Therapy for Adult ADHD: Effective Treatments and How to Find Support
Adult Attention-Deficit/Hyperactivity Disorder (ADHD) affects focus, organization, emotional regulation, and impulsivity, disrupting daily life. Therapy plays a vital role in managing symptoms and improving quality of life, often alongside medication.
This article outlines:
- Effective therapies for adult ADHD
- How to find support
- How these treatments aid long-term symptom control
Drawing on extensive clinical experience and evidence-based psychological approaches, this overview reflects best practices in adult ADHD treatment.
Understanding Adult ADHD and the Need for Therapy
What is Adult ADHD?
Adult ADHD is a neurodevelopmental disorder marked by persistent inattention, hyperactivity, and impulsivity that impair functioning.
Key features include:
- Less overt hyperactivity than in children
- Struggles with focus, forgetfulness, and poor organization
- Impulsivity affecting emotional regulation, decisions, and relationships
Recognizing these symptoms is key to finding effective treatment.
As a registered Educational Psychologist and Therapist with the Health Professions Council of South Africa (HPCSA: PS 0131350), I have worked extensively with adults experiencing ADHD and related challenges, tailoring interventions to their unique needs.
Why Therapy Matters for Adult ADHD
While medication eases some symptoms, therapy equips adults with coping skills, improves executive function, and addresses emotional challenges.
Therapy helps develop:
- Organization
- Time management
- Impulse control
Adults with ADHD often face anxiety or depression; therapy also tackles these conditions, supporting overall mental health. You might also find our article on Depression Therapy Benefits helpful.
In my clinical practice, I integrate evidence-based approaches such as Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT), which have been shown to produce meaningful improvements in symptom management and quality of life.
Types of Therapy for Adult ADHD
Cognitive Behavioral Therapy (CBT)
CBT targets negative thoughts and behaviors, helping clients manage ADHD by:
- Breaking tasks into manageable steps
- Setting clear goals
- Improving focus and time management
Research shows CBT reduces symptoms and boosts functioning.
Mindfulness-Based Cognitive Therapy (MBCT) and Mindfulness
MBCT combines mindfulness with CBT to:
- Improve attention
- Reduce impulsivity
- Regulate emotions
Mindfulness practices such as meditation and deep breathing build self-awareness and control.
Drawing from Process-Based Therapy (PBT) principles, which I have a special interest in, mindfulness techniques support emotional regulation and increase psychological flexibility.
Meta-cognitive Therapy
This therapy helps individuals:
- Monitor and adjust their thinking patterns
- Enhance self-awareness
- Strengthen executive skills
Techniques include self-monitoring and cognitive restructuring.
Occupational Therapy
Occupational therapists assist adults in:
- Organizing daily routines
- Creating structured environments
- Minimizing distractions
They teach time management, task prioritization, and practical strategies for work and life.
While occupational therapy is not my direct specialization, I often collaborate with occupational therapists and integrate their insights into comprehensive treatment plans.
ADHD Coaching
Coaching focuses on:
- Goal-setting
- Organization
- Time management
It provides practical support and accountability, complementing therapy by applying strategies to real-life challenges.
As a career counsellor and psychologist, I understand the importance of coaching and goal-directed interventions in supporting adults with ADHD to navigate life transitions and career challenges effectively.
Acceptance and Commitment Therapy (ACT)
ACT encourages:
- Accepting thoughts and feelings without judgment
- Committing to value-driven actions
It builds psychological flexibility to handle emotional challenges linked to ADHD.
For a deeper understanding of this approach, see our article on What is Acceptance and Commitment Therapy?.
Given my clinical focus and training in ACT, I bring a compassionate, collaborative, and evidence-based approach to therapy, fostering resilience and meaningful living despite difficulties.
Combining Therapy and Medication
Psychological and Non-Pharmacological Treatments
Therapies like CBT and ACT often combine with medication for a balanced approach.
