Adhd symptoms and treatments


Adult attention-deficit/hyperactivity disorder (ADHD) - Diagnosis and treatment

Diagnosis

Signs and symptoms of ADHD in adults can be hard to spot. However, core symptoms start early in life — before age 12 — and continue into adulthood, creating major problems.

No single test can confirm the diagnosis. Making the diagnosis will likely include:

  • Physical exam, to help rule out other possible causes for your symptoms
  • Information gathering, such as asking you questions about any current medical issues, personal and family medical history, and the history of your symptoms
  • ADHD rating scales or psychological tests to help collect and evaluate information about your symptoms

Other conditions that resemble

ADHD

Some medical conditions or treatments may cause signs and symptoms similar to those of ADHD. Examples include:

  • Mental health disorders, such as depression, anxiety, conduct disorders, learning and language deficits, or other psychiatric disorders
  • Medical problems that can affect thinking or behavior, such as a developmental disorder, seizure disorder, thyroid problems, sleep disorders, brain injury or low blood sugar (hypoglycemia)
  • Drugs and medications, such as alcohol or other substance misuse and certain medications

Treatment

Standard treatments for ADHD in adults typically involve medication, education, skills training and psychological counseling. A combination of these is often the most effective treatment. These treatments can help manage many symptoms of ADHD, but they don't cure it. It may take some time to determine what works best for you.

Medications

Talk with your doctor about the benefits and risks of any medications.

  • Stimulants, such as products that include methylphenidate or amphetamine, are typically the most commonly prescribed medications for ADHD, but other medications may be prescribed. Stimulants appear to boost and balance levels of brain chemicals called neurotransmitters.
  • Other medications used to treat ADHD include the nonstimulant atomoxetine and certain antidepressants such as bupropion. Atomoxetine and antidepressants work slower than stimulants do, but these may be good options if you can't take stimulants because of health problems or if stimulants cause severe side effects.

The right medication and the right dose vary among individuals, so it may take time to find out what's right for you. Tell your doctor about any side effects.

Psychological counseling

Counseling for adult ADHD generally includes psychological counseling (psychotherapy), education about the disorder and learning skills to help you be successful.

Psychotherapy may help you:

  • Improve your time management and organizational skills
  • Learn how to reduce your impulsive behavior
  • Develop better problem-solving skills
  • Cope with past academic, work or social failures
  • Improve your self-esteem
  • Learn ways to improve relationships with your family, co-workers and friends
  • Develop strategies for controlling your temper

Common types of psychotherapy for ADHD include:

  • Cognitive behavioral therapy. This structured type of counseling teaches specific skills to manage your behavior and change negative thinking patterns into positive ones. It can help you deal with life challenges, such as school, work or relationship problems, and help address other mental health conditions, such as depression or substance misuse.
  • Marital counseling and family therapy. This type of therapy can help loved ones cope with the stress of living with someone who has ADHD and learn what they can do to help. Such counseling can improve communication and problem-solving skills.

Working on relationships

If you're like many adults with ADHD, you may be unpredictable and forget appointments, miss deadlines, and make impulsive or irrational decisions. These behaviors can strain the patience of the most forgiving co-worker, friend or partner.

Therapy that focuses on these issues and ways to better monitor your behavior can be very helpful. So can classes to improve communication and develop conflict resolution and problem-solving skills. Couples therapy and classes in which family members learn more about ADHD may significantly improve your relationships.

More Information

  • Cognitive behavioral therapy
  • Family therapy

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Lifestyle and home remedies

Because ADHD is a complex disorder and each person is unique, it's hard to make recommendations for all adults who have ADHD. But some of these suggestions may help:

  • Make a list of tasks to accomplish each day. Prioritize the items. Make sure you're not trying to do too much.
  • Break down tasks into smaller, more manageable steps. Consider using checklists.
  • Use sticky pads to write notes to yourself. Put them on the fridge, on the bathroom mirror, in the car or in other places where you'll see the reminders.
  • Keep an appointment book or electronic calendar to track appointments and deadlines.
  • Carry a notebook or electronic device with you so that you can note ideas or things you'll need to remember.
  • Take time to set up systems to file and organize information, both on your electronic devices and for paper documents. Get in the habit of using these systems consistently.
  • Follow a routine that's consistent from day to day and keep items, such as your keys and your wallet, in the same place.
  • Ask for help from family members or other loved ones.

