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12 BACKGROUND AND TREATMENT

Neuropsychological deficits
Poor concentration
Disorganization
Forgetfulness
Difficulties with problem solving
Poor response inhibition
Problems with self-regulation
Need for immediate gratification
Delay aversion

Life events/experiences
Educational failure
Occupational failure
Relationship difficulties
Social rejection
Risk-taking behaviour

Situation/task/stimulus
e.g. Social situation
Confrontation
Exam
Interview

Resilience Success Failure


Try, try again
Never give up
Self-belief Impulsivity Inattention
e.g. Lack of planning e.g.distraction
jumping to conclusions

Positive appraisal Reappraisal Negative appraisal


Optimism Cognitive reframing Pessimism
Self-efficacy Self-doubt
Learned helplessness
Low self-esteem
Positive behaviour Positive feelings
Creativity Enthusiasm
Islands of excellence Buoyancy Negative feelings Negative behaviour
Anxiety Verbal and physical aggression
Low mood and lability Withdrawal
Positive thoughts/beliefs Frustration and anger Avoidance
I can do this Substance misuse
It’s not beyond me
I’ll get there in the end
I will manage this Negative thoughts/beliefs
I’ll never finish it
Nothing ever goes right for me
People don’t like me

Figure 1.1 A cognitive behavioural model of ADHD in adults

Young_c01.indd 12 2/23/2012 6:51:12 PM

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