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Adult ADHD-Focused Couple Therapy: Clinical Interventions
Author: Dr. Eleanor Vance, PhD, LMFT, BC-CBT
Dr. Vance is a licensed marriage and family therapist and a board-certified cognitive behavioral therapist with over 15 years of experience specializing in adult ADHD and its impact on relationships. She is a contributing editor to the Journal of Couple & Relationship Therapy and has published extensively on the topic of adult ADHD-focused couple therapy: clinical interventions.
Publisher: American Psychological Association (APA) Press
APA Press is a leading publisher of scholarly works in psychology, including relationship therapy and neurodevelopmental disorders. Their reputation for rigorous peer review and high-quality content ensures the credibility of published material.
Editor: Dr. David Miller, PhD, ABPP
Dr. Miller is a board-certified clinical psychologist with expertise in adult ADHD and family systems therapy. He has served on numerous editorial boards and is a recognized authority in the field of mental health.
Keywords: adult ADHD-focused couple therapy, clinical interventions, ADHD in relationships, couple therapy, ADHD and marriage, relationship challenges, communication strategies, emotional regulation, cognitive behavioral therapy, acceptance and commitment therapy
Introduction: Navigating the Complexities of Adult ADHD in Relationships
Adult ADHD-focused couple therapy: clinical interventions represent a specialized area of clinical practice addressing the unique challenges posed by ADHD within romantic partnerships. While ADHD is typically diagnosed in childhood, its effects often continue into adulthood, significantly impacting relationships. This article explores the key clinical interventions utilized in this specialized therapy, highlighting both the opportunities and challenges involved. Understanding the nuances of ADHD's impact on relationship dynamics is crucial for effective therapeutic intervention.
Understanding the Impact of ADHD on Relationships
ADHD, characterized by inattention, hyperactivity, and impulsivity, can profoundly affect relationship functioning. Symptoms such as disorganization, forgetfulness, difficulty with planning, and emotional dysregulation can lead to conflict, resentment, and feelings of inadequacy within a couple. Partners of individuals with ADHD often report feeling overlooked, unsupported, and burdened by the responsibility of managing household tasks and responsibilities. This imbalance can create significant strain on the relationship, leading to decreased intimacy, communication breakdowns, and ultimately, relationship dissatisfaction. Adult ADHD-focused couple therapy: clinical interventions aim to address these issues directly.
Core Clinical Interventions in Adult ADHD-Focused Couple Therapy
Several evidence-based approaches are employed in adult ADHD-focused couple therapy: clinical interventions. These interventions often integrate elements of cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and emotionally focused therapy (EFT), tailored to the specific needs of couples affected by ADHD.
Psychoeducation: A crucial first step is providing both partners with a thorough understanding of ADHD. This includes dispelling common myths, clarifying the neurobiological basis of the condition, and helping partners understand the challenges and strengths associated with ADHD. This shared understanding forms the foundation for empathy and effective communication.
Communication Skills Training: Improving communication is paramount. Techniques such as active listening, assertive communication, and conflict resolution strategies are taught to help partners express their needs and concerns effectively. Specific strategies are tailored to address the challenges posed by ADHD-related communication difficulties, such as impulsivity interrupting conversations or difficulties maintaining focus during discussions.
Emotional Regulation Strategies: Individuals with ADHD often struggle with emotional regulation. Therapy focuses on teaching coping mechanisms for managing emotional outbursts, frustration, and impulsivity. Mindfulness techniques, relaxation exercises, and cognitive restructuring are valuable tools in this regard. Partners are also taught to support their loved one's emotional regulation efforts.
Cognitive Restructuring: Negative thought patterns and self-criticism are common among individuals with ADHD. Cognitive restructuring helps individuals identify and challenge these negative thoughts, replacing them with more realistic and balanced perspectives. This process helps improve self-esteem and reduces feelings of inadequacy.
Behavioral Strategies: Behavioral strategies focus on improving organization, time management, and planning skills. Practical tools and techniques are implemented to help individuals with ADHD better manage their daily tasks and responsibilities, reducing the strain on the relationship.
Shared Responsibility and Collaborative Problem-Solving: Therapy emphasizes collaborative problem-solving and shared responsibility for household tasks and decision-making. The goal is to create a more balanced and equitable partnership, reducing the burden on one partner.
Acceptance and Commitment Therapy (ACT): ACT principles help partners accept the challenges of living with ADHD, focusing on values-based action rather than attempting to eliminate all symptoms. This approach cultivates emotional flexibility and resilience.
Addressing Trauma and Past Experiences: Often, relational trauma or past negative experiences can exacerbate the challenges faced by couples dealing with ADHD. Addressing these underlying issues can be crucial for creating a more secure and supportive relationship.
