Can CBT change negative thought patterns and manage anxiety symptoms?

Question

Hello doctor,

I have a friend, 22 years old, who has been struggling with anxiety lately. When he was a kid, he had ADHD (attention deficit hyperactivity disorder) and went through some therapies for it. Now, he is dealing with anxiety disorder, and it is really getting to him. I have heard about cognitive behavioral therapy as a way to manage anxiety, but I am not sure if it is suitable for him, given his history with ADHD. Could therapy help him with his anxiety, considering his past experiences with therapy? Also, could you tell me a bit more about what therapy involves and how effective it might be for someone in his situation?

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for seeking help from a psychiatrist. I can understand your situation and your friend's problem.

You are a good person who tries to help your friend. It is understandable to have concerns about whether cognitive-behavioral therapy (CBT) would be suitable for your friend, especially given his history with ADHD (attention deficit hyperactivity disorder). However, CBT can be quite effective for individuals with anxiety disorders, including those with co-existing conditions like ADHD.

CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to anxiety. It teaches coping skills and relaxation techniques to manage anxiety symptoms. While it may require some adaptation to accommodate ADHD-related challenges such as attention and impulsivity, CBT can still be beneficial. In therapy, your friend would work with a trained therapist to set specific goals and learn practical strategies to cope with anxiety. Sessions may involve discussing thoughts and feelings, learning relaxation techniques, and practicing new ways of responding to anxiety-provoking situations. Your friend needs to find a therapist experienced in treating both anxiety disorders and ADHD. A therapist with expertise in these areas can tailor the treatment approach to best meet his needs.

As for effectiveness, research suggests that CBT is one of the most effective treatments for anxiety disorders. It can lead to significant improvements in symptoms and overall functioning. However, individual results may vary, and the effectiveness of therapy depends on various factors, including the individual's commitment to the process and the quality of the therapeutic relationship. Encourage your friend to consider therapy as a valuable option for managing his anxiety.

I hope you find this information helpful. Please let me know if you need further assistance.

Thank you.