Attention-deficit hyperactivity disorder (ADHD) presents with high levels of inattention, impulsiveness, and hyperactivity. ADHD starts in childhood and results in impairments that continue into adulthood. ADHD symptoms lead to decreased functionality in various life domains and result in poor academics, behavioral challenges, delayed independence, and strained relationships. Despite advances in diagnosis and treatment, persistent residual symptoms are common, highlighting the need for novel treatment strategies. This article aims to provide a review of the psychotherapeutic interventions available for teens that receive pharmacotherapy but continue to struggle with the residual symptoms of ADHD that interfere with academic function, relationship formation, and psychological development.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed.Arlington, VA: American Psychiatric Publishing; 2013.
2.
Modesto-LoweVChaplinMGodsayVSoovajianV.Parenting teens with attention-deficit/hyperactivity disorder: challenge and opportunities. Clin Pediatr (Phila). 2014;53:943-948.
3.
HowardAStricklandNMurrayD. Progression of impairment in adolescents with attention-deficit/hyperactivity disorder through the transition out of high school: contributions of parent involvement and college attendance. J Abnorm Psychol. 2016;125:233-247.
4.
Modesto-LoweVChaplinMSoovajianVMeyerA.Are motivation deficits underestimated in patients with ADHD? A review of the literature. Postgrad Med. 2013;125(4):47-52.
5.
ColemanWL.Social competence and friendship formation in adolescents with attention-deficit/hyperactivity disorder. Adolesc Med State Art Rev. 2008;19:278-299.
6.
McQuadeJHozaB.Peer problems in attention deficit hyperactivity disorder: current status and future directions. Dev Disabil Res Rev. 2008;14:320-324.
7.
McQuadeJVaughnAHozaB. Perceived social acceptance and peer status differentially predict adjustment in youth with and without ADHD. J Atten Disord. 2014;18:31-43.
8.
HanwellaRSenanayakeMde SilvaV.Comparative efficacy and acceptability of methylphenidate and atomoxetine in treatment of attention deficit hyperactivity disorder in children and adolescents: a meta-analysis. BMC Psychiatry. 2011;11:176. doi:10.1186/1471-244X-11-176.
9.
KratochvilCJMiltonDRVaughanBSGreenhillLL.Acute atomoxetine treatment of younger and older children with ADHD: a meta-analysis of tolerability and efficacy. Child Adolesc Psychiatry Ment Health. 2008;2:25. doi:10.1186/1753-2000-2-25.
10.
RoskellNSSetyawanJZimovetzEAHodgkinsP.Systematic evidence synthesis of treatments for ADHD in children and adolescents: indirect treatment comparisons of lisdexamfetamine with methylphenidate and atomoxetine. Curr Med Res Opin. 2014;30:1673-1685. doi:1185/03007995.2014.904772.
11.
JadadARBoyleMCunninghamCKimMSchacharR. Treatment of Attention-Deficit/Hyperactivity Disorder (Evidence Reports/Technology Assessments, No. 11). Rockville, MD: Agency for Healthcare Research and Quality; 1999.
12.
GoodmanDWSurmanCBSchererPBSalinasGDBrownJJ.Assessment of physician practices in adult attention-deficit/hyperactivity disorder. Prim Care Companion CNS Disord. 2012;14(4). doi: 10.4088/PCC.11m01312.
13.
HallCLNewellKTaylorJSayalKSwiftKDHollisC.“Mind the gap”—mapping services for young people with ADHD transitioning from child to adult mental health services. BMC Psychiatry. 2013;13:186.
14.
SchachterHMPhamBKingJLangfordSMoherD.How efficacious and safe is short-acting methylphenidate for the treatment of attention-deficit disorder in children and adolescents? A meta-analysis. CMAJ. 2001;165:1475-1488.
15.
KingSGriffinSHodgesZ. A systematic review and economic model of the effectiveness and cost-effectiveness of methylphenidate, dexamfetamine and atomoxetine for the treatment of attention deficit hyperactivity disorder in children and adolescents. Health Technol Assess. 2006;10(23):iii-iv,xiii-146.
16.
CoghillDBanaschewskiTZuddasAPelazAGaglianoADoepfnerM.Long-acting methylphenidate formulations in the treatment of attention-deficit/hyperactivity disorder: a systematic review of head-to-head studies. BMC Psychiatry. 2013;13:237. doi:10.1186/1471-244X-13-237.
17.
CunillRCastellsXTobiasACapellàD.Efficacy, safety and variability in pharmacotherapy for adults with attention deficit hyperactivity disorder: a meta-analysis and meta-regression in over 9000 patients. Psychopharmacology (Berl). 2016;233:187-197. doi:10.1007/s00213-015-4099-3.
