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작성자 Deneen Mount 작성일 24-07-05 16:20 조회 7 댓글 0

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iampsychiatry-logo-wide.pngAdult adhd treatment for adults online and Comorbid Disorders

coe-2022.pngMany people with ADHD have comorbid conditions like major depression (Kessler et al 2006). Many patients are not responsive to medications for depression and may benefit from psychotherapy.

The most effective medications to treat core symptoms of ADHD appear to increase and balance levels of specific neurotransmitters in the brain. The most frequently prescribed stimulants include amphetamine, methylphenidate and similar medications.

Medicines

A variety of medications used to treat ADHD in children can be used on adults. The dosages and the side effects can be different. The doctor will examine the medical history, family health history and other conditions of an individual to determine which medicine is best.

The most commonly used type of ADHD medication is stimulant. It works by adjusting levels of two chemical messengers within the brain, namely norepinephrine and dopamine. The stimulants like methylphenidate (also called Adderall), and dextroamphetamine increase the availability of neurotransmitters, which help improve focus, reduce impulsivity, and reduce aggression. These stimulants are available in various forms, such as liquids, skin patches and chewable tablets. These long-acting stimulants are favored as they lead to better patient compliance and a smoother, longer-lasting improvement in symptoms.

It is crucial to be aware that co-occurring disorders like depression or anxiety disorders can affect the response to ADHD medication. It is therefore recommended that these psychiatric problems be treated first before medications be used as a secondary measure. The medications that can be used for comorbid mood disorders are atomoxetine (Bupropion), tricyclic antidepressants, and bupropion (Wilens, 2004).).

Some patients may experience a "rebound effect" in which their ADHD symptoms become worse after stopping stimulant medication. In these instances, a brief trial of a low dose of stimulant medication may be helpful.

Some people are unable to tolerate stimulant medicines or are in a position to not take them due to addiction or other health issues, for example, heart problems that are severe or hypertension. In these instances, non medication treatment for adhd-stimulant drugs like atomoxetine or viloxazine may be beneficial. These medications do not cause the same amount of adverse effects as stimulants, and are lower risks of misuse and diversion.

Psychotherapy

Psychotherapy (talk therapy) can be helpful for those suffering from ADHD. It can help them develop strategies to improve their lives, deal with stress and anxiety, resolve conflicts, and deal with problems in relationships and at work. It can also help with co-occurring mental illnesses like depression and addiction disorders.

Talk therapies include cognitive behavior therapy (CBT) and mind-body cognitive therapy and schema therapy. These therapies are based on the belief that one's beliefs and thoughts affect how they behave, think and feel. CBT helps a person recognize negative behavior and thought patterns, and then develops and implements strategies to alter them. Meditation techniques are used in mindfulness-based cognitive therapy to help a person concentrate on their thoughts and emotions as well as control their impulses and improve executive functioning. Schema therapy, as well as other forms of psychotherapy that focus on a person's history with their family can be beneficial for those with untreated adhd in adults who suffer from significant secondary issues.

In addition to medication psychotherapy can also help with the specific problems caused by ADHD, such as trouble keeping up with schoolwork, resolving conflicts, being able to get along with others, ignoring important dates or obligations, and impulsive decisions that lead to legal or financial problems. Psychotherapy can also help individuals to address and overcome issues that may cause ADHD symptoms, such as anxiety or depression.

Psychotherapy can help a person find healthy coping skills and reduce stress, for example exercise, sleep improvement and healthy eating habits. It can also provide support to a partner or family member who is struggling with the effects of ADHD on their relationship. Family therapy and marriage counseling can assist families and couples communicate better and understand how to manage ADHD symptoms together.

Cognitive Behavioral Therapy (CBT)

CBT is a type of psychotherapy that focuses on transforming the client's negative thinking patterns. It involves a dialogue based on skills with a mental health professional to address the root cause of symptoms. This therapy aims to assist clients overcome their limitations and develop coping strategies that are in line with their daily lives.

