ADHD

ADHD, or Attention Deficit Hyperactivity Disorder, was formerly known, and is commonly still referred to, as ADD (Attention Deficit Disorder).

In the United States, it's estimated that about 8.7 million adults have ADHD. Additional data suggests a lifetime prevalence of 8.1% among U.S. adults aged 18 to 44, with roughly 4.4% of adults currently diagnosed with ADHD.

People with ADHD exhibit variations in brain development and activity, affecting their attention span, impulse control, and ability to stay still. These differences can significantly affect daily life, influencing performance at home, in educational settings, and in personal relationships.

At Elevate Psychiatry, our deep understanding of ADHD allows us to tailor our treatments to meet your unique needs.

ADHD Symptoms

ADHD may first be diagnosed in childhood but can continue into adulthood, affecting daily functioning across various stages of life. Although it's normal for people to sometimes struggle with focusing, staying still, obeying directions, or waiting their turn, these challenges are more pronounced and frequent in those with ADHD.

People with ADHD often show symptoms in one or more of the following domains.

Inattention

Inattention is shown by difficulty maintaining focus, remaining on task, and concentrating. This is exhibited through behaviors such as:

  • Not finishing tasks
  • Missing important details
  • Struggling to follow directions
  • Misplacing belongings

Those experiencing inattention may seem distracted or forgetful, often caught up in thought or daydreaming.

Impulsiveness

Impulsiveness involves acting quickly without prior thought. Traits of such behavior involve:

  • Cutting off others in conversation
  • Physical acts, such as pushing or snatching
  • Participating in activities without consent
  • Taking things that are not theirs
  • Acting in ways that could be risky

Moreover, impulsive people may react excessively to triggering situations, often acting quickly without considering potential consequences.

Hyperactivity

Hyperactivity often manifests as a quickness to boredom, accompanied by bouts of fidgeting and restlessness, observable through behaviors such as:

  • A difficulty in staying seated
  • Constant moving
  • Challenges in staying silent when needed
  • Inappropriate physical behavior, including climbing, jumping, or rough play in settings where it's not appropriate
  • Rushing through tasks, which results in careless mistakes

It's important to note that behaviors like impulsivity, restlessness, distractibility, and impatience are typical in young children. These traits alone do not necessarily signify ADHD.

Issues with Memory and Concentration

This occurs when you struggle to recall information or maintain focus on a single task for an extended period. You may frequently forget recent instructions or find concentrating on tasks such as homework challenging. 

It's like attempting to watch a movie while your thoughts drift elsewhere. These symptoms of ADHD can hinder performance in academic or professional settings. However, through ADHD treatment, strategies can be developed to manage these challenges effectively.

Types of ADHD

We use a systematic approach to diagnose ADHD, yet the official criteria may not completely capture the everyday expressions of ADHD.

Predominantly Hyperactive-Impulsive ADHD

The stereotype of ADHD often creates images of a hyperactive child causing disruptions in both classrooms and homes. Yet, the appearance of hyperactivity and impulsivity in ADHD can vary widely:

  • Restlessness
  • Excessive talking
  • Impulsive reactions
  • Difficulty taking turns

Recognizing these aspects of hyperactivity and impulsivity is vital for acknowledging and meeting the needs of individuals with ADHD, moving beyond the narrow view of merely being perpetually active or interruptive.

Predominantly Inattentive ADHD (formerly called ADD)

Those with inattentive ADHD might not stand out as much because their symptoms are subtler than those seen in hyperactive and impulsive ADHD. However, addressing inattentive ADHD is vital for a person's success and overall well-being.

  • Forgetfulness
  • Distractibility
  • Losing Items
  • Disorganization
  • Lack of follow-through
  • Poor listening skills
  • Short attention spans

These characteristics are not exclusive to childhood; they can persist into adulthood, impacting various life areas for those with ADHD.

Combined Hyperactive-Impulsive and Inattentive ADHD

In combined hyperactive-impulsive and inattentive ADHD, people show a combination of both predominantly hyperactive-impulsive ADHD as well as predominantly inattentive ADHD. 

ADHD Diagnosis

ADHD is frequently diagnosed using a variety of tests and evaluations, which collectively assess the presence of ADHD characteristics accurately.

Beyond these tests, we also examine a person's behavior in various environments, such as home or school, to ensure a precise diagnosis. This approach is crucial for accurately identifying and effectively treating ADHD.

Diagnosing ADHD involves a blend of clinical evaluations and objective assessments. We are instrumental in the diagnosis process, performing in-depth interviews and supervising the administration of tests.