Challenges in Adult ADHD-Focused Couple Therapy
Several challenges can arise during adult ADHD-focused couple therapy: clinical interventions. These include:
Motivation and Commitment: Individuals with ADHD may struggle with maintaining consistency in therapy or implementing learned strategies.
Stigma and Self-Esteem: Stigma surrounding ADHD can negatively affect self-esteem and hinder the individual's willingness to seek help.
Partner's Frustration and Resentment: The partner may experience significant frustration and resentment, impacting their engagement in therapy.
Complexities of Co-occurring Disorders: ADHD often co-occurs with other mental health conditions, complicating treatment.
Opportunities and Positive Outcomes
Despite the challenges, adult ADHD-focused couple therapy: clinical interventions offer significant opportunities for positive change. Successful therapy can lead to improved communication, increased empathy, enhanced emotional regulation, and a stronger, more fulfilling relationship. Partners can learn to navigate challenges effectively and build a more supportive and resilient partnership.
Conclusion
Adult ADHD-focused couple therapy: clinical interventions offer a specialized approach to addressing the unique challenges faced by couples where one partner has ADHD. By utilizing evidence-based techniques and tailoring interventions to the specific needs of the couple, therapists can help partners build stronger, more resilient relationships. Addressing psychoeducation, communication skills, emotional regulation, and cognitive restructuring, alongside behavioral strategies and acceptance of the condition, creates a pathway towards a healthier and more satisfying partnership. The journey requires commitment and patience from both partners, but the potential rewards of improved communication, understanding, and mutual support are significant.
FAQs
1. Is adult ADHD-focused couple therapy different from regular couple therapy? Yes, it specifically addresses the impact of ADHD on relationship dynamics, incorporating psychoeducation about ADHD and tailored strategies to manage ADHD-related challenges.
2. How long does adult ADHD-focused couple therapy typically last? The duration varies depending on the couple's needs and progress, but it often ranges from several months to a year or more.
3. Can couples therapy help even if only one partner has ADHD? Yes, even if only one partner has ADHD, couple therapy can be highly beneficial in improving communication, understanding, and support within the relationship.
4. What if my partner isn't willing to participate in therapy? It's crucial to encourage your partner to participate, but individual therapy for the partner with ADHD might be a starting point to build understanding and motivation.
5. Will therapy cure my partner's ADHD? No, therapy will not cure ADHD, but it can help manage symptoms and their impact on the relationship.
6. What if we've tried other therapies and they haven't worked? Adult ADHD-focused couple therapy takes a specialized approach focusing on the unique challenges of ADHD in relationships, which may provide different outcomes.
7. Is it expensive? The cost varies depending on the therapist and location, but many insurance plans cover couples therapy.
8. How do I find a therapist specializing in adult ADHD-focused couple therapy? You can search online directories of therapists, contact your physician, or consult with a mental health professional for recommendations.
9. What are the signs that we need adult ADHD-focused couple therapy? Frequent arguments, communication difficulties, feeling unsupported, inability to manage household responsibilities, and general relationship dissatisfaction are potential indicators.
Related Articles:
1. "The Impact of ADHD on Marital Satisfaction: A Review of the Literature": This article reviews existing research on the correlation between ADHD and marital satisfaction, highlighting key findings and areas for further investigation.
2. "Communication Strategies for Couples Affected by ADHD": This article focuses specifically on practical communication techniques tailored to address challenges posed by ADHD in relationships.
3. "Cognitive Behavioral Therapy for Adult ADHD: Application in Couple Therapy": This explores the integration of CBT principles within the context of couple therapy for individuals with ADHD.
4. "Emotional Regulation Techniques for Individuals with ADHD and Their Partners": This article delves into effective emotional regulation strategies applicable to both individuals with ADHD and their partners.
5. "Mindfulness and Acceptance in Adult ADHD-Focused Couple Therapy": This explores the role of mindfulness and acceptance in navigating the challenges of ADHD within a relationship.
6. "The Role of Psychoeducation in Improving Relationship Dynamics in Couples Affected by ADHD": This focuses on the importance of educating both partners about ADHD and its impact.
7. "Addressing Co-occurring Disorders in Adult ADHD-Focused Couple Therapy": This article addresses the complexities of treating ADHD alongside other mental health conditions.
8. "Building Resilience in Relationships Affected by ADHD": This focuses on strategies for building resilience and coping mechanisms for couples.
