CBT for College Students with ADHD: A Clinical Guide to ACCESS

Preface
Acknowledgments
Contents
About the Authors
Contents
Contents
Chapter 1: ADHD in Emerging Adults Attending College
	ADHD Overview
		Epidemiology
		Functional Impairment
		Conceptual Understanding
		Summary
	Assessment Issues
		Diagnosing ADHD
		Co-occurring Conditions
		Additional Assessment Considerations
		Summary
	Treatment
		Disability Accommodations and Pharmacotherapy
		Psychosocial Interventions
		Critique of Psychosocial Treatment Literature
		Summary
	ACCESS
		Impetus for Developing ACCESS
		College STAR Project
		Description of the ACCESS Program
		Empirical Support
		Summary & Conclusions
	References
Chapter 2: General Guidelines for Planning and Implementing ACCESS
	Planning ACCESS
		Provider Qualifications
		Student Characteristics
		Scheduling Considerations
	Implementing ACCESS
		Group Sessions
		Mentoring Sessions
		Socratic Questioning
		Allocation of Time to Topics During Group and Mentoring Sessions
		Coordinating Delivery of Group and Mentoring Components
		Confidentiality Issues
		Guest Speakers
		Missed Meetings
		Handouts
		Using Components of ACCESS
Chapter 3: Active Phase – Week 1
	Week 1 – Group
		Introduction to ACCESS Program
			Beginning Group Session
			Describe How ACCESS is Delivered
			Set Expectations for Participation and Attendance
			Briefly Review Outline of Sessions and Discuss Expectations for Progress
			Meet Mentors (Optional)
		ADHD Knowledge
			What is ADHD
			Prevalence
			Developmental Course
			Situational Variability
			Neuropsychology of ADHD
		Behavioral Strategies
			Assign Between-Session Practice
		Adaptive Thinking Skills
			Assign Between-Session Practice
		Ending Group Session
	Week 1 – Mentoring
		Introduction & Confidentiality
			Brief Introduction
		Check-In
		Collaborative Agenda Setting
		Learn More about the Mentee
		Clarify What Mentoring Is and Is Not
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Assess Mentee’s Strengths, Needs, and Goals
		Ending Mentoring Session
		Week 1 – Group Agenda
		ADHD Knowledge
		Behavioral Strategies
		Adaptive Thinking Skills
		Ending Group Session
			Handouts
	ACCESS
	Week 1 – Group Handouts
	What is ACCESS?
		ACCESS =  Accessing Campus Connections & Empowering Student Success
			Program Description
			Participation Goals
	What is ADHD?
	What is Adaptive Thinking?
	ACCESS
	Week 1 – Mentoring Handouts
	Background Information Form
Chapter 4: Active Phase – Week 2
	Week 2 – Group
		Beginning Group Session
			Ask Group Members to Reintroduce Themselves
			Address Any Carry-Over Issues from Week 1
			Check to See If Connections Were Made with Mentors
			Remind the Group of the Importance of Between-Session Practice
		ADHD Knowledge
			Start the Knowledge Section
			Encourage Group Discussion
			Clarify the Roles of Nature Versus Nurture
			Review What Brain Areas and Functions are Likely to Be Impaired
			Discuss Pathways Impacting Prefrontal Cortex
			Address the Genetics of ADHD
			Encourage Students to Become Informed Consumers of ADHD Information
			Direct Attention to Technology Tools
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Introduce the Planner and the To-Do List
			Different Strokes for Different Folks
			Deciding Which Type of Planner to Use
			Discuss Rules for Using Planners More Effectively
			Invite the Group to Share Helpful Hints
			Reminders to Facilitate Planner Use
			Ask the Group to Practice Using the Planner
			Introduce the To-Do List
			Addressing Obstacles to Using To-Do Lists
			Suggestions for Completing Unpleasant Tasks
			Prioritizing Tasks within To-Do Lists
			Assign Between-Session Practice
		Adaptive Thinking Skills
			Start the Adaptive Thinking Section
			Discuss Different Types of Maladaptive Thinking
			Removing Barriers to Adaptive Thinking
			Introduce the Three-Column Technique
			Assign Between-Session Practice
		Ending Group Session
	Week 2 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Ending Mentoring Session
		Week 2 – Group Agenda
		ADHD Knowledge
		Behavioral Strategies
		Adaptive Thinking Skills
		Ending Group Session
		Handouts
	ACCESS
		Week 2 – Group Handouts
		What Causes ADHD?
