The Efficacy of Cognitive Behavioral Therapy for Adults With ADHD: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Abstract

Objective: To systematically review published RCTs of cognitive behavioural therapy (CBT) for adult ADHD and establish the effectiveness of CBT reducing ADHD symptoms.

ADHD in Germany: Trends in Diagnosis and Pharmacotherapy

“…Adult ADHD should be treated if the impairment is moderate to severe (severe psychosocial impairment is present in approximately 30% of affected individuals [12]) (18), using both pharmacotherapy and behavioral therapy. Moderate to large effect sizes (0.6 to 4.3) are reported for stimulant pharmacotherapy, while data on the efficacy of psychotherapeutic interventions is divergent (19,20). Treatment response (at least 30% reduction in symptoms) is approximately 60% if medication is administered according to guidelines (21,22).…”

ADHS im Erwachsenenalter – Diagnostik und Therapie

“…Die kognitive Verhaltenstherapie, die die Therapie dysfunktionaler Kognitionen zur Behandlung der ADHS im Erwachsenenalter betont, wurde bislang am häufigsten in Studien untersucht -mit Wirksamkeitsnachweisen sowohl im Einzel-als auch im Gruppensetting [27]. Sie wird aktuell als der effektivste psychotherapeutische Ansatz zur Reduktion der ADHS-Symptomatik sowie zur Symptomenlinderung von komorbiden Störungen (z.…”

Attention‐Deficit Hyperactivity Disorder: Clinical Considerations for Women

“…CBT has been shown to be superior over wait list controls and active controls (alternative treatment to CBT) in reducing ADHD symptoms immediately post treatment. 33 Coaching ADHD coaches specialize in working with individuals with deficits in executive functioning and organization skills. 35 ADHD coaching has become increasingly popular in recent years, particularly as a treatment option for college students.…”

“…One of the most widely recommended psychosocial treatments for ADHD is cognitive-behavior therapy (CBT), a goaloriented form of psychotherapy that generally aims to replace maladaptive patterns of thoughts and behaviors with more adaptive thoughts and behaviors. 33 Several studies have shown CBT to be effective at reducing the severity and frequency of adverse symptoms of ADHD as a primary treatment and/or in combination with psychopharmacology. 34 In addition to CBT, individual counseling, group treatment, vocational counseling, coaching, the use of assistive technology, stress reduction strategies, anger management, and promotion of self-care may also help individuals to reduce or manage their ADHD symptoms.…”

“…CBTCBT is a goal-oriented psychotherapy that aims to change patterns of thinking underlying problem behaviors. CBT aims to develop metacognitive skills, including executive self-management, in individuals with ADHD 33. …”