Psychotherapy of attention deficit hyperactivity disorder in adults: A pilot study using a structured skills training program
Abstract
In clinical practice many adult patients with attention deficit hyperactivity disorder (ADHD) ask for an additional psychotherapeutic intervention besides the medical therapy. In this paper we present a structured skill training program particularly tailored for adult patients with ADHD. The program is based on the principles of cognitive-behavioral treatment for borderline personality disorder developed by M. Linehan. It was modified to suit the special needs of adult patients with ADHD. In this exploratory pilot study we tested this program in a group setting. The following elements were presented: neurobiology of ADHD, mindfulness, chaos and control, behavior analysis, emotion regulation, depression, medication in ADHD, impulse control, stress management, dependency, ADHD in relationship and self respect. In an open study design patients were assessed clinically using psychometric scales (Attention Deficit Hyperactivity Disorder Checklist according to DSM-IV, 16 items of the SCL-90-R, Beck-Depression Inventory, visual analogue scale) prior to and following group therapy. This treatment resulted in positive outcomes in that patients improved on all psychometric scales.
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In three studies of modified Dialectical Behavior Therapy group skills training for adults with ADHD, self-reported ADHD symptoms improved in within-groups or between-groups designs.
“Among the treatment studies, self-reported ADHD symptoms improved when assessed in a within-groups (Philipsen et al., 2007) or between-groups design (Hesslinger et al., 2002; Hirvikoski et al., 2011).”
From Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Current Empirical Support, Treatment Overview, and Future Directions (2015) · cites this paper as Hesslinger et al., 2002
In two of those DBT studies, self-reported depressive symptoms improved.
“In addition, self-reported depressive symptoms improved in two of these studies (Hesslinger et al., 2002; Philipsen et al., 2007).”
From Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Current Empirical Support, Treatment Overview, and Future Directions (2015) · cites this paper as Hesslinger et al., 2002
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- Authors
- Hesslinger, B., Tebartz van Elst, L., Nyberg, E., Dykierek, P., Richter, H., Berner, M., & Ebert, D.
- Affiliations
- University of Freiburg (DE)
- Venue
- European Archives of Psychiatry and Clinical Neuroscience
- Published
- 2002-08
- Volume
- 252
- Issue
- 4
- Pages
- 177-184
- ISSN
- 0003-9373 (ISSN-L)
- 0940-1334
- 1433-8491
- OpenAlex
- W2025735288
- Cited by
- 366
- References
- 15
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 11 · 2023: 15 · 2022: 12 · 2021: 46 · 2020: 12 · 2019: 11 · 2018: 9 · 2017: 13 · 2016: 11 · 2015: 15 · 2014: 24 · 2013: 21 · 2012: 17
- FWCI
- 3.85
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- European Archives of Psychiatry and Clinical Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- adult ADHD, psychotherapy, group therapy, cognitive behavioral therapy, borderline personality disorder, mindfulness, emotion regulation, impulse control, stress management, dependency, self-esteem, ADHD medication, neurobiology of ADHD
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Neuropsychological Tests, Pilot Projects, Psychiatric Status Rating Scales, Psychometrics, Task Performance and Analysis, Cognitive Behavioral Therapy, Treatment Outcome
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