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Best ADHD Medication For Adults With Anxiety As high as 50% of those who suffer from ADHD also suffer from anxiety disorders. Both medication and therapy are effective treatments for both conditions. Stimulants are effective in enhancing focus and attention. They work by keeping the receptors that are already “fired up” in your brain “turned-on”. They may trigger tics, and also increase your heart rate. Stimulants Stimulants, such as methylphenidates and amphetamines, are the first medication doctors usually try when treating ADHD. These drugs work quickly to improve focus and decrease the amount of impulsivity. Some people are able to reduce anxiety by increasing the level of norepinephrine. Most stimulant medicines are controlled substances and therefore are prone to addiction and abuse. Some adults tolerate them well. Initial insomnia can be caused by the medication wear off or a change in sleep patterns. This can be reduced by taking the medication only every day, instead of taking it three or more times a week, and by establishing regular sleeping patterns. Potential side effects from stimulants include a sudden increase in blood pressure, an irregular heartbeat, and changes in hearing or vision. They may also trigger weight loss or anorexia particularly if they are taken at high doses. Stimulants can also worsen mood instability in some individuals and can cause manic or psychotic symptoms to appear. They are not recommended for those who suffer from bipolar disorders, or severe anorexia. Mood swings may occur when stimulants suddenly removed. In these instances it is essential to gradually decrease the dosage. The use of medications to treat anxiety that aren't related to ADHD could be used to treat people with the condition. For instance antidepressants like SSRIs like Sertraline and Fluoxetine can sometimes help with anxiety associated with ADHD as well as depression. These medications are often prescribed “off-label” for ADHD. Some doctors prescribe them to treat ADHD, but this use is not supported by medical research. Non-stimulant ADHD medicines take longer to work, but they can reduce the tendency to be impulsive and increase attention. They are less likely than stimulants to trigger anxiety or a rapid heart rate, as they do not increase the levels of norepinephrine in the brain. This class of medications includes strattera (atomoxetine), Clonidine (Kapvay, Intuniv), and Guanfacine (Intuniv, Tenex). Combinations of strategies, like behavioral therapy, cognitive-behavioral therapy, and medications, can be used to treat ADHD and anxiety. Research has demonstrated that the most effective treatment is using a combination of medications and behavioral therapy. Cognitive-behavioral therapies, like help teach skills to reduce anxiety, including deep breathing, mindfulness, and calming techniques. Certain children with ADHD also struggle with anxiety. In those cases, the best strategy is to treat the ADHD first, and then prescribe an SSRI for anxiety. This will help the child focus better at school and suffer less anxiety due to ADHD. It is important to attend therapy regularly to reap the maximum benefit. Then, if needed, managing adhd without medication www.iampsychiatry.uk may recommend an additional psychiatric medication to combat anxiety. This could be a tricyclic antidepressant, like Tofranil. If the anxiety is not treated, it can affect a child's capacity to take part in therapy and gain benefit from it. This is why it is crucial to establish the diagnosis and treatment correct the first time.