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Adult ADHD: When Medications Aren't Enough

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Old 08-30-2010, 07:31 PM   #1
Chemar
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Lightbulb Adult ADHD: When Medications Aren't Enough

http://psychiatry.jwatch.org/cgi/con...q=etoc_jwpsych

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Comment: Given the distress and impairment associated with ADHD in adulthood, additional options for treatment are highly desirable. This excellent first-step study demonstrates the value of individually administered add-on therapy. CBT appeared to be moderately superior to relaxation and education. Recently, group metacognitive therapy was found to be superior to supportive psychotherapy in ameliorating ADHD symptoms (JW Psychiatry Apr 12 2010). Clinicians should consider various attention-focusing interventions for ADHD patients with insufficient response to medication. We now have several promising leads. To disseminate these approaches, researchers might develop computer-based interventions that engage, sustain, and train the ADHD patient's attention.

Joel Yager, MD

Published in Journal Watch Psychiatry August 24, 2010
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Old 08-19-2012, 10:09 AM   #2
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I'm in therapy right now with ADHD. I think as adults you are not only dealing with the ADHD itself, but also all of the difficulties it has caused you over the years have built up and your self-esteem suffers from that. You learn to expect failure when you've always had trouble finishing anything or have constantly dealt with messing up.
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Old 09-30-2013, 08:09 PM   #3
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Originally Posted by FunkyFresh View Post
I'm in therapy right now with ADHD. I think as adults you are not only dealing with the ADHD itself, but also all of the difficulties it has caused you over the years have built up and your self-esteem suffers from that. You learn to expect failure when you've always had trouble finishing anything or have constantly dealt with messing up.
Good luck with your therapy. You say exactly what my partner says: he's dealing with years of shame and failure and frustration. He won't go to therapy or counseling for ADHD yet (though he went to couples therapy with me and we both changed for the better and are closer): Any ideas how I can convince him? I fear he won't be able to keep a job or get the job he wants until he takes the next step. Thank you for sharing and good luck with the hard work you're doing. Peace.
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Old 06-09-2014, 03:17 PM   #4
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Originally Posted by FunkyFresh View Post
I'm in therapy right now with ADHD. I think as adults you are not only dealing with the ADHD itself, but also all of the difficulties it has caused you over the years have built up and your self-esteem suffers from that. You learn to expect failure when you've always had trouble finishing anything or have constantly dealt with messing up.
Finding this group of people is my next step to dealing with my ADD. My doc and I struggled all year at finding the right med. dosage for me and I still don't think we've got it right. In fact, I'm pretty sure Ive been misdiagnosed. I am the text-book prototype for Executive Function Disorder- and there is no medication for that-just therapy. I struggle with maintaining relationships because I've been afraid for people to judge me. I have felt inadequate for not being able to organize my life. I try to hide that side of me from people and I am so embarrassed when people find out my little "secret." It makes it hard for me at work as well. Planning, organization, and deadlines are HELL for me. When I miss a deadline, or if someone needs a paper that I can't find, I just want to crawl into a corner.
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