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The stimulants are the first line of treatment for ADHD, with proven efficacy, but they do fail in up to 20% of cases, even in patients without tic disorders. [270] Current prescribed stimulant medications include: methylphenidate, dextroamphetamine, and mixed amphetamine salts . Other medications can be used when stimulants are not an option.
Clinically significant symptoms of these two conditions commonly co-occur, and children with both sets of symptoms may respond poorly to standard ADHD treatments. Individuals with autism spectrum disorder may benefit from additional types of medications. [13] [14] The term AuDHD is sometimes used for those with both autism and ADHD.
Atypical depression has high comorbidity with anxiety disorders, carries more risk of suicidal behavior, and has distinct personality psychopathology and biological traits. [2] Atypical depression is more common in individuals with bipolar I, [2] bipolar II, [2] [8] cyclothymia, [2] or seasonal affective disorder. [4]
The K-SADS-PL is used to screen for affective and psychotic disorders as well as other disorders, including, but not limited to Major Depressive Disorder, Mania, Bipolar Disorders, Schizophrenia, Schizoaffective Disorder, Generalized Anxiety, Obsessive Compulsive Disorder, Attention Deficit Hyperactivity Disorder, Conduct Disorder, Anorexia Nervosa, Bulimia, and Post-Traumatic Stress Disorder. [4]
Adolescents with severe ADHD would likely benefit most from both medication and behavioral treatment. Younger children should go through behavioral treatment before being treated with medication. Another recommended form of treatment for children and adolescents diagnosed with ADHD would be counseling from a mental health professional.
The treatment of BP-II consists of the following: treatment of hypomania, treatment of major depression, and maintenance therapy for the prevention of relapse of hypomania or depression. As BP-II is a chronic condition, the goal of treatment is to achieve remission of symptoms and prevention of self-harm in patients. [ 1 ]
For people who cannot be treated with stimulants due to a substance use disorder or other contraindications, atomoxetine is the suggested first-line treatment in the UK. In Canada, clinical guidelines suggest that first-line treatment be methylphenidate or lisdexamfetamine. [47] Non-stimulant medications are generally second-line treatments in ...
The poor response from some bipolar patients to treatment has given evidence to the concept of treatment-resistant bipolar disorder. [ 163 ] [ 164 ] Guidelines to the definition of treatment-resistant bipolar disorder and evidence-based options for its management were reviewed in 2020.