Individual and Cognitive Behavioral Psychotherapy for the Child with ADHD
Margaret V. Austin, Ph.D., edited by C. E. Zupanick, Psy.D.The management of ADHD primarily targets the alleviation of a child's problems in the classroom and at home. However, a child's difficulties can extend beyond these two settings. For example, poor self-esteem and unfulfilling peer relationships can be very painful. Some children feel alienated from their peers, as though they are social outcasts. Therefore, regardless of how well they manage at home or at school, they may still have emotional and social difficulties. While medication, education, and behavioral plans address the core symptoms of ADHD, they do not adequately address children's sense of personal mastery and competence. This is where individual therapy comes in.
The goal of individual therapy varies according to each child. One rather universal goal is for the child to recognize, and accept ADHD-related symptoms and behaviors. Acceptance does not mean to ignore, or excuse away unacceptable behavior. Acceptance means to avoid judging oneself for having the symptoms of a disorder. Acceptance also means taking responsibly for implementing strategies to improve behavior. During this process, individual therapy can help to restore self-worth and self-confidence. Self-worth refers to a sense of being valued, supported, and competent. Self-worth reflects respect for self, and others. These are the ingredients all children need to maximize their potential.
When shopping for a therapist, begin by asking around for recommendations. You are looking for a therapist with specific experience working with ADHD children. You should use the same diligence and care as when you shopped for your child's pediatrician. Many, if not most ADHD specialists work from a model called cognitive behavioral therapy. We discuss this approach in the next section.
Cognitive Behavioral Therapy for ADHD
Cognitive behavioral therapy (CBT) is a particular type of psychotherapy. As the name implies, this type of therapy focuses on thoughts and behavior. CBT therapists pay special attention to thoughts and behaviors that interfere with school, family, and social functioning. The basic premise of CBT is that by changing our thoughts, we can change our mood and behavior. This premise has been heavily supported by an enormous amount of research.
Not surprisingly, people with ADHD can develop some faulty ideas and beliefs. Sometimes they misinterpret the motivations of others. For instance, a child who feels like an outcast might hear some kids laughing. Instead of thinking, "I wonder what's so funny," they immediately think, "Those kids are laughing at me." A CBT therapist helps a child to identify these sorts of patterns and tendencies. Once identified, these faulty ideas and beliefs can be examined and evaluated for accuracy and helpfulness. Then, they can be replaced with more accurate thoughts, and more healthy behaviors.
Psychotherapy for ADHD can have one, or several areas of focus:
- Understanding and accepting the diagnosis of ADHD;
- Accurately appraising one's own strengths and weaknesses;
- Learning to set realistic, attainable goals;
- Learning and practicing new skills; and,
- Prioritizing goals and behaviors.
When other disorders co-occur with ADHD (e.g., depression, anxiety, etc.) the CBT therapist will develop a treatment plan to simultaneously address both disorders.
Resources
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Articles
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Childhood ADHD Overview
- Introduction to Attention Deficit Hyperactivity Disorder (ADHD)
- Signs & Symptoms of ADHD
- ADHD Signs and Symptoms: Attention Difficulties
- ADHD Signs and Symptoms: Hyperactivity
- ADHD Signs and Symptoms: Impulsivity
- Are There Different Types of ADHD?
- The Social, Educational, Financial & Occupational Impact of ADHD
- What are the Legal Rights of Caregivers and Their Children with ADHD (USA)?
- A Positive Spin: Is There Anything Good about ADHD?
- Signs of ADHD in Children at Home
- Signs of ADHD in Children at School
- Signs of ADHD in Children in Peer Relationships
- How Do I know if My Child Needs an ADHD Evaluation?
- What Should I Do If I Think My Child Might Have ADHD?
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ADHD Discoveries and Controversies
- ADHD: New and Exciting Brain Research
- ADHD: New and Exciting Brain Research - Part II
- Neurotransmitter Changes with ADHD
- Executive Functions
- Neurodiversity: Is ADHD a True Mental Disorder?
- ADHD Statistics
- Cultural and Gender Differences in Prevalence Rates
- Should Children with ADHD Be Medicated?
- New and Promising Areas of Research
- Causes of ADHD in Children
- ADHD or Another Condition?
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Diagnosis of ADHD in Children
- Who Can Diagnose ADHD?
- How Does ADHD Multi-Source Assessment Work?
- Assessment Instruments: Behavioral Checklists
- Assessment Instruments: Intelligence Tests
- Assessment Instruments: Achievement Tests (or Academic Tests)
- Assessment Instruments: Tests of Attention
- Assessment Instruments: Memory and Other Common Tests
- Step 2: Clinical Interviews
- Step 3: Physical Exam and Medical History
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ADHD Treatment in Children
- Multimodal ADHD Treatment Approach
- ADHD Medications
- Treating ADHD with Stimulant Drugs
- Commonly Prescribed ADHD Stimulant Medications
- Treating ADHD with Non-Stimulant Drugs
- Risks of ADHD Medication
- Risks of ADHD Medications - Part II
- Benefits of ADHD Medication
- Side Effects of ADHD Medications
- Medication Decisions and Medication Management
- How Long Should ADHD Medication Treatment Last
- Psycho-Education about ADHD and Its Management
- Family Therapy
- Individual and Cognitive Behavioral Psychotherapy for the Child with ADHD
- Skills Training
- Social Skills Training and Coaching
- Supports
- Alternative ADHD treatment: What Does NOT Work?
