Focuses on developing skills for managing behavior and self-control.
Focuses short-term on developing an understanding of one's thoughts and feelings and make changes to manage them.
CBT may not be helpful until adulthood due to an underdeveloped internal voice and may be most effective when paired with medication (Barkley, 2018).
Focuses long-term on collaboration with a coach that helps develop skills and lifestyle modifications that support ADHD individuals.
Focuses on teaching parents how to manage their ADHD kids' behaviors.
Set routines.
Break activities down into smaller steps.
Use visual cues to help remind yourself.
Limit distractions.
Limit choices.
Provide choices rather than open-ended options.
Set routines.
Provide clear and specific instructions.
Use visual and external methods of instruction.
Post rules on posters.
Utilize visuals that tell students what they should be doing.
Eg. stoplights where red is for listening quietly, yellow is for working, and green is for free time.
Have class or activity rules at their desk.
Ask student to restate expectations at the start of an activity.
Have student vocally self-instruct during work.
Break activities down into smaller steps.
Allow students to break up their time on tests - Don't provide extra time
Give them a stopwatch set to one hour and allow them to pause it whenever they need a break.
Provide frequent, immediate, and powerful consequences.
Mild personal reprimands (eg. touch on arm or shoulder and brief corrective statement).
Provide tasks instead of "time-outs."
Have student write statement on why their behavior was harmful and how they can respond better.
Provide sensory or break space.
Send students formally to private rooms, not the hallway.
Utilize external positive reinforcement and incentives.
Use positive reinforcement at least twice as much as negative reinforcement.
Frequent praise.
Token systems (!do not take away tokens for negative behaviors!).
Earn free time activities.
Make tasks into individual or group competitions
Earn self-evaluation points.
Eg. try telling the class to self-evaluate and reward themselves a point if they were on task whenever a random tone plays, or take away a point if they were not.
Allow frequent access to rewards (not just the end of the week).
Utilize behavior report cards.
Regularly rotate or change rewards for positive behaviors.
Hold students accountable for their behaviors.
Have the student record behavior and productivity on a visible graphic or chart.
Utilize daily self-evaluation conduct cards.
Set up a self-evaluation cue.
Eg. a word, sound, or action that tells the student to pause, look around, ask themselves what they should be doing, and return to their assignment.
Use accommodation technologies.
Visual cues.
Electronic reminders (multiple forms of notification, eg. sound, light, or vibrations).
Eg. MotivAider.
Physical tools are more effective than electronic tools in most cases..
National Institute of Mental Health (2021, September). Attention-deficit/hyperactivity disorder. https://www.nimh.nih.gov/health/topics/attention-deficit-hyperactivity-disorder-adhd
Giwerc, D. & Ramsay, J. R. (2022, March 31). ADHD therapy comparison: CBT vs. ADHD coaching. ADDitude Magazine. https://chadd.org/about-adhd/complementary-and-other-interventions/
Barkley, R. A. (2018, November 28). The second attention disorder - Sluggish cognitive tempo vs. ADHD. [Webinar]. University of Gothenburg. https://www.gu.se/en/gnc/birgit-olsson-lecture-2018
Barkley, R. A. (2008). Classroom accommodations for children with ADHD. The ADHD Report, 7-10. http://www.russellbarkley.org/factsheets/ADHD_School_Accommodations.pdf