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Treatment For ADHD

The main treatments for add are medication and psychosocial therapy (psychotherapy). The medications contain stimulants such as methylphenidate, amphetamine, and Atomoxetine. They also include nonstimulants, like clonidine and guanfacine.

Stimulant medications should not be used in patients who have active substance abuse issues, however they can be considered in those who are in stable recovery. Combination therapy with antidepressants, especially SSRIs, is a different option.

Stimulants

Stimulants increase dopamine and norepinephrine levels between synapses in the brain. https://www.iampsychiatry.uk/adhd-treatment-for-adults/ helps improve concentration and decreases hyperactivity and impulsivity. The majority of doctors prescribe stimulant medication to treat ADHD. They may prescribe methylphenidate, (Concerta or Ritalin), or amphetamines. Both are similar drugs. The dosage of the medicine is contingent on the biochemistry of each person and how they respond to it. It can take up to seven days for full effects of a medication to become apparent. Improvements in concentration, improved memory, better sleep and less impulsivity are all signs that the medicine is working.

Some of the side effects can include a decrease in appetite, trouble sleeping and an increase in blood pressure and heart rate. People with medical conditions, like heart disease or high blood pressure should not use these medications. Stimulants have a high potential for abuse and are tightly controlled drugs. Only psychiatrists, paediatricians or neurologists, and in certain situations general practitioners can prescribe them. You can get them in the form or tablets, pills patches that can be applied to the skin or in liquids.

Children and adolescents who take stimulants are often afflicted with appetite issues and weight loss. If the dosage is too high, they may also develop the tics. In this instance the doctor will decrease the dosage to prevent the symptoms from getting worse.

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Stimulant medication is used by around 70 to 80% of children and adults with ADHD. The majority of children and adolescents report that their symptoms improve when treated. This is particularly true for those with parents, teachers or caregivers who report improvements.

Early use of stimulants may reduce the risk for addiction disorders later in life. Wilens Katusic, Wilens, and colleagues81,82 and Biederman and colleagues83 discovered that treatment with stimulants reduces the risk of developing substance use disorders in adolescence. However, this protective effect fades as we enter early adulthood.