Adult ADHD is often misunderstood as a motivation problem or a lack of effort. In this episode, psychologist and researcher Dr. Laura Knouse joins Psyched to Practice to explain why that framing misses the mark—and how cognitive behavioral therapy can actually work for adults with ADHD when it’s done right.

We explore how ADHD shows up as a self-regulation challenge, why behavior change often has to come before thought work, and how everyday environments quietly sabotage or support follow-through. Laura breaks down why traditional CBT models often fall short, how medication and skills can work together, and what clinicians need to know about perfectionism, avoidance, and “overly positive” thinking in this population.

This conversation is packed with practical, clinician-ready insights for working with adults and emerging adults with ADHD, including how to structure treatment, build momentum through small wins, and help clients stop blaming themselves for systems that were never designed for their brains.

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To hear more and stay up to date with Paul Wagner, MS, LPC and Ray Christner, Psy.D., NCSP, ABPP visit our website at:

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“Be well, and stay psyched"

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