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ADD/ADHD

Many children suffer from ADD (attention deficit disorder) and ADHD (attention-deficit/hyperactivity disorder). Both ADHD and ADD patients have trouble concentrating. Yet, with ADHD, hyperactive symptoms can also be evident. They could be "bouncing off the walls" and their energy can be through the roof.

Children with ADD and ADHD would feel restless. They also suffer lack of focus and are forgetful. You might notice a child with this condition has so much energy at the worst time. Such as keeping still in the waiting room. They might also end up doing risky activities.

Fortunately, Dr. B has helped countless young people work through this common challenge. All with the help of medication management and counseling.

Over time, it’s become clear that adults also suffer from ADD and ADHD. Unfortunately, their disorder has gone undiagnosed in childhood. This could explain a lot about their problems as grown-ups. They may have had a hard time keeping a job. It could also be the reason for impulsiveness in spending and how they handle finances. Treatment is similar for adults although the context may be quite different.

PSYCHIATRY FOR ADHD (ATTENTION DEFICIT HYPERACTIVITY DISORDER)

Looking for a “psychiatry for ADHD near me?”


At Bregman Medical Group, we make counseling more convenient for you. Get help in dealing with life's difficulties through our Teletherapy. This way, we can help you get through stressful times. All at the comfort of your home.

We also offer medication management through Telepsychiatry (Telemedicine). Talk Therapy or Teletherapy allows us to reach out and help people suffering from ADHD. You can reach us even when you can't go around much or leave your home.

Call now to book an appointment with our licensed professionals.

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What is Psychiatry?

Psychiatry is a branch of medicine that deals with mental, emotional, and behavioral disorders. It aims to diagnose, treat, and prevent them from affecting your quality of life.

Psychiatrists are medical doctors that have finished medical school and residency. They are doctors with extra psychiatric training. Psychiatrists diagnose illness, manage treatment, and provide a variety of therapies. These steps help them treat complicated and significant mental illnesses.

To become a psychiatrist you must:

  • Complete medical school
  • Take a written exam to have a license to practice medicine
  • Complete a four-year psychiatry residency
  • Spend at least three years learning:
    • how to diagnose and treat mental health issues
    • various forms of psychotherapy
    • how to use psychiatric medications along with other treatments

Here's a more in-depth explanation of what psychiatry is.

What is ADHD (Attention Deficit Hyperactivity Disorder)?

ADHD is a medical condition that affects an individual’s behavior. They have problems with attentiveness, staying in one place, and self-control. It can show up in three different types: inattentive, hyperactive/impulsive, and combined.

One of the signs that a child or adult has ADHD is when he/she keeps losing things. They could be quite forgetful too. Children with ADHD might find it hard to finish homework. Also, adults with ADHD could find organizing work for projects difficult. It can also be a challenge for them to set future assignments.

People with ADHD may sometimes look like they don’t pay attention when someone is talking to them. They struggle to keep their attention in class or in meetings. Finally, they have trouble with details especially those they're not interested in.

The delay in the development of various brain regions is characteristic of ADHD. The frontal lobe handles planning and organizing. It controls attention, decision-making, and impulse control. In patients with ADHD, parts of the frontal brain may mature a few years later than normal. This is the reason why a person with ADHD experiences the symptoms we know.

Most people diagnosed with ADHD are children. Almost all of them continue to experience it as teenagers.

Source: https://www.psychiatry.org/patients-families/adhd/what-is-adhd

How common is ADHD?

Boys are more likely to have ADHD compared to girls. Boys diagnosed with ADHD at some point in their lives are more than twice as likely compared to girls. This is according to the Journal of Clinical Child and Adolescent Psychology (2018).

ADHD affects both the child and adult population. In fact, 30%- 70% of children with ADHD continue to have symptoms as adults. The problem is, those who weren't diagnosed as children may have more obvious symptoms as adults.

What are the signs and symptoms of ADHD?

According to the Diagnostic and Statistical Manual of Mental Disorders 5 (DSM-5), ADHD has three kinds:

  • predominantly inattentive
  • hyperactive-impulsive
  • combination of both.

Below is the summarized version of the symptoms of each kind of ADHD.

ADHD predominantly inattentive type

inattentive-child-image

This personality type has inattention but not hyperactivity or impulsivity.

