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ADHD treatment & support

Cbt for ADHD: A Practical Guide for Australians

Last updated 24 October 2026 · 8 min read · By Sarah M., Support Coordinator
In short

CBT for ADHD means cognitive behavioural therapy, a structured talking therapy. The Australian ADHD Guideline says cognitive behavioural intervention approaches should be offered to adolescents and adults with ADHD.

This guide explains CBT for ADHD, how it compares with other therapies, and how to find a therapist in Australia. For the wider picture, start with our guide to adult ADHD treatment.

Key points

  • The Australian ADHD Guideline states cognitive behavioural approaches should be offered to adolescents and adults with ADHD.
  • For parents and carers of children and adolescents, the Guideline says parent and family training should be offered.
  • Therapy works alongside, not instead of, a proper assessment and any medicine decisions made with your doctor.
  • Online counselling can be a practical option, but ADHD cannot be diagnosed online or through a quiz.
CBT for ADHD at a glance
What it isA structured, skills-focused talking therapy delivered by a trained clinician
Who it is recommended forAdolescents and adults with ADHD, according to the Australian ADHD Guideline
For parents and carersParent and family training should be offered for children and adolescents with ADHD
Who provides itA trained clinician; ask your GP about referral options
NDIS relevanceOnly if you meet the NDIS access requirements; therapy is not automatically funded
Support linehealthdirect 1800 022 222, 24 hours a day; ADHD Foundation 1300 39 39 19

What is CBT for ADHD?

CBT links thoughts, feelings and actions. A therapist may work with you on practical skills such as the examples below; what happens in your sessions depends on your therapist and goals.

  • Break big tasks into short steps with a clear first action.
  • Build routines for time, reminders and planning.
  • Notice unhelpful self-talk, such as “I always fail”, and practise more balanced responses.
  • Review what worked each week with your therapist and adjust the plan together.

What the Australian guideline says about ADHD therapy for adults

The Australian ADHD Guideline sets out evidence-based interventions. Its clinician factsheet is available from the Australian ADHD Guideline.

GroupWhat the guideline says
Adolescents and adultsCognitive behavioural intervention approaches should be offered
Parents and carers of children and adolescentsParent and family training should be offered
People aged 5 and overStimulants (methylphenidate, dexamfetamine or lisdexamfetamine) are listed as first-line medication; atomoxetine or guanfacine are second line
Children and adolescentsClonidine is also listed as a second-line medication

Medicine decisions belong with your GP, paediatrician or psychiatrist. Talk to them or your pharmacist before changing anything.

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

Occupational therapy for ADHD

Some people ask about an occupational therapist for ADHD to work on daily routines; ask your GP whether this suits you. Our guides on OT for ADHD and disability occupational therapy explain what sessions look like.

Questions you could ask an occupational therapist:

  • Can we work on a morning and evening routine, such as with visual checklists?
  • Can you help me organise a study, work or home space?
  • Can we practise skills such as meal preparation, budgeting and getting to appointments on time?
  • What supports or equipment might help at school, work or home?

ACT, DBT and other therapies for ADHD

Several therapies sit alongside CBT. Which one suits you depends on your goals and history, so ask a clinician.

ApproachWhat it involvesWhat to ask a clinician
ACT for ADHDAcceptance and commitment therapy; ask what it involves and what evidence there is for ADHDWhether the therapist has experience with ADHD
DBT for ADHDDialectical behaviour therapy; ask what it involves and what evidence there is for ADHDWhether it suits your situation and goals
Cognitive therapy for ADHDAsk how it differs from CBT; the Guideline’s recommendation is for cognitive behavioural approaches for adolescents and adultsHow many sessions are usually needed

Our guide to managing ADHD without medication sets out the non-medicine options in more detail, and ADHD coaching is a different, non-clinical service.

How to find a therapist for ADHD in Australia

A good fit matters as much as the method, so it is worth asking questions before you commit.

