Currently, a multi-modal treatment response is considered the best approach with includes education about ADHD, medication, coaching & psychotherapy. The rationale behind each is:
- Education – to reduce incidence of blame and judgement by understanding the ADHD effected processes that result in the poor outcomes experienced across life. This understanding of the processes that are effected with ADHD also helps in the development of strategies to address these problems and achieve improved outcomes.
- Medication – to address intrinsic deficits in functioning by increasing the availability of chemicals in the brain that improve pre-frontal cortex (& neural network) functioning.
- Coaching – partners with clients to uncover the processes affecting performance and then develop individually tailored strategies to improve habits and functions in all aspects of life resulting in improved sense of competence and control by understanding ADHD strengths and weaknesses.
- Psychotherapy – to address effects on self-image, self efficacy and comorbid conditions including a willingness to try new strategies.
As with many disorders, people with ADHD will have different treatment needs as they move through life. With successful treatment this should include periods of self managed or no treatment. It is important that this is recognised by the person with ADHD and their treatment providers to aid in planning exit and re-entry to treatment and so ensuring treatment is accessed when needed.