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I did a formal 6 month program of DBT with a group, an indiviual "therapist" (I say therapist because she was more like a skills coach than a therapist), and a psychMD who were all part of a "treatment team". This program adhered to the full treatment standards for DBT as designed by Linehan. I hate it while I was doing it and was bored a lot because I had already gotten rid of most of my most difficult behaviors by then. However, I did find the minfulness skills to be the most helpful part. I use those skills almostif not every day.

I've one CBT as someone who has been "trained to provide CBT" and use strategies from it ALL the time to help counteract "automatic negative thoughts".

I now manage my residual symptoms with a service dog and a low dose of wellbutrin. This is compared to a laundry list of meds that were sort of but not as helpful as we would have liked, including a stable dose of slurroquel and klonipin.

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I find CBT very helpful.  The last two times I was hospitalized, a chunk of our group sessions focused on CBT and how to apply it to our daily lives.  We used a book called "Mind and Emotions" by Matthew McKay.  In my case, I have to take meds along with using CBT (and DBT).  Both skills sets are very useful.

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I did a year's worth of CBT that was initiated due to pervasive and incredibly disruptive anxiety.

 

Of course, it turned out I was apparently hypomanic at the time.  This was pre-diagnosis, for my bipolar and ADHD.

 

Personally I found CBT incredibly helpful for a few things in my life, especially my anxiety.  Though, I still have medications (mostly clonazepam) for aiding my anxiety issues too.  But CBT and lifestyle changes have greatly reduced the frequency that I require to resort to my medications for anxiety.

 

I'm an aspie as well, and I feel that CBT particularly appealed to me in connection with how my mind works due to being autistic.  It helped me learn to actually read what I was feeling, to reduce (even if only by a small percentage) certain overwhelming feelings, and so forth.

 

While I learned an awful lot about taking a methodical, logical, step-by-step approach to my mental health (not just from organizing my thoughts more, but also learning things like how to identify my needs with regard to my mental health, how to express what I need, etc.) I would not say that CBT was specifically helpful for my ADHD in particular.  I mean, in some parts, yes, it helps in a round-about way.  My bipolar and ADHD both can leave me susceptible to being carried away on a tidal wave of spontaneous emotion without my conscious awareness of what I am feeling (let alone how I am acting because of it.)  So, in that way, it helps.  Reminding myself that certain things I do are because I have ADHD, and not because I don't care, or am stupid, or am lazy, etc. is also helpful.

 

However I personally still require medication to properly treat my ADHD.  Other people may vary.  A daily dose of a stimulant, even on weekends, even though I'm disabled and unable to work, even though I'm not in school, still provides me with a drastic and profound improvement in my symptoms.  It's not perfect, "there is no magic pill," but it helps immensely all the same.  My quality of life is far, far, far better when I am on a stimulant medication that works for me.  The only times I am off my stims are when I run out of money before I can refill, and when I flip into a hypomanic episode (I stop the stimulant for the duration of my episode, and start right back on it once the episode is over.)

 

So, short story: I found CBT incredibly helpful for many things, even a few by-products of having ADHD.  However it in no way works as a substitute for medication for me.  I find both the things I learned in CBT and my medication to be very handy together, of course, but if I had to choose between one or the other (knowing what I know now - I used to be very anxious about stimulant medications) I would go for my stimulants every time.

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