Showing posts with label control. Show all posts
Showing posts with label control. Show all posts

Friday, December 10, 2010

Important Tips to Help Control ADHD Impulsive Aggression


One of the key symptoms of ADHD, as most people already know, is impulsivity, but what most people may not know is that this impulsivity often leads to ADHD impulsive aggression. Children and adults with ADHD aren't aggressive because they are inherently more violent that those children and adults without ADHD; instead, ADHD aggression stems from the fact that ADHD sufferers cannot control their impulses when their brain suddenly floods with adrenaline and other anger-feeling hormones.

For example, as a adult without ADHD, if you were to get into an argument with your spouse or a good friend, the argument would probably just begin as a discussion. Then as you continued to disagree, especially if the issue was important to one or both of you, the discussion would grow more and more heated. You would feel signs of anger in your body - your muscles would tense up, you would raise your voice, and you might start feeling warm as your heart pumped faster because of the adrenaline that comes with anger.

At this point, you would have two choices. You could either let your body's chemical reactions to the discussion rule your behavior and end up in an endless yelling match, a tantrum, or even a physical fight, or you could decide to give in, back off, or let the argument rest long enough that you could calm down. Most reasonable adults choose the latter, which is why people don't often get into fist fights over an argument about how much money to spend on little Johnny's birthday gift.

A child or and adult with ADHD, though, doesn't have these same choices because he or she is in the grip of the brain's chemical reactions. ADHD impulsive aggression stems, first of all, from the fact that the ADHD brain is more often flooded with chemicals than yours would be. This is why people with ADHD are more excitable and tend to react very strongly to things that make them happy, sad, or angry.

So when a person with ADHD gets angry, the chemical process that allows you to know you should back off the argument happens in his or her body all at once. Even something small like being interrupted while playing a game can trigger ADHD aggression as adrenaline and other hormones roar through the individual's brain. Under this kind of hormonal deluge, there aren't many of us who would still have the wherewithal to make logical, coherent choices about our reactions.

But if this is the case, what can be done about ADHD impulsive aggression in your friend, spouse, or child suffereing from this disorder? Well, you have a couple of options:


Behavioral therapy - This is an approach to ADHD that basically says, "I will not reward your bad behavior with extra attention." For instance, if your child suffering from ADHD throws a tantrum, you let it play out, largely ignoring his behavior until the tantrum is over. Chances are likely that he'll be sorry for his ADHD aggression and will be ready to listen to you when he's finished. This technique may help shorten tantrums when they do occur, but it will not change the brain chemistry, so it will not get rid of them altogether.

Homeopathic remedies - People with ADHD can use certain homeopathic remedies that will help re-balance their brain chemistry and can help lessen the occurrences of ADHD impulsive aggression. Homeopathic remedies are safer than conventional ADHD medications, and they have been proven to work.

So, if someone you know is struggling to overcome his or her ADHD impulsive aggression, you might suggest using the above strategies to overcome this harrowing symptom of ADHD. They'll work, which means that the person with ADHD and everyone around her will be happier and will have healthier relationships.








Shannon Pollock is a passionate advocate of natural health remedies who has been researching their use for many years. Find out more about some of the most effective treatments for ADHD on her site, Natural Health Remedies and More.


Saturday, November 27, 2010

Cognitive behavior therapy improves symptom control in adult ADHD

ScienceDaily (Aug. 25, 2010) ? Adding cognitive behavioral therapy -- an approach that teaches skills for handling life challenges and revising negative thought patterns -- to pharmaceutical treatment for attention-deficit hyperactivity disorder (ADHD) significantly improved symptom control in a study of adult patients. The report from Massachusetts General Hospital (MGH) researchers appear in the August 25 Journal of the American Medical Association.

"Medications are very effective in 'turning down the volume' on ADHD symptoms, but they do not teach people skills," explains Steven Safren, PhD, ABPP, director of Behavioral Medicine in the MGH Department of Psychiatry, who led the study. "This study shows that a skills-based approach can help patients learn how to cope with their attention problems and better manage this significant and impairing disorder."

More than 4 percent of adults in the U.S. have ADHD, and while stimulants and other psychiatric medications are the primary first-line treatment, the study authors note that a significant number of patients who take and respond to these medication are still troubled by continuing symptoms. A few studies have investigated psychosocial treatment for ADHD, and although some have suggested benefits from cognitive behavioral therapy, they were small and short-term. The current study is believed to be the first full-scale randomized, controlled trial of the effectiveness of an individually-delivered, non-medication treatment of ADHD in adults.

The study enrolled adults diagnosed with ADHD who reported reduced but still significant symptoms while taking an ADHD medication. Randomly assigned to one of two therapeutic approaches, participants attended 12 weekly one-on-one counseling sessions with a psychologist or psychology fellow. The control group received training in muscle relaxation and other relaxation techniques, education on how to apply relaxation to ADHD symptoms, and supportive psychotherapy. The cognitive behavioral therapy sessions included skills training in areas such as organization and planning, setting priorities and problem solving, coping with distractions, and developing adaptive thought responses to stressful situations.

"Sessions were designed specifically to meet the needs of ADHD patients and included things like starting and maintaining calendar and task list systems, breaking large tasks into manageable steps, and shaping tasks to be as long as your attention span will permit," Safren says. "The treatment is half like taking a course and half like being in traditional psychotherapy."

Symptom assessments conducted at the end of the 12-week treatment period revealed that participants receiving cognitive behavioral therapy had significantly better symptom control than did those receiving relaxation training, benefits that were maintained three and nine months later. A standard rating scale for ADHD symptoms showed a 30 percent reduction in symptoms in more than two thirds of the cognitive behavioral therapy group but in only one third of the relaxation group.

"We know that ADHD medications are effective for patients who can take them, and without medications it would be harder to learn the skills taught in this study," Safren adds. "But we have shown that learning self-management skills can help reduce symptoms even further. Now we need to determine the best ways to train clinicians in this approach and the best time to introduce this treatment, along with exploring other ways to help patients who did not benefit." Safren is an associate professor of Psychology in the Harvard Medical School Department of Psychiatry.

Additional co-authors of the study, which was supported by a grant from the National Institute of Mental Health, are Susan Sprich, PhD, Matthew Mimiaga, ScD, MPH, Craig Surman, MD, Laura Knouse, PhD, and Meghan Groves -- all of MGH Psychiatry -- and Michael Otto, PhD, formerly of MGH Psychiatry and now at Boston University.

Editor's Note: This article is not intended to provide medical advice, diagnosis or treatment.

Story Source:

The above story is reprinted (with editorial adaptations by ScienceDaily staff) from materials provided by Massachusetts General Hospital.

Journal Reference:

Steven A. Safren, PhD, ABPP; Susan Sprich, PhD; Matthew J. Mimiaga, ScD, MPH; Craig Surman, MD; Laura Knouse, PhD; Meghan Groves; Michael W. Otto, PhD. Cognitive Behavioral Therapy vs Relaxation With Educational Support for Medication-Treated Adults With ADHD and Persistent Symptoms. JAMA, 2010;304(8):875-880 DOI: 10.1001/jama.2010.1192

Note: If no author is given, the source is cited instead.


View the original article here