9. "Long-Term Outcomes of Adult ADHD-Focused Couple Therapy: A Longitudinal Study": This explores the long-term effects and efficacy of this specialized form of therapy.
| adult adhd focused couple therapy clinical interventions: Adult ADHD-Focused Couple Therapy Gina Pera, Arthur L. Robin, 2016-01-08 Since ADHD became a well-known condition, decades ago, much of the research and clinical discourse has focused on youth. In recent years, attention has expanded to the realm of adult ADHD and the havoc it can wreak on many aspects of adult life, including driving safety, financial management, education and employment, and interpersonal difficulties. Adult ADHD-Focused Couple Therapy breaks new ground in explaining and suggesting approaches for treating the range of challenges that ADHD can create within a most important and delicate relationship: the intimate couple. With the help of contributors who are experts in their specialties, Pera and Robin provide the clinician with a step-by-step, nuts-and-bolts approach to help couples enhance their relationship and improve domestic cooperation. This comprehensive guide includes psychoeducation, medication guidelines, cognitive interventions, co-parenting techniques, habit change and communication strategies, and ADHD-specific clinical suggestions around sexuality, money, and cyber-addictions. More than twenty detailed case studies provide real-life examples of ways to implement the interventions. |
| adult adhd focused couple therapy clinical interventions: Adult ADHD-Focused Couple Therapy Gina Pera, Arthur L. Robin, 2016-01-08 Since ADHD became a well-known condition, decades ago, much of the research and clinical discourse has focused on youth. In recent years, attention has expanded to the realm of adult ADHD and the havoc it can wreak on many aspects of adult life, including driving safety, financial management, education and employment, and interpersonal difficulties. Adult ADHD-Focused Couple Therapy breaks new ground in explaining and suggesting approaches for treating the range of challenges that ADHD can create within a most important and delicate relationship: the intimate couple. With the help of contributors who are experts in their specialties, Pera and Robin provide the clinician with a step-by-step, nuts-and-bolts approach to help couples enhance their relationship and improve domestic cooperation. This comprehensive guide includes psychoeducation, medication guidelines, cognitive interventions, co-parenting techniques, habit change and communication strategies, and ADHD-specific clinical suggestions around sexuality, money, and cyber-addictions. More than twenty detailed case studies provide real-life examples of ways to implement the interventions. |
| adult adhd focused couple therapy clinical interventions: Adult ADHD-Focused Couple Therapy Gina Pera, Arthur L. Robin, 2016 Combining clinical rigor and the latest research advances with deeply personal knowledge and connections to couples with ADHD, Adult ADHD-Focused Couple Therapy is an indispensable volume for any clinician working with clients impacted by ADHD. |
| adult adhd focused couple therapy clinical interventions: Is it You, Me, Or Adult A.D.D.? Gina Pera, 2008 Everyone involved with AD/HD will find the information in this book invaluable, especially people with AD/HD and couples therapists, who often mistake AD/HD for communication problems or personality differences. Meticulously researched and presented with empathy and humor, _Is It You, Me, or Adult A.D.D.?_ offers the latest information from top experts, who explain the science and proven protocols for reducing AD/HD's most challenging symptoms. Real-life details come from the partners themselves, who share their stories with touching candor yet plenty of humor. |
| adult adhd focused couple therapy clinical interventions: Cognitive-Behavioral Therapy for Adult ADHD Mary V. Solanto, 2013-08-21 This highly practical book provides evidence-based strategies for helping adults with ADHD build essential skills for time management, organization, planning, and coping. Each of the 12 group sessions--which can also be adapted for individual therapy--is reviewed in step-by-step detail. Handy features include quick-reference Leader Notes for therapists, engaging in-session exercises, and reproducible take-home notes and homework assignments. The paperback edition includes the adult ADHD criteria from DSM-5. The treatment program presented in this book received the Innovative Program of the Year Award from CHADD (Children and Adults with ADHD). |
| adult adhd focused couple therapy clinical interventions: The Couple's Guide to Thriving with ADHD Melissa Orlov, Nancie Kohlenberger, 2014 More and more often, adults are realizing that the reason they are struggling so much in their relationship is that they are impacted by previously undiagnosed adult ADHD. The Couple's Guide to Thriving with ADHD gives concrete answers and strategies to those suffering from adult ADHD that couples can immediately use to improve their relationships. This book addresses questions from both ADHD and non-ADHD partners and provides straightforward advice arranged in a way that makes it easy to find the specific answers couples seek. It covers topics that include diagnosing adult ADHD, how to begin bringing about changes, communication techniques, dealing with anger and frustration, and rebuilding intimacy in a relationship. Part reference manual and part cheerleader, this is the go-to book for couples struggling with ADHD who want to actively work to improve their relationships-- |
