Cognitive-Behavioral Therapy for Adult ADHD by J. Russell Ramsay
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About Cognitive-Behavioral Therapy for Adult ADHD by J. Russell Ramsay
Mark Twain described a classic book as one that everyone loves but no one has read. This description is apropos for the psychiatric syndrome called attention-deficit/hyperactivity disorder (ADHD): it is a disorder about which everyone has an opinion but one to which very few people, even seasoned mental health professionals, have had much more than superficial exposure.
Part of the problem rests with the complexity of the disorder and its variable presentations; another part of it comes from historical controversies surrounding the classification of children who do not follow rules or pay attention in class, and yet another part of the problem stems from the inevitable debates among scientists and clinicians from a multiplicity of disciplines regarding what causes the disorder and how it is best treated.
ADHD is currently understood by those who study and treat it as a highly heritable neurodevelopmental syndrome of impaired functioning in regions of the brain associated with planning, foresight, initiating and sustaining attention, and self-control. The core symptoms of ADHD consist of developmentally inappropriate symptoms of inattention, impulsivity, and hyperactivity.
These symptoms, in turn, create significant functional problems in daily life over time and across different situations such that they negatively affect afflicted individuals’ reciprocal interactions with the environment throughout the life span. Although some of the symptoms of ADHD are nonspecific (for example, poor concentration can also be seen in depression or anxiety disorders), the ADHD symptom profile is considered to be valid, unique, and not better explained by other existing psychiatric syndromes.
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