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Post by Concerned Aunt on Apr 9, 2011 12:21:44 GMT
Hello can anyone please give their input on where adhd coaching has worked for them. I have a teenage nephew who may benefit from some behavioural coaching etc. ta
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Post by goosey on Apr 9, 2011 19:41:09 GMT
Sorry for the lack of replies, I suspect it's because not many of us have had any ADHD coaching. I''m sure given the opportunity we'd all gladly accept.....well I know I would
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Post by Deleted on Apr 10, 2011 9:55:03 GMT
I've not met anyone who has had coaching, or had it myself, but it sounds similar to any other form of support.
It looks a bit expensive for your average ADHDer unless you get DSA.
Coaching usually addresses work/educational performance (I can point you in the direction of a couple of coaches if you like) - behavioural support sounds more like CBT ie getting ingrained behaviour patterns to replace undesirable ones, or even mentoring to provide a good role model.
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Post by Deleted on Apr 11, 2011 21:44:33 GMT
I had some coaching help.It's pretty good at helping me to over come daily obstacles to getting stuff done during the working day.
I found that the coach (also ADD which was a help as there was complete understanding of what I was saying/feeling etc) could help dismantle seemingly BIG stuff into smaller chunks and help me find a way through it. No rocket science, and it seems so very obvious when it's set out like the coach did it, but I couldn't really work it out for myself cos I'm weird in the head like!
I approached 2or3coaches, one of them offered a free intro course of 5 hours so you can try before you buy. If you'd like to know who I went to, feel free to PM me.
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Post by Deleted on Apr 12, 2011 4:22:52 GMT
I'm trying it out this week so I'll let you know how it goes.
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Post by Deleted on Apr 14, 2011 18:19:42 GMT
Im an adhd coach in the Uk - i have some research undertaken by Joyce Kubik in the states which demonstrates clearly that coaching works for ADHD, many professionals in the Uk and abroad also advocate coaching as part of a wrap around approach to support. Coaching suits the adhd brain as it sets achievable goals and targets and offers support in between sessions in the form of text and emails If you want to know more look at my site www.coaching4adhd.co.uk - i believe its not ethical to look for business via this site but am a strong advocate of this approach as i know it works If anyone would like Joyce's research please send me a pm or email me at coaching4adhd@gmail.com there are a number of different approaches which can prove quite cost effective including Group Coaching, when you consider the money you can loose through missed appointments, lost time and disorganisation - Coaching can actually SAVE you money (via time and other methods) in the long run - i have many satisfied clients so if anyone would like to chat to them about how coaching has worked for them please let me know
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Post by Deleted on Apr 14, 2011 18:50:33 GMT
So, I had my first coaching session today. My main concern is around decision making and it struck home when I was asked what decisions come easily to me... "errrrm..." lol
Anyway as a result of the session I have identified a few things to try out. Feels like a really positive step.
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Post by redneck on Aug 7, 2011 12:45:01 GMT
But is this not similar to CBT .. which is available free if you can get referred??? RR
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Post by Deleted on Aug 7, 2011 13:49:17 GMT
Similar is not the same and one doesn't replace the other.
There is an obvious overlap of principals and since practitioners of either customise their service the meeting point in the middle is very fuzzy and the usual distinction is in the way the service is delivered.
And you can find free CBT for ADHD? Round these parts your only option is private.
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Post by Deleted on Aug 16, 2011 18:03:37 GMT
CBT and ADHD Coaching and NOT the same!! CBT is very general and practitioners are not usually trained in the unique challenges faced by people with ADHD - they can deal with acquired 'baggage' very effectively though. ADHD Coaching offers much more than one session per week/fortnight - we 'nag' our clients to get things done by text and email, we educate them about their condition and set goals and targets which are achievable. We know how the ADHD brain works and tailor our sessions accordingly -combining education with motivation, encouragement and techniques proven to work with out clients. CBT was recommended in the NICE guidelines but i have yet to find a client who has benefited enough to be able to move forward independently, many of my coaching clients have tried a range of approaches and all say that coaching works best for them!!