18.
StorebøOJKroghHBRamstadE. Methylphenidate for attention-deficit/hyperactivity disorder in children and adolescents: Cochrane systematic review with meta-analyses and trial sequential analyses of randomised clinical trials. BMJ. 2015;351:h5203. doi:10.1136/bmj.h5203.
19.
FramptonJE.Lisdexamfetamine: a review in ADHD in adults. CNS Drugs. 2016;30:343-354. doi:10.1007/s40263-016-0327-6.
20.
FindlingRLMcBurnettKWhiteCYouchaS.Guanfacine extended release adjunctive to a psychostimulant in the treatment of comorbid oppositional symptoms in children and adolescents with attention-deficit/hyperactivity disorder. J Child Adolesc Psychopharmacol. 2014;24:245-252. doi:10.1089/cap.2013.0103.
21.
ConwayF.Psychodynamic psychotherapy of ADHD: a review of the literature. Psychotherapy (Chic). 2012;49:404-417. doi:10.1037/a0027344.
22.
SteinMASzumowskiEBlondisTARoizenNJ.Adaptive skills dysfunction in ADD and ADHD children. J Child Psychol Psychiatry. 1995;36:663-670.
23.
GreeneRWBiedermanJFaraoneSVSiennaMGarcia-JettonJ.Adolescent outcome of boys with attention-deficit/hyperactivity disorder and social disability: results from a 4-year longitudinal follow-up study. J Consult Clin Psychol. 1997;65:758-767.
24.
BilgiçATufanAEYılmazS. Association of reactive-proactive aggression and anxiety sensitivity with internalizing and externalizing symptoms in children with attention-deficit/hyperactivity disorderChild Psychiatry Hum Dev. 2017;48(2):283–297. doi:10.1007/s10578-016-0640-9.
25.
EbejerJLMedlandSEvan der WerfJ. Attention deficit hyperactivity disorder in Australian adults: prevalence, persistence, conduct problems and disadvantage. PLoS One. 2012;7:e47404. doi:10.1371/journal.pone.0047404.
26.
CayeASpadiniAVKaramRG. Predictors of persistence of ADHD into adulthood: a systematic review of the literature and meta-analysis. Eur Child Adolesc Psychiatry. 2016;25(11):1151–1159. doi:10.1007/s00787-016-0831-8.
27.
HozaB.Peer functioning in children with ADHD. J Pediatr Psychol. 2007;32:655-663.
28.
Gifford-SmithMEBrownellCA.Childhood peer relationships: social acceptance, friendships, and peer networks. J Sch Psychol. 2003;41:235-284.
29.
BagwellCMolinaBSGPelhamWEHozaB.Attention-deficit hyperactivity disorder and problems in peer relations: predictions from childhood to adolescence. J Am Acad Child Adolesc Psychiatry. 2001;40:1285-1292.
30.
WienerJDanielsL. School experiences of adolescents with attention-deficit/hyperactivity disorder. J Learn Disabil. 2016;49(6):567–581. doi:10.1177/0022219415576973.
31.
GormezVForbesF.Self-image profile in children and adolescents with attention deficit/hyperactivity disorder and the quality of life in their parents. Int J Psychiatry Med. 2015;49:19-33.
32.
HozaBGerdesACHinshawSP. Self-perceptions of competence in children with ADHD and comparison children. J Consult Clin Psychol. 2004;72:382-391.
33.
YoungSTooneBTysonC.Comorbidity and psychosocial profile of adults with attention deficit hyperactivity disorder. Personal Individ Differ. 2003;35:743-755.
34.
GreeneRWBiedermanJFaraoneSV. Social impairment in girls with ADHD: patterns, gender comparisons, and correlates. J Am Acad Child Adolesc Psychiatry. 2001;40:704-710.
35.
Volz-SidiropoulouEBoeckerMGauggelS.The positive illusory bias in children and adolescents with ADHD: further evidence. J Atten Disord. 2016;20:178-186. doi:10.1177/1087054713489849.
36.
EmehCCMikamiAYTeachmanBA. Explicit and implicit positive illusory bias in children with ADHD [published online November2, 2015]. J Atten Disord. doi:10.1177/1087054715612261.
37.
LinneaKHozaBTombMKaiserN.Does a positive bias relate to social behavior in children with ADHD?Behav Ther. 2012;43:862-875. doi:10.1016/j.beth.2012.05.004.
38.
DekkersTJPopmaAAgelink van RentergemJABexkensAHuizengaHM.Risky decision making in attention-deficit/hyperactivity disorder: a meta-regression analysis. Clin Psychol Rev. 2016;45:1-16. doi:10.1016/j.cpr.2016.03.001.
39.
