Can CBT be too long for ADHD patients? 

Yes, CBT duration for ADHD concerns are valid, especially for individuals who struggle with focus, restlessness, or impatience. While Cognitive Behavioural Therapy (CBT) is highly effective for treating ADHD, its structure and therapy length can sometimes feel overwhelming or difficult to maintain. For some patients, long or open-ended therapy may lead to disengagement or frustration, particularly if sessions aren’t tailored to suit their attention capacity. 

ADHD affects how people engage with time and structure, so therapy must account for reduced attention span and mental fatigue. When CBT duration for ADHD isn’t adjusted to meet these needs, the risk of dropout or reduced progress increases. 

How to Adapt CBT Duration for ADHD 

Here’s how therapists and clients can make CBT more manageable and effective for ADHD: 

Shorter, more focused sessions:  

Breaking down sessions into shorter time blocks can help maintain engagement. For example, 30-minute sessions may be more effective than traditional 50-minute formats. 

Time-limited programmes:  

Structuring therapy around a set number of sessions, such as 8 or 12, can provide clarity and motivation. This format helps patients track progress and stay committed. 

Flexible pacing:  

Some patients may benefit from weekly sessions, while others do better with more time between sessions to practise techniques. Flexibility in therapy length is key. 

In-session variation:  

Mixing up activities, using visuals, and adding interactive elements can help sustain attention span and make longer sessions feel less draining. 

If you’re concerned about CBT duration for ADHD or need a therapy format that suits your pace, visit providers like ADHD Certify for personalised CBT plans that adapt to your focus and energy levels. 

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