ADHD is a biologically based condition characterized by behavioral and cognitive symptoms such as inattention, hyperactivity, impulsivity, and disorganization. Approximately 11% of children and 5% of adults are diagnosed with this complex condition. Although it is often diagnosed in childhood, for many individuals, symptoms continue into adulthood. About 60% of adults report experiencing some persistent symptoms and interference in daily life. Although a childhood diagnosis of ADHD is likely, some individuals who are very bright and present primarily with symptoms of inattention, may not recognize their difficulties until adulthood. In childhood, inattention, hyperactivity, and impulsivity may be most prevalent, disrupting and interfering in academic and social settings. In adulthood, hyperactivity may diminish but inattention, impulsivity, difficulty initiating tasks, disorganization, inability to control anger/frustration, and limited executive functioning skills can persist. This can result in diminished academic achievement, underperforming at work, low self-esteem, mood instability, and interpersonal difficulties.
There are three main types of ADD/ADHD:
Treatment of ADHD is typically multimodal and involves several complementary approaches. This can include medication, family/parent training, individual therapy, social skills development, and school consultation. A variety of behavioral and cognitive strategies and skill-building goals can be incorporated to address the core psychological symptoms. Dr. Breytman offers highly specialized treatment that addresses the specific difficulties that each client experiences. Because 75% of adults diagnosed with ADHD, also have a comorbid condition, such as depression or anxiety, it is important to provide intervention for both in order to be most effective and comprehensive.
Treatment goals often focus on developing organizational and time management skills, prioritizing and initiating tasks, and developing problem-solving and emotion regulation strategies. Given its highly structured and collaborative approach, CBT is a well-suited treatment strategy for ADHD. Children and adults respond well to this format and see concrete and lasting results.
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