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Coaching for College Students with ADHD

Current Psychiatry Reports volume 18, Article number: 110 (2016) Cite this article

Abstract

Evidence suggests that ADHD can impair academic achievement in college students and throughout the life span. College students with ADHD are an at-risk population who might benefit from interventions. An offshoot of CBT-oriented therapy that has grown significantly and gained popularity in recent years is ADHD coaching. ADHD coaching is a psychosocial intervention that helps individuals develop skills, strategies, and behaviors to cope with the core impairments associated with ADHD. Most coaching programs are primarily based on a CBT approach and target planning, time management, goal setting, organization, and problem solving. This paper describes ADHD coaching for college students and discusses how coaching is different from standard CBT treatment. This is followed by a review of empirical studies of the effectiveness of ADHD coaching for college students. Finally, some specific considerations and procedures used in coaching are described.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Kessler RC et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry. 2006;163:716–23.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Pryor JH, Eagan K, Blake LP, Hurtado S, Berdan J, Case MH. The American freshman: National norms fall 2010. Los Angeles, CA: Higher Education Research Institute, University of California, Los Angeles; 2010.

  3. Daley D, Birchwood J. ADHD and academic performance: why does ADHD impact on academic performance and what can be done to support ADHD children in the classroom? Child Care Health Dev. 2010;36(4):455–64.

    Article  CAS  PubMed  Google Scholar 

  4. Barkley RA, Murphy KR, Fischer M. ADHD in adults: what the science says. New York, NY: Guilford Press; 2008.

    Google Scholar 

  5. Advokat C, Lane SM, Luo C. (2011). College students with and without ADHD: comparison of self-report of medication usage, study habits, and academic achievement. J Atten Disord. 2010;15(8):656–66.

    Article  PubMed  Google Scholar 

  6. Birchwood J, Daley D. Brief report: the impact of attention deficit hyperactivity disorder (ADHD) symptoms on academic performance in an adolescent community sample. J Adolesc. 2002;35(1):225–31.

    Article  Google Scholar 

  7. Gormley MJ, Pinho T, Pollack B, et al. Impact of study skills and parent education on first- year GPA among college students with and Without ADHD: A moderated mediation model. J Atten Disord. 2015;1–15.

  8. Prevatt F et al. Time estimation abilities of college students with ADHD. J Atten Disord. 2011;15(7):531–8.

    Article  PubMed  Google Scholar 

  9. DuPaul GJ et al. College students with ADHD: current status and future directions. J Atten Disord. 2009;13(3):234–50.

    Article  PubMed  Google Scholar 

  10. Deal LS et al. Development and validation of the ADHD benefits of coaching scale (ABCS). J Atten Disord. 2015;9(3):191–9.

    Article  Google Scholar 

  11. Fleming AP. McMahon RJ (2012). Developmental context and treatment principles for ADHD among college students. Clin Child Fam Psychol Rev. 2012;15:303–29.

    Article  PubMed  Google Scholar 

  12. Meaux JB, Green A, Broussard L. ADHD in the college student: a block in the road. J Psychiatric Men Health Nurs. 2009;16:248–56.

    Article  CAS  Google Scholar 

  13. MTA Cooperative Group. Multimodal Treatment Study of Children with ADHD. A 14 month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 1999;56(12):1073–86.

    Article  Google Scholar 

  14. Dupaul GJ, Weyandt LL, Rossi JS, et al. Double-blind, placebo-controlled, crossover study of the efficacy and safety of lisdexamfetamine dimesylate in college students with ADHD. J Atten Disord. 2012;16(3):202–20.

    Article  PubMed  Google Scholar 

  15. Bramham J et al. Evaluation of group cognitive behavioral therapy for adults with ADHD. J Atten Disord. 2009;12(5):434–41.

    Article  PubMed  Google Scholar 

  16. Emilsson B, Gudjonsson G, Sigurdsson JF, et al. Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. BMC Psychiatry. 2011;11(1):116.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mongia M, Hechtman L. Cognitive behavior therapy for adults with attention-deficit/hyperactivity disorder: a review of recent randomized controlled trials. Curr Psychiatry Rep. 2012;14(5):561–7.

    Article  PubMed  Google Scholar 

  18. Safren SA, Sprich S, Perlman CA, Otto MW. Mastering your adult ADHD: a cognitive-behavioral treatment program. New York, NY: Oxford University Press; 2005.

  19. Solanto MV, Marks DJ, Mitchell KJ, Wasserstein J, Kofman MD. Development of a new psychosocial treatment for adult ADHD. J Atten Disord. 2008;11:728–736.20.

    Article  PubMed  Google Scholar 

  20. Solanto MV, Marks DJ, Wasserstein J, et al. Efficacy of meta-cognitive therapy for adult ADHD. Am J Psychiatry. 2010;167:958–68.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Stevenson CS, Whitmont S, Bornholt L, Livesey D, Stevenson RJ. A cognitive remediation programme for adults with attention deficit hyperactivity disorder. Australian New Zealand J Psychiatry. 2002;36:610–6.

