Three Reasons Why You're ADHD Anxiety Medication Is Broken (And How To Repair It)
ADHD and Anxiety MedicationAnxiety disorders can be co-occurring with ADHD. Anxiety can cause restlessness, anxiety, and insomnia.
Stimulant medications can help alleviate these symptoms However, they can cause side effects such as the development of tics and minor reduction in growth in children and adolescents. Additionally, some people have anxiety issues while taking stimulant medications.
Stimulants
Stimulants can be used to treat ADHD and narcolepsy. They are also popular among recreational drug users as stimulants and performance-enhancing substances because of their ability to increase energy, alertness and focus. They are available in the form of capsules, tablets or chunky crystals. They are also available in white or brown dust. Large doses of stimulants can result in over-stimulation, anxiety stomach cramps, panic attacks or paranoia. Long-term use of stimulants may lead to addiction, serious adverse effects such as heart problems high pressure, stroke and heart attacks.
These medicines have also been shown to alleviate anxiety symptoms. They help by increasing the supply of brain chemicals dopamine and norepinephrine, which tend to be lower in those with ADHD. This increases activity and communication between parts of the brain that regulate the executive and attention functions. This results in an improvement in impulse control, and anxiety symptoms diminish.
Studies have shown that both atomoxetine as well as methylphenidate reduce anxiety symptoms in adults with ADHD and comorbid anxiety disorders. Both medications have shown improvement in anxiety symptoms as early as the 4th week of treatment. The benefit continued for 8 weeks.
It is important to keep in mind that the type of medication that may be best for treating anxiety and ADHD co-occurring symptoms might depend on which disorder has the greatest impact on the quality of life of a person. One may experience numerous minor crises that create anxiety on a regular schedule as they rush to make appointments or finish tasks at school or at work. They can be extremely distressing and can cause them to be anxious on more of a frequent basis than the symptoms of a specific phobia or panic attack would.
In these situations the antidepressants, or SSRIs are the best option to alleviate anxiety-related symptoms. These medications have been proven to be effective at the reduction of anxiety levels among adults. These are taken orally, and may take a while to work. The most popular options are selective serotonin reuptake inhibits (SSRIs) which include Sertraline, Fluoxetine, and serotonin, norepinephrine reuptake inhibitions (SNRIs) which include duloxetine and venlafaxine. These medications can be used in conjunction with cognitive-behavioral treatments for anxiety. They are particularly useful if a patient has an elevated or racing heart rate.
SSRIs
SSRIs which are antidepressant medications are frequently used to treat anxiety disorders. Prozac, the prototype drug of this class is fluoxetine. The SSRIs can also aid in treating depression, obsessive-compulsive disorder and post-traumatic stress disorder. These drugs are more versatile and have less side negative effects than the older generation of antidepressants.
The SSRIs block serotonin's reuptake at synapses. This causes the neurotransmitter to remain active in the synapse, and to signal the post-synaptic cell for more times than it would otherwise. This can increase the production of norepinephrine, which may reduce anxiety. This may also increase levels of neuronal cyclicAMP (cAMP) and stimulate the synthesis of proteins.
SSRIs can also reduce the amount of impulsivity and hyperactivity. They can also improve the quality of sleep and reduce agitation for some individuals with ADHD. However, these medications can increase the risk of suicidal ideas and behaviors in some individuals. They may also cause an increase in appetite and weight gain, especially when they are first started.
The SNRIs are a distinct type of antidepressant than SSRIs. SNRIs block the reuptake of serotonin as well as norepinephrine. They also impact anxiety. They can enhance the functioning of the blood vessels and the heart muscle. This may reduce feelings such as anxiety and stress. They also can enhance the mood of people suffering from bipolar disorder.
Duloxetine (Cymbalta), venlafaxine, (Effexor XR, Pristiq) and desvenlafaxine are the most common SNRIs. SNRIs can cause blood pressure to rise in certain people, and people with high blood pressure or cardiovascular disease should avoid taking them.
In addition to medication and other treatments, there are a myriad of behavioral treatments that could aid in reducing anxiety and ADHD. Mindfulness-based techniques can be beneficial in reducing stress and anxiety and stress, as can yoga and meditation. Some people have found tapping certain points on the body, also known as Emotional Freedom Techniques, helps lower the cortisol hormone that causes anxiety. Exercise and diet can also reduce anxiety. Your doctor may suggest that you eat whole grains, fruits, and vegetables, and avoid sugar, as it can worsen anxiety for certain ADHD children and adults.
Non-stimulant-based drugs
While stimulants are highly effective at treating ADHD and have been extensively researched, they are not always the best option for those who suffer from anxiety and ADHD. These medications can cause negative side effects, such as anxiety and jitteriness. These symptoms can be similar to or worsen anxiety symptoms.
Since 2002, non-stimulant medications have been prescribed for ADHD (under the brand name Strattera). They do not increase blood pressure or heart rate and are less likely than stimulant drugs to cause anxiety-related side effects such as shaking, sweating, or nervousness.
Atomoxetine targets receptors for the brain chemical norepinephrine. It can aid in improving concentration and reduce impulsivity and hyperactivity. It has also been proven to alleviate anxiety symptoms in adolescents and children with ADHD. Researchers gathered articles on clinical research from PubMed, EMBASE and PsycINFO to find out whether atomoxetine reduced anxiety in children and adolescents with ADHD.
Another drug that can be effective in treating anxiety symptoms is bupropion, which targets the brain chemical dopamine. Bupropion is usually prescribed to patients suffering from ADHD and depression. It can also boost mood and decrease anxiety symptoms. It is often best to address the anxiety check here first before treating ADHD. This will typically make the anxiety symptoms disappear.
It is very common for children with ADHD to experience issues with anxiety, and in a few instances, anxiety may be caused by their ADHD symptoms. The most effective method of treating anxiety in these situations is usually cognitive-behavioral therapy and psychostimulants. This is because these treatments target the root of the problem and help reduce ADHD symptoms and, consequently, decrease anxiety.
Antidepressants are also often prescribed to those suffering from coexisting ADHD and anxiety. SSRI antidepressants that target the brain chemical Serotonin can alleviate anxiety symptoms and improve mood. Examples include Zoloft, Lexapro and Sertraline.
In the end, the decision on the right medication for you will be made by your physician. They will take a look at your lifestyle, symptoms and age as well as other health issues before suggesting any medication. It is very important to discuss your goals for treatment with your doctor and stick to a routine daily while taking any medication.
Other options
Based on your individual health goals, there are a variety of treatment options that can be beneficial in managing ADHD and anxiety. These include mindfulness meditation, yoga (Emotional Freedom techniques), tapping and sleeping and nutrition, exercise and healthy eating habits.
People who are anxious are more likely to experience symptoms of ADHD according to Dr. Hallowell says, which can make it difficult to treat both disorders at once. He typically prescribes stimulants first to address ADHD and then shifts to non-stimulant medications such as bupropion, atomoxetine, or guanfacine, for anxiety disorders. They are available 24/7 and are not controlled substances as stimulants.