Counseling 2.0 Powerpoint

1. A Holistic Treatment
Approach to Managing
ADHD in Adolescents
Tech Plan!
by Elisabeth Cornacchia!
Counseling 2.0!
Spring 2014

2. Population
Adolescents and their Family Units!
• Adolescence is awkward and hard enough without
having disruptive symptoms of a disorder. Adding
inattentive or hyperactive ADHD to the mix can have
adverse affects on psychological, emotional, and
behavioral well-being and development, including!
!
Note: this program is not designed for high risk
individuals in need of crisis management.

3. Living with ADD/ADHD
People with Attention Deficit Hyperactive Disorder (ADHD) have special gifts and
untapped potential that are sometimes hard to unwrap . . . creativity, spunk, charisma,
vitality, originality, a unique sense of humor, and areas of intellectual brilliance.
ADD/ADHD is not so much a disorder but rather a collection of traits and
tendencies (some positive, some not so positive) that define a way of
being in the world. When the adverse characteristics become disabling,
then this way of being can become a disorder. However, once we learn to
manage the challenging, disorderly facets, we can take full advantage of
the many gifts and talents embedded in this sparkling kind of mind.

4. Counseling Setting
Individual and Family Counseling!
• Individual Treatment Interventions for Adolescents!
• ADD Coaching: to change behavior, monitor progress and create a sense of
accountability, including time management skills, planning, organizing,
prioritizing, and decision-making systems, and attention and social skills
building techniques!
• Cognitive Behavioral Therapy (CBT): reframe the condition as something
that can be managed by using certain specific behaviors to compensate.
Clients will share problems and goals, then will collaborate with counselors
who will provide insights in setting goals, implementing fixed timelines for
problem resolution, and developing action plans. Can also be used for co-
occurring psycopathologies, such as anxiety and OCD.!
• Cogmed Working Memory Enhancement Training!
• Relaxation Therapy as a supplemental treatment!
• Psychotherapy: to address co-morbid disorders/symptomology, such as
depression!
• Family Treatment Interventions!
• ADHD Psychoeducation: Distinguish normal adolescent behaviors from
ADD behaviors!
• Skills Management Coaching: Parental roles and strategies!
• Realistic Goal-Setting: Recognizing and accepting individual paces,
strengths, opportunities, and limitations, while stressing the importance
of follow-through and adjustments!
• Family Sessions: for redefining perceptions and the functioning of the
family unit by creating new structural patterns and implementing and
enforcing new boundaries.
Educational Counseling and
Advocacy:
ADD Coach can design a customized, hands-
on education plan for the student that boosts
confidence and performance, utilizing at-home
and in-classroom strategies.
Coaches communicate with teachers and
administrators to develop the most effective
classroom and learning strategies, recommend
appropriate tutors, and monitor and assess the
“fit” and progress.

5. Hardware and Software
Additional:!
• Webcam and Microphone!
• Encrypted Email Service: (e.g. Hushmail)!
• review offline, archive, organize by client, add complex
formatting!
• Encryption keeps communications secure!
• Chat Program!
• Website: Adobe Dreamweaver- $19.99/mo!
• Email and Chat programs linked to site!
• Domain Name!
• Webhosting Service: (e.g. GoDaddy.com)!
• Includes own firewall protection!
• HIPAA-Compliant Videoconferencing Program!
• securevideo.com includes video encryption to prevent
external access, and a “virtual waiting room” to prevent a
client from accidentally disrupting or entering another
client’s session!
• Mobile Videoconferencing: (e.g. iChat or Skype)!
• Important to explain to clients it is not HIPAA-compliant,
therefore privacy and confidentiality are not protected
before using
Basics:!
• Computer!
• High Speed Internet
Connection!
• Web Browser!
• Password Protection!
• Router with built-in Firewall

6. Hardware and Software
Software:!
• Firewall Software: (e.g. Norton Antivirus)!
• For additional protection against hacking and
information leaks, !
• Blocks the transmission and receipt of certain
types of information by the computer!
• Email Encryption Software: (e.g. Pretty Good
Protection [PGP])!
• Enables encoding of emails and client files!
• further protecting privacy and confidentiality of
client information and communication
exchanges.!
• Social Networking (e.g. Twitter, Facebook, LinkedIn)!
• Create feeds and pages to promote and market
services offered!
• Advocate and use Psychoeducation to raise
awareness about ADHD

7. Technology in Practice
Text-Based Counseling!
• Can be beneficial due to feelings of
disinhibition, resulting in deeper
admissions and expressions than might
have been revealed f2f!
• Synchronous Communication:!
• Similar to f2f in that
communication is instant and
continuous. !
• Coaching reminders and brief
counseling sessions, such as
answering questions, with the
adolescent via:!
• IM chat sessions or text!
• Asynchronous Communication:!
• Delayed communication in which
there is a lapse between responses!
• Encourage insightful responses that
enable clients to reflect and express
emotions.
VideoConferencing!
• Synchronous!
• Similar to f2f, counselors can read body
and facial cues!
• More convenient and easily accessible
than in-office sessions!
• Sessions can be one-one with the
adolescent for couching, CBT, etc.
sessions, or with the family unit.

8. Software Applications
There’s an app for that!!
!
Individuals with ADHD have difficulty with time management and
organization and often struggle writing as fast as they think. My site
would include recommendations of programs that can make their lives a
little easier:
Time Management, Reminders and Understanding!
• HomeRoutines: To-Do List/Timer/Scheduler/
Reminder!
• Momento: journaling app not only allows you to
document your daily life, allowing for tracking
mood, taking pictures, etc, and connects feeds
from social medias!
• Dragon Naturally Speaking: enables individuals
who are faster at verbalizing their thoughts and
ideas than writing

9. Practical, Legal and Ethical Implications
Practical:!
• Cost!
• Limited literacy of technology!
• Disruption/Lack of computer or internet
access!
Legal:!
• Anonymity!
• Duty to warn!
• Court orders/subpeonas!
Ethical:!
• Confidentiality and Privacy limitations/
risks due to hacking or improper
encryption or data storage

10. ReferencesEpstein, J., Langberg, J., Lichtenstein, P., Kolb, R., & Simon, J. (2013). The myADHDportal.com improvement program: an innovative quality improvement intervention for improving
the quality of ADHD care among community-based pediatricians. Clinical Practice In Pediatric Psychology, 1(1), 55-67. doi:10.1037/cpp0000004
!
Heatherington, L., Muñiz de la Peña, C., Friedlander, M., & Escudero, V. (2012). How do therapists ally with adolescents in family therapy? An examination of relational control
communication in early sessions. Journal of Counseling Psychology, 59(3), 339-351. doi: 10.1037/a0028063
!
Jarrett, M. (2013). Treatment of comorbid attention-deficit/hyperactivity disorder and anxiety in children: process of change. Psychological Assessment, 25(2), 545-555. doi: 10.1037/
a0031749
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Jarrett, M., & Ollendick, T. (2012). Treatment of comorbid attention-deficit/hyperactivity disorder and anxiety in children: A multiple baseline design analysis. Journal Of Consulting And
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!
Kraus, R., Stricker, G., & Speyer, C. (2010). Online counseling a handbook for mental health professionals. (2. ed.). Amsterdam: Elsevier.
Langberg, J., Epstein, J., Urbanowicz, C., Simon, J., & Graham, A. (2008). Efficacy of an organization skills intervention to improve the academic functioning of students with attention-
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SecureVideo http://www.securevideo.com
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