Blog entry by Simone Copley

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Adult ADHD and Comorbid Disorders

Many people with adhd And anxiety treatment also suffer from comorbid disorders such as major depression (Kessler and colleagues 2006). Many people who suffer from depression do not respond well to medication and could benefit from therapy.

top-doctors-logo.pngMedications that most effectively improve the most fundamental symptoms of ADHD appear to increase and balance levels of specific neurotransmitters in the brain. Drugs that stimulate the brain such as methylphenidate or amphetamine are frequently prescribed.

Medications

Adults can take a variety of medications to treat ADHD in children. The dosages and side effects can be different. A doctor will consider the individual's medical history as well as family history and other health issues to determine which medication is most suitable for him or her.

The most common ADHD medication is a stimulant. It works by altering the levels of norepinephrine, and dopamine in the brain. Stimulants like methylphenidate (also known as Adderall), and dextroamphetamine boost the supply of neurotransmitters that aid in improving focus, reduce impulsivity, and reduce aggression. These stimulants are available in a variety of forms, including skin patches, liquids and chewable tablets. Long-acting versions of these stimulants are preferable as they result in greater patient compliance and a longer lasting, smoother improvement in symptoms.

It is crucial to keep in mind that comorbid conditions like anxiety or depression can affect the response to ADHD medication. Therefore, it is recommended that these psychiatric issues be treated first before medication is utilized as a secondary measure. Medications that can be used to treat comorbid mood disorders include atomoxetine and bupropion and tricyclic antidepressants (Wilens 2004).).

Some patients may exhibit some patients may experience a "rebound" effect where they experience an increase in ADHD symptoms after discontinuing stimulant medication. In these cases, a short-term trial of a low-dose stimulant medication may be helpful.

Some people are unable to tolerate stimulant medication or cannot take it because of the misuse of drugs or other health issues like severe hypertension or heart problems. In these cases, non-stimulant medications such as atomoxetine and viloxazine are effective. These medications do not cause the same high rates of side effects as stimulants, and are less risk of abuse and diversion.

Psychotherapy

Psychotherapy (talk therapy) is a great option for those with ADHD. It can help people with ADHD to improve their lives, manage stress and anxiety, manage conflicts, or cope with issues at work or in relationships. It can also help with co-occurring mental illnesses such as depression and addiction disorders.

Talk therapies include cognitive behavior therapy (CBT) as well as mind-body cognitive therapy, as well as schema therapy. These treatments are based on the notion that a person's beliefs and thoughts influence how they think, feel and behave. CBT helps a person identify negative behaviors and thinking patterns, and then develops and implements positive strategies to alter them. Mindfulness-based cognitive therapy utilizes meditation techniques to help a person learn to focus on their thoughts and emotions, manage their impulses, and improve their executive functioning. Schema therapy, and other forms of psychotherapy that focus on the family history of a person can be beneficial for people suffering from ADHD.

In addition to medication, psychotherapy can help address the specific problems caused by ADHD problems, like having trouble staying on track with schoolwork, resolving conflicts and being able to get along with others, forgetting important dates or obligations, and impulsive decisions that result in legal or financial issues. It can also assist people to identify and overcome underlying issues that could be contributing to their ADHD symptoms, like anxiety or depression.

Psychotherapy can help people find healthy strategies for coping and decrease stress. For example exercise, sleep improvement, and healthy eating habits. It can also provide assistance to a spouse or family member who may be dealing with the effects of ADHD on their relationship. Therapy for families and marriage can help families and couples communicate better and understand how to manage ADHD symptoms together.

Cognitive Behavioral Therapy (CBT)

CBT is a kind of psychotherapy that is focused on helping clients to change their negative thinking patterns. It utilizes skill-based dialogue with a skilled mental health professional (a therapist) to address the underlying causes of their symptoms. The aim of this treatment is to correct limitations and implement strategies for coping that align with the client's daily life.

In addition to educating clients to recognize unhelpful thoughts, those who specialize in adult ADHD CBT assist them in developing abilities that enable them to replace negative thoughts with more productive ones. This process can take a long time. It is a viable option for those who cannot receive enough relief from their medications.

In an upcoming RCT, it was found that cognitive behavior therapy in combination with medication is superior over cognitive behavior therapy by itself in terms of improving core symptoms, emotional symptoms, self-esteem, and social performance in adults suffering from ADHD (Clarke, et al. 2017). CBT combined with methylphenidate can be particularly effective for those with more severe underlying problems.

Therapists who offer this kind of treatment work with clients to create an action plan to address their specific issues. They usually teach them the fundamentals of therapy that are easy to implement and have a good chance of success. Often a chart system is used to track the progress of a child and reward positive behaviour. For an infant, this could include a daily report that lists all the school tasks or positive behaviors they need to accomplish and a method of monitoring and gaining rewards. The therapists can also discuss the possibility that negative consequences might be inflicted upon a child who fails to complete their tasks. This can be done in a very sensitive and supportive manner.

Metacognitive Therapy

Metacognitive therapy is a newer type of psychotherapy that assists people change their thinking. This type of treatment is effective for those who suffer from a variety of mental health issues, including depression. It is a type of cognitive behavioral therapy that helps people recognize negative thinking patterns and their effects on their emotions. This kind of therapy can help individuals develop mental tools that are adaptable and beneficial.

This study aimed to examine the relationship between metacognitive skills and daily functioning among adults with ADHD. To this end we examined the relationship between self- and informant-rated deficits in daily functioning with predictors of metacognition (comprehensive knowledge as well as regulation of cognition debugging, information management, and evaluation). It was observed that the comprehensive knowledge of people was linked to daily functioning in adults with ADHD but that the processes of regulation were not. The predictors of metacognition had moderate predictive power which indicates that they can be the cause of significant variance in daily functioning of adults suffering from ADHD.

Metacognitive Therapy (MCT) is an treatment that focuses on changing metacognitive beliefs that cause dysfunction and perpetuate states such as worry, rumination and attention fixation. MCT was developed by Adrian Wells based on an information processing model by Wells and Gerald Matthews. MCT has been proven to be effective in treating anxiety disorders. However, it's still an in-development best treatment for adhd and more research is required to determine if it could aid in other disorders.

This study was designed to assess the effectiveness of MCT to treat symptoms of anxiety disorder. However it is also able to treat a variety of disorders and may be more effective than any other treatment. It is not a cure, but can be employed to treat ADHD.

Family Therapy

In family therapy, the therapist collaborates with all family members. This allows all members to be aware of the issues facing the client and learn how to support their loved one better. It also assists them in dealing with their frustrations and build more effective communication skills. Additionally, this type of therapy is helpful for addressing comorbidities such as depression and addiction to drugs, which are typically seen alongside adhd treatment for adults.

The therapist will start with an intake session to gain a better understanding of the family's view of the problem and assess their potential for intervention by the family. This can be done in person or via the internet. The therapist will explain to each client the nature of treatment and the do's & don'ts for family therapy.

A therapist with experience in treating adults with ADHD will ask lots of questions to gain an understanding of the client's present symptoms, their past and their impact on their work, family life and relationships. They will also ask if there are any other mental health issues doctors that treat adhd in adults are present like depression or anxiety.

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

Royal_College_of_Psychiatrists_logo.pngIndividual talk therapy can help people with ADHD deal with emotional burdens resulting from long-standing patterns of underachievement, failure, academic difficulties frequent job changes, and conflicts in relationships. It can teach you ways to reduce stress and cope as well as how to manage your finances and time. It can also be used to tackle other comorbid conditions like anxiety and mood disorders, that are often associated with ADHD.