A 22-year-old beginning treatment with methylphenidate (Concerta) for adult ADHD tells the nurse

Question

"I have been stupid ever since I was a kid. I was wild and never sat still. I drove the teachers nuts.
My parents could not do anything with me.

I hung out with the losers when I was a teen because
they were the only ones who would accept me. Now, I cannot please my wife or keep a decent job.
Everyone gets all bent out of shape because I cannot remember dates and times and I cannot seem to
concentrate to get jobs done.". The nurse planning care for the client should initially consider
a. cognitive therapy to help address internalized beliefs.
b. group therapy to allow comparison of feelings with others.
c. marriage counseling to sustain interpersonal relationships.
d. vocational counseling to identify needed occupational skills.

Answer 1

A
Cognitive therapy and knowledge of ADHD will make it possible for the client to reframe the past
and the present in a more positive and realistic light and to challenge internalized false beliefs about
himself. Option B: Group therapy may be valuable at a later time to allow testing new coping
behaviors in a safe environment. Option C: Marriage counseling can be used to strengthen newly
reframed thinking and help replace blaming, anger, and frustration with commitment to change.
Option D: Vocational counseling can help the client explore suitable career options as he pursues
treatment.