How Cognitive Restructuring Reframes Failure and Erases ADHD Self-Doubt

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Low self-esteem plagues many adults with ADHD. Cognitive restructuring, a primary technique used in cognitive behavioral therapy (CBT), encourages a different perspective on your “problems” that can free you from harsh and inaccurate self-judgments.

, likens ADHD to having a race-car brain and bicycle brakes. He explains to his newly diagnosed patients that their brain is very powerful and capable of winning races . But they have bicycle brakes, so they can’t slow down very well; they are impulsive on many fronts. He describes himself as a brake specialist.I like to share the “paperweight metaphor” with my clients. Imagine you and a colleague decide to go to the park and get some work done.

You and your colleague are equally smart, equally talented, equally capable. She gets more done because she isn’t affected by the wind . You are not “less than” just because you weren’t given paperweights at birth like 95 percent of the population.Another metaphor I like to use with clients with ADHD is the circuit and the switch. Everyone, neurotypical or not, can be compared to a simple electrical circuit. Current runs through the circuit and powers equipment such as a light bulb.

With metaphor, we can move from “It’s a given that I’m ” to the ability to challenge that assumption and generate hope. We can make sense of the problem. We come out of that dark place of feeling alone and misunderstood. There’s a sense of “Ah, that’s a thing.”

 

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