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Section III: Population Dynamics

Table 4. Summary of "promising practices" for adults with ADHD
Goals for Treatment Strategies
Foster a coping attitude Instill hope, optimism, and motivation to cope effectively with ADHD
Seek knowledge about and support for ADHD Contact national organizations for information about ADHD.
Improve life management skills Use coaching and behavioral, psychological interventions to set goals, overcome obstacles, address core ADHD issues (e.g., time management, organization, self-esteem)
Improve workplace functioning Match cognitive strengths and interests for optimal functioning; strategic job placement, or change to address workplace dysfunction; career counseling; develop compensatory strategies or seek work place accommodations
Life management skills in higher education Transition plan from high school to college; direct, explicit instruction in setting priorities, time management, and study skills; transition plan from parental to self-direction; seek reasonable accommodations; learn self-advocacy
Improve marital and family rela tionships Conjoint marital therapy to address conflicts; use cognitive, behavioral, and systems strategies; focus on realistic expectations, effective communication, damage to self-esteem, sexual dysfunction, and parenting problems
Treat comorbid disorders Seek psychological, behavioral therapy for anxiety, mood and person ality disorders, substance abuse
Coping with ADHD through the lifespan Utilize developmental models for understanding adult ADHD; see Solden's (2002) three-stage model: Crisis of Understanding, Crisis of Identity, and Crisis of Success
Note: See Goldstein and Ellison (2002), Ratey (2002), and Robin (2002) for a discussion of promising practices for adults with ADHD.

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