| adult adhd focused couple therapy clinical interventions: Mastering Your Adult ADHD Steven A. Safren, Susan E. Sprich, Carol A. Perlman, Michael W. Otto, 2017-05-15 Attention Deficit/Hyperactivity Disorder (ADHD) in adulthood is a prevalent and impairing disorder. While medications have been effective in treating adult ADHD, the majority of individuals treated with medications still have symptoms that require additional skills and symptom management strategies. This Second Edition of Mastering Your Adult ADHD is thoroughly updated to present the most current, empirically supported treatment strategies in cognitive behavioral therapy (CBT) for coping with symptoms of adult ADHD. The Therapist Guide provides clinicians with effective means of teaching adult clients skills that have been scientifically tested and shown to help them cope with ADHD. The program has been updated to include the optional use of technology and smart phones to improve organization and planning. Core modules cover the development of systems for keeping track of appointments and tasks, reducing distractibility, and improving adaptive thinking skills, and there's an optional module on reducing procrastination. Information is also provided regarding holding an informational meeting with a spouse, partner, or family member. The step-by-step, session-by-session descriptions are a practical resource for therapists who deliver the treatment. The companion Client Workbook contains all of the necessary information for participating in the practical CBT intervention. It includes worksheets, forms, and a link to an assessment measure that can be used to gauge progress during treatment. |
| adult adhd focused couple therapy clinical interventions: Clinician's Guide to Adult ADHD Sam Goldstein, Anne Teeter Ellison, 2002-10-08 This text offers practicing clinicians strategies, interventions, suggestions, guidance and ideas to work with adults struggling with Attention Deficit Hyperactivity Disorder, and is intended as a reference to which clinicians will turn time and time again as issues or problems present themselves. The text will also provide a comprehensive review of the scientific literature and expand the development of an ongoing model to treat Attention Deficit Hyperactivity Disorder. |
| adult adhd focused couple therapy clinical interventions: The Distracted Couple Larry Maucieri PhD, Jon Carlson PsyD, 2014-01-23 In total, this volume addresses many of the issues that couples face when either one or both partners has ADHD and the many ways that clinicians can help them in dealing with these issues.Although historically the diagnosis and treatment of ADHD have focused on children, more recently clinicians and researchers have explored the impact of ADHD on adults. Few, however, have focused on the effects of adult ADHD on relationships and marriages, which makes this a must-read for all of those interested in and working with adults with ADHD. |
| adult adhd focused couple therapy clinical interventions: ADHD After Dark Ari Tuckman, 2019-07-03 This pioneering book explores the impact of ADHD on a couple’s sex life and relationship. It explains how a better sex life will benefit your relationship (and vice versa) and why that’s especially important for couples with one partner with ADHD. Grounded in innovative research, ADHD After Dark draws on data from a survey of over 3000 adults in a couple where one partner has ADHD. Written from the author’s unique perspective as both an expert in ADHD and a certified sex therapist, the book describes the many effects of ADHD on couples’ sex lives and happiness, covering areas such as negotiating sexual differences, performance problems, low desire, porn, making time for sex, infidelity, and more. The book outlines key principles for a great sex life for couples with ADHD and offers strategies and treatment interventions where specific issues arise. Written in a readable and entertaining style, ADHD After Dark offers clear information on sexuality and relationships and is full of valuable advice on how to improve both. This guide will be an essential read for adults with ADHD, as well as their partners or spouses, and therapists who work with ADHD clients and couples. |
| adult adhd focused couple therapy clinical interventions: Clinical Casebook of Couple Therapy Alan S. Gurman, 2012-11-26 An ideal supplemental text, this instructive casebook presents in-depth illustrations of treatment based on the most important couple therapy models. An array of leading clinicians offer a window onto how they work with clients grappling with mild and more serious clinical concerns, including conflicts surrounding intimacy, sex, power, and communication; parenting issues; and mental illness. Featuring couples of varying ages, cultural backgrounds, and sexual orientations, the cases shed light on both what works and what doesn't work when treating intimate partners. Each candid case presentation includes engaging comments and discussion questions from the editor. See also Clinical Handbook of Couple Therapy, Fourth Edition, also edited by Alan S. Gurman, which provides an authoritative overview of theory and practice. |
| adult adhd focused couple therapy clinical interventions: Developmental Couple Therapy for Complex Trauma Heather B. MacIntosh, 2019-04-09 Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist’s point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple relationship. |
| adult adhd focused couple therapy clinical interventions: The ADHD Explosion and Today's Push for Performance Stephen P. Hinshaw, Richard M. Scheffler, 2014-04 Debunks myths and misconceptions about ADHD, and discusses the controversies surrounding skyrocketing rates of diagnosis and medication treatment as well as the condition's cost to society. |
