Stimulant medications (methylphenidate and amphetamines) are considered the most effective, first-line evidence-based pharmacological treatment for adult ADHD. They work by boosting and balancing the key neurotransmitters, dopamine and norepinephrine, to significantly improve core symptoms like inattention and impulsivity. Non-stimulants like atomoxetine are also effective, evidence-based options, particularly for those who cannot tolerate stimulants or have co-occurring conditions. Medication provides the necessary biological stability, which is often the essential foundation for success in therapy.

Evidence-based behavioral therapy is a critical component of treatment, teaching the specific skills that medication cannot provide. CBT is robustly researched for managing cognitive distortions and organizational skills, while DBT is highly effective for addressing severe emotional dysregulation and relationship instability. Acceptance and Commitment Therapy (ACT) is gaining strong support for improving psychological flexibility and helping clients act on their values despite ADHD challenges. Combining medication with one of these specialized, skilled-based therapies is demonstrably the most beneficial, evidence-backed treatment option for most adults.

If you or someone you know is experiencing a mental health crisis or emergency, do not wait. Immediately call or text 988 to reach the Suicide & Crisis Lifeline, which provides free, confidential support 24/7. Alternatively, proceed to your nearest hospital emergency room or call 911 for immediate police or ambulance dispatch. These resources are staffed by trained professionals and are your fastest route to safety and crisis stabilization. Brilla Counseling is not an emergency mental health service.