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What is a Diagnosis of ADHD?<br><br>A diagnosis of ADHD can be the first time a child has a clear cause for their hyperactivity and inattention. Adults are diagnosed when symptoms get so severe that they hinder their work and personal lives.<br><br>Find a health care provider who has experience treating [https://anotepad.com/notes/fbqrpgr2 adhd adult diagnosis] to make an accurate diagnosis. Find referrals from therapists and trusted acquaintances, or request suggestions from your health insurance plan.<br><br>Symptoms<br><br>You might have tried to address the symptoms of ADHD through exercise, diet, or other methods, but you were unsuccessful. A diagnosis from a qualified professional can give you the assistance you require. A diagnosis from a medical professional will provide you with the confidence and relief of knowing that lack of intelligence or laziness aren't hindering you from achieving your goals. Your doctor can also provide you with an treatment plan to enhance your performance.<br><br>Your GP can assist you in determining whether you or your child is suffering from symptoms of ADHD and refer you to a specialist for a formal assessment. Before you make an appointment with a health professional, be sure to take any ADHD questions or quizzes that are on the internet. They function as a self-screening tool, and will give you the confidence to request an evaluation by a professional. Bring a copy of all relevant records with you to your appointment. The provider will want to review your family and medical history, and interview people who are familiar with you and your behaviour. This could include a coach, teacher or your spouse. The clinician will look for symptoms of inattentive ADHD, hyperactive/impulsive ADHD or combined ADHD.<br><br>The American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5 offers guidelines for clinical care for healthcare professionals to diagnose ADHD. Symptoms must have been present prior to the age of 12 and be severe enough to affect functioning at school, at work or in family life. They must also have continued for longer than six months.<br><br>Inattention ADHD is the most common manifestation that affects children who struggle to pay attention or staying still. They tend to daydream or lose their focus during conversations. Hyperactive/impulsive ADHD is more noticeable in younger children. They fidget and are eager to be asked. They also have excessive energy. They frequently interrupt others or act before they consider the consequences. Combined ADHD is less common and combines aspects of inattentive ADHD and hyperactive/impulsive ADHD.<br><br>If your symptoms are not severe, you can still get the assistance you need by taking medication or therapy. Treatment can decrease impulsivity and hyperactivity, as well as improve concentration which can aid you in reaching your goals at school, work or home. You can also find strategies to improve efficiency, increase structure and develop good eating and sleeping habits. It is essential to seek help as soon you notice symptoms of ADHD.<br><br>Evaluation<br><br>A thorough assessment is necessary for individuals who are experiencing symptoms of ADHD to determine the cause. In an assessment an experienced mental health specialist will look at a variety of aspects that affect the patient's mood and medical history and any other issues that could contribute to the disorder or masking the symptoms. A wide-ranging scale measuring social, emotional and mental problems may be administered. Tests that measure motor skills, and the ability to process information, are also being conducted.<br><br>A clinical psychologist or psychiatrist who is an expert in the field of attention disorders is usually able to accurately diagnose ADHD. The specialist will ask both the patient and his family members to describe symptoms, fill out the psychiatric questionnaire, and review medical records and complete adult rating scales.<br><br>The doctor will also look at the symptoms and observe [https://bookmarking.win/story.php?title=10-quick-tips-for-private-adhd-diagnosis-8 how do i get diagnosed with adhd] they impact a person's everyday life. He or she will note whether the symptoms are present at work, in school or in relationships and at home. The doctor will also determine [https://www.google.pt/url?q=https://writeablog.net/farmsteam9/9-things-your-parents-taught-you-about-diagnosis-for-adhd how do you get an adhd diagnosis] long the symptoms have been present for. It is essential to keep in mind that ADHD cannot be diagnosed until an adult for the first time, since current guidelines for diagnosis only recognize it if the disorder was evident during childhood.<br><br>In children, the process of diagnosis involves obtaining information from multiple sources, including the caregivers and teachers of the child. The specialist will evaluate a child's behavior with the behavior of other children of the same age and may use standardized ratings scales. The specialist will also look over the child's medical records and conduct a physical examination.