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Family and Personal Supports
- Effective Disciplinary Techniques
- Learn about Resources and Be Proactive
- Manage Stress, Self-Regulation & Provide Order
- Develop Routines, Organization and Expectations
- Communicate and Collaborate with Schools
- Express Confidence in Your Child's Abilities
- Help Children Improve Social Skills and Peer Relationships
- Avoid Homework Battles and Monitor Medication
- I Think I have ADHD. What should I do?
- I Think I Have ADHD - Part II
- Famous People with ADHD
- Adult ADHD Overview
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Diagnosis of Adult ADHD
- How is Adult ADHD Diagnosed?
- Diagnostic Challenge 1: Looking into the Past
- Diagnostic Challenge 2: ADHD versus Similar Disorders
- Diagnostic Challenge 2 - Part II
- Diagnostic Challenge 3: ADHD Symptoms
- Diagnostic Challenge 3 - Part II
- Diagnostic Challenge 4: A Concealed Disorder
- Specialized Tests and Tools
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Adult ADHD Treatment
- ADHD Medication Treatment
- Stimulant and Non-Stimulant Drugs for Adult ADHD
- Medication Timing, Dosage, Monitoring, and Duration of Treatment
- Weighing the Risks and Benefits of Adult ADHD Medications
- Psychotherapy for ADHD
- Coaching/Supported Employment for Adult ADHD
- Social Skills Training for Adult ADHD
- Psycho-Education and Cognitive Behavioral Therapy (CBT)
- ADHD Resources and References
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Childhood ADHD Overview
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Questions and Answers
- Does This Sound Like Bipolar?
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- ADD Maybe?
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- If There's Nothing New, There's Nothing Good.
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- Depression in College Seniors
- Odd Eating Behavior
- 5 Year Old Behavior-Is it ADHD or Bipolar or Both?
- odd (ADHD)
- Attention Deficit and Depression
- What Should I do? Noah
- 16 year old girl with Attention Deficit Disorder
- Thoughts
- Diagnosed ADHD at 13, now being told I have bipolar disorder
- ADHD in Twins
- Inherited ADHD
- How to get off Focalin
- new diagnosis
- am i off my head i feel i have no feelings and want to harm ppl
- 17 yr old refuses help with bi-polar disorder
- Is Depression a Factor in Children With ADD?
- IS ADHD CAUSING HIM TO FAIL?
- heightened sexual behavior in my 8 yr. old with adhd
- seperation anxiety disorder or environment?
- my 7 year old nephew
- my daughter
- Do I have adult ADD?
- Fantasy land for attention
- 13 Yearl Old
- ADD
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- Funding Treatment (Without Insurance)
- Can ADHD Turn Into Bipolar?
- How Long To Diagnose ADHD?
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Tests
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Book & Media Reviews
- 10 Simple Solutions to Adult ADD
- A Walk in the Rain With a Brain
- ADD-Friendly Ways to Organize Your Life
- ADHD & Me
- ADHD Grown Up
- ADHD in Adults
- ADHD Nation
- Attention Deficit Disorder
- Attention-Deficit/Hyperactivity Disorder
- Buzz
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- Facts About ADHD Children
- Healing ADD
- Helping Hyperactive Kids
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- Joey Pigza Swallowed the Key
- Learning Outside the Lines
- Making ADD Work
- Medicating Children
- Mind Fields
- New Look at ADHD: Inhibition, Time, and Self-Control
- Non-Drug Treatments for ADHD
- Overcoming ADHD
- Parenting Children With ADHD
- Reclaiming Our Children
- Rethinking ADHD
- Ritalin is Not the Answer Action Guide
- Ritalin Nation
- Running on Ritalin
- Should I Medicate My Child?
- Taking Charge of ADHD, Revised Edition
- The Explosive Child
- The Gift of Adult ADD
- The Little Monster
- The Science of ADHD
- Thumbsucker
- Treating ADHD and Comorbid Disorders
- What Would Joey Do?
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Links
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- How to Select the Best School Accommodations for Your Child with ADHD
- How to Manage ADHD and Anxiety
- What You Need to Know about Students with ADHD and Anxiety
- ADHD and Eating Right
- Tourette Syndrome and ADHD
- Homework, Organization, and Time Management Strategies to Help Kids with ADHD
- Nutrition in Support of ADHD Treatment
- Behavioral Therapy: What it is and finding a therapist
- Project-Based Learning and ADHD
- Conditions May Mimic ADHD
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- Department of Education Guidance Broadens Understanding of 504 Rights for Kids with ADHD Part I
- Treating ADHD in the African American Community
- How to Build Self-Motivation in Teens with ADHD
- Goal Setting and Keeping for the ADHD Brain
- Neurofeedback Treatment for ADHD
- ADHD in Preschoolers: What to Look For and How to Help
- FYI on ADHD Evaluations
- Teaching Grit, Perseverance and Frustration Tolerance to Students with ADHD
- Does my Child Have ADHD?
