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Is third‑wave CBT researched for ADHD? 

Yes, there is a growing body of third-wave CBT ADHD research, especially in adults. These newer approaches, such as ACT, DBT, and mindfulness-based therapies, focus less on changing thoughts and more on building acceptance, emotional balance, and long-term behavioural flexibility. 

While traditional CBT targets task management and attention, third-wave models address internal struggles like shame, overwhelm, and self-criticism. This makes them especially useful for those whose ADHD comes with high emotional sensitivity or persistent anxiety. 

Visit providers like ADHD Certify for personal consultations if you’re considering CBT options that support both focus and emotional wellbeing. 

What These Approaches Offer 

Here’s a look at how different third-wave therapies are being studied and used to support people with ADHD. 

Acceptance and Commitment Therapy (ACT)  

ACT helps individuals develop psychological flexibility by teaching them to notice thoughts without judgment and take values-driven action. In ADHD studies, ACT has shown improvements in emotional regulation and self-esteem, especially when standard CBT feels too rigid or performance-focused. 

Dialectical Behaviour Therapy (DBT)  

Originally developed for emotional dysregulation, DBT teaches mindfulness, distress tolerance, and interpersonal effectiveness. Small trials suggest it may help with impulsivity and emotional outbursts in adults and teens with ADHD. 

Mindfulness-based approaches  

Programmes like Mindfulness-Based Cognitive Therapy (MBCT) are being tested in third-wave CBT ADHD research as tools for improving attention and emotional self-awareness. Early results point to reduced rumination and increased cognitive control, particularly in adults with co-occurring anxiety. 

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.