The No. 1 Question Everybody Working In ADHD Sleep Medication Must Know How To Answer
How Sleep Medication Can Help People With ADHD
Sleeping is difficult for many people with ADHD due to their racing thoughts and energy surges at night. When they do fall asleep it's usually tense and not reviving.
But what many don't realize is that the same stimulant medication they take for their ADHD symptoms during the day may also aid them in sleeping better at night.
Medications
Restless sleep and insomnia are common among adults with ADHD. Certain stimulant medicines used to treat ADHD can cause sleep issues for some people. Medical professionals suggest that patients discuss their concerns with their doctor prior to taking any new sleep medication. For most the time, the best option is to follow good practices for sleeping hygiene and use the right medication for their needs.
Most scientific literature on the effects of ADHD medications on sleep does not mention insomnia as a side effect, but it is common for people with ADHD to experience trouble getting to sleep and then waking throughout the night. In reality, many people who suffer from ADHD have trouble sleeping even when not taking stimulant medication. I have observed that around two-thirds (or more) of the patients who have trouble sleeping take an dose of their ADHD medication at bedtime to aid in falling asleep.
MPH or methylphenidate is one of the most commonly prescribed medication to treat ADHD. Oral MPH has been demonstrated to reduce the time it takes for individuals to fall asleep, and also increase the length of their sleep (Radcliffe et al. 2008). Oral MPH is more efficient than OROS formulations for encouraging sleep.
RLS or restless leg syndrome (RLS) can lead to difficulties falling asleep in people suffering from ADHD. RLS can make it hard for some people to fall asleep and could result in less quality sleep.
MPH has been shown to reduce the frequency of insomnia episodes in children with ADHD by decreasing the amount of time spent awake at night, increasing slow wave sleep, and increasing the amount of rapid eye movement sleep. It has also been found to reduce sleep disturbances resulting from co-occurring disorders like sleep apnea with obstruction or oppositional defiant disorder. anxiety in children suffering from ADHD and RLS (Gruber and Sadeh 2004; Breslau et al. (2008); Hvolby et al. (2008)).
Clonidine is a central nerve depressant, which is commonly prescribed to treat high blood pressure. It can help those with ADHD sleep by causing sedation that lasts for four hours. Some doctors also suggest antidepressant drugs like trazodone (Desyrel) or mirtazapine (Remeron), both of which have modest effects on sedation.
Behavioral Therapy
Behavioral therapy can improve sleep in people who have ADHD. This type of therapy focuses mostly on teaching teens and children new skills that will help improve their sleeping habits. Behavioral therapy is often combined with other types of treatment for ADHD, such as parent training and classroom interventions. This kind of therapy teaches youngsters and teens to reinforce positive behavior rather than punishing them. It also teaches youngsters to relax and take on a more active role in their own sleep routine.
Numerous studies have revealed that children suffering from ADHD are more likely to suffer from sleep problems. These issues are usually related to daytime impairments. Many of these kids have chronically poor sleep that contributes to "sleep deficiency" and makes it difficult to get up in the morning. They also lack vigilance and endurance throughout the day. Inadequate sleep duration can also lead to Narcolepsy. This sleep disorder is correlated with lower concentration, vigilance, and academic performance.
Adults with ADHD are also prone to having trouble sleeping and staying asleep. This can have a significant impact on their ability to function during the daytime. In addition, the majority of adults report that they feel more restless and unable to shut their minds and bodies to sleep than people with ADHD do. Their agitated minds often make them wake in the night.
The relationship between ADHD and sleep is complicated and both disorders impact each other in multiple ways. In a variety of research studies, ADHD is reported as an important risk factor for sleep problems. In some instances, these two disorders can overlap and mimic one another (Cortese and colleagues. 2006a). Additionally sleep disorders, such as sleep apnea as well as periodic limb movements in sleep (PLMS) are often related to the hyperactivity of ADHD.