  1. Start with your GP. Ask for a referral to a psychologist or counsellor who works with ADHD and bring any assessment reports.
  2. Ask about ADHD experience. Check whether the therapist has worked with adults, teenagers or couples, depending on your needs.
  3. Check fees and rebates. Ask what the session costs and whether any Medicare rebate applies to your situation.
  4. Agree on goals. Choose one or two practical goals, such as getting to work on time.
  5. Review after a few sessions. If it is not helping, tell your therapist or ask your GP about alternatives.

ADHD counselling online and online therapists

Some people prefer online sessions, for example if travel is hard. Looking for an ADHD therapist online follows the same checks as in person.

  • Confirm the therapist’s qualifications and experience in ADHD before you book.
  • Test your internet connection, find a quiet space and keep a notepad for homework tasks.
  • Remember that ADHD can’t be diagnosed online or through an ADHD quiz, according to ReachOut Australia (page updated 28 July 2026).
  • Ask your therapist how they handle privacy and what to do if the call drops.

ADHD couples therapy and relationships

healthdirect notes adults with ADHD may have difficulties with family and work. Couples therapy may give both partners a structured place to talk.

  • Agree on who does which household task and write it where both of you can see it.
  • Use a weekly check-in so small frustrations do not build up.
  • Ask your therapist how ADHD may affect communication in your relationship.
  • Attend sessions together, or separately first, depending on what feels safe and useful.

Is ADHD a psychological disorder?

ADHD is a recognised condition that clinicians diagnose through a proper assessment, and the Guideline estimates how common it is. Around 6-8% of children and 3-5% of adults in Australia have ADHD, which means more than 1 million Australians (Australian ADHD Guideline GP factsheet). To understand its link to disability, read is ADHD a disability.

When to talk to a GP or specialist

  • Attention, planning or emotional difficulties are affecting work, study, parenting or relationships over a long period.
  • You are considering therapy and want a referral, a care plan or an assessment first.
  • You notice low mood, anxiety or substance use alongside ADHD; healthdirect notes these can occur in adults with ADHD.
  • You want to review your medicine or talk about non-medicine options with your doctor.
  • Your child or teenager is struggling and you want to ask about parent and family training.

Call 000 in an emergency. If you or someone you know is in crisis, Lifeline is on 13 11 14.

Looking for NDIS support at home?

TQN Care support workers help with personal care, community access, respite and help around the home across Sydney, Melbourne and surrounding areas (NSW & VIC). Tell us what you need and we will call you back.

Make a referral →

Your next step

If you are thinking about therapy, book a GP visit, bring a short list of what you want to change and ask for a referral. At TQN Care, our support workers help with personal care, community access, respite and help around the home, so everyday routines feel more manageable between appointments. Browse our NDIS services or make a referral when you are ready.

SM
Sarah M., Support CoordinatorTQN Care is a registered NDIS provider supporting people across Sydney, Melbourne and surrounding areas (NSW & VIC).
Common questions

FAQs about CBT and therapy for ADHD

Is ADHD a psychological disorder? +

ADHD is a condition diagnosed by a trained clinician through a thorough assessment. If you want to talk about what a diagnosis means for you, ask your GP, paediatrician or psychiatrist.

Is meditation good for ADHD? +

The Australian ADHD Guideline recommendation covered here is for cognitive behavioural approaches, not meditation. Ask your GP or therapist whether meditation suits you, and do not use it in place of assessment or treatment.

Does CBT replace medicine for ADHD? +

The guideline recommends cognitive behavioural approaches for adolescents and adults and lists medicines separately, so ask your doctor what suits you. Never start, stop or change medicine without talking to your GP, psychiatrist or pharmacist. A therapist can work with your doctor.

Can I do CBT for ADHD online? +

Some therapists offer online sessions, so ask when you book. Check that the therapist is qualified and has experience with ADHD. Remember that an online quiz cannot diagnose ADHD; a full assessment is still needed.

References

Sources

  1. Guideline Factsheet for Clinicians (PDF) — AADPA
  2. Non-pharmacological interventions — AADPA
  3. ADHD Factsheet for GPs — AADPA
  4. Attention deficit hyperactivity disorder (ADHD) — healthdirect Australia
  5. ADHD in teenagers — ReachOut Australia
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