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ADHD Treatment in Ontario
ADHD Treatment 101

The 3 Pillars of ADHD Treatment
According to all major consensus documents and guidelines, the three pillars of treatment for childhood and adult ADHD are:
- Medication indicated for ADHD,
- Therapy shown to be effective for ADHD youth and adults, like ADHD-adapted psychotherapy,
- ADHD / Executive Function coaching.
What does 'treatment' for ADHD really mean?
‘Treatment’ for ADHD is not about trying to fix something that’s broken.
It’s about finally finding the operating manual to the ADHD brain.
✓ allows us to address our own blind spots,
✓ reduce risks, and
✓ unleash the potential (rather than just ‘cope’).
ADHD is a very treatable disorder, with more methods that yield more transformational improvement in more people than all other conditions in mental health.
Research demonstrates that a combination of medication and ADHD-adapted psychotherapy leads to superior outcomes, including improvement in:
- Sustained attention
- Emotional regulation
- Negative thoughts
- Improved quality of life
The 3 pillars in more detail
Dig a Little Deeper offers treatment in all areas, with trained and clinically experienced psychotherapists, an occupational therapist, parent coaches and nurse practitioners.
Pillar one: Medication

Medications prescribed by physicians or nurse practitioners with expertise in ADHD are referred to most commonly as stimulant medications.
When it comes to identifying the ‘reason to treat ‘, we also know from the research, treatment is recommended because untreated ADHD reduces life expectancy, and treatment improves all-cause mortality.
These medicines have been used for over 50 years, are well-understood and have effectiveness rates of around 80% (notably higher than any other medicine in psychiatry and more than even cardiovascular medicines for example).
Pillar two:
ADHD-Adapted Psychotherapy

‘ADHD-Adapted Psychotherapy’
refers to the necessary application of the knowledge of ADHD as a neurodevelopmental disorder, and its impact in therapy, throughout the therapeutic process.
FAQ's about 'ADHD Therapy'
For Parents, about kids
“Behaviour therapy” for ADHD is often misunderstood as a therapy a child with ADHD receives to help them alter their behaviour.
ADHD behaviour therapy for children with ADHD actually entails teaching the parents and other adults who interact with the child, specialized ADHD behavioural management techniques.
For children with ADHD younger than 6 years of age, evidence is robust that first-line intervention should be parent behaviour training.
The most important perspective shift for parents and partners alike, is your loved one with ADHD is not choosing to be difficult.
It is their cognitive difference – the brain they were born with – that makes it difficult to remember (and therefore follow) rules, sit quietly, think before acting and generally do the things that adults want them to do.
As adults who interact with children with ADHD it is up to the adult to alter the environment and provide the appropriate support the child requires to succeed.
For Adults
It is critically important that the therapist knows what ADHD is, understands the brain-based functions and nature of how to work with each persons individual presentations, and be able to differentiate a symptom of ADHD from an emotional or psychological symptom.
Struggling with the consequences of a lifetime of undiagnosed ADHD often leads adults to diagnoses of anxiety or depression. In fact, what adult ADHD often looks like in the doctor’s, nurses or therapists office is anxiety and depression.
The important question is, which came first?
While these conditions can be present alongside ADHD (called ‘comorbidities’), they are more often a result of living a lifetime with undiagnosed ADHD, which can be quite demoralizing.
Adhering to global treatment recommendations means including psychosocial interventions in your ADHD treatment. ADHD-Adapted Therapy for ADHD can be transformational because it both addresses the challenging emotions that were underpinning the anxiety and depression symptoms, as well as helps folks build new relational skills to confidently self-advocate and strengthen one’s relationships.
Studies have shown ADHD-Adapted cognitive behaviour therapy (CBT), dialectical behaviour therapy (DBT) and interpersonal psychotherapy (IPT) to be effective forms of therapy to help support:
- the diagnostic journey,
- the acceptance and understanding of the diagnosis,
- learning how to navigate the emotions, relationship challenges and self-care aspects of living with ADHD.
- longer term management of unpacking and finding the gifts within, of an ADHD brain.
What is Neurodivergent-Affirming Therapy?
Neurodivergent-affirming care is a form of cultural competence.
Therapists who are neurodivergent-affirming have taken steps to be aware of possible biases and to gather appropriate knowledge about neurodivergent clients before working with them to avoid doing harm.
Always ask your therapist up front what specific training they have had in treating ADHD and what their clinical experience has taught them.
Read more about Neurodivergent-Affirming Clinical Practice on The Dig Deeper Blog.
Pillar three:
ADHD specific executive function coaching