<br><br>For adults the diagnosis of ADHD is often more difficult due to the fact that the DSM-5 guide to symptom management is not intended to diagnose adults. However, the specialist must still collect detailed information from the patient's spouse or partner, as well as other close acquaintances, as well as the person's parents. Additionally, the professional is likely to use adult rating scales and checklists. Behavioral therapy and medication can help to manage [https://www.google.co.mz/url?q=https://blogfreely.net/lunchskiing9/16-must-follow-facebook-pages-to-adhd-diagnosis-uk-adults-related-businesses private adhd diagnosis cost] in adults. Finding out that you have ADHD can be a relief for many, since it can suggest that their issues aren't due to a lack of motivation or poor intelligence.<br><br>Medication<br><br>Methylphenidate is the most commonly prescribed medication for ADHD. It works by increasing levels of noradrenaline within the brain, which aids to regulate impulses and send messages between nerve cells. Stimulants can help children and adults concentrate, pay attention and complete tasks. The use of medication is usually in conjunction with behavior therapy and adjustments in schools. Adults with ADHD experience less hyperactivity and impulsivity as they age, however they still have problems with disorganization, inattention and difficulty completing tasks. Untreated ADHD can cause issues in relationships and increase the risk of developing certain medical conditions, such as bipolar disorder, depression, anxiety, as well as substance abuse.<br><br>Some adults never receive treatment for ADHD because it is difficult to diagnose [https://elearnportal.science/wiki/Youll_Never_Be_Able_To_Figure_Out_This_Diagnosis_ADHDs_Tricks free adhd diagnosis uk] as an adult. Women are more susceptible to hyperactivity and inattention and, therefore, their symptoms may be unnoticed. They might also be hesitant to seek treatment because as young children, they were told that their issues with concentration and attention are normal.<br><br>A health professional who specializes in the diagnosis of ADHD examines a person's symptoms and family history. They also conducts a physical exam. The doctor will employ standardized scales of ratings to compare the behavior of the person against that of other adults and children in the same age group. Bring any psychological, medical documents, school/work or other to your appointment. You can also ask your doctor whether you're eligible for any clinical trials that are being conducted to discover new methods to prevent, detect or treat disorders and diseases, including ADHD.<br><br>Children with ADHD who are in the preschool age group usually receive behavioral treatment. Behavioral therapy is often combined with cognitive-behavioral therapy, or non-stimulant medicines, such as Atomoxetine. These medicines are not associated with the same sleep problems or agitation that stimulants cause, and have a lower rate of abuse and addiction. These drugs are not substitutes for an extensive assessment and treatment of your physical and mental health by a trained health professional. It is important to inquire with your insurance provider about coverage before you see a mental health professional, and be sure to have a referral from your primary health care provider.<br><br>Treatment options<br><br>Many people suffering from ADHD struggle with daily tasks such as paying attention and listening attentively, as well as organizing - skills that come easily to others. When these issues affect school, work or at home, they may require an evaluation and treatment. A diagnosis can bring relief since it clarifies the reasons why certain people are more annoyed. It can dispel misconceptions about people with ADHD being slow, incompetent or unwilling to take on the challenge.<br><br>A health professional with specialized training on ADHD evaluation and treatment will most likely be able to identify a person. This could be a psychiatrist or pediatrician. It is important to find a specialist who takes the time to assess each patient and collect a comprehensive history. Family doctors, therapists, and trusted friends can give suggestions. Asking for credentials, like the doctor's professional and academic degrees is also a great idea.<br><br>In order to evaluate for ADHD, it is important to examine the medical history of the patient to determine if there are other factors contributing to the symptoms. Certain medical conditions, such as thyroid disorders, low birthweight and seizure disorders can trigger ADHD-like signs and symptoms. A person's mood, stress levels as well as previous alcohol and drug usage can also trigger symptoms.<br><br>Children with the hyperactive/impulsive type of ADHD are often more noticeable than those with the inattentive type. They are energetic, fidget and always moving. They have difficulty waiting for their turn in school or sitting down. They may lose their focus when studying or taking tests. Children who suffer from this type of the disorder are more apt to be removed from school for behavioural issues.<br><br>When diagnosing adults, it is essential to provide a description of the symptoms and how they affect the individual's daily functioning. In adults, hyperactivity tends to decrease, but the tendency to be distracted and impulsive increases.<br><br>There are many medications that are used to treat adults with ADHD. Stimulants are drugs that target dopamine neurotransmitter, which is responsible for controlling emotion and movement. It also plays a part in motivation. There are also medications that are not stimulant like bupropion that targets norepinephrine and dopamine.
