The Best Predominantly Inattentive ADHD Treatment May Be Cognitive Therapy
There are many studies that have shown that cognitive therapy is helpful in reducing the symptoms of Predominantly Inattentive ADHD (ADHD-PI).
Some studies have shown that Inattentive ADHD symptoms without concurring disruptive symptoms such as impulsiveness or oppositional defiance respond as well to cognitive or behavioral therapy as they do to stimulant therapy.
One very recent study of Adults trained in metacognitive skills demonstrated a great improvement in inattention in study participants.
Metacognition is the study of what you think about what you think.
I have to admit that this line of study is right up the Predominantly Inattentive's alley.
Most of us with ADHD-PI not only love to think.
We love to think about how we think.
Harnessing all that thinking into productivity can only be a good thing.
Cognitive therapy is often lumped into a category called Cognitive-Behavioral therapy but Metacognitive therapy is not the same as Cognitive Behavioral therapy.
The Cognitive-Behavioral therapist addresses the behavior and tends to take a nuts and bolts approach to achieving symptom control.
The Cognitive-Behavioral therapist helps with setting goals, prioritizing goals, minimizing barriers to completing the goals, and developing a practical strategy for accomplishing the goal.
The metacognitive therapist trains the bigger picture thought processes regarding time management, planning, and organizing.
We may quibble over whether these two things are exactly the same but I would argue that the Behavioral-Cognitive therapist gives you real life coaching whereas the Metacognitive therapist gives you more 'change your thinking' based training.
Both modalities work but I particularly like the metacognitive approach as it works in conjunction with a strength that most of us with Predominantly Inattentive ADHD already have.
The researchers in the metacognition training study spent 2 hours a week with ADHD adults teaching them new ways to think about time management, planning, and organization.
The adults completed home exercises to reinforce their new learning.
At the end of 12 weeks the study group had a 30% reduction in inattention scores when compared to the control group that received supportive therapy only.
None of the adults in this recent study received medication.
There have been studies done with children using metacognition training and EEG Neurobiofeedback that have shown good results.
One researcher studied 60 children.
At the beginning of the study most of the kids were on medication.
By the end of the study less than 10% required medication.
The children had improvements in attention, reading skills, and IQ.
It is exciting to know that there are effective therapies for ADHD-PI that does not involve medication.
Therapies that involve thinking are especially exciting as they work with an ability that most of us with ADHD-PI have an abundance of.
The therapy works with our already well honed ability to reflect at length and I feel that any treatment that capitalizes on our strengths will only make us stronger.
Some studies have shown that Inattentive ADHD symptoms without concurring disruptive symptoms such as impulsiveness or oppositional defiance respond as well to cognitive or behavioral therapy as they do to stimulant therapy.
One very recent study of Adults trained in metacognitive skills demonstrated a great improvement in inattention in study participants.
Metacognition is the study of what you think about what you think.
I have to admit that this line of study is right up the Predominantly Inattentive's alley.
Most of us with ADHD-PI not only love to think.
We love to think about how we think.
Harnessing all that thinking into productivity can only be a good thing.
Cognitive therapy is often lumped into a category called Cognitive-Behavioral therapy but Metacognitive therapy is not the same as Cognitive Behavioral therapy.
The Cognitive-Behavioral therapist addresses the behavior and tends to take a nuts and bolts approach to achieving symptom control.
The Cognitive-Behavioral therapist helps with setting goals, prioritizing goals, minimizing barriers to completing the goals, and developing a practical strategy for accomplishing the goal.
The metacognitive therapist trains the bigger picture thought processes regarding time management, planning, and organizing.
We may quibble over whether these two things are exactly the same but I would argue that the Behavioral-Cognitive therapist gives you real life coaching whereas the Metacognitive therapist gives you more 'change your thinking' based training.
Both modalities work but I particularly like the metacognitive approach as it works in conjunction with a strength that most of us with Predominantly Inattentive ADHD already have.
The researchers in the metacognition training study spent 2 hours a week with ADHD adults teaching them new ways to think about time management, planning, and organization.
The adults completed home exercises to reinforce their new learning.
At the end of 12 weeks the study group had a 30% reduction in inattention scores when compared to the control group that received supportive therapy only.
None of the adults in this recent study received medication.
There have been studies done with children using metacognition training and EEG Neurobiofeedback that have shown good results.
One researcher studied 60 children.
At the beginning of the study most of the kids were on medication.
By the end of the study less than 10% required medication.
The children had improvements in attention, reading skills, and IQ.
It is exciting to know that there are effective therapies for ADHD-PI that does not involve medication.
Therapies that involve thinking are especially exciting as they work with an ability that most of us with ADHD-PI have an abundance of.
The therapy works with our already well honed ability to reflect at length and I feel that any treatment that capitalizes on our strengths will only make us stronger.