Alternative medicine

There's little research to indicate that alternative medicine treatments can reduce ADHD symptoms. However, studies indicate that mindfulness meditation may help improve mood and attention in adults who have ADHD, as well as those who don't have ADHD.

Before using alternative interventions for ADHD, talk with your doctor about risks and possible benefits.

Coping and support

While treatment can make a big difference with ADHD, taking other steps can help you understand ADHD and learn to manage it. Some resources that may help you are listed below. Ask your health care team for more advice on resources.

  • Support groups. Support groups allow you to meet other people with ADHD so that you can share experiences, information and coping strategies. These groups are available in person in many communities and also online.
  • Social support. Involve your spouse, close relatives and friends in your ADHD treatment. You may feel reluctant to let people know you have ADHD, but letting others know what's going on can help them understand you better and improve your relationships.
  • Co-workers, supervisors and teachers. ADHD can make work and school a challenge. You may feel embarrassed telling your boss or professor that you have ADHD, but most likely he or she will be willing to make small accommodations to help you succeed. Ask for what you need to improve your performance, such as more in-depth explanations or more time on certain tasks.

Preparing for your appointment

You're likely to start by first talking to your primary care provider. Depending on the results of the initial evaluation, he or she may refer you to a specialist, such as a psychologist, psychiatrist or other mental health professional.

What you can do

To prepare for your appointment, make a list of:

  • Any symptoms you've had and problems they've caused, such as trouble at work, at school or in relationships.
  • Key personal information, including any major stresses or recent life changes you've had.
  • All medications you take, including any vitamins, herbs or supplements, and the dosages. Also include the amount of caffeine and alcohol you use, and whether you use recreational drugs.
  • Questions to ask your doctor.

Bring any past evaluations and results of formal testing with you, if you have them.

Basic questions to ask your doctor include:

  • What are the possible causes of my symptoms?
  • What kinds of tests do I need?
  • What treatments are available and which do you recommend?
  • What are the alternatives to the primary approach that you're suggesting?
  • I have these other health problems. How can I best manage these conditions together?
  • Should I see a specialist such as a psychiatrist or psychologist?
  • Is there a generic alternative to the medicine you're prescribing?
  • What types of side effects can I expect from the medication?
  • Are there any printed materials that I can have? What websites do you recommend?

Don't hesitate to ask questions anytime you don't understand something.

What to expect from your doctor

Be ready to answer questions your doctor may ask, such as:

  • When do you first remember having problems focusing, paying attention or sitting still?
  • Have your symptoms been continuous or occasional?
  • Which symptoms bother you most, and what problems do they seem to cause?
  • How severe are your symptoms?
  • In what settings have you noticed the symptoms: at home, at work or in other situations?
  • What was your childhood like? Did you have social problems or trouble in school?
  • How is your current and past academic and work performance?
  • What are your sleep hours and patterns?
  • What, if anything, appears to worsen your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What medications do you take?
  • Do you consume caffeine?
  • Do you drink alcohol or use recreational drugs?

Your doctor or mental health professional will ask additional questions based on your responses, symptoms and needs. Preparing and anticipating questions will help you make the most of your time with the doctor.

By Mayo Clinic Staff

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Attention-deficit/hyperactivity disorder (ADHD) in children - Diagnosis and treatment

Diagnosis

In general, a child shouldn't receive a diagnosis of attention-deficit/hyperactivity disorder unless the core symptoms of ADHD start early in life — before age 12 — and create significant problems at home and at school on an ongoing basis.

There's no specific test for ADHD, but making a diagnosis will likely include:

  • Medical exam, to help rule out other possible causes of symptoms
  • Information gathering, such as any current medical issues, personal and family medical history, and school records
  • Interviews or questionnaires for family members, your child's teachers or other people who know your child well, such as caregivers, babysitters and coaches
  • ADHD criteria from the Diagnostic and Statistical Manual of Mental Disorders DSM-5, published by the American Psychiatric Association
  • ADHD rating scales to help collect and evaluate information about your child

Diagnosing ADHD in young children

Although signs of ADHD can sometimes appear in preschoolers or even younger children, diagnosing the disorder in very young children is difficult. That's because developmental problems such as language delays can be mistaken for ADHD.