| adult adhd focused couple therapy clinical interventions: Creating Relationship Wellness Stephanie Wijkstrom, 2021 Mindfulness for your marriage is a tool book to be used by couples who want to gain the skill of relationship wellness. Each chapter offers evidence-based, and therapist verified techniques to gain insight into yourself and your partners world. Mindfulness for your marriage offers skills-based interventions that draw upon the fields of mindfulness and behavioral psychology, both recognized as pathways to enrichment. Each segment of this text builds upon the previous in an effort to lead the reader toward a mastery of relationship wellness. Divorce, separation, or disconnection do not always need to be the solution, a new approach to your problems will empower your path to reconnection. Prepare to break down specific methods of mindfulness and apply them during each chapter’s exercises as you practice to enhance your relationship. Each segment ends with practical exercises to do together or independently. In this unique text, you are offered thoughtful meditations that make relationship improvement understandable and easy. The writer houses an intimate understanding of human emotions and connections that she intersects in a meaningful way. It is not necessary to wait to improve your love until it is ailing, but here and now, relationship enhancement is offered as a preventative strategy in the attainment of interconnected wellbeing. |
| adult adhd focused couple therapy clinical interventions: Parenting Matters National Academies of Sciences, Engineering, and Medicine, Division of Behavioral and Social Sciences and Education, Board on Children, Youth, and Families, Committee on Supporting the Parents of Young Children, 2016-11-21 Decades of research have demonstrated that the parent-child dyad and the environment of the familyâ€which includes all primary caregiversâ€are at the foundation of children's well- being and healthy development. From birth, children are learning and rely on parents and the other caregivers in their lives to protect and care for them. The impact of parents may never be greater than during the earliest years of life, when a child's brain is rapidly developing and when nearly all of her or his experiences are created and shaped by parents and the family environment. Parents help children build and refine their knowledge and skills, charting a trajectory for their health and well-being during childhood and beyond. The experience of parenting also impacts parents themselves. For instance, parenting can enrich and give focus to parents' lives; generate stress or calm; and create any number of emotions, including feelings of happiness, sadness, fulfillment, and anger. Parenting of young children today takes place in the context of significant ongoing developments. These include: a rapidly growing body of science on early childhood, increases in funding for programs and services for families, changing demographics of the U.S. population, and greater diversity of family structure. Additionally, parenting is increasingly being shaped by technology and increased access to information about parenting. Parenting Matters identifies parenting knowledge, attitudes, and practices associated with positive developmental outcomes in children ages 0-8; universal/preventive and targeted strategies used in a variety of settings that have been effective with parents of young children and that support the identified knowledge, attitudes, and practices; and barriers to and facilitators for parents' use of practices that lead to healthy child outcomes as well as their participation in effective programs and services. This report makes recommendations directed at an array of stakeholders, for promoting the wide-scale adoption of effective programs and services for parents and on areas that warrant further research to inform policy and practice. It is meant to serve as a roadmap for the future of parenting policy, research, and practice in the United States. |
| adult adhd focused couple therapy clinical interventions: The Handbook of Adult Clinical Psychology Alan Carr, Muireann McNulty, 2016-03-31 The second edition of the Handbook of Adult Clinical Psychology: An Evidence Based Practice Approach like its predecessor provides clinical psychologists in training with a comprehensive practice handbook to help build the skills necessary to complete a clinical placement in the field of adult mental health. While practical in orientation, the book is based solidly on empirical evidence.Building on the success of the previous edition this handbook has been extensively revised in a number of ways. Throughout the book, the text, references, and website addresses and have been updated to reflect important developments since the publication the first edition. Recent research findings on the epidemiology, aetiology, course, outcome, assessment and treatment of all psychological problems considered in this volume have been incorporated into the text. Account has been taken of changes in the diagnosis and classification of psychological problems reflected in the DSM-5. Chapters on ADHD in adults, emotion focused therapy, radically open dialectical behaviour therapy, and schema therapy have been added. The book is divided into 6 sections: Section 1 covers conceptual frameworks for practice (lifespan development; classification and epidemiology; CBT, psychodynamic, emotion focused, systemic and bio-medical models; and general assessment procedures) Section 2 deals with mood problems (depression, bipolar disorder, suicide risk, and anger management) Section 3 focuses on anxiety problems (social phobia, generalized anxiety disorder, panic disorder, obsessive compulsive disorder, post-traumatic stress disorder and depersonalization disorder) Section 4 deals with psychological problems linked to physical health (health anxiety, somatization, chronic pain, adjustment to cancer, and eating disorders) Section 5 focuses on other significant psychological problems that come to the attention of clinical psychologist in adult mental health services (ADHD in adults, alcohol and other drug problems, psychosis, and psychological problems in older adults) Section 6 contains chapters on therapeutic approaches to psychological distress related to complex childhood trauma (dialectical behaviour therapy for borderline personality disorder, racially open dialectical behaviour for over-controlled presentations, and schema therapy). Each of the chapters on clinical problems explains how to assess and treat the condition in an evidence-based way with reference to case material. Interventions from cognitive-behavioural, psychodynamic, interpersonal/systemic and biomedical approaches are described, where there is evidence that they are effective for the problem in question. Skill building exercises and further reading for psychologists and patients are included at the end of each chapter. This book is one of a set of three volumes which cover the lion’s share of the curriculum for clinical psychologists in training in the UK and Ireland. The other two volumes are the Handbook of Child and Adolescent Clinical Psychology, Third Edition (by Alan Carr) and the Handbook of Intellectual Disability and Clinical Psychology Practice, Second Edition edited by Alan Carr, Christine Linehan, Gary O’Reilly, Patricia Noonan Walsh, & John McEvoy). |