	Using Your Planner
	Using Your To-Do List
	Recognizing Maladaptive Thinking Patterns
		Maladaptive Thinking Patterns
	Thought Record
	ACCESS
	Week 2 – Mentoring Handouts
	To-Do List
	Priority Ratings
	Thought Record
Chapter 5: Active Phase – Week 3
	Week 3 – Group
		Beginning Group Session
		ADHD Knowledge
			Start the Knowledge Section
			Assessment of ADHD
				Tip
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Addressing Procrastination
			Organizational Techniques
				Tip
				Tip
			Assign Between-Session Practice
		Adaptive Thinking
			Start the Adaptive Thinking Section
			Challenging Maladaptive Thinking Patterns
				Tip
			Generate Alternative Thoughts
			Rate Degree of Belief
			Identify New Feelings and Behaviors
			Assign Between-Session Practice
		Ending Group Session
	Week 3 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
				Tip
			Behavioral Strategies
				Tip
			Adaptive Thinking
		Ending Mentoring Session
	Week 3 – Group Agenda
		Beginning Group Session
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
	Week 3 – Group Handouts
	Assessment of ADHD
	Get Organized!
	Get Organized! (Page 2)
	Challenging Maladaptive Thinking
	Expanded Thought Record
	Week 3 – Mentoring Agenda
	ACCESS
	Week 3 – Mentoring Handouts
Chapter 6: Active Phase – Week 4
	Week 4 – Group
		Beginning Group Session
		ADHD Knowledge
			Start the Knowledge Section
			Discuss Risk and Protective Factors
			The Developmental Challenge of ADHD in College
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Strategies for Getting the Most Out of Classes
			Choosing and Scheduling Classes
			Paying Attention During Class
			Taking Notes
			Getting Help From Instructors
			Assign Between-Session Practice
		Adaptive Thinking Skills
			Start the Adaptive Thinking Section
			Using Adaptative Thinking to Improve School Performance
			Assign Between-Session Practice
		Ending Group Session
	Week 4 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Ending Mentoring Session
		Week 4 – Group Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
		Week 4 – Group Handouts
		How ADHD Affects College Performance
	Get the Most from Classes
		Manage ADHD-Related Thoughts to Improve Academics
		Maladaptive Thinking Patterns
		Questions to Help You Challenge Automatic Thoughts
Chapter 7: Active Phase – Week 5
	Week 5 – Group
		Beginning Group Session
		ADHD Knowledge
			Start the Knowledge Section
			Other Mental Health Concerns
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Studying Effectively
			Distributing Study Time
			Developing a Study Space
			Using Distractibility Delay
			Other Study Tips
		Adaptive Thinking Skills
			Start the Adaptive Thinking Section
			Coping with Negative Emotions and Maladaptive Behavior
			Assign Between-Session Practice
		Ending Group Session
	Week 5 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Ending Mentoring Session
		Week 5 – Group Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
		Week 5 – Group Handouts
		ADHD, Emotional Functioning, and Maladaptive Behaviors
	Studying Effectively
		Using Adaptive Thinking to Cope with Emotions and Maladaptive Behaviors
Chapter 8: Active Phase – Week 6
	Week 6 – Group
		Beginning Group Session
		ADHD Knowledge
			Medication for ADHD
			Rationale
			Medication Basics
			Adjusting Medications and Coping with Side Effects
			Realistic Goals for Change
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Taking Exams: General Test-Taking Tips
			Strategies for True/False Questions
			Strategies for Multiple Choice Questions
			Strategies for Essay Questions
			Managing Papers and Long-Term Projects
			Break it Down
			Other Tips
			Assign Between-Session Practice
		Adaptive Thinking
			Start the Adaptive Thinking Section
			Using Adaptative Thinking to Stick with Treatment
			Assign Between-Session Practice
		Ending Group Session
	Week 6 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Ending Mentoring Session
		Week 6 – Group Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
		Week 6 – Group Handouts
		Taking Exams
		Managing Papers & Long-Term Projects
		Using Adaptive Thinking to Stick with Treatment
Chapter 9: Active Phase – Week 7
	Week 7 – Group
		Beginning Group Session
		ADHD Knowledge
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Healthy Lifestyles
			Staying Healthy
			Relaxation
			Using Medication Effectively
			Handling Relationships
			Working in Groups
			Being Professional
			Assign Between-Session Practice
		Adaptive Thinking Skills
			Start the Adaptive Thinking Section
			Using Adaptive Thinking to Improve Relationships
			Assign Between-Session Practice
		Ending Group Session
	Week 7 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
				Staying Healthy Have a discussion with the mentee about staying healthy. Address some broad categories of health that may be difficult to maintain on a college campus, such as eating well, sleeping well, and regularly exercising. Many mentees fee
				Relaxation Discuss relaxation techniques, such as deep breathing, progressive muscle relaxation (PMR), body-scan meditation, visualization meditation, yoga, tai-chi, etc. Determine which strategies the mentee has used in the past and what
				Using Medication Effectively Address issues related to using medication effectively. Discuss strategies to improve medication adherence with the mentee, such as setting daily auditory or visual reminders. Also remind mentees that using their plan
				Making and Maintaining Friendships Mentees often express difficulty with making and maintaining friendships once they get to college. Discuss friendships with the mentee and determine if they struggle in these areas. Normalize these difficultie
				Working in Groups Many mentees dread working in groups for school projects. Discuss strategies for staying organized and communicating with group members, such as using the planner and To-Do list, and maintaining communication with group members.
