Psychotherapy for ADHD
Margaret V. Austin, Ph.D., edited by C. E. Zupanick, Psy.D.Medication can be a very helpful tool in managing ADHD, but it isn't a 'magic bullet.' Research has demonstrated the most effective treatment for ADHD is a combination that includes medication, education, and skills training. Drug therapy may continue throughout someone's life, but it's only one part of treatment. Education helps people to understand the disorder. Education can provide valuable information, insight, and motivation for change. Moreover, education can teach people helpful strategies to improve organization, time management, and other skills such as social skills or workplace adaptations. Overtime, these strategies become second nature; a new habit. These new coping skills improve confidence, competence, and satisfaction. So, it is easier to successfully manage problematic ADHD symptoms.
One of the first therapeutic tasks of a clinician is to help newly diagnosed individuals understand and accept their disorder. Adults with ADHD have lived for many years with their symptoms. They have likely developed a combination of helpful (positive), and not-so-helpful (negative), coping patterns to deal with their disorder. Overtime, negative coping patterns can become deeply ingrained. This causes people to respond, almost as though they are on 'autopilot,' even when they are trying to respond differently. It takes practice, repetition, and determination to develop a new 'autopilot' but it is well worth the effort.
Unhelpful response patterns can be modified once they are identified and accepted without judgment. Let's illustrate these concepts with an example: Keisha is a highly intelligent, and well-educated woman with ADHD. She realized might have ADHD long before she received a formal diagnosis. It was only due to her fierce determination that she completed her advanced education. Due to her high degree of competence, she accurately and thoroughly researched the topic extensively on the Internet. Ordinarily self-education is very helpful. However, instead of being a positive coping pattern, Keisha's unique skill set turned it into a negative coping pattern that needed to be modified. She became so knowledgeable and opinionated about what was learned from her own research that wheneh for assessment and treatment, she rejected their information if it didn't match up with what she had read on the Internet. This often left Keisha feeling that no doctor was skillful enough to work with her.
Fortunately, Keisha learned to modify her approach. She developed a more positive technique. Rather than using her Internet research for self-diagnosis, she instead used what she learned on the Internet to provide her doctor an accurate and complete list of concerning symptoms. She also learned to be more open to input because that is what she hired these professionals to do; i.e., provide her with the benefit of their knowledge and experience.
While Keisha was successful in modifying her approach, these entrenched types of negative coping patterns can be extremely difficult to change. Unlike children, adults have had many years to practice these patterns. Adults with ADHD have also had years to develop additional problems such as depression, or anxiety. Adults with ADHD usually benefit from an examination of behavioral coping tendencies. This will help to determine which behaviors are effective coping skills, and which could be modified and improved.
For ADHD adults, psychotherapeutic skills are taught and practiced using different techniques. Some examples are:
- Coaching
- Social Skills training
- Psychoeducation
- Cognitive-behavioral therapy
These techniques are often overlapping and may be used at different points in time throughout an individual's life.
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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- Why do I See Words and Numbers in my Mind...
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- Bipolar Teen Son, ........
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- If There's Nothing New, There's Nothing Good.
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- Depression in College Seniors
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- 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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- Driven to Distraction
- Facts About ADHD Children
- Healing ADD
- Helping Hyperactive Kids
- I Am Not Joey Pigza
- Joey Pigza Loses Control
- 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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