CBT for College Students with ADHD: A Clinical Guide to ACCESS 3030331687, 9783030331689
This book provides an overview of the ACCESS program, a mental health program that has been developed and tested as an e
530 64 3MB
English Pages 255 [269] Year 2021
Table of contents :
Preface
Acknowledgments
Contents
About the Authors
Contents
Contents
Chapter 1: ADHD in Emerging Adults Attending College
ADHD Overview
Epidemiology
Functional Impairment
Conceptual Understanding
Summary
Assessment Issues
Diagnosing ADHD
Co-occurring Conditions
Additional Assessment Considerations
Summary
Treatment
Disability Accommodations and Pharmacotherapy
Psychosocial Interventions
Critique of Psychosocial Treatment Literature
Summary
ACCESS
Impetus for Developing ACCESS
College STAR Project
Description of the ACCESS Program
Empirical Support
Summary & Conclusions
References
Chapter 2: General Guidelines for Planning and Implementing ACCESS
Planning ACCESS
Provider Qualifications
Student Characteristics
Scheduling Considerations
Implementing ACCESS
Group Sessions
Mentoring Sessions
Socratic Questioning
Allocation of Time to Topics During Group and Mentoring Sessions
Coordinating Delivery of Group and Mentoring Components
Confidentiality Issues
Guest Speakers
Missed Meetings
Handouts
Using Components of ACCESS
Chapter 3: Active Phase – Week 1
Week 1 – Group
Introduction to ACCESS Program
Beginning Group Session
Describe How ACCESS is Delivered
Set Expectations for Participation and Attendance
Briefly Review Outline of Sessions and Discuss Expectations for Progress
Meet Mentors (Optional)
ADHD Knowledge
What is ADHD
Prevalence
Developmental Course
Situational Variability
Neuropsychology of ADHD
Behavioral Strategies
Assign Between-Session Practice
Adaptive Thinking Skills
Assign Between-Session Practice
Ending Group Session
Week 1 – Mentoring
Introduction & Confidentiality
Brief Introduction
Check-In
Collaborative Agenda Setting
Learn More about the Mentee
Clarify What Mentoring Is and Is Not
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Assess Mentee’s Strengths, Needs, and Goals
Ending Mentoring Session
Week 1 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 1 – Group Handouts
What is ACCESS?
ACCESS = Accessing Campus Connections & Empowering Student Success
Program Description
Participation Goals
What is ADHD?
What is Adaptive Thinking?
ACCESS
Week 1 – Mentoring Handouts
Background Information Form
Chapter 4: Active Phase – Week 2
Week 2 – Group
Beginning Group Session
Ask Group Members to Reintroduce Themselves
Address Any Carry-Over Issues from Week 1
Check to See If Connections Were Made with Mentors
Remind the Group of the Importance of Between-Session Practice
ADHD Knowledge
Start the Knowledge Section
Encourage Group Discussion
Clarify the Roles of Nature Versus Nurture
Review What Brain Areas and Functions are Likely to Be Impaired
Discuss Pathways Impacting Prefrontal Cortex
Address the Genetics of ADHD
Encourage Students to Become Informed Consumers of ADHD Information
Direct Attention to Technology Tools
Behavioral Strategies
Start the Behavioral Strategies Section
Introduce the Planner and the To-Do List
Different Strokes for Different Folks
Deciding Which Type of Planner to Use
Discuss Rules for Using Planners More Effectively
Invite the Group to Share Helpful Hints
Reminders to Facilitate Planner Use
Ask the Group to Practice Using the Planner
Introduce the To-Do List
Addressing Obstacles to Using To-Do Lists
Suggestions for Completing Unpleasant Tasks
Prioritizing Tasks within To-Do Lists
Assign Between-Session Practice
Adaptive Thinking Skills
Start the Adaptive Thinking Section
Discuss Different Types of Maladaptive Thinking
Removing Barriers to Adaptive Thinking
Introduce the Three-Column Technique
Assign Between-Session Practice
Ending Group Session
Week 2 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Ending Mentoring Session
Week 2 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 2 – Group Handouts
What Causes ADHD?
