Do UK/US guidelines recommend CBT for ADHD? 

Yes, major clinical bodies in both the UK and US include CBT in their ADHD treatment recommendations. The CBT guidelines for ADHD in the UK and US highlight its role, particularly for adults and those who cannot tolerate or do not respond well to medication. While it’s not always the first-line option, it is widely supported as a second-line or complementary therapy. 

Both NICE (UK) and the American Psychiatric Association recognise CBT’s value in addressing executive dysfunction, emotional regulation, and daily structure. These clinical guidelines also emphasise the need for adaptations that suit the unique needs of people with ADHD.

Visit providers like ADHD Certify for personal consultations if you’re considering therapy aligned with current national recommendations. 

What the Guidelines Say 

Here’s a breakdown of how official guidelines support CBT use in ADHD treatment plans. 

UK (NICE guidelines)  

The NICE CBT guidelines for ADHD in the UK recommend CBT for adults with persistent symptoms despite medication. It is also suggested for those who cannot or choose not to take medication, with emphasis on structured, goal-oriented delivery. 

US (APA and AACAP guidelines)  

In the US, both the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry include CBT as part of broader ADHD care. For adults, it is often recommended after medication; for teens, it’s considered useful when delivered alongside parent training. 

Consistency across national recommendations  

Though phrasing varies, both UK and US clinical guidelines agree that CBT is effective for improving functioning and emotional control. The emphasis is on practical strategies, behavioural routines, and long-term skill-building. 

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