KayeSRamos-QuirogaJAvan de GlindG. Persistence and subtype stability of ADHD among substance use disorder treatment seekers [published online February27, 2016]. J Atten Disord. doi:10.1177/1087054716629217.
HeimanT.An examination of peer relationships of children with and without attention deficit hyperactivity disorder. Sch Psychol Int. 2005;26:330-339.
42.
EdwardsGBarkleyRALaneriMFletcherKMeteviaL.Parent-adolescent conflict in teenagers with ADHD and ODD. J Abnorm Child Psychol. 2001;29:557-572.
43.
YoshimasuKBarbaresiWJColliganRCVoigtRGWeaverALKatusicSK.Mediating and moderating role of depression, conduct disorder or attention-deficit/hyperactivity disorder in developing adolescent substance use disorders: a population-based study. PLoS One. 2016;11(6):e0157488. doi:10.1371/journal.pone.0157488.
44.
WilsonJMMarcotteAC.Psychosocial adjustment and educational outcome in adolescents with a childhood diagnosis of attention deficit disorder. J Am Acad Child Adolesc Psychiatry. 1996;35:579-587.
45.
KorsgaardHOTorgersenSWentzel-LarsenTUlbergR.Personality disorders and Axis I comorbidity in adolescent outpatients with ADHD. BMC Psychiatry. 2016;16:175. doi:10.1186/s12888-016-0871-0.
46.
van den HoofdakkerBJvan der Veen-MuldersLSytemaSEmmelkampPMMinderaaRBNautaMH.Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry. 2007;46:1263-1271.
47.
BarkleyRA.Adolescents with attention-deficit/hyperactivity disorder: an overview of empirically based treatments. J Psychiatr Pract. 2004;10:39-56.
48.
SafrenSAOttoMWSprichSWinettCLWilensTEBiedermanJ.Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms. Behav Res Ther. 2005;43:831-842.
49.
AntshelKMOlszewskiAK.Cognitive behavioral therapy for adolescents with ADHD. Child Adolesc Psychiatr Clin N Am. 2014;23:825-842. doi:10.1016/j.chc.2014.05.001.
50.
BoyerBGeurtsHPrinsPVan der OordS.Two novel CBTs for adolescents with ADHD: the value of planning skills. Eur Child Adolesc Psychiatry. 2015;24:1075-1090.
51.
BoyerEGeurtsHPierPVan der OordS.One-year follow-up of two novel CBTs for adolescents with ADHD. Eur Child Adolesc Psychiatry. 2016;25:333-337.
52.
MongiaMHechtmanL.Cognitive behavior therapy for adults with attention-deficit/hyperactivity disorder: a review of recent randomized controlled trials. Curr Psychiatry Rep. 2012;14:561-567.
53.
VidalRCastellsJRicharteV. Group therapy for adolescents with attention-deficit/hyperactivity disorder: a randomized controlled trial. J Am Acad Child Adolesc Psychiatry. 2015;54:275-282.
54.
PhilipsenAGrafETebartz van ElstL. Evaluation of the efficacy and effectiveness of a structured disorder tailored psychotherapy in ADHD in adults: study protocol of a randomized controlled multicentre trial. Atten Defic Hyperact Disord. 2010;2:203-212. doi:10.1007/s12402-010-0046-7.
55.
AshwoodKLTyeCAzadiB. Brief report: adaptive functioning children with ASD, ADHD, and ASD + ADHD. J Autism Dev Disord. 2015;45:2235-2242. doi:10.1007/s10803-014-2352-y.
56.
LinehanM. Behavioral targets in treatment: behaviors to increase and decrease. In: FrancesA, ed. Cognitive Behavioral Treatment of Borderline Personality Disorder. 1st ed. New York, NY: Guilford Press; 1993:144-152.
57.
MillerA.Introduction to a special issue dialectical behavior therapy: evolution and adaptations in the 21st century. Am J Psychother. 2015;69:91-95.
58.
BurkeC.Mindfulness-based approaches with children and adolescents: a preliminary review of current research in an emergent field. J Child Fam Stud. 2010;19:133-144.
59.
BackerHMillerAVan den BoschL.Dialectical behaviour therapy for adolescents; a literature review [in Dutch]. Tijdschr Psychiatr. 2009;51:31-41.
60.
RitschelLLimNStewartL.Transdiagnostic applications of DBT for adolescents and adults. Am J Psychother. 2015;69:111-128.
61.
HirvikoskiTWaalerEAlfredssonJ. Reduced ADHD symptoms in adults with ADHD after structured skills training group: results from a randomized controlled trial. Behav Res Ther. 2011;49:175-185.
62.
FlemingAMcMahonRMoranLPetersonADreessenA.Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college students. J Atten Disord. 2015;19:260-271.