So children preschool age or younger suspected of having ADHD are more likely to need evaluation by a specialist, such as a psychologist or psychiatrist, speech pathologist, or developmental pediatrician.

Other conditions that resemble ADHD

A number of medical conditions or their treatments may cause signs and symptoms similar to those of ADHD. Examples include:

  • Learning or language problems
  • Mood disorders such as depression or anxiety
  • Seizure disorders
  • Vision or hearing problems
  • Autism spectrum disorder
  • Medical problems or medications that affect thinking or behavior
  • Sleep disorders
  • Brain injury

Care at Mayo Clinic

Our caring team of Mayo Clinic experts can help you with your Attention-deficit/hyperactivity disorder (ADHD) in children-related health concerns Start Here

Treatment

Standard treatments for ADHD in children include medications, behavior therapy, counseling and education services. These treatments can relieve many of the symptoms of ADHD, but they don't cure it. It may take some time to determine what works best for your child.

Stimulant medications

Currently, stimulant drugs (psychostimulants) are the most commonly prescribed medications for ADHD. Stimulants appear to boost and balance levels of brain chemicals called neurotransmitters. These medications help improve the signs and symptoms of inattention and hyperactivity — sometimes effectively in a short period of time.

Examples include:

  • Amphetamines. These include dextroamphetamine (Dexedrine), dextroamphetamine-amphetamine (Adderall XR, Mydayis) and lisdexamfetamine (Vyvanse).
  • Methylphenidates. These include methylphenidate (Concerta, Ritalin, others) and dexmethylphenidate (Focalin).

Stimulant drugs are available in short-acting and long-acting forms. A long-acting patch of methylphenidate (Daytrana) is available that can be worn on the hip.

The right dose varies from child to child, so it may take some time to find the correct dose. And the dose may need to be adjusted if significant side effects occur or as your child matures. Ask your doctor about possible side effects of stimulants.

Stimulant medications and certain health risks

Some research indicates that using ADHD stimulant medications with certain heart problems may be a concern, and the risk of certain psychiatric symptoms may be increased when using stimulant medications.

  • Heart problems. Stimulant medication may cause an increased blood pressure or heart rate, but the increased risk of serious adverse effects or sudden death is still unproved. However, the doctor should evaluate your child for any heart condition or family history of heart disease before prescribing a stimulant medication and monitor your child during stimulant use.
  • Psychiatric problems. Stimulant medications may rarely increase the risk for agitation or psychotic or manic symptoms with stimulant medications use. Contact the doctor immediately if your child has sudden new or worsening behavior or sees or hears things that aren't real while taking stimulant medication.

Other medications

Other medications that may be effective in treating ADHD include:

  • Atomoxetine (Strattera)
  • Antidepressants such as bupropion (Wellbutrin SR, Wellbutrin XL, others)
  • Guanfacine (Intuniv)
  • Clonidine (Catapres, Kapvay)

Atomoxetine and antidepressants work slower than stimulants do and may take several weeks before they take full effect. These may be good options if your child can't take stimulants because of health problems or if stimulants cause severe side effects.

Suicide risk

Although it remains unproved, concerns have been raised that there may be a slightly increased risk of suicidal thinking in children and teenagers taking nonstimulant ADHD medication or antidepressants. Contact your child's doctor if you notice any signs of suicidal thinking or other signs of depression.

Giving medications safely

It's very important to make sure your child takes the right amount of the prescribed medication. Parents may be concerned about stimulants and the risk of abuse and addiction. Stimulant medications are considered safe when your child takes the medication as prescribed by the doctor. Your child should see the doctor regularly to determine if the medication needs to be adjusted.

On the other hand, there's concern that other people might misuse or abuse stimulant medication prescribed for children and teenagers with ADHD. To keep your child's medications safe and to make sure your child is getting the right dose at the right time:

  • Give medications carefully. Children and teens shouldn't be in charge of their own ADHD medication without proper supervision.
  • At home, keep medication locked in a childproof container. And store medication away from the reach of children. An overdose of stimulant drugs is serious and potentially fatal.
  • Don't send supplies of medication to school with your child. Deliver any medication yourself to the school nurse or health office.

ADHD behavior therapy

Children with ADHD often benefit from behavior therapy, social skills training, parent skills training and counseling, which may be provided by a psychiatrist, psychologist, social worker or other mental health professional. Some children with ADHD may also have other conditions such as an anxiety disorder or depression. In these cases, counseling may help both ADHD and the coexisting problem.

