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Clinical Case Studies
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Article

Adapting an Emerging Empirically Supported Cognitive-Behavioral Therapy for Adults with AD/HD and Comorbid Complications: An Example of Two Case Studies

John T. Mitchell*, Rosemery O. Nelson-Gray, and Arthur D. Anastopoulos

University of North Carolina at Greensboro

* To whom correspondence should be addressed. E-mail: jtmitch3{at}uncg.edu.


  Abstract
Attention-deficit/hyperactivity disorder (AD/HD) is commonly considered a disorder that affects children and adolescents; however, follow-up studies of those diagnosed with AD/HD 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 AD/HD 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 AD/HD 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 AD/HD to illustrate (a) the heterogeneity associated with AD/HD cases and the unique challenges they present, (b) issues related to comorbid disorders and symptoms with AD/HD, and (c) how to adapt this emerging empirically supported treatment.

First published on April 23, 2008, doi:10.1177/1534650108316934

Clinical Case Studies 2008;7:423.

A more recent version of this article appeared on October 1, 2008

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