Skip to main content

Blog entry by Elliot Hedley

There's A Reason Why The Most Common Treatment Adult ADHD Debate It's Not As Black And White As You Might Think

There's A Reason Why The Most Common Treatment Adult ADHD Debate It's Not As Black And White As You Might Think

Adult ADHD and Comorbid Disorders

Many people with ADHD have comorbid conditions like major depression (Kessler and colleagues, 2006). Many patients do not respond to medication for depression and may benefit from psychotherapy.

human-givens-institute-logo.pngNeurotransmitters are brain chemicals that regulate and boost levels of certain brain chemicals. The most commonly prescribed stimulants are amphetamine, methylphenidate and similar drugs.

Medicines

Adults can use many drugs that are prescribed for ADHD in children. However the dosages are different and the drugs may cause side effects that are not typical of children. The doctor will take a look at the medical history, the family health history, and other medical conditions of an individual to determine which medication is best.

The most commonly used ADHD medication is a stimulant. It works by adjusting the levels of norepinephrine, and dopamine in the brain. Stimulants like methylphenidate and dextro-amphetamine (commonly called Adderall) boost the supply of these neurotransmitters, which help improve focus and reduce impulsivity and aggression. They come in many forms like chewable tablets, liquids, and skin patches. Long-acting versions of these stimulants are preferred as they result in better patient compliance and longer lasting more smooth improvement in symptoms.

It is important to remember that co-occurring disorders like anxiety or depression may affect the response to ADHD medication. Therefore it is recommended that mental health issues be treated first before medication is utilized as a secondary measure. Medications that can be used to treat comorbid psychiatric disorders include bupropion, atomoxetine and tricyclic antidepressants (Wilens 2004).).

Certain patients may experience an "rebound" effect in which they experience worsening of ADHD symptoms after discontinuing stimulant medications. In these cases an experiment of a short duration with a low-dose stimulant medication may prove beneficial.

Certain people are not able to take stimulant medications or are not able to take them due to abuse of drugs or other health issues, such as severe heart problems or hypertension. In these instances, non-stimulant medications such as atomoxetine (Strattera) and viloxazine (Qelbree) can be effective. These drugs do not have the same level of adverse effects as stimulants and have less risk of misuse and diversion.

Psychotherapy

Psychotherapy (talk therapy) can be beneficial for people with ADHD. It can help people with ADHD learn how to improve their lives, deal with stress and anxiety, resolve conflicts, or deal with problems in their relationships or at work. It can also aid in the homeopathic treatment for adhd of co-existing mental disorders like addiction and depression disorders.

Talk therapies include cognitive behavior therapy (CBT) and mind-body cognitive therapy and schema therapy. These therapies are based on belief that one's beliefs and thoughts influence how they feel, think and act. CBT helps people identify negative behaviors and thinking patterns, and then develops and implements positive strategies to change these patterns. Meditation techniques are employed in mindfulness-based cognitive therapy to help people concentrate on their thoughts and emotions as well as control their impulses and improve executive functioning. Schema therapy, along with other forms of psychotherapy that focus on a person's family history could be beneficial for those suffering from ADHD.

In addition to medicines psychotherapy can assist in addressing the specific problems caused by ADHD like difficulty getting through schoolwork, resolving conflicts and getting along with others, ignoring important dates or responsibilities and making impulsive choices that lead to legal or financial problems. It can also assist a person explore and overcome issues that could cause adhd treatment medication symptoms, like depression or anxiety.

Psychotherapy can help someone to develop healthy coping methods and reduce stress, for example exercise, sleep improvement and healthy eating habits. It can also offer support to a partner or family member who may be dealing with the effects of ADHD on their relationship. Marriage and family therapy helps couples and families learn how to communicate better and manage adhd treatment for adults without medication symptoms together.

Cognitive Behavioral Therapy (CBT)

CBT is a kind of psychotherapy that is focused on helping clients change their negative thoughts. It employs dialogue based on skill with a skilled mental health professional (a therapist) to address the underlying causes of their symptoms. The goal of this treatment is to correct impairments and implement coping strategies that align with the daily routine of the client.