In addition, they teach clients how to identify unhelpful thoughts, those who specialize in adult ADHD CBT assist them in developing abilities that enable clients to replace their negative thoughts with more productive ones. This process can take time. However, it's a good alternative for adults who do not receive enough relief from their medication.

In a recent RCT study, it was concluded that cognitive behavioral therapy combined with medication is superior to cognitive behavior therapy on its own in terms of improving the core symptoms, emotional symptom self-esteem, and social functioning in adults suffering from ADHD (Clarke and co. 2017). CBT coupled with methylphenidate could be particularly effective for those with more serious underlying issues.

Therapists who offer this kind of treatment work with clients to create an action plan that addresses the specific issues they face. They usually teach clients the fundamentals of therapy that are simple to implement and have a high likelihood of being successful. A chart system is often used to monitor progress and reward positive behaviour. In the case of an infant, this could be a daily journal which outlines the school-related activities or positive behaviors they have to perform, as well as an approach to tracking and earning rewards. Therapists may also discuss the possibility that negative consequences could be imposed if a child isn't able to finish their work. This can be done with sensitivity and support.

Metacognitive Therapy

A more recent form of therapy, metacognitive therapy helps people change the way they think. This kind of treatment is effective for those suffering from a range of mental health issues such as depression. It is a form of cognitive behavior therapy that assists people in recognizing negative thought patterns and their effect on their emotions. This type of therapy helps to develop psychological tools that are flexible and useful.

This study was designed to investigate the relationship between metacognitive abilities and daily functioning among adults suffering from ADHD. To achieve this we compared the self- and informant-rated impairments in daily functioning to predictors of metacognition (comprehensive knowledge, regulation of cognition, debugging, information management, and evaluation). The results showed that comprehensive knowledge was associated with daily functioning in adults with ADHD, but not regulation processes. Metacognition predictors had a moderate predictive power, which suggests that they could be the cause of significant variations in the daily functioning of adults suffering from ADHD.

Metacognitive therapy (MCT) is a form of psychotherapy which focuses on changing metacognitive beliefs that are dysfunctional and perpetuate states of anxiety or rumination as well as attention fixation. MCT was created by Adrian Wells based on an information processing model by Wells and Gerald Matthews. A case series has proven the effectiveness of MCT in reducing anxiety disorder, but it's still relatively new and more research is required to determine its efficacy for other disorders.

This study was designed for evaluating the effectiveness of MCT to treat symptoms of anxiety disorder. However, it can be used to treat various disorders and could be more effective than any other therapy. It is important to keep it in mind that this is not an effective treatment for ADHD however it can be used as an adjunctive therapy.

Family Therapy

In family therapy, therapists work with all family members. This allows all members to learn about the client's issues and learn how to support their loved one better. It also helps them cope with their frustrations and build better communication skills. This type of counseling could also be used to address comorbid conditions, such as depression and substance abuse which are frequently associated as a result of ADHD.

The therapist will start with an intake session to gain a better understanding of the family's views and determine whether they are appropriate for family intervention. The session can be conducted in person or online. The counselor will go over the details of the treatment with each individual and set out the do's and don'ts of family therapy.

A therapist with experience in treating adults with ADHD will ask a lot of questions to gain insight into the client's current symptoms, their history and their impact on their work life, family life and relationships. They will also ask if any other mental problems are present, for example anxiety or depression.

Cognitive behavioral therapy (CBT) is a structured form of counseling which teaches you to change your negative patterns of thinking and to manage your behavior. It focuses on boosting self-esteem and self-control by educating you on how to cope with stress and anger. It is a treatment option for short-term use that can be combined with other types of psychotherapy.

Individual talk therapy helps people with ADHD to manage the emotional baggage that results from failure and underachievement. It can also help them deal with conflicts in relationships as well as job changes and academic challenges. It can help you learn strategies for managing stress and coping and teach you how to manage your time and finances more effectively. It can also be used to address comorbid conditions, such as mood and anxiety disorders, which are often seen alongside ADHD.

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