				Being Professional Discuss professionalism with the mentee. This conversation will differ depending on the mentee’s current and previous work experience. Determine how comfortable the mentee is interacting with teachers, professors, managers, co-
			Adaptive Thinking
		Ending Mentoring Session
		Week 7 – Group Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
		Week 7 – Group Handouts
	Is Medication the Only Way to Treat ADHD?
	Healthy Lifestyles
	Handling Relationships
	Improving Relationships with Adaptive Thinking
	ACCESS
		Week 7 – Mentoring Handouts
		Stress-Reduction Strategies
Chapter 10: Active Phase – Week 8
	Week 8 – Group
		Beginning Group Session
		ADHD Knowledge
			Employment
			Money Management
			Personal Relationships
			Parenting
		Behavioral Strategies
			Start the Behavioral Strategies Section
			Setting and Achieving Goals
			Maintaining New Skills
		Adaptive Thinking Skills
			Start the Adaptive Thinking Section
			Adaptive Thinking Summary
		Ending Group Session
	Week 8 – Mentoring
		Check-In
		Collaborative Agenda Setting
		Review Between-Session Practice
		Discuss Information Presented in Group
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking
		Ending Mentoring Session
		Week 8 – Group Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
			Ending Group Session
			Handouts
	ACCESS
		Week 8 – Group Handouts
	ADHD Knowledge Summary
	Looking to the Future
	Adaptive Thinking Summary
	ACCESS
		Week 8 – Mentoring Handouts
		ACCESS Content Summary ADHD Knowledge
		ACCESS Content Summary Behavioral Strategies
		ACCESS Content Summary Adaptive Thinking
Chapter 11: Maintenance Phase
	Group Booster Session
		Beginning Group Booster Session
		ADHD Knowledge
			Check for Questions about ADHD
		Behavioral Strategies
			Discussion of Strategies
			Planning Strategy Use
			Consider Potential Barriers
		Adaptive Thinking Skills
			Check in on Use of Skills
			Review and Refine Adaptive Thinking Skills
		Ending Group Booster Session
	Mentoring
	Initial Maintenance Phase Mentoring Session
		Check-In
		Collaborative Agenda Setting
		Collaborative Planning Based on Current Needs and Goals
			Daily Schedules
			Resources
			Current Needs and Goals
			Identify ACCESS Content Areas Requiring Further Refinement
		Ending Mentoring Session
	Mid-Maintenance Phase Mentoring Session(s)
		Check-In
		Collaborative Agenda Setting
		Collaborative Planning Based on Current Needs and Goals
			Set New Goals
		Ending Mentoring Session
	Final Maintenance Phase Mentoring Session
		Check-In
		Collaborative Agenda Setting
		Collaborative Planning Based on Current Needs and Goals
			Seting New Goals
		Ending Mentoring Session
		Group Booster Session Agenda
			ADHD Knowledge
			Behavioral Strategies
			Adaptive Thinking Skills
		Ending Group Session
			Handouts
	ACCESS
		Booster Group Handouts
	Review of ACCESS Strategies
	Initial Maintenance Phase Mentoring Session Agenda
	ACCESS
		Initial Maintenance Phase Mentoring Handouts
	Goal-Setting Form
		ACCESS Content Summary ADHD Knowledge
		ACCESS Content Summary Behavioral Strategies
		ACCESS Content Summary Adaptive Thinking
Index