Diagnosis and Treatment Can Help – NYCĭiagnosing and treating adult ADHD can make an enormous difference in a person’s life. I often start a patient at 5 mg of Adderall once and titrate up to 10 mg bid as tolerated. I often will start a patient at 5 mg once a day and titrate up to 20 mg bid as tolerated.Īdderall’s duration is also 3-4 hours however, many clinicians have noticed that its effective activity is moderately long and that some patients only require once a day dosing. Thus, one of the longer-acting agents such as Ritalin LA, Metatdate CD, or Concerta or commonly prescribed. Ritalin is effective for 3-4 hours and often requires bid dosing. The medicines that I most often use in my practice are Ritalin (methylphenidate) and the mixed amphetamine salt, Adderall. Only Straterra is FDA approved for adult ADHD. The mainstay of treatment for adult ADHD is stimulants and Straterra, a non-stimulant. Avoids tasks that require concentrationĪnd 6 out of 9 of the following ADHD symptoms:.The patient must have 6 out of 9 of the following ADHD symptoms: The diagnosis of ADHD is determined based upon a cluster of the following symptoms from the DSM-V. Thus, it is helpful to get a report from someone who knew the patient during childhood. Many experts believe that in order to officially have a diagnosis of ADHD, one must have symptoms starting prior to 7 years old however, many research studies have demonstrated that adults with ADHD are often poor historians and underreport their symptoms from childhood. The diagnosis of adult ADHD can be challenging since many other psychiatric and medical illnesses can mimic many of the same symptoms such as anxiety, depression, bipolar, dementia, seizures, post-chemotherapy, traumatic brain injury, substance abuse, and side effects of medications. Most often, adults present with the inattentive type even if they had symptoms of hyperactivity as children. There are two subtypes of ADHD including the hyperactive type and inattentive type. This is why I have a passion for treating people with Adult ADHD.ĪDHD has a classic triad cluster of symptoms including inattention, restlessness, and impulsivity. Only a small percentage of professionals feel confidently in diagnosing and treating Adult ADHD, and yet it is highly responsive to effective treatment. The prevalence of ADHD in children and adolescents is between 8-15% and the prevalence of adult ADHD is approximately 4%. This disorder has a heritability rate of 87%. Now, lets discuss background information about Adult ADHD. Treating patients like Richard is so rewarding because an accurate diagnosis and effective treatment can greatly impact a person’s career, health, and quality of life.
I just wish I had sought treatment sooner.” I can focus on my work rather than getting distracted by my co-workers or looking at Facebook. I can read a newspaper and understand what I’m reading. But, after I received an accurate diagnosis from you and effective treatment, I suddenly have been feeling like how other people must feel. I have been pushing and pushing for years with NO results. He said, “I never thought I would ever get on my feet. He was on the verge of tears out of happiness and relief. Many people with Adult Attention Deficit Disorder (ADD) or Adult Attention Deficit Hyperactivity Disorder (ADHD) have sought a diagnosis or treatment for years but have either been misdiagnosed or not adequately treated.įor example, the other day, I saw Richard*, whom I have been treating for the past two months for Adult Attention Deficit Hyperactivity Disorder. Do you feel that you have been struggling for years to get your life together?įeeling like you are always late, or overwhelmed, not completing tasks, losing things, trouble organizing or underachieving?
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