What is a Diagnosis of ADHD?<br><br>A diagnosis of ADHD could be the first time that a child is given a reason for their hyperactivity and inattention. For adults diagnosed with ADHD, it's usually the result of symptoms becoming severe enough to affect their work and personal life.<br><br>Find a medical professional who has experience treating ADHD to make an accurate diagnosis. Get referrals from therapists or trusted friends, or seek suggestions from your health insurance plan.<br><br>Signs and symptoms<br><br>While you may have tried to get rid of the symptoms of ADHD with diet, exercise or other methods without success, an official diagnosis by a medical professional will provide you with the help you require. A diagnosis by a medical professional could provide you with the confidence and peace of mind that lack of intelligence or laziness are not holding you back from realizing your goals. Your doctor can also provide you with an treatment plan to improve your functioning.<br><br>Your GP can assist you in determining whether you or your child exhibit the signs of ADHD and then refer you to an expert for a thorough assessment. Before you make an appointment with a health professional, make sure you take any ADHD tests or questionnaires that are on the internet. They function as a self-screening tool and will help you feel confident to ask for a professional assessment. If you are scheduled for an assessment, bring copies of any relevant records to the appointment. The doctor will go over your medical history and family history and talk to people who know your personality and behavior. This could include a teacher, coach or your spouse. The clinician will look for symptoms of inattentive ADHD, hyperactive/impulsive ADHD or combined ADHD.<br><br>The American Psychiatric Assocation's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5 provides clinical guidelines for doctors to diagnose ADHD. The symptoms must have been present prior to turning 12 and be severe enough to affect performance at the workplace, school or at home life. They must also be present for longer than six months.<br><br>Inattention ADHD is a problem for children who are not able to pay attention or remain still. They tend to daydream or lose focus when they are talking. Hyperactive/impulsive ADHD is more noticeable in younger children. They are prone to fumbling, can't wait for their turn, and possess lots of energy. They often interrupt others or [https://shrineincome5.bravejournal.net/private-diagnosis-for-adhd-tips-from-the-most-successful-in-the-industry where do i go to get diagnosed for adhd] something without thinking about the consequences. Combined ADHD is less common and combines aspects of inattentive ADHD and hyperactive/impulsive ADHD.<br><br>If your symptoms are not severe, you can still [http://jonpin.com/home.php?mod=space&uid=344233 get diagnosed for adhd] the help you need using therapy or medication. The use of medication can help improve concentration and decrease impulsivity and hyperactivity and help you reach your goals at work at school, at work or at home. There are also ways to improve organization and structure, as well as develop good eating and sleeping habits. It is crucial to seek help as soon as you notice symptoms of ADHD.<br><br>You can also visit our website for more information.<br><br>For those who are suffering from symptoms of ADHD an in-depth evaluation is necessary to determine the cause. During an evaluation conducted by a trained mental health professional will examine several factors, such as the patient's mood, medical history, and any issues that could be causing or masking the symptoms of the disorder. A broad-spectrum scale which measures social, emotional and psychiatric issues can be administered. Tests that test motor skills, and the ability to process information will also be administered.<br><br>A specialist in attention disorders, either a psychiatrist or a clinical psychologist, can usually provide an accurate diagnosis of ADHD. The specialist will ask the patient and his or her family members to describe their symptoms, complete an psychiatric history, look over medical records, and employ adult rating scales and questionnaires.<br><br>The specialist will also take a look at symptoms and see how they impact a person's everyday life. The doctor will determine whether the symptoms occur in school, at work, during relationships, and at home. The doctor will also note [http://yd.yichang.cc/home.php?mod=space&uid=732960 how do you get a diagnosis for adhd] long the symptoms have been evident for. It is crucial to keep in mind that ADHD cannot be diagnosed for the first time in adults, as current guidelines for diagnosis only recognize the disorder if it was present in childhood.<br><br>In children, the [https://king-wifi.win/wiki/8_Tips_To_Enhance_Your_How_To_Get_Diagnosed_With_ADHD_UK_Game diagnostic criteria for adhd in adults] process involves gathering information from a variety of sources, including the caregivers and teachers of the child. The specialist will assess the behavior of a child with the behavior of other children similar to their age and may use standardized ratings scales. In addition, the professional will review the child's medical history and conduct a physical exam.