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The first medication typically prescribed is a stimulant like methylphenidate (Ritalin). It stimulates the parts of the brain that regulate attention and behavior.
Adults suffering from ADHD are more likely to benefit from long-acting formulations. They build up slowly in the bloodstream, thus avoiding the 'crash" that can occur after short-acting medication wears off.
Stimulants
Stimulants are the most frequently prescribed treatment for ADHD and increase levels of dopamine and norepinephrine within the brain. They increase the'signal' that allows brain cells to communicate. They are available as immediate-release tablets, which are taken two to three times a day, or extended-release tablets, such as methylphenidate (Ritalin) and dextroamphetamine (Adderall) or lisdexamfetamine (Vyvanse). They can also be injected under the skin. Doctors carefully change the dose on a regular basis to find the right dosage and avoid any adverse reactions.
The number of adults who receive medication to treat their ADHD has increased dramatically since the COVID-19 pandemic started and is now surpassing the number of children. This is largely due to increased awareness, as more people recognise signs and seek assistance from their doctors. Moreover, celebrities, such as Sue Perkins and Jonny Vegas have weighed in on their ADHD diagnosis, further increasing awareness of the condition. The NHS has created an ADHD taskforce in order to cut down on the long waiting time for appointments.
A lot of people aren't diagnosed or treated for ADHD despite its growing recognition. A psychiatrist who has a special interest in the disorder will perform an assessment, diagnose and refer you to a psychological therapist and prescribe ADHD medication if needed. They will help you understand your options and determine what is the best option for you.
For most people using behavioural therapy, it is the preferred method of managing their ADHD because it addresses the root causes that contribute to issues with focus, learning and impulsivity. It is recommended to combine behavioural therapy with medication. The use of medication alone may be ineffective or cause undesirable side-effects for some people.
If your psychiatrist prescribes ADHD medication they will keep track of their effectiveness and effects until you have found the right balance. This is known as titration. They will probably start with a small dose, that will then be gradually increased until you reach your desired level of medication. Psychologists will follow up with you on a regular basis, first fortnightly then monthly to make sure your ADHD medication is working.
It is important to follow the advice of your physician regarding the best time and method to take these medicines. You will also be educated about the potential risks and benefits of the medication.
Specialist psychiatrists who specialize in ADHD may be able to offer you 'off licence' medications. Bupropion, an antidepressant, is one of these drugs. It has been proved to be effective in treating adult ADHD. Atomoxetine is a different "off license" drug which is a stimulant of noradrenaline in the brain - which is a messenger chemical that transmits information.
Online services are an excellent alternative if are worried about meeting a psychiatrist face-to-face. There are many psychiatrists in the UK who have been specially trained to treat ADHD patients. They also have years of experience. You can reach them directly or request your GP to refer you to. Online psychiatrists who specialize in treating private patients with ADHD can assist you in finding one who is aware of the difficulties this condition presents.