DBT for ADHD

DBT skills can be taught individually or integrated throughout therapy as needed, but for the most comprehensive results, I offer a structured 16-week DBT for ADHD program. This program includes two assessment sessions, 12 weeks of targeted DBT skills training, and two integration sessions to apply what you’ve learned to real-life situations. Therapy can certainly continue beyond the 16 weeks if further support is desired, allowing you to build on your progress at your own pace.

Interest-Based Nervous System

ADHD isn’t about a deficiency in attention; instead, it involves an interest-based nervous system, where attention is activated by interest, novelty, passion, challenge, or urgency. This can lead to inconsistent focus, which is often misunderstood. DBT’s mindfulness practices can help you strengthen attention, manage distractions, and improve your overall mental performance by training your focus on tasks that matter.

Emotional Hyperarousal

For many with ADHD, emotions can feel intense and unpredictable, leading to “high highs” and “low lows”—a characteristic also called emotional dysregulation. DBT’s Emotional Regulation skills module helps you understand and name your emotions, reduce emotional vulnerability, and gain control over your emotional responses. By learning these skills, you can lessen the impact of emotional ups and downs on your daily life.

Rejection Sensitivity

Those with ADHD often experience Rejection Sensitivity—a heightened emotional response to real or perceived criticism or rejection. This can be deeply painful, making it challenging to navigate social situations. DBT’s Distress Tolerance skills can help you cope with these intense feelings, manage the urge to react impulsively, and make decisions from a place of calm rather than hurt.

Improving Relationships

Living with ADHD can strain relationships with friends, family, partners, and others. People may not always understand how ADHD influences your behaviors and moods, which can leave you feeling isolated. DBT’s Interpersonal Effectiveness skills provide tools to communicate openly about how ADHD affects you, express your needs, and cultivate healthy, lasting relationships.