    Article  Google Scholar 

  22. Torrente F, Lopez P, Prado DA, et al. Dysfunctional cognitions and their emotional, behavioral, and functional correlates in adults with attention deficit hyperactivity disorder (ADHD): is the cognitive-behavioral model valid? J Atten Disord. 2014;18(5):412–24.

    Article  PubMed  Google Scholar 

  23. Weiss M, Murray C, Wasdell M, Greenfield B, Giles L, Hechtman L. A randomized controlled trial of CBT therapy for adults with ADHD with and without medication. BMC Psychiatry. 2012;12:30.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. • Knouse LE. Cognitive-behavioral therapy for ADHD in college: recommendations “hot off the press”. ADHD Re. 2015;23:8–15. Summarizes four recent studies of CBT-related interventions for college students with ADHD and gives recommendations for clinicians.

    Article  Google Scholar 

  25. Goldstein S. Editorial: coaching as a treatment for ADHD. J Atten Disord. 2005;9(2):379–81.

    Article  PubMed  Google Scholar 

  26. Murphy K. Psychosocial treatments for ADHD in teens and adults: A practice‐friendly review. J Clin Psychol. 2005;61:607–619. Retrieved from http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1097-4679

  27. Murphy K, Ratey N, Maynard S, Sussman S, Wright SD. Coaching for ADHD. J Atten Disord. 2010;13:546–52.

    Article  PubMed  Google Scholar 

  28. Quinn PO. ADD and the college student: a guide for high school and college students with attention deficit disorder. Washington, DC: Magination Press; 2001.

    Google Scholar 

  29. Goudreau SB, Knight M. Executive function coaching: Assisting with transitioning from secondary to postsecondary education. J Atten Disord. Epub ahead of print. 2015. Doi 1087054715583355.

  30. Parker DR, Boutelle K. Executive function coaching for college students with learning disabilities and ADHD: A new approach for fostering self-determination. Learn Disabil Res Pract. 2009;24(4):204–15.

    Article  Google Scholar 

  31. Thomas, M, Rostain A, Prevatt FA. ADHD diagnosis and treatment in young adults and college students. In A. Joffee (Ed.), Adolesc Med State Art Rev. (pp. 659–680). Washington, DC: American Academy of Pediatrics. 2013

  32. •• Prevatt F, Levrini A. ADHD Coaching: a guide for mental health professionals. Washington DC: American Psychological Association; 2015. This textbook describes the underlying principles and specific techniques used in ADHD coaching. It also provides case studies with verbatim transcripts.

  33. Ramsay JR, Rostain AL. Cognitive behavior therapy for college students with attention-deficit/hyperactivity disorder. J College Stud Psychother. 2006;21(1):3–20.

    Article  Google Scholar 

  34. Favorite B. Coaching for adults with ADHD: the missing link between the desire for change and achievement of success. ADHD Rpt. 1995;3:11–2.

    Google Scholar 

  35. Ratey N. Life coaching for adult ADHD. In S Goldstein & A. Teeter Ellison (Eds.), Clinicians guide to adult ADHD: Assessment and Intervention. (pp. 261–279). San Diego, CA: Academic Press. 2002.

  36. Knouse LE, Cooper-Vince C, Sprich S, Safren SA. Recent developments in the psychosocial treatment of adult ADHD. Expert Rev Neurother. 2008;8:1537–48.

    Article  PubMed  PubMed Central  Google Scholar 

  37. • Prevatt F, Smith, SM, Diers, S, Marshall, D, Coleman, J, Valler, E, Miller, N. ADHD coaching with college students: The processes involved in motivation and goal completion. J College Stud Psychother. 2016. This empirical study describes the specific processes that predict positive goal completion in ADHD coaching with college students.

  38. Swartz S, Prevatt F, Proctor BE. A coaching intervention for college students with attention deficit/hyperactivity disorder. Psychol the Sch. 2005;42:647–55.

    Article  Google Scholar 

  39. Prevatt F, Yelland S. An empirical evaluation of ADHD coaching in college students. J Atten Disord. 2015;19(8):666–77.

    Article  PubMed  Google Scholar 

  40. Parker DR, Hoffman SF, Sawilowsky S, Rolands L. An examination of the effects of ADHD coaching on university students’ executive functioning. J Postsecond Educ Disabil. 2011;24(2):115–32.

    Google Scholar 

  41. • Field S, Parker DR, Sawilowsky S, Rolands L. Assessing the impact of ADHD coaching services on university students’ learning skills, self-regulation, and well-being. J Postsecond Educ Disabil. 2013;26:67–81. Retrieved from https://www.ahead.org/publications/jped. One of the first studies with large sample size and control group to evaluate ADHD coaching in college students.

  42. Richman EL, Rademacher KN, Maitland TL. Coaching and college success. J Postsecond Educ Disabil. 2014;27:33–50. Retrieved from https://www.ahead.org/publications/jped

  43. Zwart LM, Kallemeyn LM. Peer-based coaching for college students with ADHD and learning disabilities. J Postsecond Educ Disabil. 2001;15:1–15.

