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What is ADHD? | Explore the Question series

Diona Plakoli


 

Outline

 

What is ADHD?

Attention deficit hyperactivity disorder (ADHD) is a behavioral illness that affects humans. People with ADHD may appear agitated, have difficulty focusing, and react to emotion.


ADHD symptoms are often seen at a young age and may become more obvious as a child's surroundings alter, such as starting school. The majority of instances are identified when children are 3 to 7 years old. However, it can be recognized later in childhood. ADHD can sometimes be only discovered in adults.


The symptoms often enhance with age, but many individuals who were labeled with the disorder at an early age continue to struggle. People with this condition may also experience other issues, such as problems with sleep and anxiety.


Symptoms

While some individuals with ADHD experience less symptoms as they grow, several adults continue to experience significant symptoms that interfere with everyday productivity. Adults with ADHD may suffer from trouble maintaining focus, lack of impulse control, and agitation. The severity of the symptoms might vary from minor to severe.


Numerous adults with ADHD are unaware that they have it; they just understand that regular activities might be difficult. Adults with ADHD may struggle to concentrate and organize, resulting in lost deadlines and missed meetings or social arrangements. The failing to handle emotions can span from frustration when waiting in line or sitting in traffic to attitude changes and temper tantrums.


Symptoms of adults with ADHD:


  • Lack of impulse control

  • Lack of organization and difficulty focusing

  • Inability to manage time

  • Issues with only one task

  • Inability to manage time

  • Hyperactivity or agitation

  • Poor preparation

  • Poor control of frustration tolerance

  • erratic mood changes

  • Follow-through and task completion issues

  • irritable temperament

  • Having difficulty dealing with stress


Causes

Scientists are researching the cause(s) and health conditions of ADHD in addition to improving ways to manage and minimize the likelihood of a person having the disorder. Although the cause(s) and warning factors for ADHD are unclear, recent research indicates that heredity contributes a significant influence. Latest research has linked genetic variables to ADHD.


As for genetics, scientists are investigating additional potential causes and risk factors, such as:

  • Brain damage

  • Environmental hazard exposure (for example, lead) throughout pregnancy or at an early age

  • Pregnancy alcohol and tobacco usage

  • Premature birth

  • Lights birth weight


Diagnosis

An examination for ADHD (or ADD) may begin with a typical visit to your primary-care physician, but it is unlikely to stop there. Most general practitioners are either untrained or unequipped to do the in-depth assessment required for ADHD and its comorbid problems. One factor is lack of time. Diagnosis of ADHD might require many hours of discussing, testing, and analyzing.

Furthermore, co-existing, or concomitant (accompanying), illnesses with overlapping symptoms, such as learning difficulties, mood disorders, or autism spectrum disorder, are commonly overlooked by general practitioners. Professionals skilled in ADHD diagnosis test for these issues on a regular basis.


Treatment

  • Medication

Medication is frequently an essential element of ADHD treatment. It can, however, be a tough decision to make. You and your doctor will collaborate to determine whether medication is a good choice in order to make the best option. If this is the case, see your doctor about whether you require medicine only during school or work hours, or also in the evenings and on weekends.

You and your doctor will also decide on the finest sort of medicine. ADHD drugs are classified into two types: stimulants and nonstimulants.


  • Stimulants of the central nervous system

The most widely prescribed class of ADHD medicines is Central Nervous System (CNS) stimulants. These medications act by boosting the levels of dopamine and norepinephrine in the brain.


These compounds have a paradoxical soothing effect on patients with ADHD. Many people see a decrease in hyperactivity and an increase in attention span as a result of this. The impact increases your attention and allows you to focus more effectively.

Among the most common CNS stimulants used to treat ADHD are:


  • stimulants based on amphetamines (Adderall, Dexedrine, DextroStat)

  • dextromethamphetamine (Desoxyn)

  • methylphenidate (dexmethylphenidate) (Focalin)

  • Methylenephenidate (Concerta, Daytrana, Metadate, Ritalin)

  • Medication without stimulants

When stimulants haven't succeeded for your ADHD or have produced difficult-to-manage side effects, your doctor may explore non stimulant drugs.

Certain non stimulant drugs act by boosting norepinephrine levels in the brain. Norepinephrine is supposed to aid with concentration and memory.

  • Atomoxetine is one of these nonstimulant therapies (Strattera)

  • Nortriptyline and other antidepressants (Pamelor)

Other non stimulant drugs may also be beneficial in the treatment of ADHD. The exact mechanism by which these drugs assist with ADHD is unknown, although there is some evidence that they help specific neurotransmitters operate better in the area of the brain associated with attention and memory.

  • Other non stimulants are guanfacine (Intuniv) and clonidine (Kapvay)

  • Therapy

Several types of therapy can assist with ADHD, such as:

  • Psychotherapy

Counseling can help you open up about your feelings regarding managing ADHD. ADHD can also generate issues with classmates and authoritative people. Psychotherapy can help you manage these connections more effectively.

You may also be able to investigate your behavioral patterns in psychotherapy and learn how to make healthier choices in the future.

  • Behavior therapy

The purpose of behavior therapy is to educate someone how to monitor their own behavior and then adjust it when necessary.

You will build techniques for responding to various circumstances. These tactics frequently include some form of immediate feedback to assist in the learning of appropriate behavior. A token incentive system, for example, might be designed to encourage positive behavior.

  • Cognitive behavioral therapy

Cognitive behavioral therapy (CBT) is a goal-oriented, short-term style of psychotherapy that seeks to modify negative thought patterns and replace them with a new frame of how you feel about yourself and your ADHD symptoms.

CBT can assist patients with ADHD with "life impairments" such as time management and procrastination. It can also assist them in managing illogical thought patterns that keep them from keeping on goal, such as "This needs to be flawless, or else it's no good."



 

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