Additional lifestyle changes that boost treatment effectiveness include:
- Regular exercise
- Healthy diet
- Adequate sleep
When to Use Combined Approaches
Combining therapy and medication works best when:
- Medication alone doesn’t fully control symptoms
- Comorbid conditions exist
Therapy develops skills to manage symptoms, while medication balances brain chemistry, offering optimal long-term control.
Monitoring and Adjusting Treatment
Regularly review progress with healthcare providers to:
- Refine treatment plans
- Adjust medication or therapy methods
- Add new strategies as needed
Flexibility and collaboration ensure the best outcomes.
My experience includes conducting comprehensive psychological assessments to guide diagnosis and treatment plans, ensuring interventions are tailored and evidence-based — critical for optimal outcomes.
Finding Support and Therapy for Adult ADHD
Choosing a Therapist
When selecting a therapist:
- Seek professionals experienced with adult ADHD
- Prefer training in evidence-based methods like CBT or ACT
- Verify credentials and therapeutic approach
Use directories like Psychology Today or get referrals from healthcare providers.
As a registered Educational Psychologist and Therapist (HPCSA: PS 0131350), I emphasize the importance of selecting qualified professionals who provide a warm, safe, and non-judgmental environment.
ADHD Coaching and Support Groups
Consider:
- ADHD coaching for practical skills and goal achievement
- Support groups for community, shared experiences, and resources
The Attention Deficit Disorder Association (ADDA) offers support groups and educational materials. The Mayo Clinic provides reliable information and resources.
Online and Teletherapy Options
Teletherapy and online coaching offer convenient access to ADHD specialists.
Ensure platforms are secure and professionally licensed.
I provide both online and in-person therapy options in Cape Town and the Northern Suburbs, ensuring accessibility and continuity of care.
Managing Comorbidities and Functional Challenges
Common Comorbidities
Adults with ADHD often face:
- Anxiety
- Depression
- Substance use disorders
Therapy addresses emotional regulation, stress, and harmful thought patterns linked to these issues.
If you are also struggling with depression, explore our article on Depression in Young Adults.
My clinical experience includes working with adults, adolescents, and children facing complex emotional and developmental challenges, allowing me to address comorbidities effectively.
Improving Daily Function
To boost daily performance:
- Use executive function coaching
- Engage in occupational therapy
- Make lifestyle adjustments, such as structured routines and organizational tools
Tailor therapy to your individual needs.
Conclusion
Therapy for adult ADHD, combined with support, empowers individuals to:
- Control symptoms
- Sharpen executive skills
- Lead fulfilling lives
Exploring therapies such as CBT, mindfulness, occupational therapy, and support networks creates a personalized, effective treatment plan.
Proactive professional help can significantly improve quality of life.
Drawing on my training, clinical experience, and commitment to evidence-based care, I am dedicated to helping adults with ADHD achieve meaningful and lasting improvements.
References and Further Reading
- Attention Deficit Disorder Association (ADDA): https://add.org/adhd-therapies/
- Forbes article on ADHD treatments: https://www.forbes.com/health/mind/adhd-treatments/
About the Author
Hannes Wessels, M.Ed., MA, B.Ed (Hons), BA (Hons), BA, PGCE, TESOL
Therapist & Registered Educational Psychologist (HPCSA: PS 0131350)
With over a decade of clinical experience, Hannes specializes in Acceptance and Commitment Therapy (ACT), Cognitive Behavioural Therapy (CBT), trauma therapy (EMDR), and educational psychological assessments. He has worked extensively with adults, adolescents, and children in both school and private practice settings across South Africa.
Hannes is Chair-Elect for the Association for Behavioural Contextual Sciences of South Africa and has lectured at leading universities. He provides compassionate, evidence-based therapy focused on collaboration and respect, aiming to help clients lead rich, meaningful lives despite challenges.
Contact:
021 930 2177 | 071 498 4239
Panorama Psychiatry and Memory, 48 Hennie Winterbach Street, Panorama 7500
Website: hanneswessels.com