Examples of therapy include:

  • Behavior therapy. Teachers and parents can learn behavior-changing strategies, such as token reward systems and timeouts, for dealing with difficult situations.
  • Social skills training. This can help children learn appropriate social behaviors.
  • Parenting skills training. This can help parents develop ways to understand and guide their child's behavior.
  • Psychotherapy. This allows older children with ADHD to talk about issues that bother them, explore negative behavior patterns and learn ways to deal with their symptoms.
  • Family therapy. Family therapy can help parents and siblings deal with the stress of living with someone who has ADHD.

The best results occur when a team approach is used, with teachers, parents, therapists and physicians working together. Educate yourself about ADHD and available services. Work with your child's teachers and refer them to reliable sources of information to support their efforts in the classroom.

New medical device

The U.S. Food and Drug Administration approved a new medical device to treat children with ADHD who are 7 to 12 years old and not taking ADHD prescription medicine. Only available by prescription, it's called the Monarch external Trigeminal Nerve Stimulation (eTNS) System.

About the size of a cell phone, the eTNS device can be used at home under parental supervision, when the child is sleeping. The device generates low-level electrical stimulation which moves through a wire to a small patch placed on the child's forehead, sending signals to areas of the brain related to attention, emotion and behavior.

If eTNS is being considered, it's important to discuss precautions, expectations and possible side effects. Get complete information and instructions from your health care professional.

Ongoing treatment

If your child is being treated for ADHD, he or she should see the doctor regularly until symptoms have largely improved, and then typically every three to six months if symptoms are stable.

Call the doctor if your child has any medication side effects, such as loss of appetite, trouble sleeping or increased irritability, or if your child's ADHD symptoms have not shown much improvement with initial treatment.

More Information

  • Attention-deficit/hyperactivity disorder (ADHD) in children care at Mayo Clinic
  • Family therapy
  • Psychotherapy

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Lifestyle and home remedies

Because ADHD is complex and each person with ADHD is unique, it's hard to make recommendations that work for every child. But some of the following suggestions may help create an environment in which your child can succeed.

Children at home

  • Show your child lots of affection. Children need to hear that they're loved and appreciated. Focusing only on the negative aspects of your child's behavior can harm your relationship and affect self-confidence and self-esteem. If your child has a hard time accepting verbal signs of affection, a smile, a pat on the shoulder or a hug can show you care. Look for behaviors for which you can compliment your child regularly.
  • Find ways to improve self-esteem. Children with ADHD often do well with art projects, music or dance lessons, or martial arts classes. Choose activities based on their interests and abilities. All children have special talents and interests that can be fostered. Small frequent successes help build self-esteem.
  • Use simple words and demonstrate when giving your child directions. Speak slowly and quietly and be very specific and concrete. Give one direction at a time. Stop and make eye contact with your child before and while you're giving directions.
  • Identify difficult situations. Try to avoid situations that are difficult for your child, such as sitting through long presentations or shopping in malls and stores where the array of merchandise can be overwhelming.
  • Use timeouts or appropriate consequences for discipline. Start with firm, loving discipline that rewards good behavior and discourages negative behavior. Timeouts should be relatively brief, but long enough for your child to regain control. The idea is to interrupt and defuse out-of-control behavior. Children can also be expected to accept the results of the choices they make.
  • Work on organization. Help your child organize and maintain a daily assignment and activities notebook or chart and be sure your child has a quiet place to study. Group objects in the child's room and store them in clearly marked spaces. Try to help your child keep his or her environment organized and uncluttered.
  • Try to keep a regular schedule for meals, naps and bedtime. Children with ADHD have a hard time accepting and adjusting to change. Use a big calendar to mark special activities that will be coming up and everyday chores. Avoid or at least warn children of sudden transitions from one activity to another.
  • Encourage social interaction. Help your child learn social skills by modeling, recognizing and rewarding positive interactions with peers.
  • Adopt healthy lifestyle habits. Make sure your child is rested. Try to keep your child from becoming overtired because fatigue often makes ADHD symptoms worse. It's important that your child eat a balanced diet for healthy development. In addition to its health benefits, regular exercise may have a positive effect on behavior when added to treatment.

Children in school

Learn all you can about ADHD and opportunities that are available to help your child be successful. You are your child's best advocate.

