Could it be Adult ADHD?

2017 ◽  
Author(s):  
Jan Willer
Keyword(s):  
Mental Health ◽  
Behavioral Treatment ◽  
Adult Adhd ◽  
Adaptive Functioning ◽  
Mental Health Problems ◽  
Emotional Dysregulation ◽  
Full Description ◽  
Health Practitioner ◽  
Cognitive Behavioral Treatment ◽  
Adhd Treatment

One out of every 10 adult psychotherapy clients—or more—probably has attention deficit/hyperactivity disorder (ADHD). When psychotherapists miss the ADHD, treatment is frustrating and less effective. This book is for the general mental health professional who wishes to learn how to recognize, assess, and treat adult ADHD. Adults with ADHD are very different, developmentally and symptomatically, from children. ADHD affects adults of all races, gender identities, and backgrounds, and obvious hyperactivity is rarely part of the adult clinical picture. This book provides a full description of adult ADHD symptoms, based on the most current research, including executive functioning problems, emotional dysregulation, atypical reward sensitivity, and problems with time perception. Complete guidance to recognizing adult ADHD is provided, including behavior displayed during psychotherapy, developmental issues, educational challenges, and adaptive functioning problems. Depression, anxiety, self-image issues, and substance abuse are addressed, since these mental health problems are commonly associated with adult ADHD. Guidance is provided to help the mental health practitioner provide psychoeducation about cognitive differences in ADHD, which is essential for client self-acceptance and adaptive functioning. Common psychotherapy problems with ADHD clients are addressed, including chronic lateness to sessions, missed appointments, motivation problems, difficulties with homework, and tangentiality. The principles of cognitive-behavioral treatment of ADHD are provided, along with case examples to illustrate the implementation of these techniques. An overview of medications for ADHD is provided, including their benefits, contraindications, and side effects. Nontraditional treatments are reviewed for their effectiveness.

Dialectical Behavior Therapy

2017 ◽  
Author(s):  
Shireen L. Rizvi ◽  
Kristen M. Roman
Keyword(s):  
Behavior Therapy ◽  
Dialectical Behavior Therapy ◽  
Behavioral Treatment ◽  
Randomized Clinical Trials ◽  
Research Literature ◽  
Emotional Dysregulation ◽  
Psychosocial Treatment ◽  
Worth Living ◽  
Cognitive Behavioral Treatment ◽  
Life Worth Living

Dialectical behavior therapy (DBT) is an evidence-based, psychosocial treatment originally developed for suicidal individuals with borderline personality disorder (BPD). It is now broadly seen as the treatment of choice for individuals with BPD. DBT is a comprehensive, cognitive-behavioral treatment designed to help a client achieve a “life worth living.” Research on DBT’s effectiveness is compelling and was the first to empirically demonstrate that individuals with BPD and severe emotional dysregulation and/or suicidal behavior could be effectively treated with a psychosocial therapy. As the research literature on DBT continues to grow, it will be important to move beyond randomized clinical trials comparing DBT to control treatments and instead focus on identifying important predictors and mediators of change. This chapter describes the foundation and theoretical underpinnings of DBT, provides details about the structure of DBT in all its components, and summarizes some existing research. A detailed case example is provided.

scholarly journals Bridging the service divide

2004 ◽  
Vol 10 (4) ◽  
pp. 257-259 ◽  
Author(s):  
Philip P. Asherson
Keyword(s):  
Mental Health ◽  
Adult Adhd ◽  
Mental Health Problems ◽  
Stimulant Medication ◽  
Adult Life ◽  
Specific Treatment ◽  
Good Deal ◽  
Clinical Activity ◽  
Need For Treatment ◽  
Adult Psychiatry

Most child and adolescent mental health services recognise the existence of, and need for treatment in, attention-deficit hyperactivity disorder (ADHD). Many specialist multidisciplinary ADHD clinics have been developed in recent years, and many paediatricians have included the treatment of ADHD as an important part of their clinical activity. A good deal of the justification for this increase in therapeutic activity has been the demonstration that ADHD is indeed a predictor of adult mental health problems. General adult psychiatry, however, has not followed suit in identifying and treating substantial numbers of affected people. It is likely none the less that an increasing load in adult psychiatry will develop. A rising number of young people will enter adult life still receiving stimulant medication or other treatment for ADHD, and adult psychiatrists are likely to be consulted. Furthermore, an increasing number of adults are likely to recognise themselves as having been disabled by ADHD and therefore to seek assistance. In many cases, individuals with adult ADHD who require specific treatment for the condition will have been treated unsuccessfully for disorders with overlapping symptom profiles such as anxiety, depression, bipolar disorder and antisocial personality disorder.