- How to Start Eating Well When You Have ADHD
- 5 Solutions for Common ADHD Social Struggles
- Is My High School Student Ready for College? (And Is My College Student Ready to Go Back?)
- Understanding and Applying the Science of Time Management
- ADHD Medication and College Students: Prevent Misuse, Abuse, and Diversion
- Improve Homework Time with Strategies That Work For ADHD
- Student Voices: What Really Matters to Young Adults With Learning and Attention Issues
- 5 Ways Nutrition can Impact ADHD Symptoms
- 3 Tips for Adjusting to a New Diagnosis of ADHD
- Creating the Best Learning Environment for Students with ADHD
- ADHD & Executive Functioning
- Department of Education Guidance Broadens Understanding of 504 Rights for Kids with ADHD Part II
- Ask The Expert: Neurofeedback Treatment for ADHD
- ADHD and Suicide Risk Factors
- The Choice is in the Details: Medication Options for ADHD
- Understanding and Supporting Young Adults with ADHD
- Helping Your Young Adult Become Independent
- Creating Structure and Routines for Children with ADHD
- When You and Your Child Have ADHD - Communication Skills to Resolve Conflict
- Guidance for Uncertain Times: Navigating Relationship Challenges
- Guidance for Uncertain Times: Mindful Parenting
- Couples with ADHD: Creating Caring Connection amid the Chaos
- Disclosure and Workplace Accommodations for Individuals With ADHD
- A Summer At Camp
- Self-Advocacy Tips For Teens With ADHD
- ADHD and Curbing Impulsive Spending to Help Your Relationship
- ADHD: Signs, Symptoms, Research
- ADHD & Risk of Adult Drug Use
- Health and Life Expectancy in ADHD
- Focus on ADHD
- Pediatrics: ADHD and Food Allergies
- ADHD: It's a Family Affair
- Does Your Child Have ADHD?
- ADHD in Children
- Living with ADHD
- Rise in ADHD Cases in Children
- Why is Dating Difficult When You Have ADHD
- Video Games, Screens, and ADHD A Potent Mix
- Ask the Expert Helping Children with ADHD LD Conquer Chronic Stress
- Ask the Expert: Mindfulness, Stress, & Emotion
- Attention Deficit Hyperactivity Disorder
- Ask the Expert Educator Edition: ADHD & Executive Functioning
- Ask the Expert - Academic Evaluations - What Parents Need to Know
- ADHD and Sibling Relationships
- Medication Treatment for ADHD
- Using Time Out
- Treating Childhood ADHD
- ADHD-friendly Summer Family FUNdamentals
- Preparing Older Teens for the Road Ahead
- Tips for Teachers: Tailoring homework to make a difference
- Your Active Preschooler: Could it be ADHD?
- Tips for Teachers: Creating a positive dialogue with parents of students with ADHD
- Helping Parents & Kids Understand the Social & Emotional Aspects of ADHD
- Social and Emotional Concerns of Children with ADHD: Strategies to Help
- Holiday Gifts for Children with ADHD
- Behavior Management and Combined Treatment for Children with ADHD
- Setting Realistic School Expectations for Students with ADHD
- On Their Own: Helping College Students with ADHD
- Children's Communication Challenges: Is it Attention, Language or Both?
- Out-of-School: Parenting During the Summer
- ADHD in the Workplace: Finding Success
- Emotions and Motivation in ADHD
- The Role of Medication in Managing Children's ADHD Symptoms
- Top Tips for Combating Stigma and Addressing Myths about ADHD
- Facts and Myths about ADHD
- What To Do If Your Child Has ADHD?
- How Common is ADHD?
- Children, Meds, and Heart Safety: A Tale of ADHD and Public Health
- ADHD & Your Child’s Transition to College
- Your Teen with ADHD: Challenges and Strategies for Success
- Ask the Expert - No more homework battles
- A Frontline to ADHD
- Understanding Girls with ADHD
- What is ADHD?
- What To Do When Your Child With ADHD is Bullied
- Stop the Chaos! Tips for Creating a Peaceful Household When Mom has ADHD
- Is It ADHD?
- Ask the Expert - What else can I do? Complementary approaches to ADHD treatment
- All in a row: Getting your kids with ADHD organized
- Your Student With ADHD Was Admitted to College, Now what?
- Evidence-based treatment for ADHD in young children
- Home life when Mom or Dad has ADHD: Succeeding with your family
- How does technology affect ADHD?
- Diagnosing ADHD
- Helping Your Child Successfully Handle Change
- Recognizing challenging behaviors in young children: Could it be ADHD?
- Classroom Managment Supports for ADHD Behaviors in Preschool Settings
- Getting through to your teenager with ADHD
- What Everyone Should Know about ADHD
- Make Learning Exciting: Apps for Executive Functioning
- Teenagers, ADHD, and Substance Abuse
- Past Procrastination -- Get Your Kids Organized, Focused and Motivated
- Ask the Expert: Late, Lost, and Unprepared: How to Help Your Child with Executive Functioning
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