Symptoms of ADHD predominantly inattentive type

  • fails to pay attention to the smallest of details
  • having trouble focusing
  • difficulty listening to others
  • difficulty following instructions or is unable to do so effortlessly
  • having difficulty arranging their belongings
  • avoids or dislikes jobs that involve a lot of mental effort for long periods of time
  • easily sidetracked and misplaces items
  • forgets to do the things that need to be done on a daily basis

ADHD predominantly hyperactive-impulsive type

hyperactive-child-type

 This category includes people who are both hyperactive and impulsive. Yet, they do not exhibit enough signs of inattention. This is why they differ from the mixed type. They often get in trouble not because they are unruly but because they can't control it

Symptoms of ADHD predominantly hyperactive-impulsive type

  • can’t stay still without tapping something
  • has trouble remaining seated
  • when the child runs or climbs excessively
  • experiences difficulty in silently participating in activities
  • a big talker
  • trouble waiting or taking turns because she responds before the questions are finished
  • interrupts other people while in the middle of a conversation
  • having trouble waiting for their turn
  • adults feel as if they are being driven by an internal motor
  • when an adult feels constant agitation

ADHD combined type

young boy glaring

This is the most common symptom of the condition. This kind of ADHD is characterized by inattention, hyperactivity, and impulsivity.

Symptoms of ADHD combined type

The inattentive and hyperactive-impulsive ADHD symptoms are present in ADHD combined type. Symptoms might alter over time. This is why children may exhibit in a variety of ways as they get older.
Aside from impulsiveness and inattentiveness, ADHD in adults manifests in different ways.

It may look like having low self-esteem or becoming short-tempered. One can be restless and experience problems at work. It can be hard to finish work on time or remember things and information. Following instructions can be a challenge. If not addressed, it may cause them troubles at home, school, and even at work.

Severity of Attention Deficit-Hyperactivity Disorder

ADHD symptoms vary in severity from person to person. The DSM-5 now requires professionals to include the severity of the disorder. The severity of the disorder can vary. It depends on how it manifests itself over the course of a person's life.

According to the DSM-5 criteria, clinicians can classify ADHD into 3 types. These are "mild," "moderate," or "severe."

  • Mild: The symptoms cause minor impairment in social, school, or work settings.
  • Moderate: Symptoms or functional impairment ranging from "mild" to "severe" exist.
  • Severe: Several symptoms are severe. It causes impairment in social, school, or work settings.

Source: https://www.psychiatry.org/patients-families/adhd/what-is-adhd

Do you want to know if you have ADHD? You came to the right place. Dr. Bregman and the rest of the Bregman Medical group are accepting new/existing patients.

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What are the causes of ADHD?

The exact cause of ADHD is uncertain at this time. Genetics, the environment, and abnormalities in the central nervous system at important junctures in development could all have a role in the development of ADHD.


Risk factors of ADHD


ADHD can be a genetic condition. Research shows that ADHD is 70% hereditary. Despite this number, having ADHD does not mean that your children will inherit it.

A child can develop ADHD from a combination of variables. It can be genetic or environmental. Another factor that increases the risk of a child having ADHD is exposure to smoke and alcohol. According to a study, children had a greater risk of developing ADHD if their moms were heavy smokers.


Treatment for ADHD


ADHD symptoms can improve with the help of behavioral treatment and medication. Using medication comes in when behavioral therapies fail to make a meaningful difference.
  • Children ages 4-6 years old undergo behavioral therapy along with their parents.
  • For children and adolescents ages 6 to 18, specialists can prescribe FDA-approved medications.
  • Parents should have behavior management training.
  • Behavioral interventions for school.

Source: https://www.cdc.gov/ncbddd/adhd/guidelines.html


Behavioral therapy

counseling with psychiatrist

Behavioral Therapy help treat mental health problems such as ADHD. It can manage ADHD symptoms. The aim is to help the individual improve their behavior.

Treatment for children includes training parents and instructors on how to handle behavior. They learn how to give positive feedback and negative consequences for actions. It helps younger patients manage behavior and make healthy choices.

Adults with ADHD can use psychotherapy and behavioral methods. This is because it promotes structure and order. Behavioral therapy helps you develop skills such as time management, and organization skills.

Medication


medicine

Stimulants and non-stimulants are the usual prescriptions given for ADHD. It helps you stay focused when you struggle to pay attention which is one of the most common symptoms of ADHD.

