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How does CBT compare to ADHD coaching?

When considering treatment for ADHD, CBT vs ADHD coaching is a common debate. Both options provide valuable support but serve different purposes. Cognitive Behavioural Therapy (CBT) is a structured, evidence-based approach aimed at addressing the thoughts, behaviours, and emotions associated with ADHD. On the other hand, ADHD coaching focuses more on practical, goal-oriented skills training and behavioural support.

While both approaches can lead to significant improvements, CBT vs ADHD coaching ultimately comes down to the specific needs of the individual. CBT helps people understand and change unhelpful thought patterns, whereas coaching is more about building real-world strategies and providing accountability for goal achievement.

Each method can be beneficial, and often, a combination of the two is the most effective way to manage ADHD symptoms.

Key Differences Between CBT and ADHD Coaching

CBT focuses on thought patterns and emotions

CBT targets cognitive distortions, self-esteem issues, and emotional regulation. It’s a therapeutic model that works through structured, evidence-based techniques to change thinking and behaviour.

ADHD coaching is action-oriented

Coaching, on the other hand, is primarily skills training and focuses on helping individuals set goals, create systems, and stay on track with tasks. It’s practical, providing ongoing support and accountability.

Behavioural support

Both options offer behavioural support, but coaching is more focused on day-to-day organisation, while CBT also addresses deeper emotional or cognitive patterns.

For many people with ADHD, combining CBT vs ADHD coaching provides a holistic approach, addressing both the thought patterns and practical strategies needed for success.

If you’re unsure which approach is best for you, visit providers like ADHD Certify to discuss tailored treatment plans that combine therapy and coaching.

For a deeper dive into the science, diagnosis, and full treatment landscape, read our complete guide to Cognitive Behavioural Therapy (CBT).

Dr. Rebecca Fernandez, MBBS, author and a reviewer for my patient advice - mypatientadvice.co.uk

Dr. Rebecca Fernandez, MBBS

Author

Dr. Rebecca Fernandez is a UK-trained physician with an MBBS and experience in general surgery, cardiology, internal medicine, gynecology, intensive care, and emergency medicine. She has managed critically ill patients, stabilised acute trauma cases, and provided comprehensive inpatient and outpatient care. In psychiatry, Dr. Fernandez has worked with psychotic, mood, anxiety, and substance use disorders, applying evidence-based approaches such as CBT, ACT, and mindfulness-based therapies. Her skills span patient assessment, treatment planning, and the integration of digital health solutions to support mental well-being.

All qualifications and professional experience stated above are authentic and verified by our editorial team. However, pseudonym and image likeness are used to protect the author's privacy.