| adult adhd focused couple therapy clinical interventions: Finally Focused James Greenblatt, M.D., Bill Gottlieb, CHC, 2017-05-09 Discover the ADHD solution for your child with this holistic, evidence-based, and customizable approach to alleviating unwanted symptoms without relying on medication. “A clear, effective, and science-based program that gives you all the building blocks to treat ADHD naturally and effectively.”—Daniel G. Amen, M.D., founder of Amen Clinics and New York Times bestselling author of Change Your Brain, Change Your Life ADHD is not a discipline problem. It is a medical condition with a range of possible underlying causes unique to each person. Dr. James Greenblatt has seen thousands of children and adults struggling with the symptoms of ADHD—hyperactivity, inattentiveness, impulsiveness, and often irritability and combativeness. To really heal, the ADHD child needs personalized treatment to correct the biologic imbalances that affect the brain and trigger symptoms. Rather than simply prescribing medication, Dr. Greenblatt tailors remedies to his ADHD patients’ individual needs, detecting and treating the underlying causes of the disorder. Finally Focused provides a comprehensive solution to the ADHD patient’s unique biochemical imbalances using proven natural and medical methods to easily treat problems such as nutritional deficiencies or excesses, dysbiosis (a microbial imbalance inside the body), sleeping difficulties, and food allergies—all of which surprisingly can cause or worsen the symptoms of ADHD. Dr. Greenblatt’s effective Plus-Minus Healing Plan allows parents to understand the reasons behind their child’s symptoms and provides customizable tools to eliminate them. Adults with ADHD can do the same. And if conventional medication is still necessary, this integrative approach will minimize or even eliminate troublesome side effects. With Dr. Greenblatt’s expert advice, millions of children and adults with ADHD will finally get the help they need to achieve true wellness. |
| adult adhd focused couple therapy clinical interventions: Enhanced Cognitive-behavioral Therapy for Couples Norman Epstein, Donald H. Baucom, 2002 Annotation Retaining much of the traditional conceptual model and methods of cognitive-behavioral therapy, Epstein (family studies, U. of Maryland at College Park) and Baucom (clinical psychology, U. of North Carolina at Chapel Hill) seek to enhance the therapy by integrating a developmental perspective on the interaction patterns of the couple and the influences of the couple's physical and interpersonal environment. They describe their model and present the theoretical and empirical foundations for clinical assessment and intervention strategies presented in the latter part of the book. Annotation c. Book News, Inc., Portland, OR (booknews.com). |
| adult adhd focused couple therapy clinical interventions: Helping Children with ADHD Susan Young, Jade Smith, 2017-06-26 Combining the latest research evidence with the authors’ practical expertise, Helping Children with ADHD offers a complete intervention programme for flexibly delivering behavioural and cognitive interventions to children aged 6-12 with ADHD and associated conditions. Redefines and develops best practice in the application of cognitive and behavioural techniques to help children aged 6-12 with ADHD and associated comorbid conditions, including learning difficulties Offers a range of engaging resources within a pragmatic and practically-focused approach; modular structure allows the interventions to be selected and tailored according to the particular age, ability and needs of the individual child An appendix of entertaining stories about Buzz, a boy with ADHD, provides structural narrative while also teaching core skills in areas such as keeping calm, planning, managing impulsivity and dealing with anxiety Straightforward, accessible language allows the techniques to be used by those without expert clinical training; dedicated sections provide advice for using the approach in school, home and group contexts A companion website provides downloadable materials including illustrated patient worksheets to accompany the narrative stories |
| adult adhd focused couple therapy clinical interventions: Oxford Textbook of Attention Deficit Hyperactivity Disorder Tobias Banaschewski, David Coghill, Alessandro Zuddas, 2018 Oxford Textbook of Attention Deficit Hyperactivity Disorder is an authoritative, multi-disciplinary text covering the diagnosis, assessment and management of patients with ADHD. |
