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投稿人 Lawanna Landrum 메일보내기 이름으로 검색  (185.♡.246.186) 作成日25-05-20 16:12 閲覧数4回 コメント0件

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psychology-today-logo.pngEvidence Based Treatment For ADHD in Adults

ADHD can affect someone's work, home life and relationships. The most common treatments include medication, training in skills and psychological counseling.

Atomoxetine is also known as Strattera, is the only FDA approved non-stimulant medication that is approved to treat adult ADHD. Studies have proven that it is effective and has low abuse potential. Psychosocial interventions to improve issues with organizational skills and comorbid disorders have a strong evidence base including behavioral parent training (BPT). However, the precision of psychosocial guidelines is not easy to achieve.

Medication

For many people suffering from ADHD it is believed that a combination of psychosocial treatment and medication is the best method to manage their symptoms. The use of medication has been proven to be very efficient in reducing symptoms of ADHD however, it may take a few months for people to see the results. Consult your doctor when you're thinking of using medication to treat your ADHD symptoms. Make sure that it's safe for you, and doesn't interfere with other medications you are taking.

People suffering from ADHD might have difficulty concentrating and focusing, controlling impulses as well as planning and completing tasks in time. These issues can impact work, school and social relationships. They can make it difficult for people to take pleasure in leisure activities and take time to 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 a person's quality of life. Fortunately, medications are not addicting and carry a low risk of abuse. People with ADHD can benefit from stimulants, according to several studies. Non-stimulant drugs like atomoxetine, or Strattera are available to those who are unable to tolerate stimulant adverse effects.

Medication is not the solution. A thorough assessment should include a detailed history of symptoms and a description of the effects of ADHD symptoms on a person's daily functioning. It is essential to determine if the patient has any co-morbid conditions such as depression or anxiety which could impact the response to medication and therapy.

A medical examination will generally not reveal any symptoms of the condition. Instead, a diagnosis is based on a clinical judgement, and an history of symptoms that began in the earliest years of childhood. In addition to a thorough interview, additional information like school records and child health assessments can be helpful in establishing a diagnosis.

iampsychiatry-logo-wide.pngDifferent psychosocial treatments for ADHD are available such as metacognition, cognitive remediation and working memory training. However, they do not seem to be superior to the pharmacotherapy method, and are not likely to be as effective of effectiveness as a well-dosed medication. Patients are advised to start with a low dose medication that can be combined with behavioral therapy.

Psychotherapy

Many people suffering from ADHD find that psychotherapy, also known as talk therapy, helps to improve their lives. Certain studies suggest that talk therapy, like cognitive behavior therapy (CBT) or Relapse prevention treatment (RPT) can reduce ADHD symptoms. Talk therapy is a form of psychosocial treatment that involves one-on-one sessions with a professional counselor or therapist. Different types of talk therapy exist, and your choice of therapist should be based on your preferences and goals.

A common method of treating adult ADHD is using a combination of medications and psychotherapy. Studies have demonstrated that combining medication and psychotherapy is more effective than each approach alone. This approach is also recommended by the National Institute of Mental Health (NIMH).

Psychotherapy or talk therapy can help you to manage ADHD symptoms and manage these symptoms. It can help you learn how to manage issues at work, school and in your relationship. Based on your goals and needs, your therapist may recommend that you take part in individual, family, or group therapy.

Cognitive behavior therapy (CBT) is a form of psychotherapy that helps people suffering from ADHD improve their functioning and self-esteem. CBT teaches you how to recognize negative thoughts and modify them, which may affect your behavior and emotions. CBT for instance, can teach you how to alter your "all-or-nothing" thinking which can make people with adhd treatment adults to believe that they must do everything perfectly or else not do anything at all.

In a therapy session your counselor listens to your story and asks questions to gain a better understanding of your thoughts and emotions. They will then give you tips based on their experiences and research. They might also give you homework, such as journaling or trying something new. It is important to complete your homework as it will help you put what you have learned into action.

It's important to keep in mind that seeking treatment is not an indication of weakness. In fact, it's a courageous step toward living the life you've always wanted. With the structure, support, and 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, learn to organize tasks, and to learn to talk and listen to other people. Therapy that focuses on teaching the patient to recognize their symptoms and how they impact their behavior can also be helpful. This can be done in individual sessions or group therapy.

Research has proven that various psychosocial interventions can significantly reduce problematic symptoms and improve performance in people with ADHD. Educational interventions can improve academic performance and self-reporting of ADHD symptoms. A variety of behavioral and cognitive therapies have been shown to be efficient. These include hypnotherapy as well as neurofeedback. However, not all of them have been proved to be superior to controls and the results need more research.

In a study, an educational program that taught students to identify their own inattention and impulsive behaviors was found to be more effective than a waitlist control in improving self-report ADHD symptoms. A daily behavior report card was found to improve academic performance for children with ADHD in a separate study. It has been demonstrated that training for parents to be a behavioral one is effective in reducing negative parental behaviors and promoting positive family functioning. However, the results of therapist-led versus self-directed training need further exploration.

Adolescents with ADHD are at a high danger of driving accidents that result from impaired thinking, like crashes that result in injuries or even death. Intensive summer "bridge" programs have been proven to improve driving skills among adolescents with ADHD. Other psychosocial interventions have been proven to be beneficial, including central executive training and training for working memory.

Adults suffering from ADHD typically have trouble keeping a stable job or relationships. Inability to organize their lives and inability to finish or follow through on tasks and inattention and impulsive behavior can cause coworkers and family members unhappy. Psychotherapy that teaches patients to improve their communication skills can help them overcome these issues. The same is true for couples counseling which helps couples learn how to deal with each other's problems when they arise.

Counseling

Although medication is effective for a large number of people with ADHD but it is not always sufficient to reduce the symptoms in all cases. Medicines can be unpredictably effective and trigger adverse effects that affect some people in different ways. This is why counseling is an important component of the overall treatment plan. Counseling can help people find better methods to manage their emotions, improve their relationships, build self-esteem and learn strategies to deal with the unique challenges that come with living with adhd symptoms adults treatment.

The efficacy of psychosocial treatment for severe untreated adhd in adults has been proven through several controlled studies that are randomized. Some studies found that when the combination of therapy and medication is used, both parents and students' perceptions of academic functioning improves. In addition, studies have shown that the use of an extremely low dose of stimulant medications in conjunction with behavioral therapy improves both the behavior of students in class and their homework performance when compared to a control group.

In a recent research study, high school counselors were instructed to implement two short homework and organization interventions for students with ADHD. The two interventions were compared to an initial course of medication that was low dose. The results indicate that a sequential multi-assignment randomized trial may be a viable method to bridge the gap between research and practice in school-based intervention for ADHD.

Before attempting medication, it is recommended that schools implement ADHD intervention that includes behavior management and parent education. A combination of pharmacotherapy and psychosocial interventions should be the primary option for treating adolescents and adults. The first medication for adolescents and adults should be stimulants, such methylphenidate or dexamphetamine, unless other health conditions prevent the use of these drugs. In these instances the use of atomoxetine or guanfacine could be considered.

A thorough medical examination must be performed to rule out other disorders that can interfere with learning and functioning, including neurological disorders (such as epilepsy, Tourette's syndrome or cerebral palsy) and nutrition-related issues as well as substance use disorder (SUD) chronic illnesses such as asthma and comorbid psychological issues. If the exam and history are unremarkable, a diagnosis of ADHD can be determined by a qualified psychologist or psychiatrist based on established diagnostic criteria.
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