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CBT adjusted to ADHD

Do you find it difficult to sit still for longer periods, focus during lengthy lectures, or get started on tasks?

ADHD reflects a variation in how the brain and nervous system function.

 

The feeling of not quite being able to perform or function like others, along with difficulties in school, work, or relationships due to a lack of proper adjustments, can lead to negative thoughts and a lacking self esteem. When individuals are met with misunderstanding or lack of accommodations, the risk of developing mental health issues and anxiety disorders increases. It's common for individuals with ADHD to develop compulsive thoughts and behaviors as a coping strategy, that may sometimes be misdiagnosed as OCD. There is also an increased risk for developing addictions or dependencies, such as alcohol, drugs, gambling, or food. Through Cognitive Behavioral Therapy (CBT), both mental health challenges and anxiety-related issues can be effectively treated.

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ADHD, Attention Deficit Hyperactivity Disorder

Individer med ADHD kan vara mycket observanta i vissa situationer, särskilt när det gäller mönster, sociala signaler eller subtila förändringar i omgivningen. Förmågan till hyperfokus kan förbättra uppmärksamheten på detaljer. Ett fokus som ofta är selektivt med djupt engagemang vid intresse, men lätt distraherad vid mindre stimulerande uppgifter och i miljöer med många distraktioner. ​

Inattention (previously ADD)

People with this type of ADHD often struggle to maintain focus and attention for extended periods. They are easily distracted by their surroundings and may have difficulty organizing their daily lives, leading to forgetfulness and missed tasks. Others may perceive them as daydreamy and introverted, as they sometimes appear lost in their own thoughts. Unlike other forms of ADHD, impulsivity and hyperactivity are less pronounced, but the cognitive challenges can still impact studies, work, and social relationships.

Hyperactivity-Impulsivity

People with this form of ADHD often experience constant restlessness and struggle to sit still for extended periods. They tend to talk a lot, interrupt others in conversations, and have difficulty waiting their turn in various situations. Impulsivity can lead them to act without thinking, resulting in quick decisions or thoughtless actions. Additionally, there is a strong motor activity, both internal and external, which can manifest in behaviors such as tapping fingers or a persistent inner sense of restlessness.​

A Combined Type

The most common form of ADHD is a combination of both inattention and hyperactivity/impulsivity. This can impact several areas of life, such as school, work, and social relationships.​ People with ADHD can be highly observant in certain situations, especially when it comes to patterns, social cues, or subtle changes in their environment. The ability to hyperfocus can enhance attention to detail. This focus is often selective marked by deep engagement when something is of interest, but easily distracted during less stimulating tasks or in environments with many distractions.

Autism spectrum disorder

​ADHD can resemble Autism. Autism Spectrum Disorder is characterized by limited, repetitive patterns of behavior, interests, or language. and impaired social communication, both verbal and non-verbal communication. for example, difficulties in maintaining eye contact, interpreting facial expressions, and developing social relationships.

Cognitive behavioral therapy

Cognitive Behavioral Therapy (CBT) is an effective treatment for individuals with ADHD. It should be structured, concrete, flexible, and tailored to the individual's needs, focusing on impulse control, organization, and time management. Here’s how CBT can be adapted for ADHD:

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1. Structure & Clarity

People with ADHD often struggle with organization and following complex instructions. Therapy should be clear and structured, with concrete goals and step-by-step guidance. Tools like visual aids, lists, and reminders can help make the process easier to follow.

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2. Shorter Sessions & Frequent Follow-Ups

Since maintaining focus can be challenging, shorter therapy sessions with more frequent check-ins can improve engagement and effectiveness.

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3. Practical Strategies & Tools

Techniques such as time management, reminders, and visual aids can help manage daily tasks. Psychoeducation: learning about ADHD and cognitive functioning—also plays a key role in developing self-awareness and coping skills.

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4. Impulse Control Support

CBT can help individuals identify and manage impulsive thoughts and behaviors, improving self-regulation in everyday situations.

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5. Rewards & Positive Reinforcement

A reward system can be highly effective in encouraging positive behaviors and reinforcing progress.

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6. Building Self-Esteem & Acceptance

Many with ADHD struggle with feelings of failure or inadequacy. CBT can help shift the focus to strengths and positive traits, promoting self-acceptance instead of shame.

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7. Individualized Treatment

Every person is unique, with their own challenges and strengths. Personalized support is key to success, ensuring that therapy is tailored to each individual's specific needs.

The question of diagnosis

Ung man i terapi

An important question to evaluate, is the question about a diagnosis: Is it necessary? A diagnosis can increase self-awareness and lead to appropriate actions being taken in school. However, a growing trend among individuals with ADHD is the desire to have their diagnosis re-evaluated or removed. This is often due to a changed self-image or the experience that the diagnosis presents an obstacle in work, education, and personal life. Some ADHD diagnoses are made too quickly or without sufficient foundation, which can lead to misdiagnosis or misunderstandings regarding behaviors. Many similar issues can result in similar symptoms. Unfortunately, society's lack of knowledge leads to certain negative perceptions and limitations for people with ADHD, which can result in stigmatization, social exclusion, and discrimination, for example, in certain application processes. I identify the challenges you face and your cognitive profile, and offer individually tailored support and guidance, without the diagnosis.

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