Blog entry by Gwendolyn Sancho

Anyone in the world

human-givens-institute-logo.pngADHD and Anxiety Medication

Anxiety disorders are frequently co-occurring with ADHD. Anxiety can cause irritation, restlessness and trouble sleeping.

Stimulant medication can help alleviate symptoms, but they can cause side effects like tics or small growth reductions in children and adolescents. In addition, some people find their anxiety worsens when taking stimulant medication.

Stimulants

Stimulants are drugs that are used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy. They are also popular among recreational drug users as stimulants and performance-enhancing substances because of their ability to increase energy, alertness and focus. They can be found in tablets, capsules, chunky clear crystals or a white or brown powder. In large doses, they can cause over-stimulation, resulting in anxiety and panic, stomach cramps, aggression and paranoia. Long-term use of stimulants may also lead to addiction and serious side effects like heart problems as well as high blood pressure and stroke.

They have also been proven to alleviate anxiety symptoms. They work by increasing the supply of brain chemicals norepinephrine and dopamine, which tend to be lower in those with ADHD. This boosts the activity and communication between the various parts of the brain that regulate attention and executive functions. This results in an improvement in impulse control, and anxiety symptoms diminish.

Both atomoxetine (as as well as methylphenidate) reduce anxiety symptoms in adults with ADHD who also suffer from anxiety disorders. Both medications improved anxiety symptoms from the very first week of treatment. The benefits was evident for eight weeks.

It is important to remember that the type of medication that will be most effective in treating anxiety and ADHD symptoms that co-occur may depend on which disorder has the greatest impact on a person’s quality of living. For instance, someone may experience lots of worry-inducing mini-crises on a regular basis as they rush around to schedule appointments or to stay on top of projects for work or school. They can be extremely distressing and can cause them to feel anxious on a more frequently basis than the symptoms of a particular anxiety or panic attack.

In these cases it may be beneficial to treat the anxiety-related symptoms by taking antidepressants or SSRIs, which have been shown to be effective in reducing anxiety levels in adults. They are typically taken orally and may take a bit longer to work, but the most popular options are selective serotonin reuptake inhibitors (SSRIs) like Sertraline and Fluoxetine, and serotonin and norepinephrine-reuptake inhibitors (SNRIs) like duloxetine and venlafaxine. These drugs can be utilized together with cognitive-behavioral therapy for anxiety. They are especially effective for patients who have high or racing heart rate.

SSRIs

SSRIs, which are antidepressant medications are frequently used to treat anxiety disorders. Prozac, the prototype drug of this class is fluoxetine. The SSRIs are also effective in treating depression, post-traumatic disorder and obsessive compulsive disorder. These medications are more adaptable and have less side effects than previous generations of antidepressants.

The SSRIs inhibit the reuptake serotonin from synapses. This causes the neurotransmitter remain active in the synapse, and to signal the post-synaptic cells more often than it would normally. This can boost the output of norepinephrine which may reduce anxiety symptoms. It could also result in higher levels of the neuronal cyclicAMP (cAMP) which can stimulate protein synthesis.

In addition, the SSRIs can reduce impulsivity and decrease hyperactivity. They also can improve sleep quality and decrease anxiety for those with ADHD. However, these drugs can increase the possibility of suicidal behavior and thoughts in some people. They can also increase appetite and weight gain at the beginning of treatment.

Another type of antidepressant known as SNRIs, functions differently than SSRIs. SNRIs block the reuptake both of serotonin as well as norepinephrine. They also affect anxiety. They can improve the function of the blood vessels and the heart muscle. This can help reduce feelings such as anxiety and stress. Some adults who suffer from bipolar disorder may benefit from their use.

The most popular SNRIs are duloxetine (Cymbalta), the venlafaxine (Effexor, Effexor XR) and desvenlafaxine (Khedezla, Pristiq). SNRIs can cause blood pressure to rise in certain individuals, so people with high blood pressure or heart disease should not take these medications.

In addition to medication and other treatments, there are a myriad of behavioral treatments that can aid in reducing anxiety and ADHD. Meditation and mindfulness techniques can reduce anxiety and stress. Some people find tapping certain points on the body, also known as Emotional Freedom Techniques can help reduce the cortisol hormone that creates anxiety. Exercise and diet can help reduce anxiety. Your doctor can recommend a diet of whole vegetables, fruits and grains and avoiding sugar, which can increase anxiety in some ADHD children and adults.

Non-stimulant based medicines

While stimulants are extremely effective in treating ADHD and have been extensively studied, they may not be the best option for those who also suffer from anxiety or ADHD. These medications can cause adverse effects like anxiety and jitteriness. These symptoms can be similar to or worsen symptoms of anxiety.

Non-stimulant medicines are a recent option that has been used to treat ADHD since 2002 (under the brand name Strattera). They do not increase heart rate or blood pressure, and they are less likely to suffer anxiety-related adverse effects like shaking, sweating, or nervousness.

Atomoxetine works by targeting receptors for norepinephrine, a brain chemical that can improve attention and reduce hyperactivity and impulsivity. It has also been found to improve anxiety symptoms among adolescents and children with ADHD. Researchers gathered clinical papers from PubMed EMBASE PsycINFO and PsycINFO to determine whether atomoxetine improved anxiety symptoms in children and adolescents with ADHD.

Another medication for adhd and depression that can be effective in relieving anxiety symptoms is bupropion, which is a drug that targets the brain chemical dopamine. Bupropion is usually prescribed to those suffering from Adhd medication And pregnancy uk and depression. It can also improve mood and reduce symptoms of anxiety. It is often a good idea to try and treat the root causes of anxiety prior to treating the ADHD, as it will typically make anxiety symptoms disappear.

It is quite common for children with ADHD to have problems with anxiety, and in some instances, anxiety may be caused by their ADHD symptoms. Psychostimulants and cognitive-behavioral treatments are generally the most effective adhd medication for adults effective treatments for anxiety in this type of situation. These treatments will reduce ADHD symptoms and anxiety by addressing the root causes of the issue.

Antidepressants are also often prescribed to those suffering from coexisting ADHD and anxiety. SSRI antidepressants, which attack serotonin, a brain chemical can aid in reducing anxiety symptoms and improve mood. Examples include Zoloft, Lexapro and Sertraline.

In the end, the decision on the right medication for you will be determined by your doctor. They will take a look at your lifestyle, symptoms and age as well as other health issues before making a recommendation for any medication. It is very important to discuss your treatment goals with your physician and adhere to a routine daily while taking any medication.

Other options

Based on your individual health goals, there are other treatment options that may also help you manage ADHD and anxiety. These include mindfulness meditation and yoga (Emotional Freedom techniques) tapping sleep and nutrition, exercise and healthy eating habits.

People who are anxious are more likely to develop symptoms of ADHD, Dr. Hallowell says, which can make it difficult to treat both disorders at once. He typically prescribes stimulants to treat ADHD, and then turns to non prescription adhd medication for adults-stimulant medications like bupropion, atomoxetine, or guanfacine to treat anxiety disorders. They are available 24/7 and are not controlled substances like stimulants.