Attention Deficit Hyperactivity Disorder (ADHD) Part 2 [Assessment, Treatment and Outcome]

Prof. Suresh Bada Math
Prof. Suresh Bada Math
1.8 هزار بار بازدید - 11 ماه پیش - Attention Deficit Hyperactivity Disorder (ADHD)
Attention Deficit Hyperactivity Disorder (ADHD) Part 2 [Assessment, Treatment and Outcome]

Treating ADHD often requires medical, educational, behavioral and psychological intervention. This comprehensive approach to treatment is sometimes called “multimodal” and, depending on the age of the individual with ADHD, may include:

parent training
medication
skills training
counseling
behavioral therapy
educational supports
education regarding ADHD

Working closely with health care providers and other professionals, treatment should be tailored to the unique needs of each individual and family to help the patient control symptoms, cope with the disorder, improve overall psychological well-being and manage social relationships.

A comprehensive treatment plan can include all or some of the following based on the unique needs of your child, available resources and prioritization of need:

Medications

Medication can be an important part of ADHD treatment. It can help to control symptoms, helping a child stay on task and pay attention. It can only be prescribed by medical professionals, not other professionals. An accurate ADHD diagnosis is needed, including an evaluation for other possible diagnoses, before medication is prescribed.

Each family must consider the benefits and drawbacks of medication when deciding how to treat their child’s ADHD symptoms. Medication does not cure ADHD. It eases ADHD symptoms during the time it is active.

There are 5 types of medicine licensed for the treatment of ADHD:

methylphenidate
lisdexamfetamine
dexamfetamine
atomoxetine
guanfacine
These medicines are not a permanent cure for ADHD but may help someone with the condition concentrate better, be less impulsive, feel calmer, and learn and practise new skills.

Some medicines need to be taken every day, but some can be taken just on school days. Treatment breaks are occasionally recommended to assess whether the medicine is still needed.

Nonstimulant medications may be used when stimulants do not work well, have unacceptable side effects, or a nonstimulant is preferred for other reasons. They do not work as quickly as stimulants and for most individuals not as well. Side effects can include nervousness, sleep problems, fatigue, upset stomach, dizziness, or a dry mouth. For some they work better, and once built up in the system the effect is smoother over time.

Therapy
As well as taking medicine, different therapies can be useful in treating ADHD in children, teenagers and adults. Therapy is also effective in treating additional problems, such as conduct or anxiety disorders, that may appear with ADHD.

Here are some of the therapies that may be used.

Psychoeducation
Psychoeducation means you or your child will be encouraged to discuss ADHD and its effects. It can help children, teenagers and adults make sense of being diagnosed with ADHD, and can help you to cope and live with the condition.

Behaviour therapy
Behaviour therapy provides support for carers of children with ADHD and may involve teachers as well as parents. Behaviour therapy usually involves behaviour management, which uses a system of rewards to encourage your child to try to control their ADHD.

If your child has ADHD, you can identify types of behaviour you want to encourage, such as sitting at the table to eat. Your child is then given some sort of small reward for good behaviour.

For teachers, behaviour management involves learning how to plan and structure activities, and to praise and encourage children for even very small amounts of progress.

Parent training and education programmes
If your child has ADHD, specially tailored parent training and education programmes can help you learn specific ways of talking to your child, and playing and working with them to improve their attention and behaviour.

You may also be offered parent training before your child is formally diagnosed with ADHD.

These programmes are usually arranged in groups of around 10 to 12 parents. A programme usually consists of 10 to 16 meetings, lasting up to 2 hours each.

Being offered a parent training and education programme does not mean you have been a bad parent – it aims to teach parents and carers about behaviour management, while increasing confidence in your ability to help your child and improve your relationship.

Social skills training
Social skills training involves your child taking part in role-play situations and aims to teach them how to behave in social situations by learning how their behaviour affects others.

Cognitive behavioural therapy (CBT)
CBT is a talking therapy that can help you manage your problems by changing the way you think and behave. A therapist would try to change how you or your child feels about a situation, which would in turn potentially change their behaviour.
11 ماه پیش در تاریخ 1402/08/19 منتشر شده است.
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