<br><br>For adults the diagnosis of [https://lovebookmark.win/story.php?title=20-myths-about-diagnosing-adult-adhd-busted Adhd diagnosed in adulthood] is usually more difficult because the DSM-5 symptom guide is not designed to identify adults. However, the professional will still need to collect detailed information from the patient's spouse or partner, as well as other close acquaintances and the patient's parents. The specialist will also likely employ adult checklists and ratings scales. The use of medication and behavioral therapy can help to manage ADHD in adults. Many people find it empowering [https://algowiki.win/wiki/Post:7_Simple_Secrets_To_Totally_Moving_Your_Diagnosing_ADHD where to get diagnosed with add] be diagnosed with ADHD because they now realize that their difficulties aren't due solely to lazyness or poor intelligence.<br><br>Medication<br><br>The most commonly used medication for treating ADHD is methylphenidate (Ritalin). It works by increasing levels of noradrenaline in the brain, which helps to control impulses and transmit messages between nerve cells. Stimulants can help children and adults focus and pay attention, as well as complete tasks. They are often prescribed in conjunction with behavior therapy and school accommodations. Adults, the symptoms of hyperactivity and impulsivity decrease as they get older, but they still struggle with inattention, disorganization and working on work-related tasks. Untreated ADHD can cause problems in relationships and increase the risk of developing certain medical conditions, such as depression, bipolar disorder or anxiety, as well as substance abuse.<br><br>Because it is difficult to identify ADHD in adulthood, many adults never receive treatment for their symptoms. Women are more prone to hyperactivity rather than inattention, so their symptoms might go undetected. They may also be hesitant to seek treatment due to the fact that they were taught in their childhood that their issues with attention and concentration are normal.<br><br>A specialist in health care who specializes in the diagnosis of ADHD analyzes the symptoms of a person, family history, and conducts a physical exam. They'll then apply standardized rating scales to document how the person's behavior compares with other adults and children of the same age. It's important to bring any medical, psychological and school/work records to the appointment. You may also ask your physician whether you're eligible for any clinical trials that are currently being conducted to discover new ways to prevent, detect or treat disorders and diseases, including ADHD.<br><br>Children with ADHD who are in the preschool age group typically receive treatment for their behavior. Behavioral therapy is usually combined with cognitive-behavioral therapies or non-stimulant medications, like Atomoxetine. The drugs don't cause the same sleep problems or agitation as stimulants and they have lower rates of addiction and abuse. These drugs are not substitutes for an in-depth evaluation and treatment of your mental and physical health by a trained health professional. Before you visit a mental health professional, it is crucial to check your insurance coverage and obtain a referral from your primary physician.<br><br>Treatment options<br><br>Many people who suffer from ADHD struggle with everyday skills such as paying attention, listening closely and organizing - skills that are easy for other people. When these issues affect work, school and home life, they might require an assessment and treatment. A diagnosis can be a great relief since it can explain why certain people are more annoyed than others. It also helps debunk the common misconception that a person with ADHD is lazy, or not intelligent enough or doesn't desire to try.<br><br>A person is likely to be diagnosed by a health care professional, such as psychiatrist, pediatrician psychologist or clinical social worker with special training in ADHD evaluation and treatment. It is crucial to choose an expert who takes the time to assess every patient and take a complete background. The recommendations can be provided by family doctors, therapists, and trusted friends. It's recommended to inquire about qualifications for the specialist, such as professional certification as well as academic degrees.<br><br>To determine if a patient has ADHD, it is important to review the patient's medical history in order to determine if there are other factors that may be contributing to the symptoms. Certain medical conditions, including low birthweight, thyroid disorders and seizure disorders can trigger ADHD-like symptoms and signs. A person's mood, stress level and previous alcohol and drug use can also cause symptoms.<br><br>Children with the hyperactive/impulsive type of ADHD are often more noticeable than those with the inattentive type. They are impulsive, fidgety and constantly on the move. They are unable to sit still or waiting their turn at school, and they may lose focus while studying or taking tests. This type of disorder is more likely to result in a child being suspended from school for behavioral issues.<br><br>When diagnosing adult patients it is essential that the patient's history contains an explanation of how the symptoms affect their daily life. In adults, hyperactivity tends to decrease but inattention and impulsivity increase.<br><br>There are several medications used to treat adults with ADHD. Stimulants are drugs that target the dopamine neurotransmitter which is responsible for controlling emotions and movement. It also plays a part in motivation. Non-stimulant medications like bupropion (Wellbutrin) which targets dopamine and norepinephrine, are also available.