Objective-Based Tests

These tests play a vital role in complementing the clinical interview, comprising:

  • Conners continuous performance test third edition (CPT3): Concentrates on tasks related to attention
  • Test of variables of attention (TOVA-9): Measures attention and impulsivity using visual or auditory stimuli
  • Creyos cognitive testing: Examines a range of cognitive abilities
  • QbTest: An FDA-approved evaluation that quantifies symptoms of ADHD, including activity levels, attention, and impulsiveness

Incorporating these objective measures ensures a thorough, scientifically grounded assessment of ADHD, enhancing the reliability and accuracy of the diagnosis.

Subjective-Based Questionnaires

To gain a comprehensive understanding, subjective questionnaires may also be used:

  • Vanderbilt ADHD diagnostic parent rating scale: This is used for assessing children, with contributions from both parents and teachers.
  • Adult ADHD self-report scale (ASRS): This is specifically tailored for evaluating ADHD in adults.

These surveys collect various viewpoints on ADHD symptoms, offering crucial information for child and adult evaluations.

Conditions Coexisting with ADHD

People with ADHD may also experience additional conditions or disorders, including:

While having ADHD doesn't guarantee the presence of another condition, approximately 80% of people with ADHD have at least one other co-occurring mental health condition at least once in their lifetime.

Managing ADHD

Treating ADHD requires a multifaceted approach incorporating various intervention strategies and support methods.

Our approach includes:

  • In-depth evaluations to understand your ADHD better
  • Treatment plans tailored to your needs and lifestyle
  • Strategies to help manage ADHD symptoms effectively
  • Regular follow-ups to monitor progress

Within this approach, we try a variety of methods to help you better manage your ADHD.

Medications

Medications are key in treating ADHD, enhancing the brain's capacity for focus, self-regulation, and reducing overactivity. Stimulants, often recommended for ADHD, actually help to calm individuals with the condition.

These medications aim to lessen hyperactivity and impulsiveness while improving concentration. In some instances, they may also improve physical coordination.

Approaches Through Therapy

For people with ADHD and their families, exploring a variety of supportive therapies can be incredibly helpful:

  • Behavioral therapies and skills training: This category of therapy includes personalized strategies, such as behavior modification techniques, enhancement of social skills, and targeted training and counseling.
  • Applied behavior analysis (ABA): ABA therapy leverages positive reinforcement to change behaviors commonly seen in ADHD, helping people learn new ways of responding and acting in different situations.
  • Expressive therapies: These therapies offer ways to express emotions creatively, boosting dopamine levels and enhancing focus and concentration.
  • Talk therapy: Through talk therapy, those with ADHD can talk about their struggles, create plans to manage their symptoms, and understand their behavior patterns better.
  • Family Therapy: This type of therapy is designed for families, improving understanding and support from parents and siblings and creating a stronger support system for living with ADHD.

TMS (Transcranial Magnetic Stimulation)

TMS can help treat ADHD by using magnetic fields to stimulate specific areas of the brain responsible for attention and impulse control. This non-invasive treatment can improve focus, reduce hyperactivity, and enhance executive functioning, leading to better daily functioning and symptom management.

Spravato

Spravato is a medicine that’s given as a nose spray. It can be used for people who don’t find other medicines helpful. At Elevate Psychiatry, you’ll always have a professional guiding you, whether you’re learning how to focus with ADHD or spotting signs of ADHD.

Prioritize Tasks

Prioritizing tasks helps with ADHD by focusing a person’s attention on completing the most important tasks first, reducing the feeling of being overwhelmed. This approach ensures efficient use of time and energy, leading to a more manageable and productive daily routine.

Use Reminders and Schedules

Using reminders and schedules helps people with ADHD by providing external cues that enhance time management and reduce forgetfulness, creating a structured routine that simplifies task completion and daily planning. This structured approach improves focus, reduces procrastination, and supports the development of consistent habits and routines.

Break Down Tasks Into Manageable Pieces

Breaking down tasks into smaller, manageable pieces helps those with ADHD by making tasks less overwhelming and easier to focus on, leading to increased motivation and a greater sense of accomplishment. This approach simplifies starting tasks, enhances organization, and improves overall task completion.

Practice Mindfulness and Relaxation Techniques

Practicing mindfulness and relaxation techniques can improve focus, reduce hyperactivity, and enhance emotional regulation for individuals with ADHD. These practices also help lower stress and anxiety, contributing to better overall well-being and management of ADHD symptoms.

Managing ADHD with Elevate Psychiatry

At Elevate Psychiatry, your health and well-being are our top priority. Don’t let ADHD dictate your life. 

With our trusted ADHD treatment, you can regain control and start living life to the fullest. 

Book an appointment online or get in touch with us at one of our three locations:

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