Using Your Planner
Using Your To-Do List
Recognizing Maladaptive Thinking Patterns
Maladaptive Thinking Patterns
Thought Record
ACCESS
Week 2 – Mentoring Handouts
To-Do List
Priority Ratings
Thought Record
Chapter 5: Active Phase – Week 3
Week 3 – Group
Beginning Group Session
ADHD Knowledge
Start the Knowledge Section
Assessment of ADHD
Tip
Behavioral Strategies
Start the Behavioral Strategies Section
Addressing Procrastination
Organizational Techniques
Tip
Tip
Assign Between-Session Practice
Adaptive Thinking
Start the Adaptive Thinking Section
Challenging Maladaptive Thinking Patterns
Tip
Generate Alternative Thoughts
Rate Degree of Belief
Identify New Feelings and Behaviors
Assign Between-Session Practice
Ending Group Session
Week 3 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Tip
Behavioral Strategies
Tip
Adaptive Thinking
Ending Mentoring Session
Week 3 – Group Agenda
Beginning Group Session
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 3 – Group Handouts
Assessment of ADHD
Get Organized!
Get Organized! (Page 2)
Challenging Maladaptive Thinking
Expanded Thought Record
Week 3 – Mentoring Agenda
ACCESS
Week 3 – Mentoring Handouts
Chapter 6: Active Phase – Week 4
Week 4 – Group
Beginning Group Session
ADHD Knowledge
Start the Knowledge Section
Discuss Risk and Protective Factors
The Developmental Challenge of ADHD in College
Behavioral Strategies
Start the Behavioral Strategies Section
Strategies for Getting the Most Out of Classes
Choosing and Scheduling Classes
Paying Attention During Class
Taking Notes
Getting Help From Instructors
Assign Between-Session Practice
Adaptive Thinking Skills
Start the Adaptive Thinking Section
Using Adaptative Thinking to Improve School Performance
Assign Between-Session Practice
Ending Group Session
Week 4 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Ending Mentoring Session
Week 4 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 4 – Group Handouts
How ADHD Affects College Performance
Get the Most from Classes
Manage ADHD-Related Thoughts to Improve Academics
Maladaptive Thinking Patterns
Questions to Help You Challenge Automatic Thoughts
Chapter 7: Active Phase – Week 5
Week 5 – Group
Beginning Group Session
ADHD Knowledge
Start the Knowledge Section
Other Mental Health Concerns
Behavioral Strategies
Start the Behavioral Strategies Section
Studying Effectively
Distributing Study Time
Developing a Study Space
Using Distractibility Delay
Other Study Tips
Adaptive Thinking Skills
Start the Adaptive Thinking Section
Coping with Negative Emotions and Maladaptive Behavior
Assign Between-Session Practice
Ending Group Session
Week 5 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Ending Mentoring Session
Week 5 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 5 – Group Handouts
ADHD, Emotional Functioning, and Maladaptive Behaviors
Studying Effectively
Using Adaptive Thinking to Cope with Emotions and Maladaptive Behaviors
Chapter 8: Active Phase – Week 6
Week 6 – Group
Beginning Group Session
ADHD Knowledge
Medication for ADHD
Rationale
Medication Basics
Adjusting Medications and Coping with Side Effects
Realistic Goals for Change
Behavioral Strategies
Start the Behavioral Strategies Section
Taking Exams: General Test-Taking Tips
Strategies for True/False Questions
Strategies for Multiple Choice Questions
Strategies for Essay Questions
Managing Papers and Long-Term Projects
Break it Down
Other Tips
Assign Between-Session Practice
Adaptive Thinking
Start the Adaptive Thinking Section
Using Adaptative Thinking to Stick with Treatment
Assign Between-Session Practice
Ending Group Session
Week 6 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Ending Mentoring Session
Week 6 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 6 – Group Handouts
Taking Exams
Managing Papers & Long-Term Projects
Using Adaptive Thinking to Stick with Treatment
Chapter 9: Active Phase – Week 7
Week 7 – Group
Beginning Group Session
ADHD Knowledge
Behavioral Strategies
Start the Behavioral Strategies Section
Healthy Lifestyles
Staying Healthy
Relaxation
Using Medication Effectively
Handling Relationships
Working in Groups
Being Professional
Assign Between-Session Practice
Adaptive Thinking Skills
Start the Adaptive Thinking Section
Using Adaptive Thinking to Improve Relationships
Assign Between-Session Practice
Ending Group Session
Week 7 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Staying Healthy Have a discussion with the mentee about staying healthy. Address some broad categories of health that may be difficult to maintain on a college campus, such as eating well, sleeping well, and regularly exercising. Many mentees fee
Relaxation Discuss relaxation techniques, such as deep breathing, progressive muscle relaxation (PMR), body-scan meditation, visualization meditation, yoga, tai-chi, etc. Determine which strategies the mentee has used in the past and what
Using Medication Effectively Address issues related to using medication effectively. Discuss strategies to improve medication adherence with the mentee, such as setting daily auditory or visual reminders. Also remind mentees that using their plan
Making and Maintaining Friendships Mentees often express difficulty with making and maintaining friendships once they get to college. Discuss friendships with the mentee and determine if they struggle in these areas. Normalize these difficultie
Working in Groups Many mentees dread working in groups for school projects. Discuss strategies for staying organized and communicating with group members, such as using the planner and To-Do list, and maintaining communication with group members.