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Post by kakema on Aug 16, 2011 21:16:32 GMT
CBT is, in my opinion, very difficult for ADHDers to succeed with, certainly unmedicated, because it involves: - focused reflection (I couldn't think about one thought for long enough), - remembering to do the reflecting (aargh) and - remembering to record it all (oh, puh-leeeease).
Then you have to remember to make the changes you worked out you needed to make when you looked at what you'd recorded. Haaaa ha ha ha ha haaaaaa......
I recall my first session with a therapist helping me with my stress, who wanted me to keep an 'emotional diary'. I just looked puzzledly at her and said 'I don't do diaries'.
Because I don't. Not for two days running in my entire life. I don't do diaries, I don't make systematic records, and if I try to think through an issue, I wander round the houses, off to the supermarket, drop in on a few friends, look at amusing squirrels and maybe have a snack before I get back to the subject I wanted to think about. Unless I get lost, or forget what the thought was, etc...
It was never going to work.
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Post by Little Owl on May 4, 2012 19:00:41 GMT
A couple of highlights w.r.t your question from the book:
“Cognitive-Behavioural Therapy for Adult ADHD” by J. Russell Ramsay & Anthony L. Rostain (2008) Chapter 3 - Research evidence for CBT and medications; Section – ADHD Coaching.
“Coaches provide timely reminders and feedback to their clients, often by phone or e-mail, in addition to face-to-face meetings, and the regular accountability seems to be helpful for many adults with ADHD.”
With respect to two studies gathering evidence of the potential benefits of ADHD coaching, Swartz et al. (2005) with 1 student and Allsopp, Minskoff, and Bolt (2005) with 46 subjects.... “Taken together, these two limited coaching studies suggest that ADHD coaching, particularly for college students, may be helpful, particularly for managing the academic demands. The benefits of coaching for vocational functioning and for managing the demands of daily life remain untested. However, although there is not sufficient empirical evidence with which to recommend ADHD coaching (Golstein, 2005), it appears to be a potentially useful adjunctive intervention worthy of further research.
Another point that comes across is that people tend benefit most from specialist coaching or CBT if it is combined with medication.
Ramsay & Rostain agree with phoenix in that coaching and CBT are not the same, though clearly in this book they are showing CBT practitioners how to tailor their sessions to help the specific issues that often rear their head when treating clients with ADD. What was interesting was that some of the things they talk about are things phoenix lists as coaching techniques.
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Post by Little Owl on May 4, 2012 19:48:36 GMT
This is a post about my practical experience with coaching. CBT (general) - I wouldn’t have missed these though would have preferred them to be tailored towards my specific ADD symptom profile.
- CBT kicked started, not a recovery, but the foundations of improved handling of the depression side of my bipolar II and which in turn helped me start to educate myself about ADHD.
- Hard work. I have sympathy with the views of kakema. I was given and did (through desperation) the written and logging homework.
- The real benefits, as with anything you have to learn, started to emerge once I had started to use CBT techniques “on-the-fly” so to speak.
Coaching (general)Useless. Coaching with a specialist ADHD coach. She had ADHDExcellent, she helped me break through some things that were stopping me move forward. I would be with her now if it weren’t so far to travel. Coaching with a specialist ADHD, PTSD and hypnotherapy coach.Mixed results. I am thinking I know more about ADHD than the coach but I found some aspects interesting specifically the guilt cycle and creating barriers Couples coaching with a specialist ADHD coach.Very good but completely undermined by the fact my partner and I never did the homework. I was keen but for some reason he did not seem enthusiastic. It takes two to do the homework which in turn requires that you both carve the time and energy out of the busy days. That was our stumbling block. To sum up:In my experience success depends on the skill of the coach, how much you put into it and the soft side i.e. whether you actually get on. I have a suspicion that some coaches will say they are specialist in ADHD coaching but are not so it is important to select carefully e.g. make sure you “interview” them to determine, experience and knowledge – don’t be timid about this. If you have the wherewithal to do this, ask someone who loves you to do it. In severe depression, when in most need, I was not emotionally capable of doing this and had no one to act on my behalf. Coaching (and CBT) for that matter is supposed to be a short term therapy. Adult ADHD is a chronic condition which comes into play in daily life and when life throws you a blinder e.g. children are born, you lose your job, you move in with a new partner.... Each of these can throw your coping mechanisms. So if you find yourself floundering with a new situation you may want to have a few booster sessions.
