best-adhd-treatment-nyc

Trifecta Health and NYC Psychiatrist Dr. Fruitman offer the best Adult ADD/ ADHD treatment in Manhattan 

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Trifecta Health is dedicated to helping professionals working in the Manhattan area of NYC to get rapid relief of their ADD/ADHD symptoms. Trifecta Health provides targeted and efficient, powerful psychopharmocologic intervention that can fit into any work day, break time, lunch time or before/after normal business hours.

What is adult attention deficit disorder?

Many adults have ADHD and don’t know they have it. Like ADHD in children and teens, ADHD in adults can make life challenging. ADHD can make it hard for adults to feel organized, enjoy their work, or get to work on time. Adults with ADHD may have trouble in relationships. The disorder can also make adults feel restless. Problems generally associated with ADHD include inattention, hyperactivity, and impulsive behavior. Adults with ADHD can struggle with difficulties in one or more areas of daily life.

Common signs and symptoms of ADHD in adults include:

▪Poor concentration

▪Short attention span

▪Disorganization

▪Forgetfulness

▪Difficulty starting and/or finishing projects

▪Moving from one task to another, being involved in too many projects simultaneously

▪Time-management issues, overestimating available time or time it takes to finish the task

▪Making impulsive decisions, poor planning, impulsive spending

▪Difficulty interacting with others, interrupting others, blurting out the answer

Not every person with ADHD has every symptom, or experiences the severity of ADHD symptoms to the same degree.

Diagnosis of Adult ADD/ADHD

Most adults occasionally experience inattentive, impulsive, and hyperactive behaviors from time to time. Every person has an occasional experience of misplacing keys, getting distracted at work, blurting out something on impulse or interrupting inadvertently. However, for adults with ADHD, these symptoms appear more often and may create challenges in the work place. There’s no single laboratory test used to determine an ADHD diagnosis. The diagnosis of Adult ADD/ADHD is frequently confirmed by an Adult Psychiatrist who specializes in this field. If you think you may need an evaluation, please take the Adult ADHD screener below.

▪ADHD Test

The sooner you get an evaluation and an ADHD diagnosis, the faster you can start effectively managing your symptoms.

How is it different to childhood ADHD?

Unlike other mental disorders such as depression, ADHD does not start in adulthood.  However, many adults who had symptoms of ADHD as a child did not get formally diagnosed.  As a mater of fact, adult parents of children with ADHD first notice their own ADHD symptoms at the time that their children get diagnosed.  Adult ADHD is a continuation of ADHD from childhood. The main difference is in the type of difficulties and symptoms experienced.

Adults are less likely to have intense hyperactivity.  Instead of hyperactivity, adults with ADHD are more likely to feel restless, fidget a lot, have difficulty relaxing and feel on edge a lot of the time.  A typical ADHD adult may have gone through life being constantly misunderstood.  A diagnosis of ADHD is frequently very liberating to a person who struggled all of their life with symptoms that they could not define or understand.  Smoking, drinking alcohol and, in some cases, drug taking are also more common among ADHD adults.

Prevalence of Adult ADD/ADHD

Adult Attention Deficit Hyperactive Disorder is very prevalent in our society. Estimated 4.7% or 9 million adults in the US have Adult ADHD.  Of that 9 million, only about 15 % have been diagnosed and treated, only 1 in 4 of all adults with ADHD was diagnosed in childhood—and even fewer are treated. Experts used to believe children would grow out of ADHD by the time they were adults. However in recent years, it’s been recognized that ADHD can continue on into adulthood.

Why is ADD/ADHD underdiagnosed so frequently?

Many barriers exist to timely diagnosis and appropriate treatment of ADD/ADHD in NYC.  Parents frequently avoid diagnosing and treating their children out of mistaken fear of identifying their child as being ‘different from others’.  Some parents can not tolerate the narcissistic injury of their children being less then perfect. For children who get ADD/ADHD treatment, it is frequently terminated prematurely due to mistaking the natural progression of ADD symptoms for improvement.  As ADD symptoms progress from hyperactive/impulsive to inattentive/disorganized, the child is seen as improved and the treatment is terminated too early.  Frequently, adolescents / young adults, showing symptoms of inattention/disorganization, are viewed as being lazy or in need of harsher parenting.   Most Primary Care Physicians, by self-admission, do not feel comfortable diagnosing and treating Adult ADD/ADHD.  As a result, most Adult ADD/ADHD patients are not screened for their symptoms when they see their doctors.   Often, adults first recognize the signs and symptoms of ADHD in themselves when their child is diagnosed.

Life Long Progression of ADD/ADHD

A common misconception is that ADHD affects only children.  In fact,
60% of children with ADHD may continue to have symptoms as adults. Over the years, some adults developed strategies to minimize the impact of ADHD symptoms on their professional and personal life.  The average age of an Adult ADD/ADHD patient in treatment is 35.  It is not surprising that Adults with ADD/ADHD need the most help in their 20’s and 30’s: it is the time of life that is more professionally challenging.  Most young professionals do not have a choice which task they must perform themselves and which can be delegated.  Moreover, most young professionals do not control their work environment. Professionals can frequently ameliorate ADHD symptoms later in their career by adjusting their work environment, delegating tasks and getting assistants.

Medications

Most ADHD symptoms improve safely, quickly and effectively with medications.  When patients experience the positive effect of medication for the first time, they feel profound relief.  The effect is so sudden and dramatic; it is frequently compared to the effect of putting on glasses and seeing clearly for the first time. Stimulants are believed to enhance the availability of the brain’s chemical messengers Dopamine and Norepinephrine.

These messengers play a role in behaviors like attention and movement.  The stimulants include medications like Ritalin, Concerta, Adderall, Adderall XR, Vyvanse, Focalin, and others. As long as stimulant medications are used as prescribed, they can alleviate symptoms safely.  Some patients with family history of heart disease or history of cardiac anomalies may require a cardiogram ( a routine part of initial evaluation at Trifecta Health).  Stimulant medications have a history of being diverted and misused.  Trifecta Health enforces policies and procedures that prevent misuse and diversion of stimulants, including having our patients sign a stimulant use agreement, keeping careful records and performing regular self-audits.  Trifecta Health has a policy of prescribing stimulants only to patients who need stimulants to improve their productivity and to use longer-acting stimulants first, whenever possible. If stimulant misuse becomes a problem, Strattera becomes the medication of choice.  Other, non-FDA approved, but frequently used medications are Desipramine, Effexor, and Buproprion.

TMS Thearapy for ADHD

TMS (Trascranial Magnetic Stimulation) is an FDA cleared procedure for the treatment of Depression for patients who did not respond to anti-depressant medications.  The treatment is directed toward the Dorsaleteral Prefrontal Cortex, the part of the brain directly implicated in ADHD/ADD symptoms.  While not formally FDA approved, there is significant clinical evidence that supports the use of TMS for ADD/ADHD symptoms, especially when they are co-occurring with the symptoms of anxiety and Depression.

 

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