Development of a new psychosocial treatment for adult ADHD

Mary V. Solanto, David J. Marks, Katherine J. Mitchell, Jeanette Wasserstein, Michele D. Kofman

Research output: Contribution to journalArticlepeer-review

126 Scopus citations


Objective: The purpose of this study was to assess the effectiveness of a new manualized group Meta-Cognitive Therapy (MCT) for adults with ADHD that extends the principles and practices of cognitive-behavioral therapy to the development of executive self-management skills. Method: Thirty adults diagnosed with ADHD completed an 8- or 12-week program designed to target impairments in time management, organization, and planning skills. Treatment efficacy was measured using pre- and posttreatment self-report standardized measures (CAARS-S:L & Brown ADD Scales). Results: General linear modeling revealed a robust significant posttreatment decline on the CAARS DSM-IV Inattentive symptom scale (p <.001) as well as improvement on the Brown ADD Scales (p <.001). Conclusion: The findings indicate that participants in the MCT program showed marked improvement with respect to core ADHD symptoms of inattention, as well as executive functioning skills, suggesting that this program has promise as a treatment for meta-cognitive deficits in adults with ADHD.

Original languageEnglish
Pages (from-to)728-736
Number of pages9
JournalJournal of Attention Disorders
Issue number6
StatePublished - May 2008


  • ADHD
  • Adults
  • Attention-deficit hyperactivity disorder
  • Brown ADD Scales
  • Cognitive-behavioral therapy
  • Conners Adult ADD Scales
  • Executive function
  • Meta-cognitive therapy
  • Psychosocial
  • Treatment


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