Comment by aught

2 years ago

I’ve been in a special program for adhd through Duke University. Treatment is not supposed to be meds OR coaching, it’s meds AND coaching. While I do appreciate having a team psychiatrist, psychologist, and medical the biggest asset is the flexibility of treatment. CBT techniques did not work for me and the workbook was not a good fit, having a team of specialists that I can contact at any time has been key. Some people can do it with just medication or CBT but most cannot. Another issue is the lack of inclusion of comorbid diagnosis which is more common than not with adhd patients. Getting the diagnosis is great it can be liberating but it can also be traumatic especially when the diagnosis is medication only. It is often the case that developers making the apps narrow the demographic to the point of no real benefit. I personally have often wished for more services such as financial management, meal planning, and work. Apps themselves are limited by the data structures as well. Most adhd patients do not think linearly and it is a disservice to force that on to us. CBT for me was masking heavy which often affects physical health and has been shown to shorten already shorter average life spans significantly. CBT can be harmful and I am wondering why it was chosen. Mindfulness as well is problematic for individuals with adhd.

CBT has to be focused with an understanding that any effort--notebooks, sticky notes, etc--is going to exhaust your already precious executive function.