Behavioral therapy for ADHD teaches skills to manage symptoms like inattention, impulsivity, and hyperactivity, focusing on practical strategies through parent training for kids (using praise, rewards, routines) and Cognitive Behavioral Therapy (CBT) for older children and adults (organization, time management, challenging negative thoughts). It helps build executive functions, improve self-control, and foster positive behaviors at home, school, and in relationships, often starting with parent-focused training for young children before or alongside medication.
Cognitive behavioral therapy (CBT) aims to lessen the inattention and impulsivity caused by ADHD by changing the way a person thinks and reacts. Our therapists have many years of experience using CBT to treat adults with ADHD. Browse our specialists and get the care you need.
For example, if a behavior therapist uses exposure therapy to help an individual overcome their fear of spiders, they may start by having the individual look at pictures of spiders, then to being in the same room as a spider, and eventually to holding a spider while using relaxation techniques to manage their anxiety.
The main type of therapy that's recommended for ADHD is cognitive behavioral therapy or CBT. CBT focuses on how your thoughts affect your emotions and behaviors and gives you tools to help manage them. Closely related to that are dialectical behavioral therapy or DBT which can help with emotional dysregulation.
Increase stress relief by exercising outdoors—people with ADHD often benefit from sunshine and green surroundings. Try relaxing forms of exercise, such as mindful walking, yoga, or tai chi. In addition to relieving stress, they can teach you to better control your attention and impulses.
The 20-minute rule for ADHD is a productivity strategy to overcome task paralysis by committing to work on a task for just 20 minutes, leveraging the brain's need for dopamine and short bursts of focus, making it easier to start and build momentum, with the option to stop or continue after the timer goes off, and it's a variation of the Pomodoro Technique, adapted for ADHD's unique challenges like time blindness. It helps by reducing overwhelm, providing a clear starting point, and creating a dopamine-boosting win, even if you only work for that short period.
External Frustration
People with ADHD have a low frustration tolerance, usually related to inattention-related poor focus and forgetfulness. This leads to feeling overwhelmed by tasks at home and work, which then triggers mood swings, anger, and rage.
The ADHD "2-Minute Rule" suggests doing any task taking under two minutes immediately to build momentum, but it often backfires by derailing focus due to weak working memory, time blindness, and transition difficulties in people with ADHD. A better approach is to write down these quick tasks on a separate "catch-all" list instead of interrupting your main work, then schedule specific times to review and tackle them, or use a slightly longer timeframe like a 5-minute rule to prevent getting lost down "rabbit holes".
There is significant research that shows mindfulness and meditation improve mood and positive feelings. Moreover, meditation has been demonstrated to improve many symptoms of ADHD including focus, concentration and mood regulation. There are many strategies for increasing mindfulness.
Some clients may be familiar with the “3 C's” which is a formalized process for doing both the above techniques (Catch it, Check it, Change it). If so, practice and encourage them to apply the 3 C's to self- stigmatizing thoughts.
Behavioral therapy is a practical approach to modifying behavior using techniques such as reinforcement, enhanced communication, shaping, and modeling, all of which are particularly effective in improving adherence to treatment plans and medication regimens.
5 Steps To CBT At Home
The ADHD "30% Rule" is a guideline suggesting that executive functions (like self-regulation, planning, and emotional control) in people with ADHD develop about 30% slower than in neurotypical individuals, meaning a 10-year-old might function more like a 7-year-old in these areas, requiring adjusted expectations for maturity, task management, and behavior. It's a tool for caregivers and adults with ADHD to set realistic goals, not a strict scientific law, helping to reduce frustration by matching demands to the person's actual developmental level (executive age) rather than just their chronological age.
First, in recent years, CBT programs have been developed specifically for adults with ADHD. Some of these programs aim to help adults overcome their difficulties in everyday executive functions that are needed to effectively manage time, organize and plan in the short term and the long term.
The 24-hour rule for ADHD is a self-regulation strategy to combat impulsivity by creating a mandatory waiting period (often a full day) before reacting to emotionally charged situations or making significant decisions, allowing time for reflection and reducing regretful snap judgments, especially for things like impulse purchases or arguments. It's a pause button that gives the brain space to process, move from impulse to intention, and evaluate choices more logically, helping manage ADHD's impact on emotional regulation and decision-making.
At what age are symptoms of ADHD the worst? The symptoms of hyperactivity are typically most severe at age 7 to 8, gradually declining thereafter. Peak severity of impulsive behaviour is usually at age 7 or 8. There is no specific age of peak severity for inattentive behaviour.
There is no single cause of ADHD and the risk factors that have been identified so far appear to be non-specific. That is, risks such as chromosomal microdeletions (eg, VCFS), large, rare CNVs, extreme low birth weight and prematurity appear to affect a range of different neurodevelopmental and psychiatric phenotypes.
The 10-3 rule for ADHD is a productivity strategy involving 10 minutes of focused work followed by a 3-minute break, designed to match the ADHD brain's need for short bursts of effort, making tasks less overwhelming and procrastination easier to manage by building momentum with quick, structured intervals. It helps individuals with ADHD ease into tasks, offering a tangible goal (10 mins) and an immediate reward (3 mins) to keep focus without burnout, often incorporating movement or preferred activities during breaks.
For adults, 7-8 hours is recommended. Try to avoid napping during the day. Optimise your sleep environment. Make sure your environment is quiet, calm and comfortable.
Unlike traditional ADHD, which is characterized by visibly disruptive behaviors and severe impairments, high-functioning ADHD allows individuals to maintain a semblance of control in daily life. However, this comes at a cost.
The 5 C's of ADHD, developed by psychologist Dr. Sharon Saline, is a framework for parents and individuals to manage ADHD challenges, focusing on Self-Control, Compassion, Collaboration, Consistency, and Celebration. This approach builds skills for better emotional regulation (Self-Control), empathy (Compassion), working together (Collaboration), establishing routines (Consistency), and recognizing progress (Celebration) to foster a supportive environment and reduce stress.
As a Psychologist With ADHD, Here Are 6 Things That Get On Our...
An ADHD meltdown is an external emotional response to overwhelming stress or sensory overload. It can look like anger, crying, shouting, or a sudden loss of emotional control.
Stress – Yelling causes stress, and stress floods the body with cortisol and triggers a flight/fight response. Our bodies are *specifically* meant to lose focus so that they can respond quickly to potential threats, which means that stress will ultimately make focusing harder.