Best ADHD Medication For Adults With Anxiety
Up to 50% of adults with ADHD also suffer from anxiety disorders. Both medication and therapy are effective treatments for both disorders.
Stimulants are effective in enhancing attention and focus. They work by keeping activated receptors in your brain "turned on" or "fired up." They can cause an increase in your heart rate slightly.
Stimulants
Stimulants, such as methylphenidates and amphetamines, are the first medication doctors typically use to treat ADHD. They work quickly to enhance focus and decrease impulsivity. Certain people can reduce anxiety by boosting the norepinephrine level. Most stimulant drugs are controlled substances, and can lead to dependence and abuse. Some adults tolerate them well. Initial insomnia can be caused by the drug wearing off or a change in sleeping patterns. This can be lowered by taking the medication only once per day, instead of three or four times, and by establishing regular sleeping routines.
Stimulants can have side effects such as an abrupt increase in blood pressure, irregular heartbeats or changes in vision or sound. They can also cause anorexia and weight loss particularly when taken in high doses. In addition, stimulants may increase the likelihood of mood instability in certain individuals and cause psychotic or manic symptoms appear. They are not recommended for people suffering from bipolar disorders or severe anorexia. Stimulants can cause mood swings if they are abruptly stopped. In adhd and depression medication is crucial to take a gradual reduction in the dose.
Medications to treat anxiety that are different than ADHD can be prescribed to those suffering from the condition. Antidepressants like Sertraline or Fluoxetine, for example, can help with depression and anxiety that are related to ADHD. These medications are typically prescribed "off-label" for ADHD. Some doctors prescribe them for ADHD however, research in the field does not support this practice.
Non-stimulant ADHD medicines take longer to take effect, but they can reduce the impulsivity of children and improve attention. They don't affect the amount of norepinephrine present in the brain as significantly as stimulants, and they are less likely to trigger a rapid heart rate or agitation. This class of drugs comprises strattera (atomoxetine) and Clonidine (Kapvay, Intuniv), and Guanfacine (Intuniv, Tenex).
A variety of strategies can be used to manage ADHD and anxiety, including behavior therapy, cognitive-behavioral therapies and medications. Research has shown that the most effective treatment is a combination of medication and behavioral therapy.
Cognitive-behavioral therapy, for instance help teach skills to reduce anxiety, including deep breathing, mindfulness, and calming techniques. In cases where children with ADHD suffer from anxiety issues it is recommended to treat the ADHD before prescribing an SSRI. This will allow the child to concentrate better in school and suffer less ADHD-related anxiety symptoms. To reap the maximum benefits it is essential to keep attending therapy sessions regularly. If necessary doctors may recommend an additional psychiatric medication to treat anxiety. This could be a tricyclic, such as Tofranil. If anxiety is not treated, it can interfere with a child's ability to take part in therapy and benefit from it. This is why it is crucial to determine the cause and treatment right, the first time.