Development of a Cognitive-Behavioral Treatment for Adult ADHD

2011 ◽  
Vol 19 (1) ◽  
pp. 7,13-16 ◽  
Author(s):  
Mary V. Solanto ◽  
David J. Marks ◽  
Jeanette Wasserstein
Keyword(s):  
Behavioral Treatment ◽  
Adult Adhd ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment

Training, Treatment Access, and Research on Trauma Intervention in the Armed Services

2009 ◽  
Vol 3 (1) ◽  
pp. 24-31 ◽  
Author(s):  
Mark C. Russell ◽  
Fred Friedberg
Keyword(s):  
Mental Health ◽  
Clinical Training ◽  
Behavioral Treatment ◽  
Military Medicine ◽  
Cognitive Behavioral Treatment ◽  
Treatment Access ◽  
Mental Health Interventions ◽  
Behavioral Treatments ◽  
Health Demand ◽  
Armed Services

Since 2001, the wars in Iraq and Afghanistan have caused considerable strain on military medicine to effectively manage the growing mental health demand from deployed personnel. This article examines the ability of the U.S. Department of Defense to provide quality mental health services based on the availability of (a) clinical training, (b) mental health interventions, and (c) funded research of treatments for posttraumatic stress disorder. While notable progress has been made in cognitive-behavioral treatment access and research, eye movement desensitization and reprocessing is far less available—perhaps attributable to ongoing controversy over the technique. We suggest that underserved veterans would benefit from increased availability of evidence-based behavioral treatments, perhaps through continuation of a recent regional training program.

scholarly journals Brief behavioral treatment for insomnia improves psychosocial functioning in veterans: results from a randomized controlled trial

SLEEP ◽  
2020 ◽  
Author(s):  
Shira Maguen ◽  
Rebecca Gloria ◽  
Joy Huggins ◽  
Lizabeth A Goldstein ◽  
Jennifer C Kanady ◽  
...  
Keyword(s):  
Mental Health ◽  
Psychosocial Functioning ◽  
Behavioral Treatment ◽  
Relaxation Training ◽  
Mental Health Problems ◽  
Controlled Trial ◽  
Symptom Relief ◽  
Self Report ◽  
Sleep Diary ◽  
Clinical Trial Registration

Abstract Study Objectives Our goal was to compare brief behavioral treatment for insomnia (BBTI) to a progressive muscle relaxation training (PMRT) control condition among veterans with insomnia, examining psychosocial functioning as a primary outcome and sleep-related outcomes, mood, cognition, and pain as secondary outcomes. Methods Veterans were randomly assigned to either BBTI or PMRT (N = 91; 24–74 years; M = 49 years). BBTI consisted of two in-person (60-min and 30-min sessions) and two telephone sessions (20-min each), and the PMRT control condition was matched to BBTI for session duration and type. Veterans were assessed through clinical interview at baseline and self-report measures at pre-, mid-, and posttreatment, as well as 6-month follow-up for the BBTI condition to assess sustained response. Measures also included continuous sleep monitoring with sleep diary. Results Intent-to-treat analyses demonstrated that individuals who completed BBTI versus PMRT reported greater improvements in work, home, social and cognitive functioning, insomnia symptom severity, mood, and energy. Improvements in psychosocial functioning, insomnia symptoms, and mood were maintained 6-months following BBTI treatment completion. Conclusions Veterans who received BBTI improved and maintained gains in psychosocial functioning, insomnia, and mood. BBTI is a treatment that can be implemented in primary care, mental health, or integrated care settings and provide symptom relief and improved functioning among those with insomnia, one of the most commonly reported mental health problems among veterans. Clinical trial registration NCT02571452.

The Seven Challenges® Comprehensive Counseling Program: Effectiveness for Adults with Substance Use Problems

2018 ◽  
Vol 48 (4) ◽  
pp. 590-607 ◽  
Author(s):  
Josephine D. Korchmaros
Keyword(s):  
Substance Use ◽  
Behavioral Treatment ◽  
Drug Court ◽  
Program Effectiveness ◽  
Mental Health Problems ◽  
Criminal Activity ◽  
Evidence Base ◽  
Cognitive Behavioral ◽  
Cognitive Behavioral Treatment ◽  
Counseling Program