Stimulant drugs work for ADHD. Methylphenidate and amphetamine are examples of this drug. Children taking them must have close supervision from parents and doctors.

Non-stimulant medicines like Atomoxetine and guanfacine are also useful in treating ADHD symptoms. These drugs provide an alternative for persons who do not respond well to stimulants. This is also good for people who prefer non-stimulants.

Source: https://www.psychiatry.org/patients-families/adhd/what-is-adhd


 Tips for managing the symptoms of ADHD in children


ADHD causes children to be inattentive and show impulsivity behaviors. Their age makes it more difficult to pay attention so they should be guided by parents. The role of the parents is very important in improving the signs of a child that has ADHD.

Parents can help their children with ADHD in various ways.

Spend time outside with your children

According to a study, symptoms of ADHD start to appear less frequently if children are exposed to outdoor activities.

Symptoms of ADHD decrease with children's exposure to outdoor activities. You can spend time in the garden, parks, or sit under a tree.

Give specific instructions one at a time

Since children with ADHD find it hard to follow instructions, don't give so many things to do at once. Focus on one thing and move on to the next task after. This will make it easier for them to complete tasks without being too overwhelmed.

Give rewards from time to time

One way of making children interested in commands is through giving rewards. This can be big or small depending on the task you gave to them. Remember to use rewards in moderation. You don't want your children to rely on rewards to get a task done.


Tips for managing the symptoms of ADHD in adults


Getting organized is a tough task for someone with ADHD. The good thing is that sticking to a habit helps. There are lots of things that you can do to stay organized.

Start with taking notes of your daily routine.

You can use a daily planner app or a journal. This helps with keeping track of the things you should do on a daily basis. Journaling helps you meet the deadlines either for your work, school, or daily life. You can set a schedule on when to do a certain task. It's a practice in enhancing your time-management skills.

Another is labeling or color-coding the things you own. It reminds you where to place an item and when or where to return it.

Declutter your surroundings

When you have a task that requires having extreme focus, keep distractions away. Consider keeping your phone, gadgets, or unnecessary things away from your working area. This will help you focus on the task at hand.

Manage your savings

Impulsivity is one of the symptoms that adults with ADHD encounter. installing an online banking app is a good idea. First, it can be helpful in tracking and limiting your expenses.


Consequences of not treating ADHD

Untreated ADHD may cause certain difficulties in children's and adults' life. This is can be difficult for the family as well. They may find it hard to have friends and relationships with other people.

They can also be more impulsive, which can lead to problems. Those with ADHD may struggle to manage their emotions.

Undiagnosed teenagers may increase the chance of engaging in drinking, smoking, and drugs. Without treatment, adults have a higher rate of divorce. It can also result in car accidents, gambling, and trouble with the law.

Someone with ADHD is more likely to suffer from depression and low self-esteem. The good thing is, excellent doctors at Bregman Medical Group are here to help. You are not alone in facing the challenges of ADHD.

BOOK AN APPOINTMENT TODAY!

TELETHERAPY FOR INDIVIDUALS WITH ADHD (Attention deficit hyperactivity disorder)

Face-to-face counseling is risky. Yet, we discovered a way to keep our "doors open." We care for both existing patients and first-time patients through Teletherapy. It is also open to parents who need new and timely support.

Teletherapy can help parents with techniques to deal with a child's ADHD. Teletherapy provides virtual support groups and online resources.

Is talk therapy for ADHD effective?

Yes. The correct prescription combined with a skilled therapist is a perfect combination. Talk therapy can help you and your family have a better understanding of how ADHD works and how to deal with the issues it can cause.

Are you interested in ADHD Treatment? Call us to know if your insurance plan covers it.

How much does ADHD therapy costs?

The rate for an initial evaluation is $250 and for follow-up appointments, it costs $90. Please complete the requirements a day before if you plan to use your insurance. Otherwise, you will be considered self-pay.

 

How long does therapy for ADHD take?

Therapy for ADHD usually takes 12 to 15 sessions or about 3 to 4 months. This is the average period for you to see changes in the behavior of children and adults with ADHD. The longer you stick with the treatment that's given to you, the easier it is to get used to positive habits.

TESTIMONIALS

Review of a self-verified patient of Dr Bregman   Review of a self-verified patient of Dr Bregman

Review of a self-verified patient of Dr Bregman

Review of a self-verified patient of Dr Bregman

Request an appointment with Bregman Medical Group, headed by Dr. Arthur Bregman. Find hope and support during complications and stressful moments in your life.

