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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 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.

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 wait list control in a cross-over design. 24 were randomized to CBT, 22 to wait list, and 15 crossed-over from wait list 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-wait list), and 8-months (post-treatment for those originally assigned to the wait list 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 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 understanding of 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 between adolescents who were and were not given CBT 

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: $11.00 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 to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Ce-Classes.com maintains responsibility for this course. ASWB Approval Period: 1/5/2017-1/5/2020
  • 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 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. The California Board of Behavioral Sciences, BBS, recognizes relevant course work/training that has been approved by nationally recognized certifying bodies, such as APA, 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: 2184
  • 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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3. Click the “Get Course Materials” link above, if you do not currently possess the course material

4. Answer the questions on this page as you study your course material

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7. Submit your exam and score 75% – if you score lower, review your errors and retake exam.

8. Click on the Print Certificate link

9. Complete the course evaluation, (all items must be completed)

10. Print your certificate


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