Until relatively recently it was conventional wisdom that the Attention Deficit Disorder with Hyperactivity (ADHD) improved spontaneously with the passing of the years and in adulthood had already been exceeded, this led to often neglected parents waiting for treatment remission, which was believed to be the natural course of this disorder. The reality is that two-thirds of cases, ADHD persists throughout life, dragging the patient all product failures and frustrations of the disorder itself or its treatment broken, inadequate or not performed. What
adults come to the clinic seeking help for his ADHD? Next we are going to consider the most representative cases:
The patient diagnosed and treated in childhood or adolescence, adequate treatment and who, when you start college notes that still has significant difficulty to meet during class and study at home, and now has no control or supervision of parents.
The patient diagnosed during childhood or adolescence and never received adequate treatment or who received it only for a time and whose parents discontinued the medication by unfounded fear, through bad advice, by misinformation or believe it was not necessary.
The older brother of a patient receiving treatment for ADHD, who were never diagnosed or treated and parents who suspect the disorder by the difficulties to enter the university, the university itself or in family life or employment.
The parent of a patient being treated, who recognizes that the query has the same characteristics of their child diagnosed as ADHD. This leads him to seek help because of the difficulties that are presented in the workplace or family or social relationships.
An adult who has received information about el TDAH a través de familiares, amigos, profesionales o medios de comunicación y que con frecuencia nunca ha sido diagnosticado ni tratado; ha tenido dificultades escolares, familiares y sociales, tal vez no haya terminado el colegio o la universidad; probablemente haya consumido o consuma drogas, no tenga ocupación regular o satisfactoria y su vida personal y familiar sea problemática.
El adulto que ha tenido noticias sobre el TDAH a través de medios de comunicación del país o del extranjero y que se ha informado por la Internet o por revistas y libros, quien debido a su inteligencia y esfuerzo ha logrado superar las dificultades propias del déficit de atención y se desenvuelve exitosamente como profesional o empresario, but believes that drug treatment could make daily work easier. Many times the bankruptcy of his company by the economic crisis has forced him to take a job in which it is very difficult to meet schedules and other demands.
The diagnosis of ADHD in adults should be conducted by an expert on the subject and requires that the disorder has begun in childhood, this assumes that you have been diagnosed in childhood or adolescence, or sufficient information for the diagnosis retrospectively, so it is important to question one of the parents, especially mothers.
medication used for ADHD in children and adolescents is equally effective in adults, but its practical usefulness will depend on how motivated he is to take advantage of improved capacity to address and use it for work or study more effectively.
pharmacological treatment with drugs is stimulants, atomoxetine and antidepressants also have an effect on attention deficit disorder (bupropion or venlafaxine). The most common drug used worldwide in the last forty years is methylphenidate (inhibitor of dopamine reuptake), whose effectiveness has been demonstrated extensively for the control of hyperactivity, impulsivity, attention deficit and to a lesser extent for behavioral problems. According to the characteristics of the patient, especially if you have depression, anxiety, or tics associated with ADHD, or if the patient can not tolerate methylphenidate, atomoxetine can be chosen (inhibitor of norepinephrine reuptake). Bupropion or venlafaxine may be used if there is associated depression, although the effect is modest about the attention. Mood stabilizers, drugs mainly used as anticonvulsants, may be used in challenging or violent patients, as these drugs have no effect on attention, must be associated with you to stimulant medication or atomoxetine. As more
likely that the adult with ADHD who seek help have a disorder associated-especially depression, anxiety or conduct disorder, you will need, according to the severity of the problem, psychological therapy plus medication. A therapeutic modality that helps to structure daily life and activities of the patient, began more than a decade in the United States, is the coaching , used in our country for years. Successful treatment of ADHD in adults depend on the motivation that this has and the support you give your spouse or partner.
Finally, as an adult with ADHD may have children with the same disorder, this complicates the management of children and adolescents with this problem, especially when the adult has not received proper treatment and has not learned to deal with your problem.
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