The goal of metacognitive therapy in ADHD is to improve organization skills, planning, time management, and resolve thinking distortions that lead to negative moods and the perception of limited options. In people with attention deficit hyperactivity disorder (ADHD), problems with metacognition more often encompass difficulty in planning or executing tasks. In this way, metacognitive therapy is distinct from cognitive behavioral therapy, which focuses more on the content of people's thoughts. Changing one’s own patterns or style of thinking could have a broad impact on how one manages their life. Metacognitive therapy suggests stepping back from specific thoughts and instead understand one’s own thinking style. Metacognitive therapy is as a type of therapy that involves changing how people think rather than what they are thinking about. It also includes behavioral rehearsal, behavioral practice, and role-playing. It includes training in skills to promote relaxation and quiet the mind communication skills training and exposure therapy, which helps a patient, overcome certain fears and avoidance. Treatment response monitoring Vigilance for any patterns of medication misuse as a necessary part of stimulant prescribingĮvidence-Based Non-Pharmacological Treatments Cognitive Behavioral Therapy (CBT)Ĭognitive Component: Focused on identifying and modifying “thinking errors” or “thought distortions” so that the patient’s thoughts are more aligned with success and confidence.īehavioral Component: Involves engineering the environment to be more conducive to concentration and focus, and learning what reinforces and maintains problem behaviors, and constructive behaviors so that constructive changes can be implemented that support the patient’s ability to function well.Drug contracts for patients at high risk of substance abuse.Family therapy for adults with ADHD who are parents or have difficulties in relationships.Vocational and/or educational accommodations.Psychoeducation and effective coping strategies for the patient and family.

Stratification by ADHD with and without co-existing mental health conditions.

Briefly, treatment of ADHD in adults includes: Overview of Treatment Recommendations for Adults ADHD outlines a general approach to treating ADHD in adults. Not all symptoms can be resolved with treatment it is important to manage expectations of treatment and to promote a sense of responsibility and personal agency in patients. The primary goal of treatment is to minimize the impact of ADHD symptoms on patient function while maximizing the patient’s ability to compensate or cope with any remaining difficulties. Management Approach and Treatment Options

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