Cognitive-Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach by J. Russell RamsayAttention Deficit/Hyperactivity Disorder (ADHD) is a disorder that afflicts anywhere from 2 to 5 percent of the adult population (roughly 8-10 million Americans). Among several therapeutic treatment approaches available as a supplement or alternative to medication, Cognitive Behavioral Therapy (CBT) has emerged as the most successful and has the strongest current evidence base of support, while integrative treatment programs that combine CBT and prescription drugs have shown even more promise. In this volume, Ramsay and Rostain provide an overview of symptoms, assessment and diagnosis issues for adult ADHD. Utilizing research, case examples, and a combined biological and psychosocial treatment approach, the authors discuss the many complicated factors that go into treatment, relapse prevention, and long-term management of adult ADHD, including particular focus on comorbidity and medication issues.
CBT for Adult ADHD: Getting Patients to Do What They Know They Need to Do
Cognitive-behavioral therapy CBT approaches for this disorder have emerged relatively recently, and available evidence from open and randomized controlled trials suggests that these approaches are promising in producing significant symptom reduction. The article concludes with a discussion of future directions and critical questions that must be addressed in this area of clinical research. As a developmental disorder, it appears in childhood and is associated with lags in the development of sustained attention and behavioral inhibition relative to same-aged peers, contributing to functional impairment across academic, behavioral, and social domains [ 2 ][ 3 ]. Once believed to be a childhood-limited disorder, longitudinal and cross-sectional data demonstrate that the disorder persists into adulthood in a majority of cases, causing disruption in multiple areas of adult functioning, including employment, intimate relationships, and motor vehicle driving [ 4 ][ 5 ]. In addition, adults with ADHD are at a significantly elevated risk for comorbid disorders including depression, anxiety, substance use, and personality disorders [ 6 ][ 7 ]. Recent prevalence studies suggest that 4. Because ADHD has only been well-characterized and widely recognized, diagnosed, and treated within approximately the past 20 years, many adults with ADHD present for diagnosis and treatment after having suffered with the disorder, untreated, for the majority of their lives.
Description of CBT for ADHD in Adolescents
View full-size View text version. It is most effective in young children when it is delivered by parents. Experts recommend that doctors refer parents of children under 6 years old for training in behavior therapy before prescribing ADHD medicine. When parents become trained in behavior therapy, they learn skills and strategies to help their child with ADHD succeed at school, at home, and in relationships. Behavior therapy, given by parents and with the support of healthcare providers, teaches children to better control their own behavior, leading to improved functioning at school, home and in relationships. Learning and practicing behavior therapy requires time and effort, but it has lasting benefits for the child. Psychologists, social workers, and licensed counselors can provide this kind of training to parents.
Caroline Miller. There are two kinds of behavioral interventions that can help children with ADHD manage their symptoms of hyperactivity, impulsiveness, and inattention. Some focus on strategies for staying organized and focused. Others aim at cutting down on the disruptive behaviors that can get these children into trouble at school, make it difficult for them to make friends, and turn family life into a combat zone. Some children, especially those with severe ADHD symptoms, benefit from behavioral therapy along with medication ; for others, the training may make enough difference to enable them to succeed in school and function well at home without medication. One important reason for kids to participate in behavioral therapy whether or not they also take medication is that ADHD medications stop working when you stop taking them, while behavioral therapy can teach children skills that will continue to benefit them as they grow up.