An Interview with Ari Tuckman, Psy.D., MBA on Adult ADHD. Mental Help Net (www.mentalhelp.net) presents the Wise Counsel Podcast (wisecounsel.mentalhelp.net), hosted by David Van Nuys, Ph.D. Dr. Tuckman, a psychologist in private practice in West Chester, PA specializes in the treatment of adult ADHD (attention deficit hyperactivity disorder), characterized in children by hyperactivity, impulsivity and inattention. Most people outgrow the hyperactivity component of this disorder, but impulsivity and inattention problems may linger into adulthood, resulting in lost opportunities and poor educational, occupational and social functioning. The diagnosis is often missed in adults who are instead regarded as lazy or selfish. Functional problems associated with ADHD appear to be neurological by nature, manifesting as executive function disturbance. Aspects of executive dysfunction include impairments of prospective memory, sense of time and poor response inhibitution secondary to an impaired ability to efficiently appreciate the consequences of behavior; all types of meta-awareness which normally serve to keep people oriented regarding the responsibilities they are expected to meet. Dr. Tuckman's Integrative Treatment for Adult ADHD is comprised of four treatment componants: 1) education about the nature of deficits associated with ADHD, 2) medication (usually a stimulant) to boost executive functioning, 3) coaching (e.g., identifying distractions and removing them, and using external supports like clocks, alarms and signs to prompt behavior and stimulate awareness), and 4) psychotherapy to boost self-esteem and motivation and address mood and anxiety problems.