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CBT for Adult ADHD: An Implementation-Focused Approach

Russell Ramsay

9 Mar 2023


Increasing numbers of adult clients are seeking evaluation and treatment for adult ADHD. Although medications offer symptom relief, most adults with ADHD will require concurrent psychosocial treatment modified to address their unique needs, especially the consistent use of the known coping strategies. Cognitive-behaviour therapy (CBT) adapted for adult ADHD is an evidence-supported treatment, though most clients report that they “know what to do, but have difficulties doing it,” which reflects the fact that ADHD is a performance problem, not a knowledge problem. In this webinar, Prof. Ramsay will review the contemporary understanding of the nature of ADHD and how this model informs psychosocial treatment. He will illustrate the components of an implementation-focused CBT approach adapted to adult ADHD, including the role of cognitions, behaviours, and emotions as well as showing a video demonstration of a session of this approach.

The event will be equivalent to 2.3/4hrs of CPD.


This workshop will:
Provide a contemporary framework for understanding ADHD as a developmental syndrome of impaired self-regulation. This model aids both with assessment and treatment.
Discuss the ramifications of this model of ADHD for the CBT conceptualization and different domains of psychosocial interventions within a CBT approach.
Review specific coping tactics and strategies within the intervention domains in the CBT approach for adult ADHD, including the important and unique role of cognitions and beliefs.
Include many clinical examples and a video of a CBT session with a young adult with ADHD.
Provide and review a clinical worksheet used in this approach to address procrastination.

Learning Objectives

At the end of the webinar, attendees will be able to:
1) Summarize the contemporary understanding of ADHD beyond the diagnostic criteria.
2) Recognize the main intervention domains within the CBT model presented for adult ADHD.
3) Name the most commonly endorsed cognitive distortion based on a clinical sample of adults with ADHD.
4) Name the cognitive theme of the thoughts and beliefs of adults with ADHD proposed by Dr. Ramsay.
5) Identify the three implementation-focused CBT strategies to use with adult ADHD clients in their practices.

Training Modalities

Didactic content, Q&A, session video, review of a clinical worksheet based on the approach

Key References

Barkley, R. A. (Ed.) (2015). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment (4 th ed.). Guilford.

Knouse, L. E., Teller, J., & Brooks, M. A. (2017). Meta-analysis of cognitive–behavioral treatments for adult ADHD. Journal of Consulting and Clinical Psychology. 85(7), 737–750.

Ramsay, J. R. (2020). Rethinking adult ADHD: Helping clients turn intentions into action. American Psychological Association.

Ramsay, J. R. (2021). Adult Attention-Deficit/Hyperactivity Disorder. In A. Wenzel (Ed.), Handbook of cognitive behavioral therapy, Volume 2, applications. (pp. 389-421). American Psychological Association.

Safren, S. A., Sprich, S., Perlman, C. A., & Otto, M. W. (2017). Mastering your adult ADHD: A cognitive-behavioral treatment program – Therapist guide (2nd ed.). Oxford University Press.

Young, S., & Bramham, J. (2012). Cognitive-behavioural therapy for ADHD in adolescents and adults: A psychological guide to practice (2nd edition). Wiley.

About the presenter

Russell Ramsay, Ph.D., ABPP is co-founder and clinical director of the University of Pennsylvania’s Adult ADHD Treatment and Research Program and an associate professor of clinical psychology in the PENN Perelman School of Medicine. Dr. Ramsay has authored numerous peer-reviewed scientific articles and other professional publications. He has written five books on the treatment of adult ADHD, most recently Rethinking Adult ADHD: Helping Clients Turn Intentions into Action (2020, APA). His Adult ADHD Tool Kit book has been translated into Spanish, French, and, soon, Korean, and is a recommended self-help book of the Association for Behavioural and Cognitive Therapies.
Dr. Ramsay is an inductee in the CHADD Hall of Fame and received the Szuba Award for Excellence in Clinical Teaching & Research from PENN. He serves on the editorial boards of the Journal of Attention Disorders and The ADHD Report and is often sought out as an ad hoc reviewer. He has served on the Professional Advisory Boards of many of the leading ADHD organizations. Dr. Ramsay is a board-certified in cognitive-behavioural therapist. He has presented to audiences around the world on the assessment and psychosocial treatment of adult ADHD.

Who should attend

This webinar is most suitable for practitioners who work with individuals diagnosed with ADHD or who are exhibiting features of ADHD but not yet formally diagnosed. Most of the approaches are also relevant to the management of the common co-existing features of anxiety and depression seen in this population.

Low Intensity clinical contact hours survey - BABCP Low Intensity Special Interest Group

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The BACP Low Intensity SIG are interested in the impact of clinical contact hours on Low Intensity/Wellbeing Practitioner wellbeing. This questionnaire contains six multi-choice questions and a free text box for you to share your experiences. The answers to these questions will help the BABCP SIG plan how to meet CPD topics and other developments within the SIG.  The SIG hope to produce a write up of the answers to this questionnaire to be shared with SIG members and to be used in training.

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This FREE conference is for Psychological Wellbeing Practitioners working in Talking Therapies for Anxiety and Depression services and is brought to you by Bespoke Mental Health in collaboration with the NHS England Talking Therapies National PWP Leads Network

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