Therapists who specialize in adult ADHD-CBT show clients how to identify unhelpful thoughts and help them develop skills to replace them with more productive thoughts. This process can take time. It is an option for those who are unable to feel enough relief from their medications used to treat adhd.

In an upcoming RCT study, it was concluded that cognitive behavioral therapy paired with medication is superior over cognitive behavior therapy by itself in terms of improving the core symptoms, emotional symptoms, self-esteem, and social functioning in adults suffering from ADHD (Clarke and colleagues. 2017). The combination of CBT and methylphenidate is particularly beneficial for those suffering from more severe underlying problems.

Therapists who offer this kind of treatment work with clients to develop an action plan that addresses the specific issues they face. They usually teach clients a set of practical skills that are easy to implement and have a high chance of success. Typically, a chart system is used to track progress and reward positive behavior. In the case of a child, this might be a daily journal which outlines the school tasks or positive behaviors they must perform and medications used to treat adhd an approach to tracking and earning rewards. The therapists could also consider the introduction of negative consequences if the child fails to complete their tasks. This can be done in a sensitive and supportive manner.

Metacognitive Therapy

A newer type of therapy, metacognitive therapy helps individuals change how they think. This kind of treatment can be effective for people suffering from a range of mental health problems such as depression. It is a form of cognitive behavioral therapy that helps people learn to recognize negative thinking patterns and their effect on their moods. This kind of therapy can also help them acquire psychological tools that are adaptable and useful.

The purpose of this study was to explore the relationship between metacognitive abilities and daily functioning in adults with ADHD. To achieve this we compared self- and informant-rated deficits in daily functioning to indicators of metacognition (comprehensive knowledge, regulation of cognition debugging, management of information, and evaluation). The results indicated that comprehensive knowledge was associated with daily functioning in adults with ADHD however, it was not associated with regulatory processes. The predictive power of a model with metacognition predictors was moderate, which suggests that they can explain an important portion of the variation in daily functioning for adults with ADHD.

Metacognitive Therapy (MCT) is an intervention which focuses on reversing metacognitive beliefs that are dysfunctional and perpetuate states like worry, rumination, and attention fixation. Adrian Wells developed MCT based on the model of information processing created by Wells and Gerald Matthews. MCT has been proven to be effective in treating adhd without medication anxiety disorders. However, it's still an emerging treatment, and further research is required to determine whether it can aid in other disorders.

This study was created to evaluate the efficacy of MCT to alleviate symptoms of illness anxiety disorder. However it is also able to treat various disorders and could be more effective than other therapy. It is not a cure, but it could be used to treat ADHD.

Family Therapy

In family therapy, therapists work with all family members. All members can better understand medications Used to treat adhd the client's issues and learn how they can help their loved ones. It also helps them find ways to cope with their own anxieties and develop healthier communication skills. This type of counseling could also be used to address other comorbidities, such as addiction and depression, which are often seen as part of ADHD.

The therapist will start with an intake session in order to gain a better understanding of the family's perspective of the problem and assess their suitability for family intervention. It can be done either in person or online. The counselor will explain to each participant the purpose of therapy and the rules for family therapy.

A therapist with experience treating adults suffering from ADHD will ask a variety of questions in order to gain understanding of the client's present symptoms, their history, and their impact on their work life as well as their family and social life. They will also inquire if any other mental issues are present, like anxiety or depression.

Cognitive behavioral therapy is a structured kind of counseling that teaches you to manage your behavior and transform negative patterns of thinking to positive ones. It concentrates on improving your self esteem and self-control by teaching you techniques to cope with anger and stress. It is a treatment option for short-term use that can be combined with other types of psychotherapy.

top-doctors-logo.pngIndividual therapy can help people suffering from ADHD overcome emotional baggage from longstanding patterns of failure, underachievement academic issues as well as frequent job changes and conflict in relationships. It can teach you coping and stress reduction techniques and teach you how to manage your time and money more effectively. It can be used to treat the comorbidities, like mood and anxiety disorders, which are often seen alongside ADHD.

  • Share

Reviews