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Best ADHD Medication For Adults With Anxiety Anxiety disorders affect up to 50% of adults who have ADHD. Both therapy and medication are effective treatments for both conditions. Stimulants can be effective in enhancing focus and attention. They work by keeping the receptors that are already “fired up” in your brain “turned-on”. They can cause tics, and increase your heart rate. add adhd medication When treating ADHD, doctors often start with stimulants like methylphenidates or amphetamines. These drugs are effective in helping increase concentration and decrease the risk of impulsivity. Certain people can reduce anxiety by increasing the level of norepinephrine. Most stimulant medications are controlled substances and carry the risk of dependence and abuse. Some adults tolerate them well. They do tend to cause initial insomnia, which may be due to a rebound of ADHD symptoms once the medication has worn off or changes in the pattern of sleep. This can be reduced by taking the medication only one time per day instead of three or four times per week, and by creating a regular sleeping schedule. Stimulants can trigger adverse effects, such as an abrupt rise in blood pressure, irregular heartbeats or changes in vision or sound. They can also cause anorexia or weight loss, particularly when taken at high doses. The stimulants can also cause mood instability in some individuals and can cause psychotic or manic-like symptoms to appear. They are not recommended for people with bipolar disorder or severe anorexia. Mood swings can also occur when stimulants suddenly stopped. In these situations it is crucial to gradually decrease in the dosage. The use of medications to treat anxiety that aren't related to ADHD can be prescribed to people with the disorder. Antidepressants such as Sertraline or Fluoxetine, for example are able to help with depression and anxiety that are associated with ADHD. These medications are usually prescribed “off-label” for ADHD. Some doctors prescribe them to treat ADHD, but medical research does not support this practice. Non-stimulant ADHD medications take longer to take effect, but they can reduce the impulsivity of children and improve the amount of attention. They do not alter the level of norepinephrine in the brain as much as stimulants do, and they are less likely to trigger rapid heart rate or cause agitation. Drugs that belong to this class of drugs include strattera (atomoxetine) and clonidine (Kapvay and Intuniv) and guanfacine in ER (Intuniv and Tenex). A variety of strategies can be employed to manage ADHD and anxiety, which includes behavior therapy, cognitive-behavioral therapy and medications. The most effective treatment for anxiety and ADHD is a combination medication and behavioral therapy. For example, cognitive-behavioral therapy helps teach skills that can help reduce a person's anxiety by incorporating techniques such as mindfulness meditation, deep breathing and techniques for calming. Certain children with ADHD also suffer from anxiety. In these instances, the most effective strategy is to treat the ADHD first, then to prescribe an SSRI for anxiety. This will allow the child to be more focused at school and experience less anxiety that is related to ADHD. To reap the maximum benefits, it is important to take part in therapy sessions regularly. Then, if needed, a physician may suggest an additional medication for psychiatric disorders to help treat anxiety. This could be a tricyclic medication, such as Tofranil. If anxiety is not addressed, it can interfere with the ability of a child to benefit from therapy. This is why it is essential to establish the diagnosis and treatment correct the first time.