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Services:

Bregman Medical Group offers medication management through Telepsychiatry (Telemedicine). We also offer Talk Therapy (Teletherapy) treatment.

FREQUENTLY ASKED QUESTIONS:

How is ADHD diagnosed?

We use the Diagnostic and Statistical Manual of Mental Disorders. This is from the American Psychiatric Association. It helps us diagnose a child or an adult with ADHD.

The diagnosis begins with the collection of data from a variety of sources. This includes schools, caregivers, and parents. The health care practitioner will assess how the child's conduct. They compare it with other children of the same age. They will document these behaviors using established rating scales.

To diagnose children with ADHD, they must exhibit six or more symptoms. Adolescents ages 17 and older must have at least five symptoms present.

What other conditions can occur with ADHD?

Other conditions that can occur with ADHD. One example is disruptive behavior problems. A characteristic of this disorder is impatience and difficulties with frustration tolerance.

They are most likely to suffer from mood disorders too. ADHD could lead to depression. It can even lead to bipolar disorder, which involves depression and manic behavior.

A person with ADHD could also suffer from anxiety disorders. They end up worrying and fearful of ordinary circumstances. It is in a way that is intense, excessive, and persistent.

Learning disorders are also prevalent among people with ADHD. Difficulties in reading, writing, comprehension, and communication are common. They usually have conduct disorders such as stealing, fighting, destroying property. Even injuring people or animals. Substance misuse can is another prevalent condition observed in people with ADHD. They are susceptible to drug use, alcohol, and smoking.

It is also important to note the relationship between ADHD and Tourette's syndrome. ADHD is a common co-occurring disorder in children with Tourette Syndrome. In fact, 60 to 80% of children with Tourette Syndrome have ADHD.

Source: https://chadd.org/about-adhd/coexisting-conditions/

What is the difference between ADD and ADHD?

ADHD is the official term even if a patient doesn't exhibit hyperactive symptoms. ADD (Attention Deficit Disorder) is an outdated term for inattentive-type ADHD. ADD manifests as disorganization, loss of focus, and forgetfulness among other symptoms.

What is the difference between Psychiatry and Psychology?

Psychology deals with the factors that influence how people think, act, and feel. Whereas psychiatry deals with the diagnosis and treatment of mental problems.

Psychologists need a doctorate degree in psychology. It could be a Ph.D. or a PsyD which could take 5-7 years. Unlike psychiatrists, psychologists aid patients by giving psychotherapy (talk therapy).

They use psychotherapy to treat mental illnesses. A few specialize in psychological testing and evaluation. Psychologists cannot prescribe medicine.

What is psychotherapy?

Psychotherapy is a process of treating mental distress and psychological disorders. This involves verbal and psychological techniques.

In a typical psychotherapy session, you discuss your current situation. You talk about your thoughts on issues that are bothering you. The therapist uses their knowledge to assist you in resolving the issue. Psychotherapy  assists individuals in dealing with mental health issues. These issues that could have a long-term influence on their life if not addressed sooner.

Source: https://www.psychiatry.org/patients-families/what-is-psychiatry-menu

 

Role of parents during the treatment

It is effective when parents involve themselves during therapy sessions. It is effective when they help put in place behavior management skills at home. Their involvement has a positive impact on their children's behavior. This way, ADHD symptoms have more potential to decrease. It can even help them improve in school.

Meet Dr. Arthur Bregman of Bregman Medical Group

Image of Dr Arthur Bregman

Dr. Arthur Bregman has been practicing psychiatry in Coral Gables, Florida for almost 40 years. He earned his medical degree from New York Medical College in 1974. He worked for nearly ten years as the Chief Psychiatrist at Miami Children's Hospital. Currently, Dr. Bregman is connected with Jackson South Community Hospital.

In 2018, Dr. Bregman took over as the lead Psychiatrist at Bregman Medical Group in Coral Gables, FL. Bregman Medical Group provides a range of services. This includes outpatient psychiatry, telepsychiatry, therapy, and teletherapy. Their services are available to residents of Miami, Broward, and Florida.

Request a one-on-one online therapy session with Dr. Arthur Bregman today!

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By BregmanMD | September 22, 2021 | Mental Health

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