Adult ADHD: Targeting Executive Skills to Manage ADHD in Adults

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Kevin Blake, PhD, PLC, ADHD-CCSP Related seminars and products

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Kevin T. Blake, PhD, PLC, ADHD-CCSP, is a licensed psychologist and recognized national authority on ADHD, executive function, and learning disorders. With over 20 years of specialized experience, Dr. Blake was one of the first professionals in the United States to study these conditions in adults specifically. Dr. Blake now speaks throughout the nation, educating clinicians on the latest evidence-based diagnosis and treatment recommendations for improved clinical outcomes. Currently in private practice and serving as a facilitator for a community adult ADHD support group, he also speaks across the nation on the latest evidence-based diagnosis and treatment recommendations for improved clinical outcomes. A published author, Dr. Blake’s articles have been featured in Attention!, LDA Newsbriefs, and Perspectives (of the International Dyslexia Association). In 1991 Dr. Blake was honored to be a delegate to the National Institute for Literacy’s “LEAD 2000 Congress,” where he was a member of a special committee advising the U.S. Congress on diagnostic and remediation issues confronting learning disabled adults. Dr. Blake is a member of the American Psychological Association, International Dyslexia Association, Children and Adults with Attention Deficit Disorders, and Learning Disabilities Association. Dr. Blake’s own experience overcoming dyslexia and hearing impairment drives his passion for educating both professional and lay audiences about methods to overcome the challenges of ADHD and specific learning disorders. An accomplished and engaging speaker, Dr. Blake’s presentations are known for weaving together empirical evidence, germane information, and practical how-to’s in a way that is accessible and applicable. When he’s not traveling the country to speak, Dr. Blake calls Tucson, AZ home.

Speaker Disclosures:
Financial: Kevin Blake maintains a private practice and receives a speaking honorarium from TPN.Health, Inc. He is a consultant to CHADD and is a stockholder of Johnson and Johnson, Inc. and Amgen, Inc. Kevin Blake receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Kevin Blake is a member of the American Professional Society of ADHD and Related Disorders, the American Psychological Association, the International Dyslexia Association, and the Learning Disabilities Association.

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Objectives

1. Establish what executive function is and why it is so important to time management, personal organization and planning as it relates to treatment in clinical practice.
2. Analyze how Adult ADHD negatively affects executive function in relation to assessment and treatment outcomes.
3. Determine how ADHD, Inattentive Presentation (Sluggish Cognitive Tempo) is different from the ADHD that is in the DSM-5® and communicate why this is important as it relates to treatment planning.
4. Explore assessment tools used to identify deficits in executive functioning, to better inform your choice of treatment interventions.
5. Implement strategies to help adults with ADHD with their executive function difficulties in the workplace, in relationships, and in parenting.
6. Identify strategies that are appropriate for fostering executive function development or intervening when executive function difficulties are identified.

Outline

• The Big 3
• Ratings scales
• Questionnaires
• Semi-structured interviews
• Impairment Index
• Collaterals

• Adult executive functioning inventory
• Brief-A
• Comprehensive executive function inventory
• WAIS-IV and WJ-IV
• NIH toolbox cognition battery
• Barkley’s rating scales

• Therapeutic effect of diagnosis
• Medication-genetic testing
• Psychoeducation
• Accommodation
• Comorbidities: ADHD, Inattentive presentation-restrictive, or sluggish cognitive tempo
• Specific Learning Disorder
• Autism Spectrum Disorder
• Sleep disorders
• Depression & anxiety
• Personality disorders

• Clinical Interventions to bring order to the disorganized mind
• The 30 to 40% rule for inattention, impulsivity/hyperactivity & ADHD

• CBT & internalized speech
• Overcoming guilt & shame
• Automatize behavior
• What about mindfulness?
• Relaxation skills

• ”Neurotypical” forgetting vs. ADHD forgetting
• Chunking, mnemonics & other memory techniques
• Multisensory memory
• Loci
• Self-testing & self-imagining
• N-Back
• 5 ways to reduce cognitive load
• Technological prosthetics-assistive technology

• Impact of EF difficulties on adult relationships
• Goal setting
• Self-monitoring & self-talk
• Social skills training
• Conflict resolution skills
• Anger identification
• Decode facial expressions & body language
• Making accurate facial expressions
• Better follow through with medical issues & self-care
• Tips to remember special dates, etc.

• ADHD work difficulties
• Career counseling
• Clutter control made simple
• Job coach & supervision; advocacy?
• Social skills, self-esteem & education
• Training & adult education accommodations
• ”Best” ADHD jobs

Target Audience

• Counselors
• Social Workers
• Psychologist
• Psychiatrists
• Case Managers
• Addiction Counselors
• Marriage & Family Therapists
• Occupational Therapists
• Speech Language Pathologists
• Vocational Counselors
• Psychiatric Nurses
• Probation Officers
• Clergy
• Professional Coaches
• Professional Organizers
• ADHD Coaches
• Other Mental Health Providers

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