Attention deficit hyperactivity disorder is a psychiatric disorder of the neurodevelopmental type in which there are significant attentional and impulse control problems. Many persons with ADHD have impairment in the cognitive skills known as executive functions, which is an umbrella term for the regulation of the cognitive processes including working memory, reasoning, mental flexibility, planning, execution, and problem solving.
The Lieber Clinic offers an array of services for adults with ADHD/Executive Dysfunction which include:
- Expert Evaluation
- Neuropsychological Assessment
- Cognitive Training
- Cognitive Behavioral Group Therapy
- Recovery Coaching
Common problems associated with ADHD/Executive Dysfunction:
- Poor self-management with regards to time, planning and goals
- Poor organization, problem solving, working memory
- Impaired discipline and impulsiveness
- Impaired motivation
- Low Activation, concentration, and alertness
- Poor self-efficacy, poor self-esteem
Cognitive Behavioral Therapy (CBT) for ADHD/Executive Functioning: Executive functioning groups serve both people with an ADHD diagnosis as well as individuals who have executive functioning problems secondary to other psychiatric problems. The group includes psycho-education about executive functioning problems, practical skills training, motivational enhancement skills & CBT to improve resiliency. Individuals identify goals which they would like to pursue during the course of the group and chart their progress while learning what skills help them build independence, self-reliance and confidence.
Most participants attend this group once a week for 16-20 weeks. There is a fast track group which meets twice weekly, there participants complete the curriculum in 8 weeks. The accelerated track is ideal for participants with limited time in the program.
Cognitive Training for ADHD: This is a group-based treatment which uses specially-designed computer exercises to improve the cognitive deficits assicated with ADHD. Participants in this manualized treatment should expect to attend a two-hour session twice a week for a minimum of 13 weeks. A brief neuropsychological assessment is typically done before and at the end of treatment for treatment planning and to track improvements.
Recovery Coaching for ADHD: This approach is typically an adjunctive treatment to one of the group-based treatments, and is used to help in the generalization of skills learned in cognitive remediation and CBT groups to everyday situations . Working one-on-one with a recovery coach in the community can also provide additional structure and support through goal attainment and maintenance.