  • Ask about school programs. Schools are required by law to have a program to make sure children who have a disability that interferes with learning get the support they need. Your child may be eligible for additional services offered under federal laws: Section 504 of the Rehabilitation Act of 1973 or the Individuals with Disabilities Education Act (IDEA). These can include evaluation, curriculum adjustments, changes in classroom setup, modified teaching techniques, study skills instruction, use of computers, and increased collaboration between parents and teachers.
  • Talk to your child's teachers. Stay in close communication with teachers and support their efforts to help your child in the classroom. Be sure teachers closely monitor your child's work, provide positive feedback, and are flexible and patient. Ask that they be very clear about their instructions and expectations.

Alternative medicine

There's little research that indicates that alternative medicine treatments can reduce ADHD symptoms. Before considering any alternative interventions, talk with your doctor to determine if the therapy is safe. Some alternative medicine treatments that have been tried, but are not yet fully proved scientifically, include:

  • Yoga or meditation. Doing regular yoga routines or meditation and relaxation techniques may help children relax and learn discipline, which may help them manage their symptoms of ADHD.
  • Special diets. Most diets promoted for ADHD involve eliminating foods thought to increase hyperactivity, such as sugar, and common allergens, such as wheat, milk and eggs. Some diets recommend avoiding artificial food colorings and additives. So far, studies haven't found a consistent link between diet and improved symptoms of ADHD, though some anecdotal evidence suggests diet changes might make a difference in children with specific food sensitivities. Caffeine use as a stimulant for children with ADHD can have risky effects and is not recommended.
  • Vitamin or mineral supplements. While certain vitamins and minerals from foods are necessary for good health, there's no evidence that supplemental vitamins or minerals can reduce symptoms of ADHD. "Megadoses" of vitamins — doses that far exceed the Recommended Dietary Allowance (RDA) — can be harmful.
  • Herbal supplements. There is no evidence to suggest that herbal remedies help with ADHD, and some may be harmful.
  • Proprietary formulations. These are products made from vitamins, micronutrients and other ingredients that are sold as possible treatment supplements for children with ADHD. These products have had little or no research and are exempt from Food and Drug Administration oversight, making them possibly ineffective or potentially harmful.
  • Essential fatty acids. These fats, which include omega-3 oils, are necessary for the brain to function properly. Researchers are still investigating whether these may improve ADHD symptoms.
  • Neurofeedback training. Also called electroencephalographic (EEG) biofeedback, in these sessions a child focuses on certain tasks while using a machine that shows brain wave patterns. More research is needed to see if this works.

Coping and support

Caring for a child with ADHD can be challenging for the whole family. Parents may be hurt by their child's behavior, as well as by the way other people respond to it. The stress of dealing with ADHD can lead to marital conflict. These problems may be compounded by the financial burden that ADHD can place on families.

Siblings of a child with ADHD also may have special difficulties. They can be affected by a brother or sister who is demanding or aggressive, and they may also receive less attention because the child with ADHD requires so much of a parent's time.

Resources

Many resources are available, such as social services or support groups. Support groups often can provide helpful information about coping with ADHD. Ask your child's doctor if he or she knows of any support groups in your area.

There also are excellent books and guides for both parents and teachers, and internet sites dealing exclusively with ADHD. But be careful of websites or other resources that focus on risky or unproved remedies or those that conflict with your health care team's recommendations.

Strategies for coping

Many parents notice patterns in their child's behavior as well as in their own responses to that behavior. Both you and your child may need to change behavior. But substituting new habits for old ones takes a lot of hard work.

Be realistic in your expectations for improvement — both your own and your child's. And keep your child's developmental stage in mind. Set small goals for both yourself and your child and don't try to make a lot of changes all at once.

  • Stay calm and set a good example. Act the way you want your child to act. Try to remain patient and in control — even when your child is out of control. If you speak quietly and calmly, your child is more likely to calm down too. Learning stress management techniques can help you deal with your own frustrations.
  • Take time to enjoy your child. Make an effort to accept and appreciate the parts of your child's personality that aren't so difficult. One of the best ways to do this is simply to spend time together. This should be a time without the distraction of other children or adults. Try to give your child more positive than negative attention every day.
  • Strive for healthy family relationships. The relationship among all family members plays a big part in managing or changing the behavior of a child with ADHD. Couples with a strong bond often find it easier to face parenting challenges than those whose bond isn't as strong. It's important for partners to take time to nurture their own relationship.
  • Give yourself a break. Give yourself a break now and then. Don't feel guilty for spending a few hours apart from your child. You'll be a better parent if you're rested and relaxed. Don't hesitate to ask relatives and friends for help. Make sure that babysitters or other caretakers are knowledgeable about ADHD and mature enough for the task.

