ADHD

Updated 19 June 2014

Coping with adult ADHD

Adult ADHD can be managed successfully with a combination of therapy, medication and lifestyle changes.

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Adult ADHD can be managed successfully with a combination of therapy, medication and lifestyle changes. If you can, find a psychologist or psychiatrist with experience in adult ADHD. In fact, child psychiatrists are often the most knowledgeable.

Medication

The medication is similar to that prescribed for children: stimulants such as Ritalin and Concerta, the non-stimulant Strattera and sometimes medications that are both anti-depressants and stimulants, such as Wellbutrin. These help improve concentration and fight hyperactivity. Cape Town psychologist Peter Collis says one of his patients, a chartered accountant, took work home every night and worked until after 10 pm until he started taking Ritalin. On the medication he finished work by 4.30 pm.

Therapy

Therapists help you overcome stress and anxiety. Your self-image may also need rehabilitation because many people with ADHD blame themselves instead of their condition for failures. Learning skills such as conflict management, anger management and organisation are helpful.

Lifestyle

Healthy eating habits and exercise are a vital part of ADHD management. A low-GI diet as well as omega-3 supplements are recommended. Half the battle is won once you are informed about your condition. “There’s no reason why a person with ADHD shouldn’t lead a normal life,” sufferer Kim Coppen says. “But you must understand the condition. Then you’ll also understand the patterns, recognise the symptoms and manage them on the spot.”

Survival tips for sufferers

• Choose a career that really stimulates your interest. People with ADHD are often very creative and talented and can be very successful if their ADHD is controlled. Celebrities with ADHD include actor Woody Harrelson and swimmer Michael Phelps.

• E-mail programmes and cell phones have all the functions necessary to organise your day. Make lists, set up a daily planner, send yourself SMSes, make notes on your phone and set an alarm if you need to remember commitments.

• Before you overreact, learn to count to 10.

• If you have too much energy look for an outlet in the form of a hobby or exercise.

• Be aware of substance abuse and the risks of selfmedication.

• Scale down on perfectionism. Don’t aim for gold, silver is fine, psychologist Peter Collis says.

• Explain ADHD to your colleagues and family so they can understand your behaviour better.

Visit the Attention Deficit and Hyperactivity Support Group of Southern Africa website for more advice.

(This is an edited version of a story that originally appeared in YOU Pulse)

 

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Ask the Expert

ADHD Expert

Dr. Shabeer Ahmed Jeeva is a specialist psychiatrist who has been practicing child and adult psychiatry for 30 years. He has vast experience in treating ADHD, and is also an ADHD patient himself. Dr. Jeeva trained and practiced in Canada as a child and adult psychiatrist and had lived there for 25 years. He had attended medical school at the Royal College of Surgeons in Dublin, Ireland (1970-1976). His professional experience and accreditation includes: Psychiatric residency at the University of Ottawa (Canada), Child Psychiatry fellowship at the University of Ottawa (Canada), Diploma in Psychiatry at the University of Ottawa (Canada), and Fellow of the Royal College of Physicians in Canada. Visit his website at: www.adhdclinicjeeva.com

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