Latest revision as of 19:47, 24 January 2025

What is a Diagnosis of ADHD?

A diagnosis of ADHD could be the first time that a child is given a reason for their hyperactivity and inattention. For adults diagnosed with ADHD, it's usually the result of symptoms becoming severe enough to affect their work and personal life.

Find a medical professional who has experience treating ADHD to make an accurate diagnosis. Get referrals from therapists or trusted friends, or seek suggestions from your health insurance plan.

Signs and symptoms

While you may have tried to get rid of the symptoms of ADHD with diet, exercise or other methods without success, an official diagnosis by a medical professional will provide you with the help you require. A diagnosis by a medical professional could provide you with the confidence and peace of mind that lack of intelligence or laziness are not holding you back from realizing your goals. Your doctor can also provide you with an treatment plan to improve your functioning.

Your GP can assist you in determining whether you or your child exhibit the signs of ADHD and then refer you to an expert for a thorough assessment. Before you make an appointment with a health professional, make sure you take any ADHD tests or questionnaires that are on the internet. They function as a self-screening tool and will help you feel confident to ask for a professional assessment. If you are scheduled for an assessment, bring copies of any relevant records to the appointment. The doctor will go over your medical history and family history and talk to people who know your personality and behavior. This could include a teacher, coach or your spouse. The clinician will look for symptoms of inattentive ADHD, hyperactive/impulsive ADHD or combined ADHD.

The American Psychiatric Assocation's Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revision DSM-5 provides clinical guidelines for doctors to diagnose ADHD. The symptoms must have been present prior to turning 12 and be severe enough to affect performance at the workplace, school or at home life. They must also be present for longer than six months.

Inattention ADHD is a problem for children who are not able to pay attention or remain still. They tend to daydream or lose focus when they are talking. Hyperactive/impulsive ADHD is more noticeable in younger children. They are prone to fumbling, can't wait for their turn, and possess lots of energy. They often interrupt others or where do i go to get diagnosed for adhd something without thinking about the consequences. Combined ADHD is less common and combines aspects of inattentive ADHD and hyperactive/impulsive ADHD.

If your symptoms are not severe, you can still get diagnosed for adhd the help you need using therapy or medication. The use of medication can help improve concentration and decrease impulsivity and hyperactivity and help you reach your goals at work at school, at work or at home. There are also ways to improve organization and structure, as well as develop good eating and sleeping habits. It is crucial to seek help as soon as you notice symptoms of ADHD.

You can also visit our website for more information.

For those who are suffering from symptoms of ADHD an in-depth evaluation is necessary to determine the cause. During an evaluation conducted by a trained mental health professional will examine several factors, such as the patient's mood, medical history, and any issues that could be causing or masking the symptoms of the disorder. A broad-spectrum scale which measures social, emotional and psychiatric issues can be administered. Tests that test motor skills, and the ability to process information will also be administered.

A specialist in attention disorders, either a psychiatrist or a clinical psychologist, can usually provide an accurate diagnosis of ADHD. The specialist will ask the patient and his or her family members to describe their symptoms, complete an psychiatric history, look over medical records, and employ adult rating scales and questionnaires.

The specialist will also take a look at symptoms and see how they impact a person's everyday life. The doctor will determine whether the symptoms occur in school, at work, during relationships, and at home. The doctor will also note how do you get a diagnosis for adhd long the symptoms have been evident for. It is crucial to keep in mind that ADHD cannot be diagnosed for the first time in adults, as current guidelines for diagnosis only recognize the disorder if it was present in childhood.

In children, the diagnostic criteria for adhd in adults process involves gathering information from a variety of sources, including the caregivers and teachers of the child. The specialist will assess the behavior of a child with the behavior of other children similar to their age and may use standardized ratings scales. In addition, the professional will review the child's medical history and conduct a physical exam.