ADHD Coaching is different from therapy.
ADHD coaching provides the external structure and support to change the habits associated with your unique presentation of ADHD causing problems in your life, monitor the progress you make and create a sense of accountability and self-efficacy.
Coaching helps people improve their performance on areas they need to work on and focus in the here and now.
Coaching helps you achieve your goals by breaking down and simplifying all the specific tasks you need to complete first in order to reach those goals.
7 areas of focus
- Flexible thinking skills,
- Planning ahead & time management,
- Self-monitoring,
- Emotional regulation & self control (managing impulsivity),
- Working memory (remembering information),
- Attention & energy management,
- Organizational skills.
Our Trained and Clinically experienced ADHD therapists and nurse practitioners
Our Trained and Clinically experienced ADHD therapists

Alexandra Weedmark, BA, MA, R.B.A. (Ont.)
Alexandra Weedmark, BA, MA, R.B.A. (Ont.)

Alicia Sumner, H. BA., MACP, RP
Alicia Sumner, H. BA., MACP, RP

Carole Gionet, BSc., BScN., NP-PHC., MNNP-PHC, Director, Integrated Mental Health
Carole Gionet, BSc., BScN., NP-PHC., MNNP-PHC, Director, Integrated Mental Health

Christina Crowe, H. BSc., MACP, RP
Christina Crowe, H. BSc., MACP, RP

Christina D’Angelo, BHRM, MACP, RP Qualifying
Christina D’Angelo, BHRM, MACP, RP Qualifying

Connie Marasco, H. BA, MACP, RP
Connie Marasco, H. BA, MACP, RP

Ildemaro Ponnambalam, BSc, MSc, RP Qualifying
Ildemaro Ponnambalam, BSc, MSc, RP Qualifying

Jen Nash, BSc, BEd, MBA, RP Qualifying
Jen Nash, BSc, BEd, MBA, RP Qualifying

Jill Roberts, BSc. (Hons.), MSc. (OT), OT Reg. (Ont.)
Jill Roberts, BSc. (Hons.), MSc. (OT), OT Reg. (Ont.)

John Foulkes, BSC., OPC-D, RP
John Foulkes, BSC., OPC-D, RP

Julia Farquharson, BScN, RN, MN, NP-PHC
Julia Farquharson, BScN, RN, MN, NP-PHC

Julia Muscoiona, H. BA, MACP, RP
Julia Muscoiona, H. BA, MACP, RP

Alicia Sumner, H. BA., MACP, RP
Alicia Sumner, H. BA., MACP, RP

Carole Gionet, BSc., BScN., NP-PHC., MNNP-PHC, Director, Integrated Mental Health
Carole Gionet, BSc., BScN., NP-PHC., MNNP-PHC, Director, Integrated Mental Health

Christina Crowe, H. BSc., MACP, RP
Christina Crowe, H. BSc., MACP, RP

Christina D’Angelo, BHRM, MACP, RP Qualifying
Christina D’Angelo, BHRM, MACP, RP Qualifying

Connie Marasco, H. BA, MACP, RP
Connie Marasco, H. BA, MACP, RP

Ildemaro Ponnambalam, BSc, MSc, RP Qualifying
Ildemaro Ponnambalam, BSc, MSc, RP Qualifying

Jen Nash, BSc, BEd, MBA, RP Qualifying
Jen Nash, BSc, BEd, MBA, RP Qualifying

Jill Roberts, BSc. (Hons.), MSc. (OT), OT Reg. (Ont.)
Jill Roberts, BSc. (Hons.), MSc. (OT), OT Reg. (Ont.)

John Foulkes, BSC., OPC-D, RP
John Foulkes, BSC., OPC-D, RP

Julia Farquharson, BScN, RN, MN, NP-PHC
Julia Farquharson, BScN, RN, MN, NP-PHC

Julia Muscoiona, H. BA, MACP, RP
Julia Muscoiona, H. BA, MACP, RP
ADHD articles written by our team of therapists
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