Preparing for your appointment

You're likely to start by taking your child to a family doctor or pediatrician. Depending on the results of the initial evaluation, your doctor may refer you to a specialist, such as a developmental-behavioral pediatrician, psychologist, psychiatrist or pediatric neurologist.

What you can do

To prepare for your child's appointment:

  • Make a list of any symptoms and difficulties your child has at home or at school.
  • Prepare key personal information, including any major stresses or recent life changes.
  • Make a list of all medications, vitamins, herbs or other supplements that your child is taking and the dosages.
  • Bring any past evaluations and results of formal testing, if you have them, and school report cards.
  • Make a list of questions to ask your child's doctor.

Questions to ask your child's doctor may include:

  • Other than ADHD, what are possible causes for my child's symptoms?
  • What kinds of tests does my child need?
  • What treatments are available, and which do you recommend?
  • What are the alternatives to the primary approach that you're suggesting?
  • My child has other health problems. How can I best manage these conditions together?
  • Should my child see a specialist?
  • Is there a generic alternative to the medicine you're prescribing for my child?
  • What types of side effects can we expect from the medication?
  • Are there any printed materials that I can have? What websites do you recommend?

Don't hesitate to ask questions anytime you don't understand something.

What to expect from your doctor

Be ready to answer questions your doctor may ask, such as:

  • When did you first notice your child's behavior issues?
  • Do the troubling behaviors occur all the time or only in certain situations?
  • How severe are your child's difficulties at home and at school?
  • What, if anything, appears to worsen your child's behavior?
  • What, if anything, seems to improve your child's behavior?
  • Does your child consume caffeine? How much?
  • What are your child's sleep hours and patterns?
  • How is your child's current and past academic performance?
  • Does your child read at home? Does he or she have trouble reading?
  • What discipline methods have you used at home? Which ones are effective?
  • Describe who lives at home and a typical daily routine.
  • Describe your child's social relationships at home and at school.

Your doctor or mental health professional will ask additional questions based on your responses, symptoms and needs. Preparing and anticipating questions will help you make the most of your time with the doctor.

By Mayo Clinic Staff

ADHD in adults - treatment, symptoms, diagnosis

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Treatment of ADHD in adults

Rehabilitation clinic "A NEW DAY" specializes in the treatment of adults with ADHD. We have developed and effectively applied a set of rehabilitation measures for ADHD.

Individual approach

Each patient has his own doctor - a neurologist. He knows everything about the patient and his disease, if necessary, he can make adjustments to the course of treatment at any stage. The main thing is the result. At the end of the course of treatment, individually developed recommendations are issued.

Treatment is always a complex

Taking into account the variant of the course, the age of the patient, the severity of manifestations, the most appropriate methods and their combinations are selected: (BOS).

In everyday life, ADHD patients are not recommended to engage in those sports that involve a competitive nature and have a pronounced emotional component, for example, martial arts, team games. Useful jogging, swimming (non-competitive), cycling, skiing.

To improve the psychological and emotional state, reduce anxiety, overcome depression, sleep disorders, various methods of psychotherapy are used. The choice of a technique suitable for a particular patient is carried out by a psychologist or psychotherapist.

Relaxation techniques: special relaxation massages, relaxation sessions, medical treatment.
Cognitive training is used for attention deficit. Acupuncture (IRT) is traditionally used to restore the regulation of many organs, including the brain.

Innovative techniques

Translingual neurostimulation (TLNS) is an effect on the brain through the stimulation of tongue receptors. This is an advanced innovative technique, most effectively used in the treatment of diseases of the central nervous system, and as we know, ADHD belongs to such diseases. The use of TLNS allows you to restore the regulation of excitation-inhibition processes in a short time, which ultimately leads to an improvement in the course of ADHD, the best psychological and motor correction. In addition, TLNS has a positive effect on cognitive functions, such as concentration and memory, improves sleep, allowing the body to restore its neurotransmitter stores and have a good rest.

