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Evidence Based Treatment For ADHD in Adults ADHD can impact a person's work, family life and relationships. Standard treatments include medication, skill training and psychological counseling. Atomoxetine (Strattera) is the only FDA-approved, non-stimulant medication for adults with ADHD. It is safe and effective, as per research. Psychosocial interventions that focus on organizational skills and comorbid conditions have a solid scientific basis particularly BPT, which is a form of behavioral parent education (BPT). However, accuracy in psychosocial guidelines is not easy to attain. Medication Many people suffering from ADHD discover that a combination of psychosocial therapy and medication is the best to manage their symptoms. Medical treatment has been proven to be highly effective in reducing symptoms of ADHD, but it can take a few months for people to see the results. Talk to your doctor if you're considering taking medication to improve your ADHD symptoms. Make sure visit my home page for you, and doesn't interfere with other medications you take. People with ADHD might have difficulty focus and concentration, regulating impulses as well as planning and completing tasks on time. These difficulties can impact on school, work and social interactions. These issues can make it difficult to relax and take advantage of leisure activities. The most effective treatment for ADHD is medication. They can help reduce or eliminate the need for psychosocial interventions and can significantly enhance a person's quality of life. The good news is that medications aren't addicting and carry a very low risks of misuse. People with ADHD may benefit from stimulants, based on numerous studies. Non-stimulant medications such as atomoxetine or Strattera, are available for people who are unable to take stimulants' side effects. Medication is not the only option. A thorough assessment should include a description of symptoms and a discussion of the impact of ADHD symptoms on the person's daily life. It should also address whether the patient has any other comorbidities such as depression and anxiety, which may impact the effectiveness of therapy and medication. A medical examination is not required to show symptoms of the disorder, and a diagnosis is made on clinical judgement, with a clear history of symptoms from the time of birth to. In addition to a thorough interview, other information such as school records and child health assessments can be helpful in making a diagnosis. There are many psychosocial treatments available for ADHD such as metacognition and cognitive remediation. These psychosocial treatments do not seem to be as effective as pharmacotherapy and are unlikely have the same level effectiveness. Patients are advised to begin with a low dose medication that can be combined with behavioral therapy. Psychotherapy Many people suffering from ADHD discover that psychotherapy, also known as talk therapy, can help to improve their lives. Certain studies suggest that talking therapy, such as cognitive behavior therapy (CBT) or Relapse prevention therapy (RPT) can help to reduce ADHD symptoms. Talk therapy is a type of psychosocial treatment that consists of one-on-one sessions with a professional counselor or therapist. There are many kinds of talk therapy and the therapist you choose should be based on your goals and needs. A common method of treating adult ADHD is to use a combination of medication and psychotherapy. Studies have proven that combining medication and psychotherapy is more effective than any approach alone. This approach is also recommended by the National Institute of Mental Health (NIMH). Talk therapy or psychotherapy can help you to manage ADHD symptoms and manage the symptoms. It can also teach you strategies for dealing with difficulties in your work, relationships, and school life. Your therapist may suggest you attend group, individual or family therapy based on your needs and goals. Cognitive behavior therapy is a form of psychotherapy that helps adults suffering from ADHD to improve their self-esteem and functioning. CBT teaches you how to identify negative thoughts and change them, which can affect your emotions and behavior. CBT, for example can help you to change “all-or-nothing” thinking that makes people with ADHD to believe that they must do everything perfectly or not at all. In a session the counselor will listen to you and ask questions to better understand your thoughts and emotions. They will then give you suggestions based on their experience and research. You might also be assigned homework, like journaling or trying a new activity. It is important to complete your homework as it will aid you in putting what you have learned into action. It's important to remember that seeking treatment isn't an indication of weakness. It's a bold move to live the life you've always wanted. With the structure, support, and skills that you acquire through psychotherapy, you can attain your most important goals and dreams. Education Education can be a beneficial method for adults suffering from ADHD. Education may include classes that teach organizational skills, methods 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 affect behavior can also be helpful. This can be accomplished in individual sessions or through group therapy. Research has proven that many psychosocial interventions can significantly reduce the symptoms of ADHD and improve performance in people with ADHD. Educational interventions can enhance academic performance and self-reporting of ADHD symptoms. A variety of behavioral and cognitive therapies have been proven to be effective, such as hypnotherapy, neurofeedback, metacognitive learning, and cognitive remediation. However, not all of them have been proved to be superior to controls and the results need more research. In the course of a study it was found that a school program that taught students how to identify their own inattention or impulsive behavior was more effective than waiting on an inventory to improve self-reported ADHD symptoms. A daily behavior report card was found to improve academic performance in children with ADHD in a different study. Behavioral parent training has been shown to be effective in reducing negative parenting behavior and promoting positive family functioning, however the effect of self-directed training for parents versus therapist-led parenting needs more research. Adolescents who have ADHD are at a high danger of driving accidents that result from impaired thinking, like crashes that cause injury or death. The intensive summer “bridge” program has been proven to improve the driving abilities of adolescents with ADHD. Other psychosocial interventions have been discovered to be beneficial such as central executive training and training for working memory. Adults suffering from ADHD have difficulty maintaining stable jobs or relationships. Inability to complete tasks or keep on track, poor organizational skills and uncontrollable or inattentive behavior can cause stress for co-workers, colleagues and family members. Psychotherapy that helps patients improve their communication skills can help them manage these issues. The same can be said for couples counseling which assists partners in dealing with each other's issues when they arise. Counseling While medication is beneficial for a lot of people with ADHD it does not always reduce all symptoms. Medicines can be unpredictably effective and cause side effects that impact some people in different ways. Counseling is therefore an important part of the overall treatment. Counseling can be used to help people learn to manage their emotions, establish relationships, and increase self-esteem. The effectiveness of psychosocial therapies for ADHD has been demonstrated in multiple randomized controlled trials. Certain studies have shown that when the combination of medication and behavioral therapy is employed, both the parents and students' perceptions of academic performance improves. Studies have also proven that medications that are low doses of stimulant combined with behavioral therapy improved classroom behavior and homework performance when compared to a comparison group. In a recent research study, high school counselors were trained to implement two short homework and organizational interventions for students suffering from ADHD. The interventions were compared to an initial course of low dose medication. The results suggest that a sequential multi-assignment trial that is randomized could be a feasible way to bridge the gap between research and practice in school-based intervention for ADHD. It is recommended that schools implement ADHD interventions, which include behavior training and education for parents, prior to trying medications. For adolescents and adults the first course of treatment should be a combination of pharmacotherapy with psychosocial interventions. For adolescents and adults the first drug to be considered should be stimulants (methylphenidate, dexamphetamine or lisdexamfetamine), unless they cannot take these drugs due to health conditions. In these cases the use of atomoxetine or guanfacine could be considered. A thorough medical exam must be performed to determine the presence of any other disorder that could affect learning and functioning, such as neurological disorders (such Tourette's Syndrome, epilepsy, or cerebral palsy), nutritional problems as well as substance abuse disorder (SUD) chronic diseases like asthma, and other comorbid mental disorders. If the examination and history aren't particularly remarkable the psychiatrist or psychologist may be able to diagnose ADHD with established diagnostic criteria if they discover no unusual findings.