For adults the diagnosis of Adhd diagnosed in adulthood is usually more difficult because the DSM-5 symptom guide is not designed to identify adults. However, the professional will still need to collect detailed information from the patient's spouse or partner, as well as other close acquaintances and the patient's parents. The specialist will also likely employ adult checklists and ratings scales. The use of medication and behavioral therapy can help to manage ADHD in adults. Many people find it empowering where to get diagnosed with add be diagnosed with ADHD because they now realize that their difficulties aren't due solely to lazyness or poor intelligence.

Medication

The most commonly used medication for treating ADHD is methylphenidate (Ritalin). It works by increasing levels of noradrenaline in the brain, which helps to control impulses and transmit messages between nerve cells. Stimulants can help children and adults focus and pay attention, as well as complete tasks. They are often prescribed in conjunction with behavior therapy and school accommodations. Adults, the symptoms of hyperactivity and impulsivity decrease as they get older, but they still struggle with inattention, disorganization and working on work-related tasks. Untreated ADHD can cause problems in relationships and increase the risk of developing certain medical conditions, such as depression, bipolar disorder or anxiety, as well as substance abuse.

Because it is difficult to identify ADHD in adulthood, many adults never receive treatment for their symptoms. Women are more prone to hyperactivity rather than inattention, so their symptoms might go undetected. They may also be hesitant to seek treatment due to the fact that they were taught in their childhood that their issues with attention and concentration are normal.

A specialist in health care who specializes in the diagnosis of ADHD analyzes the symptoms of a person, family history, and conducts a physical exam. They'll then apply standardized rating scales to document how the person's behavior compares with other adults and children of the same age. It's important to bring any medical, psychological and school/work records to the appointment. You may also ask your physician whether you're eligible for any clinical trials that are currently being conducted to discover new ways to prevent, detect or treat disorders and diseases, including ADHD.

Children with ADHD who are in the preschool age group typically receive treatment for their behavior. Behavioral therapy is usually combined with cognitive-behavioral therapies or non-stimulant medications, like Atomoxetine. The drugs don't cause the same sleep problems or agitation as stimulants and they have lower rates of addiction and abuse. These drugs are not substitutes for an in-depth evaluation and treatment of your mental and physical health by a trained health professional. Before you visit a mental health professional, it is crucial to check your insurance coverage and obtain a referral from your primary physician.

Treatment options

Many people who suffer from ADHD struggle with everyday skills such as paying attention, listening closely and organizing - skills that are easy for other people. When these issues affect work, school and home life, they might require an assessment and treatment. A diagnosis can be a great relief since it can explain why certain people are more annoyed than others. It also helps debunk the common misconception that a person with ADHD is lazy, or not intelligent enough or doesn't desire to try.

A person is likely to be diagnosed by a health care professional, such as psychiatrist, pediatrician psychologist or clinical social worker with special training in ADHD evaluation and treatment. It is crucial to choose an expert who takes the time to assess every patient and take a complete background. The recommendations can be provided by family doctors, therapists, and trusted friends. It's recommended to inquire about qualifications for the specialist, such as professional certification as well as academic degrees.

To determine if a patient has ADHD, it is important to review the patient's medical history in order to determine if there are other factors that may be contributing to the symptoms. Certain medical conditions, including low birthweight, thyroid disorders and seizure disorders can trigger ADHD-like symptoms and signs. A person's mood, stress level and previous alcohol and drug use can also cause symptoms.

Children with the hyperactive/impulsive type of ADHD are often more noticeable than those with the inattentive type. They are impulsive, fidgety and constantly on the move. They are unable to sit still or waiting their turn at school, and they may lose focus while studying or taking tests. This type of disorder is more likely to result in a child being suspended from school for behavioral issues.

When diagnosing adult patients it is essential that the patient's history contains an explanation of how the symptoms affect their daily life. In adults, hyperactivity tends to decrease but inattention and impulsivity increase.

There are several medications used to treat adults with ADHD. Stimulants are drugs that target the dopamine neurotransmitter which is responsible for controlling emotions and movement. It also plays a part in motivation. Non-stimulant medications like bupropion (Wellbutrin) which targets dopamine and norepinephrine, are also available.