This episode breaks down the major misconceptions about ADHD treatment and clarifies what decades of research, major clinical guidelines, and leading experts actually recommend. Ryan and Mike explain why weekly talk therapy is not an evidence-based treatment for ADHD, why parent training and environmental structure are consistently shown to improve outcomes, and how parents can make informed decisions without getting pulled into common myths.
Find Mike @ ā ā ā ā ā ā ā ā ā ā ā www.grownowadhd.comā ā ā ā ā ā ā ā ā ā ā & on ā ā ā ā ā ā ā ā ā ā ā IGā ā ā ā ā ā ā ā ā ā ā
Find Ryan @ ā ā ā ā ā ā ā ā ā ā ā www.adhddude.comā ā ā ā ā ā ā ā ā ā ā & on ā ā ā ā ā ā ā ā ā ā ā Youtube
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[00:00:00] Start
[00:02:21] What clinical guidelines actually recommend
[00:05:27] Dr. Barkleyās research on effective ADHD treatments
[00:09:11] Evidence on CBT, DBT, and play therapy
[00:19:21] Why office-based therapy doesnāt translate to real-world behavior
[00:22:29] Rumination and how talk-heavy approaches can backfire
[00:31:19] Treatments with the strongest evidence (medication, parent training)ā ā ā
Citations:
1. AAP Guideline (Parent Training + Medication as First-Line)Wolraich, M. L., et al. (2019). Clinical practice guideline for ADHD in children and adolescents. Pediatrics, 144(4), e20192528.
2. AACAP Treatment Parameter (Medication + Behavioral)Pliszka, S. R., & AACAP Work Group. (2007). Practice parameter for ADHD. JAACAP, 46(7), 894ā921.
3. Barkley: ADHD as Performance DisorderBarkley, R. A. (2012). Executive functions. Guilford Press.Barkley, R. A. (2015). ADHD: Handbook for diagnosis and treatment (4th ed.). Guilford Press.
4. CBT Evidence (Adolescents/Adults, Not Young Children)Safren, S. A., et al. (2010). CBT vs relaxation for adults with ADHD. JAMA, 304(8), 875ā880.Solanto, M. V. (2011). CBT for adult ADHD. Guilford Press.Langberg, J. M., et al. (2008). Organization skills intervention for adolescents. JCCP, 76(6), 967ā982.
5. DBT-Informed (Pilot Trials, Emotion Dysregulation)Murray, D. W., et al. (2022). DBT skills group for adolescents with ADHD. J Attention Disorders, 26(11), 1421ā1430.
6. Play Therapy (Insufficient Evidence)Hassan, R. A., & Shaker, N. S. (2014). CBPT for ADHD symptoms. Int J Psychology & Behavioral Sciences, 4(6), 221ā229.
7. EF Skills: Experience-Based, Not Language-BasedBarkley, R. A. (2012). Executive functions. Guilford Press.
8. Rumination and ADHDOstojic, D., et al. (2021). Mind wandering and rumination in youth with ADHD. J Abnormal Child Psychology, 49, 1203ā1216.Seymour, K. E., et al. (2014). Emotion regulation mediates ADHD-depression relationship. J Abnormal Child Psychology, 42, 611ā621.
9. Time Blindness/Temporal ProcessingToplak, M. E., & Tannock, R. (2005). Time perception deficits in ADHD. J Abnormal Child Psychology, 33(5), 639ā654.Barkley, R. A., et al. (2008). ADHD in adults: What the science says. Guilford Press.
10. Parent Behavior Training (Evidence-Based)Chronis, A. M., et al. (2006). Evidence-based treatments for children with ADHD. Clinical Psychology Review, 26(4), 486ā502.Evans, S. W., et al. (2014). Evidence-based treatments for ADHD. JCCAP, 43(4), 527ā551.
11. Medication as First-LineFaraone, S. V., et al. (2021). Stimulant effectiveness and safety. World Psychiatry, 20(3), 314ā329.Swanson, J. M., et al. (2017). MTA study long-term outcomes. JAACAP, 56(3), 228ā240.