Continuity and recurrence

ADHD has a favorable course when properly treated. It is important to maintain the results achieved. To do this, at discharge, we give detailed individually developed recommendations. As long as there is any residual symptomatology, courses of treatment should be repeated, as a rule, 2-3 times a year.

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Attention deficit disorder in adults

ADHD is a childhood-onset neurological behavioral disorder characterized by difficulty concentrating and maintaining attention, excessive motor activity (hyperactivity) and incontinence (impulsivity).

In recent years, the frequency of ADHD has increased, including among adults. It used to be thought that by adolescence, the symptoms of ADHD would significantly lessen or go away. However, now these ideas have changed: in 30-70% of cases, ADHD persists into adulthood. Most often this is due to insufficiently effective treatment in childhood.


More about ADHD

All processes occurring in the nervous system are based on two oppositely directed mechanisms: excitation and inhibition. Normally they are balanced. However, the formation of the nervous system does not occur immediately after birth. The brain is mainly formed before the age of 8 years, but finally only by the age of 25. Therefore, in children, arousal and inhibition often get out of control, in some cases leading to ADHD. Over time, the brain matures and the symptoms of ADHD improve or go away on their own. But even in an adult, cognitive, behavioral, and motor
disorders resulting from ADHD. That is why the prevalence of ADHD in adults, although it has increased in recent years, still remains much less than in children.

In general, the manifestations in children and adults do not differ, but there are features.

First, if a child does not have ADHD, then an adult will not develop this disease. Therefore, ADHD in adults is not a separate disease, but disorders that have persisted since childhood.

Secondly, in adults, attention disorders prevail over manifestations of hyperactivity. It is difficult for such people to concentrate and maintain attention, so many activities that require concentration may not be available to them. Hyperactivity can be manifested by restlessness, so sedentary sedentary work is not suitable for them.
Impulsivity can be manifested by conflicts in the family and at work.

And thirdly, the presence of ADHD in adulthood requires careful examination to exclude other disorders, incl. mental illness.

Manifestations of ADHD depend on the course of the disease.

Types of ADHD in adults

  • With a predominance of attention deficit (deficit)

  • With a predominance of hyperactivity

  • Mixed version of ADHD

Symptoms of ADHD in adults

Symptoms of inattention (at least 5 symptoms for at least 6 months):

  • Inability to concentrate on details, error
  • Inability to hold attention for a long time
  • Often one gets the impression that he does not listen to spoken speech
  • Inability to follow instructions, algorithms, for example, to fulfill conditions tasks
  • Resistance to getting involved in tasks, avoiding or active resistance
  • Frequent loss of things, especially those necessary to complete tasks
  • Easy distractibility to extraneous stimuli or thoughts (“hovering” in thoughts)
  • Routine forgetfulness (errands, chores, being late)


Symptoms of hyperactivity (in adults, at least 5 symptoms for at least 6 months):

  • Constant movements in the hands, feet, fidgeting in a chair
  • Getting up from a place
  • Inability to sit still
  • Inability to pass time calmly
  • Constantly in motion, as if “wound9”, as if “attached a motor” 908088
  • Answers a question without listening to the question itself
  • Difficulty waiting in line
  • permissions.

These symptoms must reach a degree of severity that interferes with learning, communication, work. They should be observed both at home and in other places (at work, at a party, etc.). They should be noticed not only by relatives, but also by those around them.

    An additional examination may be required to clarify the diagnosis and exclude other diseases that have similar symptoms:

    • EEG (electroencephalography)
    • Doppler ultrasonography0088
    • Evoked potential (EP) method
    • Psychotherapist's consultation
    • Brain MRI
    • Psychiatrist's consultation (if indicated)

    )
    – ADHD CR (expanded complex)
    – Cognition CS (standard complex)
    – Cognition CR (expanded complex)

    – Psychotherapy ind. COP (complex standard)
    – Psychotherapy ind. CR (advanced complex)

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    ADHD in adults - treatment, symptoms, diagnosis

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    Treatment of ADHD in adults

    with ADHD. We have developed and effectively applied a set of rehabilitation measures for ADHD.

    Individual approach

    Each patient has his own doctor - a neurologist. He knows everything about the patient and his disease, if necessary, he can make adjustments to the course of treatment at any stage. The main thing is the result. At the end of the course of treatment, individually developed recommendations are issued.

