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A Randomized Controlled Trial of Cognitive Behavioral Therapy for ADHD In Medication Treated Adolescents

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Credit Value: 1
Exam Questions: 10
Passing Grade: 8 correct
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Course Description:

This course presents research findings regarding the efficacy of CBT for adolescents with ADHD who continued to have significant symptoms even after standard medications had been tried. The study evaluated adolescents who were between 14-18 years old and who had been medicated for ADHD.  This course is based upon material published in the Journal of Child Psychology and Psychiatry and is available as an open-access article through the Health and Human Services public access website.

Abstract: Objective—To test cognitive behavioral therapy (CBT) for persistent ADHD symptoms in a sample of medication-treated adolescents.  Methods—46 adolescents (ages 14-18), with clinically significant ADHD symptoms despite stable medication treatment were randomly assigned to receive CBT for ADHD or waitlist control in a cross-over design. 24 were randomized to CBT, 22 to the waitlist, and 15 crossed-over from the waitlist to CBT. A blind independent evaluator (IE) rated symptom severity on the ADHD Current Symptom Scale, by adolescent and parent report, and rated each subject using the Clinical Global Impression Severity Scale (CGI), a global measure of distress and impairment. These assessments were performed at baseline, 4-months (post-CBT or post-waitlist), and 8-months (post-treatment for those originally assigned to the waitlist condition and 4-month follow-up for those originally assigned to CBT). Results—Using all available data, mixed effects modeling, and pooling for the wait list crossover, participants who received CBT received a mean score 10.93 lower on the IE-rated parent assessment of symptom severity, 5.24 lower on the IErated adolescent assessment of symptom severity, and 1.17 lower IE-rated CGI. Results were consistent across 100 multiple imputations (all p-values less than 0.0001). There was a greater proportion of responders after CBT by parent and adolescent report Conclusions—This study demonstrates the initial efficacy of CBT for adolescents with ADHD who continued to exhibit persistent symptoms despite medications.

This course on the use of CBT for adolescents continuing to struggle with ADHD after being medicated. is designed for social workers, professional counselors, psychologists, nurses, and substance abuse counselors, who do clinical work.  This course is appropriate for beginning, intermediate and advanced level practitioners who wish to develop their knowledge of the use of CBT for adolescents continuing to struggle with ADHD after being medicated. It may also be useful for licensed clinicians who require clinical continuing education courses for license renewal.  

The course is based on a journal article which includes research.  It contains statistical analysis and data that some clinicians enjoy reading and others do not.  A major benefit of reading research-based articles for continuing education is they provide practitioners with the latest findings in their field. 

Authors:  Sprich, Safren, Finkelstein, Remmert, and Hammerness

Learning Objectives: This course will provide the practitioner with detailed information regarding cognitive behavioral therapy for adolescents with ADHD.  Specifically, a professional will:

  • Identify the risks and rewards of using CBT on ADHD adolescents
  • Recognize the effects of CBT on ADHD adolescents
  • Distinguish the long term impact of CBT on ADHD in adolescents

Citation:  Sprich, S. E., Safren, S. A., Finkelstein, D., Remmert, J. E., & Hammerness, P. (2016). A randomized controlled trial of cognitive behavioral therapy for ADHD in medication‐treated adolescents. Journal of Child Psychology and Psychiatry, 57(11), 1218-1226.

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Credits: 1 Exam Fee: $10.00 Format: Online
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This Ce-Classes.com course is approved for CE credit by:

  • The American Psychological Association (APA) Ce-Classes.com is approved by the American Psychological Association to sponsor continuing education for psychologists. Ce-Classes.com maintains responsibility for this program and its content.
  • Association of Social Work Boards (ASWB) CE-Classes.com, provider #1142, is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. CE-Classes.com maintains responsibility for the program. ASWB Approval Period: 1/5/2017-1/5/2020. Social workers should contact their regulatory board to determine course approval.
  • Social workers participating in this course will receive 1 Clinical continuing education clock hours.

  • The National Board for Certified Counselors (NBCC) Ce-Classes.com has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6320. Programs that do not qualify for NBCC credit are clearly identified. Ce-Classes.com is solely responsible for all aspects of the programs.
  • The National Association of Addiction Professionals (NAADAC) Provider #96981. Expires 9/1/2019
  • Florida Certification Board


  • The Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling Provider #852 BAP-Expires 3/31/2021
  • The California Board of Behavioral Sciences. Ce-Classes.com is approved to provide continuing education by the following professional organizations: ASWB and APA. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by these nationally recognized certifying bodies to satisfy renewal requirements.
  • California Consortium of Addiction Programs and Professionals (CCAPP) Provider Number OS-12-147-0221 Expires 2-2021
  • The Texas Board of Social Work Examiners, Continuing Education Provider – 5674 expires 4/30/2020.
  • The Texas Board of Professional Counselors, Continuing Education Provider
  • Massachusetts Authorization Number: 2140
  • Ohio Counselor, Social Worker and Marriage and Family Therapist Board – Provider # RCST031201 Expires 5/31/2021
  • New York Social Work Board – Ce-Classes.com is recognized by the New York State Education
    Department’s State Board for Social Work as an approved provider of
    continuing education for licensed social workers #SW-0120.


  • The Florida Board of Nursing (CE Provider #: 50-4896) Expires 10/31/2020 Do not send certificates to the Florida Board of Nursing. You must keep this certificate for 4 years.
  • The California Board of Registered Nursing. CEP 15647 Expires 11/30/2020.


This course is Non Interactive .

If you would like to take this course for your CE program, it is recommended that you:

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