause problems and improve functioning in individuals with ADHD. Educational interventions can improve academic performance and self-reporting of ADHD symptoms. Many behavioral and cognitive therapies have been proven to be effective. These include hypnotherapy as well as neurofeedback. However none of them have been proven to be superior over alternatives. Further research is required to verify the results. In the course of a study, a program that taught students to identify their own inattention and impulsive behavior was discovered to be more effective than a waitlist control program in improving self-report of ADHD symptoms. evidence based treatment for adhd in adults showed that a daily behavior report card improved academic performance in children with ADHD. It has been established that training for parents to be a behavioral one is effective in decreasing negative parental behaviors and increasing positive family functioning. However, the effects of therapist-led versus self-directed training are still being explored. Adolescents suffering from ADHD are at risk of impaired driving, such as crashes that cause injury or death. The intensive summer “bridge” program has been shown to improve the driving abilities of adolescents with ADHD. Other psychosocial interventions have also been found to be helpful, including central executive training and training for working memory. Adults with ADHD typically have trouble keeping a stable job or relationships. Inability to finish tasks or complete them poor organizational skills, impulsive or inattentive behaviors can make it difficult for colleagues, coworkers and family members. Psychotherapy that helps patients improve communication skills can help them manage these challenges. The same is true for couples counseling, which teaches partners how to deal with each other's issues when they occur. Counseling While medication is beneficial for a significant number of people with ADHD however, it isn't always enough to eliminate all symptoms. Medications can be unpredictable and can cause adverse effects that affect some people in various ways. Counseling is therefore a crucial component of the overall treatment. Counseling can be used to assist people in learning to better manage their emotions, build relationships, and boost self-esteem. Numerous randomized controlled studies have proven the effectiveness of psychosocial treatment for ADHD. In some studies, the academic performance of both the parents and students improved when a combination medication and behavioral therapy was utilized. Additionally, studies have demonstrated that using the use of a small dose of stimulant medications in conjunction with behavioral therapy can improve academic performance and classroom behavior when compared to a control group. In a recent study high school counselors received training on how to implement two short homework and organizational interventions for ADHD students. These interventions were 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 viable way to bridge the gap between research and practice in school-based interventions for ADHD. Before attempting to take medication it is recommended that schools implement ADHD intervention, which includes behavior training and education for parents. For adults and adolescents the initial treatment should consist of a combination of psychosocial and pharmacotherapy. For adolescents and adults, the first medication should be stimulants (methylphenidate, dexamphetamine or lisdexamfetamine), unless they cannot use these medications due to other health issues. In these instances, atomoxetine and guanfacine are options. A thorough medical exam should be performed to determine if there are any other conditions that might affect learning and performance, for example neurological disorders (such Tourette's Syndrome, epilepsy, or cerebral palsy) or nutritional issues as well as substance abuse disorder (SUD) chronic illnesses such as asthma, and comorbid mental disorders. If the history and exam are unremarkable and the diagnosis is not clear, ADHD can be determined by a licensed psychologist or psychiatrist based on established diagnostic criteria.