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Post by Deleted on May 17, 2012 17:04:18 GMT
im a specialist ADHD Coach and totally agree with your comments - you do need a specialist for a specialist job and its worth taking the time to chat to a few adhd coaches to find who suits you best - we all work in different ways, some work face to face others work via skype or phone - its horses for courses really from time to time i offer 6 free sessions as i train adhd coaches and am always looking for clients for my trainees to work with - its a win win situation as they gain the experience and you get free coaching!
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Post by cleverliteral on Jun 14, 2012 1:17:24 GMT
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Post by Deleted on Jun 14, 2012 9:05:09 GMT
Greetings Cleverliteral I've been diagnosed for a long time and medicated for many years and recently had a course of coaching. I see it as another weapon in the arsenal to help chip away at the problems that face ADHDers. I wouldn't swap my meds for it but it was useful, it's just a shame that it's only available privately and thus only those with funding or disposable income will access it. It is an investment in yourself and, like any training, you will reap benefits in the longer term. As a practitioner of psychotherapy myself I've come to understand that whatever you do that makes a positive contribution starts a virtuous circle; addressing certain aspects of your psyche via coaching can improve, for eg, your personal relationships since you would be operating at a generally higher level. Coaching->improved performance->happier with self->easier to like.
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Post by cleverliteral on Jun 14, 2012 23:32:57 GMT
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hopeful
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Post by hopeful on Jun 15, 2012 0:01:36 GMT
Greetings, planetdave. :-) The thing is that I don't see how ADD coaching could improve performance. Yeah, I am totally medication oriented. Maybe because all the time-management techniques I have tried failed in fixing the root of the problem, which I don't believe can be fixed, and I don't see what else coaching could offer. And here are the problems I have with ADD coaching. cleverliteral.tumblr.com/post/25115838909/adhd-coaching-nonsensecleverliteral.tumblr.com/post/24619507778/positive-traits-of-everyone-adhdI don't know why, but reading THAT makes me want to shoot myself, metaphorically speaking. I don't know why I have an issue with this. Maybe I'm cursed, maybe I am crazy, maybe I'm dumb , maybe I just have severe enough ADHD to not be able to take it lightly. I don't know. :-) OR maybe your ADHD is just different? If your choice of med or treatment failed someone else would that mean they are more severe than yourself?
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Post by cleverliteral on Jun 15, 2012 9:50:33 GMT
No, I'm more inclined to believe that some people who sell services around ADHD, who can't prescribe medication, use BS to market their services better. A little bit of it there, a little bit here doesn't hurt — that's probably the logic. When you have to market, you probably start cutting some corners, because you can. So far there's not enough awareness to do anything about it. Not enough of people object.
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Post by Deleted on Jun 15, 2012 12:51:34 GMT
There are some that refuse medication without trying it - if you don't try something how can you have a true appreciation of it?
I have been deeply cynical of psychotherapy in the past - how could talking change anything?
Now I practice it and appreciate it's power - it's one of the reasons why we come on here.
As for being suspicious of private practitioners who make their living from ADHD - so do the pharmaceutical companies and NHS staff, vested interest all.
I'd like to make a living from ADHD but my business model (charitable - free at source) makes it difficult to pay wages and although it's very worthy there are doubts that it's sustainable - I've got to make a living.
So - coaching.
Not a replacement for other therapies and some will find it more useful than others. And it's liable to be privately supplied.
Not bullshit.
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Post by Deleted on Jun 15, 2012 19:07:37 GMT
I think that high-quality coaching from people who both understand ADHD and have strong coaching skills can be beneficial - as an aid to activation, a support to self-esteem issues, and a trusted but independent sounding board for thinking through blocking issues.
I take medication, but I respond well to interventions from others (both friends and work colleagues)who understand how my ADHD affects my behaviours.
I was also interested by what you said about relationships being more important than productivity - I applied the same priority when choosing between mph and dex. I do hit bumps, though, where my 'productivity' deficit creates stresses that then have a knock-on for my relationships. Hey ho.
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Post by Deleted on Jun 16, 2012 22:03:03 GMT
If you've got a problem with @mydrkevin take it up with them coz it's too much work for us to keep up with your feud.
