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Up to 50% of people who suffer from ADHD also suffer from an anxiety disorder. Treatment approaches for managing both conditions include medication for inattentive adhd and anxiety as well as therapy.
Stimulants can help improve focus and concentration. They work by keeping receptors that are already "fired up" in your brain "turned-on". They can cause tics, and increase your heart rate.
Stimulants
Stimulants, like amphetamines and methylphenidates are the first medication doctors will typically try when treating ADHD. These drugs work quickly to improve concentration and decrease the impulsivity. They can reduce anxiety in certain people by boosting norepinephrine levels. The majority of stimulant medications are controlled substances, which means they have a high risk of abuse and addiction. Some adults can tolerate them quite well. They can cause insomnia at first that could be due to a relapse of ADHD symptoms once the medication wears off or due to a change in sleep patterns. This can be lowered by taking the medication once a day, instead of three or four times, and by establishing regular routines for sleeping.
Possible side effects of stimulants could include a sudden rise in blood pressure, an irregular heartbeat, and changes in hearing or vision. They can also trigger weight loss and anorexia, especially when taken in large doses. In addition, stimulants can worsen mood lability in some people and make manic or psychotic symptoms appear. They are contraindicated for people suffering from bipolar disorders, or severe anorexia. The mood swings can also occur when stimulants are suddenly removed. In these instances, it is important to gradually reduction in the dosage.
People with ADHD may be prescribed medications to manage anxiety. Antidepressants like Sertraline or Fluoxetine for instance, can help with anxiety and depression associated with ADHD. These medications are often prescribed "off-label" for ADHD. Some doctors prescribe these medications to treat ADHD however, medical research doesn't support this usage.
Non-stimulant ADHD medicines are slower to take effect but they can decrease the tendency to be impulsive and increase attention. They don't affect the amount of norepinephrine present in the brain as much as stimulants, and 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 employed to treat ADHD and anxiety, including behavior therapy, cognitive-behavioral therapy and medication. Research has shown that the most effective treatment is the combination of medication and behavioral therapy.
Cognitive-behavioral therapies, like teach techniques to reduce anxiety, like mindfulness, deep breathing and techniques for calming. Some children with ADHD also have problems with anxiety. In these instances, the best approach is to treat the ADHD first, and then prescribe an SSRI for anxiety. This will help the child concentrate better at school and experience less anxiety related to ADHD. To reap the maximum benefits it is essential to take part in therapy sessions regularly. A doctor could prescribe a psychiatric drug to treat anxiety if necessary. This may be a tricyclic antidepressant, like Tofranil. If anxiety is not treated, it can hinder a child's ability to participate in therapy and gain benefit from it. It is essential to determine the cause and the treatment correct the first time.