Although some studies suggest that ADHD medication may affect sleep, others dispute this finding. The effects of medication on sleep can be affected by a variety of factors, including the age of the patient at the time of starting treatment and the duration of exposure to the medication.
Supplements
People suffering from ADHD are often plagued by sleep problems such as insomnia and difficulty getting to sleep. This makes it hard to sleep soundly which can hinder their ability to focus during the daytime. These sleep problems can also impact work and school performance. Many people with ADHD also have sleep issues like snoring, or obstructive sleep apnea. These conditions can be treated by medication and lifestyle modifications.
Exercise and diet can be beneficial particularly when it comes to increasing protein intake, which promotes peaceful sleep. adhd medications for adults at bedtime is also beneficial. Avoid caffeine as it is a stimulant that can cause headaches and difficulty sleeping.
Melatonin can help alleviate sleep disorders caused by methylphenidate. It is a commonly used stimulant to treat ADHD in adults and children. Melatonin has been found to reduce drowsiness and sleep issues in people who are taking methylphenidate. However, it does not seem to reduce the core symptoms of ADHD. Melatonin has also proven to be effective in assisting with sleep in people who don't take methylphenidate.
Omega-3 fats have been proven to help improve ADHD symptoms in a few studies, however more research is needed. Omega-3s can be found in walnuts, fish, and salmon. Vitamin C is a second supplement that some people with ADHD take however it should not be taken less than a half hour prior to or after taking ADHD medication. Vitamin C prevents the medication from getting into the bloodstream.
There is no evidence to suggest that other supplements in the diet, such as iron and zinc, can reduce ADHD symptoms. However an extract standardized from pine bark known as Pycnogenol has been found to improve ADHD symptoms in a few people, but more research is required.
Psychoeducation is a treatment for psychological issues that seeks to inform children, teens, and adults on ADHD and its consequences. It can help those with ADHD improve their confidence and manage their symptoms. Psychoeducation can also incorporate behavioural therapy, which aids people learn to manage their behavior in social settings. These therapies can be offered in groups or individually. Psychoeducation can involve therapy for families and support groups to help families deal with the stress that comes from ADHD.
Other Options
Many people suffering from ADHD are at their best when they sleep, particularly when the house is quiet. It isn't easy to fall asleep. a good sleep due to racing thoughts and difficulties falling asleep. Additionally, a lack of sleep can affect working memory and make it harder to concentrate during the day.
Researchers have found that stimulants can improve sleep for adults as well as children with ADHD. However they can also cause problems with rebound and abuse. Thus many doctors prefer using non-stimulants, specifically long-acting ones such as methylphenidate (Ritalin) and dextroamphetamine (Adderall). Both methylphenidate and dextroamphetamine work by increasing dopamine levels in the brain. They accomplish this through different mechanisms. Nonstimulants might take longer to take effect, but they generally have less adverse consequences.
Some doctors also recommend supplementing with melatonin or light therapy to aid in sleep issues in patients suffering from ADHD. Melatonin is a natural hormone that helps control the circadian rhythm and encourages sleep. It could be particularly beneficial for those suffering from delayed-sleep syndrome, which is a sleep disorder that is characterized by a delay of at least two hours between when you typically go to bed and the time you fall asleep.
Light therapy is a non-pharmacological solution to sleep disorders that requires exposure to bright light throughout the day to help synchronize your body's internal clock and encourage an easier sleep at night. It isn't yet widely used or endorsed by doctors, however it has been proven to be beneficial for individuals who suffer from ADHD.
Other options include psychoeducation and cognitive behavior therapy, or CBT, which is a form of talk therapy that can help you or your child how to change certain patterns of thinking and behavior. The change in these patterns could help to reduce problems with self-control, attention, and working memory.
It is important to talk with your healthcare professional about the best treatment plan for you or your child. Each situation is unique and a customized strategy will be the most efficient. Both ADHD and sleep disorders can be treated with good sleep hygiene and medication, but you will need to discuss your specific case.