    Google Scholar 

  44. Allsop DH, Minskoff EH, Bolt L. Individualized course-specific strategy instruction for college students with learning disabilities and ADHD: lessons learned from a model demonstration project. Learn Disabil Res Pract. 2005;20:103–18.

    Article  Google Scholar 

  45. Farmer JL, Allsopp DH, Ferron JM. Impact of the personal strengths program on self-determination levels of college students with LD and/or ADHD. Learn Disabil Q. 2015;38(3):145–59.

    Article  Google Scholar 

  46. • Anastopoulos AD, King KA. A cognitive-behavior therapy and mentoring program for college students with ADHD. Cog Behav Pract. 2015;22:141–51. This study of a mixed individual/group intervention found positive results utilizing psychoeducation, skills training, identification of campus resources, organization, time management, and adaptive thinking.

  47. Solanto M. Cognitive behavioral therapy for adult ADHD. Guilford: New York, NY; 2013.

    Google Scholar 

  48. • LaCount PA, Hartung CM, Shelton CR. Stevens AE. Efficacy of an organizational skills intervention for college students with ADHD symptomatology and academic difficulties. J Atten Disord. 2015. doi:10.1177/1087054715594423. This pre-post control group study of a skills training program found positive results utilizing organization, time management, and planning.

  49. • Fleming AP, McMahon RJ, Moran LR, Peterson AP, Dreessen A. Pilot randomized controlled trial of dialectical behavior therapy group skills training for ADHD among college students. J Atten Disord. 2015;19(3):260–71. This randomized controlled study of group skills training showed positive results utilizing psycho-education, organization, planning, time management, structuring the environment, and stress management.

  50. Prevatt F, Lampropoulos GK, Bowles V, Garrett L. The use of between session assignments in ADHD coaching with college students. J Atten Disord. 2011;15(1):18–27.

    Article  PubMed  Google Scholar 

  51. Vidal R, Bosch R, Nogueira M, Gomez-Barros N, Palomar G, Corrales M, et al. Psychoeducation for adults with attention deficit hyperactivity disorder vs. cognitive behavioral group therapy: a randomized controlled pilot study. J Nerv Ment Dis. 2013;201(10):894–900.

    Article  PubMed  Google Scholar 

  52. Young S, Bramham J, Gray K, Rose E. The experience of receiving a diagnosis and treatment of ADHD in adulthood: a qualitative study of clinically referred patients using interpretative phenomenological analysis. J Atten Disord. 2008;11(4):493–503.

    Article  PubMed  Google Scholar 

  53. Kooij SJ et al. European consensus statement on diagnosis and treatment of adult ADHD: The European Network Adult ADHD. BMC Psychiatry. 2010;10:67.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Kelly K, Ramundo P. You mean Im not stupid, lazy or crazy? New York, NY: Scribner; 2006.

    Google Scholar 

  55. Barkley, RA. When an adult you love has ADHD: Professional advice for parents, partners and siblings. American Psychological Association, Washington, DC; 2016.

  56. Connor DJ. Helping students with disabilities transition to college. Teach Except Child. 2012;44(5):16–25.

    Article  Google Scholar 

  57. Americans with Disabilities Act of 2008, 42 USC S 12102 (1)(A) 2008. Retrieved from http://www.access-board.gov/about/laws/ada-amendments.htm

  58. Harrison JR, Bunford N, Evans SW, Owens JS. Educational accommodations for students with behavioral challenges: a systematic review of the literature. Rev of Educ Res. 2013;83:551–97.

    Article  Google Scholar 

  59. Wigal SB. Efficacy and safety limitations of attention-deficit hyperactivity disorder pharmacotherapy in children and adults. CNS Drugs. 2009;23(1):21–31.

    Article  CAS  PubMed  Google Scholar 

  60. Powers RL, Marks DJ, Miller CJ, Newcorn JH, Halperin JM. Stimulant treatment in children with attention-deficit/hyperactivity disorder moderates adolescent academic outcome. J Child Adol Psychopharmacol. 2008;18(5):449–59.

    Article  Google Scholar 

  61. Wigal SB, Wigal T, Schuck S, et al. Academic, behavioral, and cognitive effects of OROS(R) methylphenidate on older children with attention-deficit/hyperactivity disorder. J Child Adol Psychopharmacol. 2011;21(2):121–31.

    Article  CAS  Google Scholar 

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  1. Florida State University, 1114 West Call Street, Tallahassee, FL, 32306-4453, USA

    Frances Prevatt

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  1. Frances Prevatt
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Correspondence to Frances Prevatt.

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This article is part of the Topical Collection on Attention-Deficit Disorder

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Prevatt, F. Coaching for College Students with ADHD. Curr Psychiatry Rep 18, 110 (2016). https://doi.org/10.1007/s11920-016-0751-9

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