A leading ADHD expert tackles your toughest questions on how trauma contributes to ADHD, genetic testing for medication fit, treatment during pregnancy, and the future of ADHD.
Small studies suggest that an individual with trauma may be predisposed to ADHD, just as anyone with a history of trauma is predisposed to depression, anxiety, and post-traumatic stress disorder .
The task of a good diagnostician is to identify a patient’s current diagnoses and treat them, focusing particularly on the most pressing and problematic symptoms. If all of those appear to bewe treat that with a different kind of therapy called trauma-focused cognitive behavioral therapy . If we find that ADHD symptoms linger even after theis addressed, then we add in ADHD treatment as well.
Q: What do you think about genetic or blood testing, and using those results to choose a prescribed medicine? These blood tests look at the enzymes in the liver and some of the blood cells to learn how antidepressants, in particular, metabolize in an individual. Enzymes come in different variants, some of which may metabolize an antidepressant very quickly. Other variants of the same general enzymes metabolize medication very slowly.
If someone metabolizes an antidepressant quickly, they’re going to need a higher dose. A slow metabolizer given a doctor’s standard dose will be more likely to have higher blood levels of the medication and more likely toare SSRIs taken for depression or anxiety. However, there is no evidence that taking SSRIs poses a risk. On the other hand, we do know that taking opioids or heavily, such as methamphetamine or cocaine, can have a negative effect.
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