8/08/2012

Cognitive-Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach (Practical Clinical Guidebooks) Review

Cognitive-Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach (Practical Clinical Guidebooks)
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Psychologist Russell Ramsay and psychiatrist Anthony Rostain have written a remarkably helpful book. I recommended it highly for any professional treating ADHD and any mental healthcare consumer who wants to know what constitutes effective therapy for ADHD. Moreover, it's well-written and highly practical.
As a support-group leader for adults with ADHD, parents of children with ADHD, and the partners of adults with ADHD, I've seen how many people go astray when trying to find therapy for Adult ADHD. They often assume that therapy is therapy, and it doesn't matter if the clinician doesn't understand ADHD. But it does matter. It matters a lot. That's why I am so grateful to skilled clinicians like the University of Pennsylvania's Ramsay and Rostain for sharing their model.
Unless a therapist understands the unique nature of ADHD and has solid skills in helping the person understand their own neurobiology and develop effective strategies, therapy can go nowhere fast. It can even make things worse. ADHD symptoms might be misattributed to many other factors, such as a dysfunctional childhood, for example. In such cases, the person ends up spending months (years?) talking about their dysfunctional childhood--all the while feeling even less empowered and more hopeless.
This book helps to empower clinician and patient alike, and it also helps the clinician to know where medication ends and therapy begins for ADHD.
Finally, it's extremely important to know that CBT requires a special focus when applied to ADHD, as described by the authors. Traditional CBT alone is not enough and can sometimes do more harm than good.
Gina Pera

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Attention Deficit/Hyperactivity Disorder (ADHD) is a disorder that afflicts anywhere from 2 to 5 percent of the adult population (roughly 8-10 million Americans). Among several therapeutic treatment approaches available as a supplement or alternative to medication, Cognitive Behavioral Therapy (CBT) has emerged as the most successful and has the strongest current evidence base of support, while integrative treatment programs that combine CBT and prescription drugs have shown even more promise. In this volume, Ramsay and Rostain provide an overview of symptoms, assessment and diagnosis issues for adult ADHD. Utilizing research, case examples, and a combined biological and psychosocial treatment approach, the authors discuss the many complicated factors that go into treatment, relapse prevention, and long-term management of adult ADHD, including particular focus on comorbidity and medication issues.

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