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Is ADHD symptom relapse common after CBT? 

Yes, ADHD relapse after CBT can occur, though it varies depending on the individual and their continued use of therapy techniques. While Cognitive Behavioural Therapy (CBT) is effective for managing ADHD symptoms, it is not a permanent cure. For some, symptoms may return or intensify after therapy ends, especially if coping strategies aren’t consistently maintained. Understanding this potential for symptom recurrence is key to preparing for and preventing setbacks. 

ADHD relapse after CBT is more likely when individuals face new life challenges, stop using the tools learned in therapy, or experience disruptions in routine. This doesn’t mean the therapy wasn’t successful, it simply highlights the chronic nature of ADHD and the importance of ongoing management. 

Managing ADHD Long-Term After CBT 

Here’s how to reduce the risk of ADHD relapse after CBT and support better long-term outcomes: 

Reinforce learned strategies:  

Continue using the CBT tools and coping techniques regularly, even after therapy ends. Journaling, scheduling, and self-monitoring can all help maintain progress. 

Plan for booster sessions:  

Occasional follow-up sessions with a therapist can help refresh skills, address new challenges, and keep motivation high, preventing symptom recurrence. 

Combine with other treatments:  

Medication, coaching, and lifestyle changes like exercise or mindfulness can all support the gains made through CBT and improve long-term outcomes. 

Stay adaptable: 

 ADHD symptoms can evolve over time. Being open to adjusting your management approach can make a big difference in maintaining stability. 

If you’re experiencing ADHD relapse after CBT or want to protect your progress, visit providers like ADHD Certify for expert advice and ongoing treatment planning. 

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.