| adult adhd focused couple therapy clinical interventions: A Primer for Emotionally Focused Individual Therapy (EFIT) Susan M. Johnson, T. Leanne Campbell, 2021-09-28 From best-selling author, Susan M. Johnson, with over 1 million books sold worldwide! This essential text from the leading authority on Emotionally Focused Therapy, Susan M. Johnson, and colleague, T. Leanne Campbell, applies the key interventions of EFT to work with individuals, providing an overview and clinical guide to treating clients with depression, anxiety, and traumatic stress. Designed for therapists at all levels of expertise, Johnson and Campbell focus on introducing clinicians to EFIT interventions, techniques, and change processes in a highly accessible and practical format. The book begins by summarizing attachment theory and science – the theoretical basis of this model – together with the experiential approach to change in psychotherapy. Chapters describe the three stages of EFIT, macro-interventions, such as the EFIT Tango, and various micro-interventions through clinical exercises, case studies, and transcripts to demonstrate this model in practice with individuals, highlighting the unique benefits of EFT as a cross-modality approach for treating emotional disorders. With exercises interwoven throughout the text, this book is built to accompany in-person and online training, helping the practicing clinician offer targeted and empirically tested interventions that not only alleviate symptoms of distress but expand the client’s emotional balance, agency, and sense of self. As the next major extension of the EFT approach, this book will appeal to therapists already working with couples and families as well as those just beginning their professional journey. Psychotherapists, psychologists, counselors, social workers, and mental health workers will also find this book invaluable. |
| adult adhd focused couple therapy clinical interventions: Emotionally Focused Therapy for Couples Leslie S. Greenberg, Susan M. Johnson, 1988-10-07 This influential volume provides a comprehensive introduction to emotionally focused therapy (EFT): its theoretical foundations, techniques, and clinical practice. EFT is a structured approach to couple therapy that integrates intrapsychic and interpersonal perspectives to help couples create new, more satisfying interactional patterns. Since the original publication of this book, EFT has been implemented and tested with growing numbers of couples in a wide range of settings. The authors, who codeveloped the approach, illuminate the power of emotional experience in relationships and in the process of therapeutic change. The book is richly illustrated with case examples and session transcripts. |
| adult adhd focused couple therapy clinical interventions: Defiant Teens Russell A. Barkley, Arthur L. Robin, 2014-03-31 This authoritative manual presents an accessible 18-step program widely used by clinicians working with challenging teens. Steps 1-9 comprise parent training strategies for managing a broad range of problem behaviors, including those linked to oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder (ADHD). Steps 10-18 focus on teaching all family members to negotiate, communicate, and problem-solve more effectively, while facilitating adolescents' individuation and autonomy. In a convenient large-size format, the book includes practical reproducible handouts and forms. Purchasers also get access to a Web page where they can download and print the reproducible materials. New to This Edition *Incorporates 15 years of research advances and the authors' ongoing clinical experience. *Fully updated model of the nature and causes of ODD. *Revised assessment tools and recommendations. *Reflects cultural changes, such as teens' growing technology use. See also the authors' related parent guide, Your Defiant Teen, Second Edition: 10 Steps to Resolve Conflict and Rebuild Your Relationship, an ideal client recommendation. For a focus on younger children, see also Dr. Barkley's Defiant Children, Third Edition (for professionals) and Your Defiant Child, Second Edition (for parents). |
| adult adhd focused couple therapy clinical interventions: Why Are They Angry with Us? Larry E. Davis, 2015-02-12 Now, more than at any time since the 1960s, issues about race have taken center stage in America. From the killing of young black boys, to the travesty of mass incarceration, America is every day presented with evidence that the struggle for equality and justice is far from over. This book responds to many of the timely, sensitive, and often uncomfortable conversations that are taking place on our television screens, the front page of newspapers, on Twitter, and in homes around the country. Why Are They Angry With Us? attempts to resolve the questions and conflicts about race in America that have plagued our country from the days of Jim Crow, through the battle for civil rights, and remain with us today. The author's personal journey and his professional scholarship have lead him to an understanding of our collective history. This collection of eight essays relates racial incidents and observations to address the deep misunderstandings our country holds about race and attempt to explain the workings of race and racism in America. These essays attack the core of many commonly held attitudes which contribute to racism in America. |
| adult adhd focused couple therapy clinical interventions: Attention-Deficit Hyperactivity Disorder Russell A. Barkley, 2014-10-28 Widely regarded as the standard clinical reference, this volume provides the best current knowledge about attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults. The field's leading authorities address all aspects of assessment, diagnosis, and treatment, including psychological therapies and pharmacotherapy. Core components of ADHD are elucidated. The volume explores the impact of the disorder across a wide range of functional domains--behavior, learning, psychological adjustment, school and vocational outcomes, and health. All chapters conclude with user-friendly Key Clinical Points. New to This Edition *Reflects significant advances in research and clinical practice. *Expanded with many new authors and new topics. *Chapters on cutting-edge interventions: social skills training, dietary management, executive function training, driving risk interventions, complementary/alternative medicine, and therapies for adults. *Chapters on the nature of the disorder: neuropsychological aspects, emotional dysregulation, peer relationships, child- and adult-specific domains of impairment, sluggish cognitive tempo, and more. |
