By Mary V. Solanto PhD
The therapy application offered during this e-book acquired the leading edge application of the 12 months Award from CHADD (Children and Adults with ADHD).
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Additional resources for Cognitive-Behavioral Therapy for Adult ADHD: Targeting Executive Dysfunction
The clinician should be alert for the timing and sequence of onset of symptoms. When depression, for example, precedes or coincides with the onset of disorganization, shortened attention span, and reduced effort at work, these cognitive and behavioral symptoms may more likely constitute manifestations of the depression, rather than symptoms of ADHD. Yet, it is not uncommon for adults with ADHD to develop depression as a consequence of repeated failure experiences in the academic or occupational spheres due to ADHDrelated difficulties.
In some cases, additional suggestions are provided that may not have been covered in the sessions. The Take-Home Notes are intended to compensate for possible lapses of attention in the session and also to set the stage for the Take-Home Exercise. They provide a valuable tool for future reference and review and should be sent out to individuals who miss the session. An optional, but helpful, tactic is to send out an e-mail to all members midway between sessions to bolster motivation and encourage completion of the Take-Home Exercises.
Indeed a study showed that patients experiencing anxiety and depression, but for whom ADHD had been ruled out, received scores in the inattentive domain on the CAARS that were as high or higher than those of patients diagnosed with ADHD (Solanto, Etefia, & Marks, 2004). This finding indicates that internalizing disorders may be associated with a degree of inattention, disorganization, and poor time management that is equivalent to that experienced by adults with ADHD. Thus, it is incumbent upon clinicians to determine the onset and chronology of these symptoms and, particularly, their relation to internalizing symptoms in order to determine whether they indicate the presence of ADHD or another disorder.