CBT and DBT for ADHD: How Talk Therapies Address Symptoms (w/ John Mitchell, Ph.D.)
Summary
The video provides a comprehensive overview of Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) for treating ADHD in adults. It delves into key concepts, therapeutic approaches, and the differences between the two modalities, emphasizing their roles in behavior therapy. Dr. John Mitchell's expertise in ADHD research and treatment is highlighted, along with insights on the effectiveness of CBT in addressing ADHD symptoms and behaviors. The discussion also touches on the benefits of combining CBT with medication for better outcomes in managing adult ADHD.
Chapters
Introduction to CBT and DBT
Dr. John Mitchell's Background
Presentation Logistics
Dr. Mitchell's Talk
Overview of Cognitive Behavioral Therapy (CBT)
Example of CBT Techniques
Cognitive Behavioral Therapy (CBT) Sessions
Application of CBT Techniques
Introduction to Dialectical Behavior Therapy (DBT)
Comparing Cognitive Behavioral Therapy
Support for Cognitive Behavioral Therapy
DBT Skills Training Studies
Comparison Between CBT and DBT
Recap: DBT vs. CBT
Behavior Change in Therapy
Length of Treatment
Individual vs. Group Sessions
Follow-Through Challenges
Positive vs. Adaptive Thinking
CBT and Medication
Recommendation: CBT vs. DBT
Training in CBT and DBT
Effectiveness in Adolescents
Emotional Regulation in CBT
Introduction to CBT and DBT
Overview of Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) and their role in treating ADHD in adults. Explanation of the differences between CBT and DBT and their relation to behavior therapy.
Dr. John Mitchell's Background
Information about Dr. John Mitchell, his role as an assistant professor in the Department of Psychiatry and Behavioral Science at Duke University Medical Center, and his expertise in ADHD research and treatment.
Presentation Logistics
Instructions for the webinar participants regarding question submission, slide access, and post-event survey. Details about how questions will be addressed during the session.
Dr. Mitchell's Talk
Dr. John Mitchell's discussion on Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) for ADHD in adults. Explanation of key concepts and therapeutic approaches.
Overview of Cognitive Behavioral Therapy (CBT)
Detailed information about CBT, its focus on cognition, emotions, and behaviors, as well as the collaborative and goal-oriented nature of the therapy. Explanation of how CBT addresses ADHD symptoms and behaviors.
Example of CBT Techniques
Illustration of CBT strategies such as the ABC technique for planning, tracking progress, setting goals, and addressing automatic negative thoughts related to ADHD behaviors. Discussion on the implementation of CBT skills in daily life.
Cognitive Behavioral Therapy (CBT) Sessions
Description of a typical CBT session for adults with ADHD, including agenda setting, symptom review, skill training, and goal achievement. Mention of manuals and resources for CBT implementation.
Application of CBT Techniques
Exploration of cognitive and behavioral strategies in CBT, including thought modification, adaptive thinking, and coping card statements. Examples of addressing automatic negative thoughts and implementing behavioral changes.
Introduction to Dialectical Behavior Therapy (DBT)
Introduction to DBT, its background in treating Borderline Personality Disorder, and the dialectical approach of balancing acceptance and change. Explanation of how DBT targets behaviors and thoughts for individuals with ADHD.
Comparing Cognitive Behavioral Therapy
Studies comparing Cognitive Behavioral Therapy (CBT) against an active control group show improvements in ADHD symptoms with a small to moderate effect size.
Support for Cognitive Behavioral Therapy
The American Psychological Association recognizes Cognitive Behavioral Therapy as a treatment with strong research support for various psychiatric disorders.
DBT Skills Training Studies
Research on Dialectical Behavior Therapy (DBT) skills training shows a similar improvement in ADHD symptoms as seen with CBT.
Comparison Between CBT and DBT
In some cases, there are no studies directly comparing Cognitive Behavioral Therapy for adult ADHD against DBT. CBT is more commonly found in the community.
Recap: DBT vs. CBT
DBT skills training is often done in a group setting and emphasizes mindfulness and acceptance strategies, while CBT can be done individually or in a group, with a focus on cognitive strategies.
Behavior Change in Therapy
Understanding and recognizing ADHD symptoms is crucial in therapy, but making behavioral changes can be challenging. It requires consistent implementation over time.
Length of Treatment
The duration of CBT treatment can vary, with some studies indicating positive outcomes with 12 sessions, but it may take more time for individuals to consistently implement changes in behavior.
Individual vs. Group Sessions
Both individual and group CBT sessions offer pros and cons, with group therapy providing validation and individual therapy allowing for more personalized techniques.
Follow-Through Challenges
Addressing issues of low follow-through and difficulty in starting tasks is a common focus in CBT for ADHD, with an emphasis on collaboration and support rather than criticism for incomplete tasks.
Positive vs. Adaptive Thinking
CBT emphasizes adaptive thinking over positive thinking, aiming to break ADHD-related routines that may lead to behavioral problems.
CBT and Medication
Combining Cognitive Behavioral Therapy with medication has shown better outcomes than medication alone for adults with ADHD. CBT addresses different aspects of symptoms compared to medication alone.
Recommendation: CBT vs. DBT
DBT may be recommended for individuals with co-occurring borderline personality disorder, while CBT is more commonly available and adapted for various psychiatric disorders.
Training in CBT and DBT
Clinicians can refer to specific manuals and resources for training in CBT for ADHD, while adapting DBT skills training for ADHD may require additional effort due to limited materials.
Effectiveness in Adolescents
Studies have shown that CBT strategies can be adapted for adolescents with ADHD, demonstrating significant improvements in ADHD symptoms during adolescence.
Emotional Regulation in CBT
CBT has primarily focused on treating ADHD symptoms, while mindfulness meditation training has shown positive effects on emotion dysregulation in adults with ADHD.
FAQ
Q: What is the difference between Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT)?
A: CBT focuses on cognition, emotions, and behaviors in a collaborative and goal-oriented manner, while DBT emphasizes balancing acceptance and change through a dialectical approach.
Q: How does CBT address ADHD symptoms and behaviors?
A: CBT addresses ADHD symptoms by implementing strategies such as the ABC technique for planning, tracking progress, setting goals, and modifying automatic negative thoughts related to ADHD behaviors.
Q: What are some key concepts and therapeutic approaches in CBT for adults with ADHD?
A: Key concepts in CBT for adults with ADHD include thought modification, adaptive thinking, coping card statements, and addressing automatic negative thoughts to bring about behavioral changes.
Q: What benefits can be gained from combining Cognitive Behavioral Therapy with medication for adults with ADHD?
A: Combining CBT with medication has shown better outcomes than medication alone for adults with ADHD, as CBT addresses different aspects of symptoms compared to medication alone.
Q: What is the role of mindfulness and acceptance strategies in Dialectical Behavior Therapy (DBT) for individuals with ADHD?
A: DBT emphasizes mindfulness and acceptance strategies to target behaviors and thoughts for individuals with ADHD, particularly focusing on balancing acceptance and change.
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