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What should an ADHD programme change first: the person or the environment?

What the experts say

Russell BarkleyPhD · retired clinical neuropsychologist and ADHD researcher

Move time, information, feedback and consequences into the environment where behaviour happens.

What it rests onHis executive-function model treats external scaffolding as a practical response to impaired self-regulation.

Source: russellbarkley.org ↗
Jessica McCabeADHD educator · author · lived-experience communicator

Work with the ADHD brain using shame-free tools, smaller systems and lived-experience experimentation.

What it rests onHer book and channel translate clinical concepts into adaptable household and work practices.

Source: howtoadhdbook.com ↗

Overview

Children, adults, people with co-occurring conditions and people without a formal diagnosis need different levels of assessment and support.

Where they agree

Effort alone is an inadequate treatment plan, and external tools should be adapted to the person.

What would settle it

Better comparative evidence on which environmental supports work for which ADHD presentations and settings.

Practice does not pick a winner here

You do, and your call is dated, kept, and yours to change. Follow the people you already trust and what they publish turns into a short daily practice.

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