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Post by Deleted on Jun 17, 2012 9:42:34 GMT
In defense of ADHD Coaching, some of the work we do is pro-bono - in fact cleverliteral i would like to offer you a block of 4 free adhd coaching sessions without any obligation whatsoever other than to be honest about the impact it has on your current stance. If you would like to look at some research articles im more than happy to send these to you, we tend to employ a solution focused approach in our work ie if its working dont try to fix it and if its not working......stop doing it (in a nutshell) so whatever does not appear to be currently 'working' with your adhd, there are a number of options open to you including coaching, sfbt,nlp and cbt but i would recommend that whoever you work with has a deep understanding not only of the condition but of the impact
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Post by Deleted on Jul 29, 2012 17:28:26 GMT
Thanks for the info posted in this thread from everyone. I also read cleverliteral's blogs on coaching. I kind of agree that coaching for ADHD is probably as trustworthy as most other unregulated personal services.
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Post by Deleted on Jul 29, 2012 17:38:46 GMT
Sorry! Just to clarify my position. I have not received any ADHD coaching but I am researching who to choose to give it a go.
From experience of personal services, people offering services need to be researched very carefully to find the honest and genuine, experienced, properly qualified people.
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Post by Deleted on Sept 2, 2012 23:13:14 GMT
CBT is, in my opinion, very difficult for ADHDers to succeed with, certainly unmedicated, because it involves: - focused reflection (I couldn't think about one thought for long enough), - remembering to do the reflecting (aargh) and - remembering to record it all (oh, puh-leeeease). Then you have to remember to make the changes you worked out you needed to make when you looked at what you'd recorded. Haaaa ha ha ha ha haaaaaa...... I found exactly the same with CBT. The therapist set me a "mood diary" type task for the week, and our conversation went something along the lines of: T: So, are you happy with what you're going to be doing this week? Me: Yes, I think so T: And how positive do you feel about it helping you, on a scale of 1 to 10? Me: zero T: ok, why is that? Me: Because I'm not going to do it T: Oh. Do you not think it's a good idea? Me: No, it's a great idea, i think it might really help me. T: Ok, but... Me: ...but I'm not going to do it. T: Could you at least try? Me: Oh yes, I think it's a great idea and I fully intend to try my very best to get it done. T: Well, that's all I ask. Me: That's good, because there's no chance of me actually getting it done. T: why not? Me: I wish I knew. That's sort of why i'm here etc.
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Post by Deleted on Sept 3, 2012 11:18:33 GMT
That is 100% spot on!
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Post by Deleted on Sept 5, 2012 19:55:08 GMT
Seriously though, my therapist was great, even though we never really made much progress (I actually made her cry with frustration once). She was instrumental in getting me a referral, practically pushed me into it whilst I was dithering and wrote a very long letter setting out all my problems better than I ever could.
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Post by Little Owl on Oct 25, 2013 16:36:26 GMT
This is triggered by Cleverliteral post about relationships.
From what I have read, if the client desires to look at relationship issues in a Cognitive Behavioral Therapy (CBT) session that would be just fine.
There is another form of therapy that concentrates specifically on relationships - not surprisingly called "Interpersonal Therapy." I read of it's existence in a book about depression though I know nothing about what it entails. I looked on the web for a description and the following seems reasonable:
"Interpersonal therapy delves into an individual’s social relationships and how to improve them; thus taking note of current relationships and evaluating the health of these relationships. The IT approach seeks to improve a person’s relationship skills, communication skills, expression of emotions, and assertiveness. Both of these approaches [CBT & IT] emphasize the importance of the client being actively involved in their own recovery."
It may be an option if an IT therapist with ADHD training exists.
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Post by DKL - darkknightslover on Oct 30, 2013 10:39:26 GMT
*insert my usual sitting on the fence everyone is different including the therapists etc etc*
Rebecca Champ is awesome! Works around Cambridge, provides distance support over Skype, has ADHD herself, almost a psychotherapist, runs a self management course for ADHDers which is being scientifically tested and local NHS bods and psychiatrists are interested in the course as a therapy.
Sent from my C6603 using proboards
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