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Beth’s ADHD symptoms resulted in impairment in academic functioning and currently cause impairment and distress with respect to the management of her business and interpersonal functioning. There is a recent history of anxiety and depression due to feeling overwhelmed and inadequate. Strengths for Beth include the close and supportive relationships she maintains with her friends and family members. Recommendations 1. A trial of stimulant medication for management of ADHD symptoms is recommended.

He has difficulty transitioning between tasks and may “fixate,” spending too much time on one task to the exclusion of other more pressing demands. He also may lose focus during conversations and his mind can just “go” during meetings. He conveyed significant distress about the impact of these difficulties on his work, along with the persistent feeling that he would have gone further in his professional life had he not had ADHD-related difficulties. At home Charles has trouble keeping track of personal finances, including budgeting, decision making, and paying bills on time; these are exacerbated by the fact that current anxieties about his financial state make it “painful” to even begin work on this.

Solanto, David J. M arks, and Jeanette Wasserstein Structure and Format of the Treatment M anual Please note that this material is also printed at the start of the Treatment Manual proper, as a convenience to the user. The Treatment Manual is a session-by-­session guide to a 12-session treatment program designed to foster the development of time-­management, organizational, and planning skills in adults with ADHD. Most sessions have Leader Notes, as well as Take-Home Notes and a Take-Home Exercise to be distributed to the participants.