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treatment for adhd adults For ADHD
Psychosocial therapy is the primary treatment for adding. The drugs include stimulants such as methylphenidate amphetamine and atomoxetine. They also include nonstimulants, like clonidine and guanfacine.
Stimulant medications should not be used by patients who have active substance abuse problems but they are a possibility for those who are in stable recovery. Combination therapy with antidepressants (particularly SSRIs) is also an option.
Stimulants
Stimulants increase the levels of dopamine and norepinephrine that are released between brain synapses. This helps improve concentration and reduces hyperactivity and impulsivity. Most doctors prescribe stimulant medications to treat ADHD. They might prescribe methylphenidate (Concerta or Ritalin), or amphetamines. These are both very similar medications. The type of medicine prescribed depends on the biochemistry of each person and how they respond to it. It could take between five and seven days before the full effects of the medication are visible. Improvements in concentration, improved memory, better sleep, and a decrease in impulsivity are all signs that the medication is working.
Medications in this class can have adverse effects, including reduced appetite and difficulty sleeping, and they may raise blood pressure and heart rate. Some people who have a medical condition, such as high blood pressure or heart disease, shouldn't take them. Stimulants are tightly controlled drugs with a potential for abuse. Only psychiatrists or paediatricians, or in some cases general practitioners, are able to prescribe stimulants. They can be found in the form of tablets or pills, a patch that goes on the skin, or in liquids.
Children and adolescents who are dependent on stimulants are often affected by weight loss and a lack of appetite. If the dosage is too high, they can also develop symptoms of tics. In untreated adhd in adults will decrease the dosage to prevent the drug from worsening symptoms.
The use of stimulant medications is for approximately 70-80% of children and adults with ADHD. The majority of adolescents and children find that their symptoms improve when treated. This is especially relevant for children with parents, teachers or caregivers who report improvements.
Early use of stimulants could lower the risk of developing substance use disorders in later life. Wilens Katusic, Wilens, and colleagues81,82, and Biederman, et al83, found that stimulant therapy reduces the risk of acquiring substance addiction disorders during the adolescent years. However the protective effect diminishes as we enter early adulthood.