    Treatment is always a complex

    Taking into account the variant of the course, the age of the patient, the severity of manifestations, the most appropriate methods and their combinations are selected: (BOS).

    In everyday life, ADHD patients are not recommended to engage in sports that involve a competitive nature and have a pronounced emotional component, for example, martial arts, team games. Useful jogging, swimming (non-competitive), cycling, skiing.

    To improve the psychological and emotional state, reduce anxiety, overcome depression, sleep disorders, various methods of psychotherapy are used. The choice of a technique suitable for a particular patient is carried out by a psychologist or psychotherapist.

    Relaxation techniques: special relaxation massages, relaxation sessions, medical treatment.
    Cognitive training is used for attention deficit. Acupuncture (IRT) is traditionally used to restore the regulation of many organs, including the brain.

    Innovative techniques

    Translingual neurostimulation (TLNS) is an effect on the brain through the stimulation of tongue receptors. This is an advanced innovative technique, most effectively used in the treatment of diseases of the central nervous system, and as we know, ADHD belongs to such diseases. The use of TLNS allows you to restore the regulation of excitation-inhibition processes in a short time, which ultimately leads to an improvement in the course of ADHD, the best psychological and motor correction. In addition, TLNS has a positive effect on cognitive functions, such as concentration and memory, improves sleep, allowing the body to restore its neurotransmitter stores and have a good rest.

    Continuity and recurrence

    ADHD has a favorable course when properly treated. It is important to maintain the results achieved. To do this, at discharge, we give detailed individually developed recommendations. As long as there is any residual symptomatology, courses of treatment should be repeated, as a rule, 2-3 times a year.

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    Attention deficit disorder in adults

    ADHD is a childhood-onset neurological behavioral disorder characterized by difficulty concentrating and maintaining attention, excessive motor activity (hyperactivity) and incontinence (impulsivity).

    In recent years, the frequency of ADHD has increased, including among adults. It used to be thought that by adolescence, the symptoms of ADHD would significantly lessen or go away. However, now these ideas have changed: in 30-70% of cases, ADHD persists into adulthood. Most often this is due to insufficiently effective treatment in childhood.


    More about ADHD

    All processes occurring in the nervous system are based on two oppositely directed mechanisms: excitation and inhibition. Normally they are balanced. However, the formation of the nervous system does not occur immediately after birth. The brain is mainly formed before the age of 8 years, but finally only by the age of 25. Therefore, in children, arousal and inhibition often get out of control, in some cases leading to ADHD. Over time, the brain matures and the symptoms of ADHD improve or go away on their own. But even in an adult, cognitive, behavioral, and motor
    disorders resulting from ADHD. That is why the prevalence of ADHD in adults, although it has increased in recent years, still remains much less than in children.

    In general, the manifestations in children and adults do not differ, but there are features.

    First, if a child does not have ADHD, then an adult will not develop this disease. Therefore, ADHD in adults is not a separate disease, but disorders that have persisted since childhood.

    Secondly, in adults, attention disorders prevail over manifestations of hyperactivity. It is difficult for such people to concentrate and maintain attention, so many activities that require concentration may not be available to them. Hyperactivity can be manifested by restlessness, so sedentary sedentary work is not suitable for them.
    Impulsivity can be manifested by conflicts in the family and at work.

    And thirdly, the presence of ADHD in adulthood requires careful examination to exclude other disorders, incl. mental illness.

    Manifestations of ADHD depend on the course of the disease.

    Types of ADHD in adults

    • With a predominance of attention deficit (deficit)

    • With a predominance of hyperactivity

    • Mixed version of ADHD

    Symptoms of ADHD in adults

    Symptoms of inattention (at least 5 symptoms for at least 6 months):

    • Inability to concentrate on details, error
    • Inability to hold attention for a long time
    • Often one gets the impression that he does not listen to spoken speech
    • Inability to follow instructions, algorithms, for example, to fulfill conditions tasks
    • Resistance to getting involved in tasks, avoiding or active resistance
    • Frequent loss of things, especially those necessary to complete tasks
    • Easy distractibility to extraneous stimuli or thoughts (“hovering” in thoughts)
    • Routine forgetfulness (errands, chores, being late)


    Symptoms of hyperactivity (in adults, at least 5 symptoms for at least 6 months):