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Anxiety disorders can affect up to 50% of adults who have ADHD. Treatment strategies for both conditions include medication and therapy.
Stimulants can increase focus and concentration. They work by keeping receptors that are already "fired up" in your brain "turned-on". They may cause tics and raise your heart rate.
Stimulants
Stimulants, such as amphetamines and methylphenidates are the first drugs doctors usually try when treating adhd medication names. These drugs act quickly to improve focus and reduce the amount of impulsivity. They can also alleviate anxiety in certain people by increasing norepinephrine levels. Most stimulant medicines are controlled substances and therefore carry a risk of addiction and abuse. However some adults have found that they can take them without issue. They do tend to cause initial insomnia that could be due to a relapse of adhd medication intuniv symptoms once the medication is taken off or to changes in the pattern of sleep. This can be lowered by taking the medication only every day, rather than three or four times, and also by developing regular sleep routines.
Stimulants can trigger adverse effects, such as an abrupt rise in blood pressure, irregular heartbeats or changes in sound or vision. They can also trigger anorexia and weight loss, especially when taken in large doses. In addition, stimulants may cause a rise in mood lability in certain people and make psychotic or manic symptoms appear. They are contraindicated for people who can prescribe medication for adhd suffer from bipolar disorders, or severe anorexia. Mood swings may occur when stimulants are suddenly stopped. In these instances it is essential to gradually decrease the dose.
Treatments for anxiety that are not related to ADHD could be used to treat people suffering from the disorder. Antidepressants such Sertraline or Fluoxetine for instance, can help with depression and anxiety that are related to ADHD. These drugs are typically prescribed "off-label" for ADHD. Some doctors prescribe these medications for ADHD however, medical research does not support this practice.
Non-stimulant ADHD medicines are slower to act however they can help reduce impulsivity and increase the amount of attention. They do not alter the amount of norepinephrine that is present in the brain as strongly as stimulants, and they are less likely to cause rapid heart rate or agitation. This class of medications includes strattera (atomoxetine), Clonidine (Kapvay, Intuniv), and Guanfacine (Intuniv, Tenex).
A combination of strategies can be used to treat ADHD and anxiety, which includes behavioral therapy, cognitive-behavioral therapy and medication. The most effective treatment for ADHD and anxiety is a combination medication and behavioral therapy.
Cognitive-behavioral therapy, for instance, teach skills that reduce anxiety, like mindfulness, deep breathing and calming techniques. Certain children with ADHD also have problems with anxiety, and in those instances, the most effective strategy is to treat the ADHD first, and then prescribe an SSRI for anxiety. This will allow the child to focus better at school and suffer less anxiety due to ADHD. To get the best results it is essential to keep attending therapy sessions regularly. Then, if needed doctors may recommend an additional psychiatric medication to treat anxiety. This could be a tricyclic, like Tofranil. If anxiety is not treated it can interfere with the ability of a child to take part in and benefit from therapy. This is why it is essential to establish the diagnosis and treatment right, the first time.