Cognitive-behavioral therapy for adult ADHD : an integrative psychosocial and medical approach / J. Russell Ramsay and Anthony L. Rostain.

Format:

Book

Author/Creator:

Ramsay, J. Russell, author.

Rostain, Anthony L., author.

Language:

English

Subjects (All):

Attention-deficit hyperactivity disorder in adults--Treatment.

Attention-deficit hyperactivity disorder in adults.

Cognitive therapy.

Attention Deficit Disorder with Hyperactivity--therapy.

Cognitive Behavioral Therapy--methods.

Medical Subjects:

Attention Deficit Disorder with Hyperactivity--therapy.

Cognitive Behavioral Therapy--methods.

Physical Description:

xviii, 234 pages ; 23 cm

Edition:

Second edition.

Place of Publication:

New York : Routledge, 2015.

Summary:

"In this second edition, the authors expand on their examination of the uses of CBT in treating adult ADHD, providing more analysis of extant research and case studies, supplemented with the clinical anecdotes that made the first edition so accessible and reader-friendly"--Provided by publisher.

Contents:

1 Adult ADHD: Diagnosis, Symptoms, Etiology, and Assessment 1

Introduction 2

Diagnostic Criteria and Symptoms Across the Lifespan 5

ADHD, Predominantly Hyperactive/Impulsive Presentation 7

ADHD, Predominantly Inattentive Presentation 8

ADHD, Combined Presentation 10

Other Specified ADHD and Unspecified ADHD 11

Sluggish Cognitive Tempo/Concentration Deficit Disorder 11

Persistence and Prevalence of Adult ADHD 12

Psychiatric Comorbidity and Adult ADHD 15

Life Outcomes of Adults With ADHD 16

Etiologic Models for ADHD 18

Executive Dysfunction Model of ADHD 19

Genetics 21

Neurobiology 22

Default Mode Network 24

Dopamine Model of Motivation 25

Assessment of Adult ADHD 26

Phone Screen/Home Packet/Clinical and Background Questionnaires 26

Review and History of Presenting Problems 27

Developmental History 27

Family History/Preschool Functioning 27

Academic History 28

Vocational History 29

Medical and Psychiatric History 29

Structured Diagnostic Interview 30

Assessing Symptoms of ADHD and Related Features 31

Inquiring About ADHD Symptoms 31

Standardized ADHD Symptom Checklists 32

Standardized Adult ADHD Symptom Rating Scales 33

Standardized Ratings of Executive Functioning 34

Ratings of Functional Impairments 35

Mood and Anxiety Ratings 36

Neuropsychological Screening 36

Adult ADHD and Comorbidity 38

Depression 39

Anxiety 39

Bipolar Disorder 40

Substance Abuse 41

Oppositional Defiant Presentations in Adults With ADHD 42

Developmental-Social Learning Disorders 43

Chapter Summary 44

2 Models of Treatment: Cognitive Behavioral Therapy and Pharmacotherapy for Adult ADHD 46

Cognitive Behavioral Therapy for Adult ADHD 46

Case Conceptualization 48

Neurobiology and Environment Interaction 50

Developmental Experiences 52

Schema and Core Beliefs 53

Compensatory Strategies 54

Automatic Thoughts, Emotions, and Behaviors 57

CBT for Adult ADHD in Clinical Practice 59

Development of the PENN CBT for Adult ADHD Model 59

Reactions to the Diagnosis of ADHD 60

Motivation and Readiness for Change 62

Psycho-education 53

Defining Treatment Goals 53

Therapeutic Alliance 65

Session Structure 67

"Starting Small" 68

Categories of Interventions 70

Cognitive Interventions 70

Changing Automatic Thoughts 70

Changing Core Beliefs and Schemas 75

Behavioral Interventions 78

Implementation Strategies 82

Acceptance-Mindfulness Interventions 84

Specific Interventions for Managing Adult ADHD 86

To-Do List 86

Daily Planner 89

Time and Task Management 90

Getting Started 93

Keeping the Plan Going (Part 1): Motivation, Emotions, and Energy 96

Keeping the Plan Going (Part 2): Attitudes, Beliefs, and Self-Esteem 99

Outsourcing Coping Skills 102

Data Management 103

Materials Management 105

Environmental Engineering 106

Problem Management/Decision Making 107

CBT Summary 110

Pharmacotherapy for Adult ADHD 111

Pharmacotherapy Summary 115

Chapter Summary 115

3 Research Evidence for CBT and Medications for Adult ADHD 116

Review of Research Evidence for Psychosocial Treatments for Adult ADHD 118

Individual CBT Approaches 119

Open and Nonrandomized Studies of Individual CBT 119

Randomized Control Studies of Individual CBT 121

Group CBT Approaches 123

Open and Nonrandomized Studies of Croup CBT 123

Randomized Control Studies of Group CBT 126

Miscellaneous Psychosocial Treatments 129

Psychosocial Treatment Summary 131

Review of Research Evidence for Pharmacotherapy for Adult ADHD 131

Stimulant Medications 132

Nonstimulant Medications 132

Pharmacotherapy Summary 134

Chapter Summary 135

4 Clinical Case Examples 136

Case Example 1 Linda 136

Assessment 137

Course of Treatment 139

CBT 139

Pharmacotherapy 143

Case Example 2 Ian 144

Assessment 144

Course of Treatment 147

Pharmacotherapy 147

CBT 147

Case Example 3 Jason 152

Assessment 153

Course of Treatment 155

Pharmacotherapy 155

CBT 156

Case Example 4 Harold 159

Assessment 159

Course of Treatment 163

Pharmacotherapy 163

CBT 164

5 Complicating Factors 169

Readiness for Change and Motivational Enhancement in CBT 169

Treatment Complicating Behaviors 171

Lying 172

Adult Oppositional Behavior 175

Physical and Medical Well-Being 177

Exercise 179

Sleep 179

Dealing With Technology 180

Professionals' Reactions to ADHD Patients 182

Significant Impairment 185

Medication-Related Complications 187

Chapter Summary 189

6 Maintenance and Follow-Up 190

Maintenance and Follow-Up: CBT 191

Winding Down in CBT 193

Wrapping Up and Booster Sessions 194

Reengagement in CBT 195

Important Coping Strategies and Resources to Use After the End of CBT 196

Self-Advocacy, Assertiveness, and Asking for Help 196

Community Support/Psycho-education 197

Commitment to the Long-Term Management of ADHD 198

Maintenance and Follow-Up: Pharmacotherapy 199

Chapter Summary 200.

Notes:

Includes bibliographical references and index.

ISBN:

9780415815901

0415815908

9780415815918

0415815916

OCLC:

876336915