Treatment for Teens with ADHD
Effective Psychotherapy For Teens With ADHD
Newport Beach | Orange County CA
Teens Can Experience Better Self-control, Focus & Success
What is ADHD?
Has your teen’s performance in the classroom begun to fade? Does your teen struggle with focus or paying attention? Do they have issues with keeping things organized or maintaining a routine?
Symptoms of Attention-Deficit/Hyperactivity Disorder, commonly known as ADHD, are often identified when academic responsibilities become more demanding (such as in middle school). However, the symptoms tend to be present as early as two or three years of age (DSM-5).
ADHD is one of the most common mental health issues for kids and teens (Froehlich, Lanphear, Epstein, Barbaresi, Katusic, & Kahn, 2007), although not all teens with attention problems will have ADHD. This is because of the areas of the brain impacted by ADHD (see Rubia, Smith, Brammer, Toone, & Taylor, 2005; Yu-Feng, 2007), which tend to also be involved in other mental health disorders.
ADHD symptoms include inattention and/or hyperactivity-impulsivity that prevent teens from everyday functioning, such as academic performance, making friends, etc.
Treatment for ADHD
The first step in treating ADHD involves accurate assessment of symptoms and diagnosis. Many other disorders can manifest in similar ways, and the treatment is different for each disorder.
ADHD can be comorbid with other disorders, such as anxiety and depression. For example, inability to pay attention in the classroom may lead to failing grades, which then leads to decreased self-worth. Decreased feelings of self-worth may then lead to lower motivation to complete homework or attend class, and thus the cycle feeds itself.
A diagnosis of ADHD typically involves the use of neuropsychological testing. If you would like to learn more about testing for ADHD, check out the page on Diagnostic Assessment under ADHD.
Once we have a clear diagnosis, I design a treatment plan to help manage symptoms and improve functioning in the affected areas (e.g. grades in school).
Part of the treatment plan may involve having your teen meet with a primary care provider (PCP), psychiatrist, or other prescribers to consult regarding the use of medication.
Although medication can be an effective way to manage certain symptoms of ADHD, medication for ADHD tends to be overprescribed in the United States (Jensen, Kettle, Roper, Sloan, Dulcan, Hoven, & Payne, 1999). We will work as a team to determine the most effective strategy for treatment before moving forward with medication.
The three main subtypes of ADHD include:
Predominantly inattentive presentation
Difficulty maintaining attention or focus to one task
Often makes careless mistakes
Difficulty organizing or keeping track of schedule
Frequently loses things
Easily distracted
Predominantly hyperactive/impulsive presentation
Constant squirming, fidgeting, bouncing
Difficulty being quiet or waiting
Interrupts others frequently
Agitated, unable to sit still
Combined presentation
A combination of inattentive and hyperactive/impulsive symptoms
Typically the most severe type
Many of these symptoms are common in normal children. The term “disorder” is used very intentionally, as it represents the effects of these symptoms on the child’s development. In determining a diagnosis, the severity and duration of the symptoms must be assessed. Additionally, these symptoms must be present in multiple settings – not just at school.
Here are a few examples of other issues that look like ADHD:
Depression
Inability to focus or concentrate
Irritability and aggression
Anxiety
Difficulty staying on task
Fidgeting and squirming
Learning Disability
Inability to follow instruction
Difficulty staying on task
Conduct Disorder / Oppositional Defiant Disorder
Refusal to comply with instruction
Agitation / irritability
ADHD can be comorbid with other disorders, such as anxiety and depression. For example, inability to pay attention in the classroom may lead to failing grades, which then leads to decreased self-worth. Decreased feelings of self-worth may then lead to lower motivation to complete homework or attend class, and thus the cycle feeds itself.
A diagnosis of ADHD typically involves the use of neuropsychological testing. If you would like to learn more about testing for ADHD, check out the page on Diagnostic Assessment under ADHD.
Treatment objectives for ADHD might include:
Increased motivation for schoolwork
Advancing organizational skills
Down-regulating or calming the body
Developing insight regarding attention difficulties
Increased awareness of how ADHD impacts social function
Consultation regarding medication
Interested? Let’s connect!
If you or your child are interested in therapy services, contact me as soon as possible. I would love to hear from you and answer any questions you may have about my practice.
It is never too late for your child to receive treatment. I believe I can help make a difference in your child’s life.
Together, we can help them reach their potential.
Dr. Montgomery holds dual certifications in Clinical Psychology (California Board of Psychology PSY28475) and Family Therapy (California Board of Behavioral Sciences MFT49608). He has dedicated his professional and academic activities to understanding and addressing psychological, behavioral and interpersonal health in children, adolescents, and families.
Education:
Psy.D. Clinical Psychology
M.A. Clinical Psychology
M.S. Counseling Psychology
B.A. Psychology