Being Professional Discuss professionalism with the mentee. This conversation will differ depending on the mentee’s current and previous work experience. Determine how comfortable the mentee is interacting with teachers, professors, managers, co-
Adaptive Thinking
Ending Mentoring Session
Week 7 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 7 – Group Handouts
Is Medication the Only Way to Treat ADHD?
Healthy Lifestyles
Handling Relationships
Improving Relationships with Adaptive Thinking
ACCESS
Week 7 – Mentoring Handouts
Stress-Reduction Strategies
Chapter 10: Active Phase – Week 8
Week 8 – Group
Beginning Group Session
ADHD Knowledge
Employment
Money Management
Personal Relationships
Parenting
Behavioral Strategies
Start the Behavioral Strategies Section
Setting and Achieving Goals
Maintaining New Skills
Adaptive Thinking Skills
Start the Adaptive Thinking Section
Adaptive Thinking Summary
Ending Group Session
Week 8 – Mentoring
Check-In
Collaborative Agenda Setting
Review Between-Session Practice
Discuss Information Presented in Group
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking
Ending Mentoring Session
Week 8 – Group Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Week 8 – Group Handouts
ADHD Knowledge Summary
Looking to the Future
Adaptive Thinking Summary
ACCESS
Week 8 – Mentoring Handouts
ACCESS Content Summary ADHD Knowledge
ACCESS Content Summary Behavioral Strategies
ACCESS Content Summary Adaptive Thinking
Chapter 11: Maintenance Phase
Group Booster Session
Beginning Group Booster Session
ADHD Knowledge
Check for Questions about ADHD
Behavioral Strategies
Discussion of Strategies
Planning Strategy Use
Consider Potential Barriers
Adaptive Thinking Skills
Check in on Use of Skills
Review and Refine Adaptive Thinking Skills
Ending Group Booster Session
Mentoring
Initial Maintenance Phase Mentoring Session
Check-In
Collaborative Agenda Setting
Collaborative Planning Based on Current Needs and Goals
Daily Schedules
Resources
Current Needs and Goals
Identify ACCESS Content Areas Requiring Further Refinement
Ending Mentoring Session
Mid-Maintenance Phase Mentoring Session(s)
Check-In
Collaborative Agenda Setting
Collaborative Planning Based on Current Needs and Goals
Set New Goals
Ending Mentoring Session
Final Maintenance Phase Mentoring Session
Check-In
Collaborative Agenda Setting
Collaborative Planning Based on Current Needs and Goals
Seting New Goals
Ending Mentoring Session
Group Booster Session Agenda
ADHD Knowledge
Behavioral Strategies
Adaptive Thinking Skills
Ending Group Session
Handouts
ACCESS
Booster Group Handouts
Review of ACCESS Strategies
Initial Maintenance Phase Mentoring Session Agenda
ACCESS
Initial Maintenance Phase Mentoring Handouts
Goal-Setting Form
ACCESS Content Summary ADHD Knowledge
ACCESS Content Summary Behavioral Strategies
ACCESS Content Summary Adaptive Thinking
Index
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