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Journal of Attention Disorders, Vol. 11, No. 6, 642-651 (2008)
DOI: 10.1177/1087054708315063
© 2008 SAGE Publications

Research Forum on Psychological Treatment of Adults With ADHD

Margaret Weiss

University of British Columbia and Children's and Women's Health Centre, Vancouver, mweiss{at}cw.bc.ca

Steven A. Safren

Massachusetts General Hospital and Harvard Medical School

Mary V. Solanto

The Mount Sinai School of Medicine

Lily Hechtman

McGill University

Anthony L. Rostain

University of Pennsylvania

J. Russell Ramsay

University of Pennsylvania

Candice Murray

Children's and Women's Health Centre, Vancouver

Background: A literature search found five empirical studies of psychological treatment for adults with ADHD, out of 1,419 articles on ADHD in adults. Practice guidelines to date all recommend multimodal intervention, given that a significant number of patients cannot tolerate, do not respond to, or fail to reach optimal outcomes with medication alone. Method: This article provides a literature review and the recommendations of a forum of experts in the psychological treatment of adults with ADHD. Results: Empirical studies of brief, structured, and short-term psychological interventions for adults with ADHD to date demonstrate moderate to large effect sizes. Methodological challenges include selection of control groups, broad-based measures of outcome, and the need for larger samples. Conclusion: Psychological treatment may play a critical role in the management of adults with ADHD who are motivated and developmentally ready to acquire new skills as symptoms remit. (J. of Att. Dis. 2008; 11(6) 642-651)

Key Words: ADHD • adult • psychosocial treatment • psychotherapy • cognitive behavioral therapy • dialectic behavioral therapy


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