This study examined the acceptability and effectiveness of The Seven Challenges®, a comprehensive substance use counseling program focused on decision making, compared with commonly provided, or “standard,” cognitive-behavioral substance use treatment implemented with a focus on abstinence. Results, based on data from 71 adult drug court clients, indicated higher acceptability of The Seven Challenges than standard cognitive-behavioral treatment as reflected in treatment satisfaction, honesty, and disclosure, as well as perceived impact of treatment. Results also showed that The Seven Challenges was as effective as standard cognitive-behavioral treatment at improving vocational engagement and was more effective at reducing substance use, related problems, and internal mental distress. The Seven Challenges was also effective at reducing criminal activity, whereas clients of the standard cognitive-behavioral treatment appeared to increase criminal activity. These findings strengthen the existing evidence base of The Seven Challenges as a comprehensive counseling program addressing substance use, mental health problems, and criminality.

scholarly journals Prevalence of criminal convictions in Norwegian adult ADHD outpatients and associations with ADHD symptom severity and emotional dysregulation

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Espen Anker ◽  
Ylva Ginsberg ◽  
Trond Heir
Keyword(s):  
Symptom Severity ◽  
Adult Adhd ◽  
Clinical Sample ◽  
Criminal Activity ◽  
Antisocial Behaviour ◽  
Emotional Dysregulation ◽  
Self Report ◽  
Criminal Conviction ◽  
Criminal Convictions ◽  
Adhd Treatment

Abstract Objectives Attention deficit hyperactivity disorder (ADHD) often co-occurs with antisocial behaviour. Several studies have shown high rates of ADHD among prisoners. However, the prevalence of crime among individuals with ADHD is less known. The aim of the present study was to estimate the prevalence of lifetime criminal conviction (CC) in a clinical sample of adults with ADHD, and the associations with the severity of ADHD and emotional dysregulation (ED). Methods Patients were admitted to a private psychiatric outpatient clinic in Oslo between 2014 and 2018. Of the 656 patients diagnosed with ADHD, 629 (95.9%) agreed to participate in the study. CC was determined based on self-reporting of the lifetime history of criminal behaviour. ADHD was diagnosed according to the DSM-5 criteria, and ADHD severity was measured using the Adult ADHD Self-Report Scale (ASRS). ED was assessed by the eight-item version of Barkley’s Current Behaviour Scale - Self-Report (CBS-SR). Results The prevalence of self-reported CC in this clinical sample was 11.7% among women and 24.5% among men. CC was associated with hyperactive-impulsive severity (p < 0.001) and ED (p = 0.006). Conclusions The prevalence of self-reported lifetime criminal conviction was high for both genders. CC was associated with symptom severity of hyperactivity-impulsivity and emotional dysregulation. The findings suggest the need for greater research efforts on the avoidance of criminal activity in people with ADHD and targeted intervention for ADHD treatment and CC prevention.

Predictors of Types of Help Provided to People Using Services for Mental Health Problems: An Analysis of the Australian National Survey of Mental Health and Wellbeing

2001 ◽  
Vol 35 (2) ◽  
pp. 183-189 ◽  
Author(s):  
Ruth A. Parslow ◽  
Ruth A. Parslow ◽  
Anthony F. Jorm
Keyword(s):  
Mental Health ◽  
Substance Abuse ◽  
National Survey ◽  
Mental Health Problems ◽  
Labour Force ◽  
Psychiatric Morbidity ◽  
Sociodemographic Factors ◽  
Predictor Variables ◽  
Health Practitioner ◽  
Health And Wellbeing

Objective: Using the 1997 National Survey of Mental Health and Wellbeing, this study examined the types of mental health help provided to those Australians who use mental health services. We also sought to identify the extent to which sociodemographic factors, patterns of psychiatric morbidity and type of health practitioner seen were associated with receiving different types of mental health help. Method: Multiple logistic regressions were undertaken to identify predictor variables associated with receiving information, medication, psychological therapy, practical help and help looking after oneself or one's home. A total of 25 predictor variables provided in the National Survey were considered including age, sex, marital status, labour force status, geographical location, education, psychological symptoms, neuroticism, diagnoses of affective, anxiety and substance-abuse disorders and self-identified depression, anxiety and substance abuse. The type of practitioner seen for mental health reasons was also considered. Results: Of the sociodemographic factors, age was the most consistently associated with receiving particular types of help. Younger respondents were more likely to have received information whereas older patients reported receiving more medication. As might be expected, the type and severity of psychiatric morbidity and the category of health professional seen were also associated with receiving particular types of mental health help. Conclusions: There are relatively few predictor variables that suggest possible bias in the types of help provided. Age group of recipient is an important exception. Our findings suggest that older recipients of mental health care are not provided the range of mental health treatments offered younger people who present with similar problems.

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