Cognitive-behavior therapy (CBT) has achieved the status of an evidence-supported psychosocial treatment for adult ADHD as determined by Division 12 (Society of Clinical Psychology) of the American Psychological Association.1 CBT is also the psychotherapy treatment of choice for adult ADHD in the UK per the National Institute for Health and Care Excellence (NICE), which also published treatment guidelines for the diagnosis and management of ADHD.2

These are positive developments for the treatment options for adults with ADHD, as CBT combined with effective medication treatment is a potent, effective one-two punch. The forthcoming inaugural US guidelines for the assessment and treatment of adult ADHD will provide yet another summary of the standing of CBT for adult ADHD in the overall treatment planning options for adult ADHD.

But an ongoing stumbling block with all existing, research-supported treatments for adult ADHD is access to expert or at the very least ADHD-competent care. A recent study of the experience of adults with ADHD who received CBT in the UK through routine, community practices illustrate the importance of access to expert care and ensuring that treatment, in this case CBT, is adequately adapted to the needs of adults with ADHD.3

Forty-six adults (33F/13M) were surveyed, and another ten adults (7F/3M) participated in semi-structured, in-depth interviews regarding their treatment in CBT for adult ADHD. Therapy was provided by either........

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