Drug treatment for adults with ADHD should always form part of a comprehensive treatment programme that addresses psychological, behavioural and educational or occupational needs.
After environmental modifications (i.e. changes that are made to the physical environment in order to minimise the impact of a person’s ADHD on their day-to-day life) drug treatment is the first-line treatment for Adults with ADHD.
If clinically appropriate Methylphenidate or Lisdexamfetamine should normally be considered first, if these are unacceptable dexamfetamine and atomoxetine or others may be tried.
Psychological interventions without medication may be effective for some adults with moderate impairment. If there is residual impairment despite some benefit from drug treatment, or there is no response to drug treatment, CBT can be useful and may be considered.
Things that might help
- Avoidance of alcohol
- Avoidance of non-prescribed/illicit drugs
- A balanced diet, good nutrition and regular exercise
- Self-help materials
- Using a diary/planner/organiser