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Clinical Case Studies
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What's this?

Adapting an Emerging Empirically Supported Cognitive-Behavioral Therapy for Adults With ADHD and Comorbid Complications

An Example of Two Case Studies

John T. Mitchell

University of North Carolina at Greensboro, jtmitch3{at}uncg.edu

Rosemery O. Nelson-Gray

University of North Carolina at Greensboro

Arthur D. Anastopoulos

University of North Carolina at Greensboro

Attention-deficit/hyperactivity disorder (ADHD) is commonly considered a disorder that affects children and adolescents; however, follow-up studies of those diagnosed with ADHD indicate significant continuation and impairment into adulthood. For these adults, pharmacotherapy is effective in some cases, but residual symptoms and secondary problematic behaviors resulting from ADHD symptoms (e.g., depressed mood) are typical. Several researchers have identified cognitive-behavioral approaches as a promising adjunct to pharmacotherapy. In particular, a recently manualized cognitive-behavioral therapy has demonstrated significant reductions in ADHD symptoms in a controlled study. The primary purpose of this article is to demonstrate the potential of this approach. To do so, we review two case studies of adults diagnosed with ADHD to illustrate (a) the heterogeneity associated with ADHD cases and the unique challenges they present, (b) issues related to comorbid disorders and symptoms with ADHD, and (c) how to adapt this emerging empirically supported treatment.

Key Words: adult ADHD • cognitive-behavioral therapy • comorbidity

This version was published on October 1, 2008

Clinical Case Studies, Vol. 7, No. 5, 423-448 (2008)
DOI: 10.1177/1534650108316934
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