ADHD Experts Podcast 582- Adapting Cognitive Behavioral Therapy for ADHD and Neurodivergence
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Nov 4, 2025 Michael Meinzer, associate professor and clinician adapting CBT for college-age and adult ADHD. Saskia Van der Oord, clinical psychologist focused on non-pharmacological ADHD interventions. They explore reframing ADHD as neurodiversity, adapting CBT to center lived experience and environment, practical organization and motivation strategies like LAVA, handling masking and homework overwhelm, and blending medication with skills-based therapy.
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Use LAVA To Build Motivation
- Use behavioral activation with LAVA: identify Life areas, Values, and Activities tied to concrete goals.
- Michael Meinzer illustrates with a student aiming for medical school planning class attendance, studying, and research steps.
Bootstrap Motivation With External Rewards
- Introduce extrinsic rewards initially (small treats or outings) to bootstrap motivation until tasks become internally rewarding.
- Michael suggests rewarding meeting attendance or to-do completion until intrinsic motivation builds.
Collaborate On Tools Not Prescriptions
- Collaboratively select organization tools (paper planner, app, synced calendar) rather than prescribing one solution.
- Michael emphasizes troubleshooting pros and cons and practicing until the chosen system becomes routine.