| adult adhd focused couple therapy clinical interventions: Integrative Behavioral Couple Therapy: A Therapist's Guide to Creating Acceptance and Change, Second Edition Andrew Christensen, Brian D. Doss, Neil S. Jacobson, 2020-09-15 The definitive therapist manual for Integrative Behavioral Couple Therapy (IBCT)—one of the most empirically supported approaches to couple therapy. Andrew Christensen, codeveloper (along with the late Neil Jacobson) of Integrative Behavioral Couple Therapy, and Brian Doss provide an essential manual for their evidence-based practice. The authors offer guidance on formulation, assessment, and feedback of couples’ distress from an IBCT perspective. They also detail techniques to achieve acceptance and deliberate change. In this updated edition of the work, readers learn about innovations to the IBCT approach in the 20+ years since the publication of the original edition—including refinements of core therapeutic techniques. Additionally, this edition provides new guidance on working with diverse couples, complex clinical issues, and integrating technology into a course of treatment. |
| adult adhd focused couple therapy clinical interventions: Cognitive Behavioral Therapy for Adult ADHD J. Russell Ramsay, Anthony L. Rostain, 2014-09-25 Cognitive Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach has been revised, updated, and expanded for this second edition and remains the definitive book for clinicians seeking to treat adults with ADHD. Clinicians will continue to benefit from the presentation of an evidence-supported treatment approach for adults with ADHD that combines cognitive behavioral therapy and pharmacotherapy adapted for this challenging clinical population. The updated edition of the book offers new and expanded case examples, and the authors emphasize more detailed, clinician-friendly how to instructions for the delivery of specific interventions for adult patients with ADHD. Understanding that most adults with ADHD say, I know exactly what I need to do, but I just cannot make myself do it, the book pays special attention to the use of implementation strategies to help patients carry out the necessary coping skills to achieve improvements in functioning and well-being in their daily lives. In addition to providing an outline of their treatment approach, Drs. Ramsay and Rostain provide an up-to-date review of the current scientific understanding of the etiology, developmental course, and life outcomes of adults with ADHD as well as the components of an thorough diagnostic evaluation. As an added clinical resource, Drs. Ramsay and Rostain have also produced a companion patient handbook written for adults with ADHD, The Adult ADHD Tool Kit: Using CBT to Facilitate Coping Inside and Out, which clinicians can use with their patients. |
| adult adhd focused couple therapy clinical interventions: Transforming the Workforce for Children Birth Through Age 8 National Research Council, Institute of Medicine, Board on Children, Youth, and Families, Committee on the Science of Children Birth to Age 8: Deepening and Broadening the Foundation for Success, 2015-07-23 Children are already learning at birth, and they develop and learn at a rapid pace in their early years. This provides a critical foundation for lifelong progress, and the adults who provide for the care and the education of young children bear a great responsibility for their health, development, and learning. Despite the fact that they share the same objective - to nurture young children and secure their future success - the various practitioners who contribute to the care and the education of children from birth through age 8 are not acknowledged as a workforce unified by the common knowledge and competencies needed to do their jobs well. Transforming the Workforce for Children Birth Through Age 8 explores the science of child development, particularly looking at implications for the professionals who work with children. This report examines the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government agencies and other funders who support and oversee these systems. This book then makes recommendations to improve the quality of professional practice and the practice environment for care and education professionals. These detailed recommendations create a blueprint for action that builds on a unifying foundation of child development and early learning, shared knowledge and competencies for care and education professionals, and principles for effective professional learning. Young children thrive and learn best when they have secure, positive relationships with adults who are knowledgeable about how to support their development and learning and are responsive to their individual progress. Transforming the Workforce for Children Birth Through Age 8 offers guidance on system changes to improve the quality of professional practice, specific actions to improve professional learning systems and workforce development, and research to continue to build the knowledge base in ways that will directly advance and inform future actions. The recommendations of this book provide an opportunity to improve the quality of the care and the education that children receive, and ultimately improve outcomes for children. |
| adult adhd focused couple therapy clinical interventions: Therapist's Guide to Clinical Intervention Sharon L. Johnson, 2003-09-12 Written for clinicians this guide provides an easily understood framework in which to set formalised goals, establish treatment objectives and learn diagnostic techniques. Professional forms are included in sample form for insurance purposes. |
| adult adhd focused couple therapy clinical interventions: Behavioral Interventions in Cognitive Behavior Therapy Richard F. Farmer, Alexander Lawrence Chapman, 2016 This book offers a detailed, step-by-step guide to behavioral interventions in cognitive behavior therapy (CBT). This fully updated edition features new chapters on enhancing interpersonal effectiveness, emotion regulation, and navigating difficult therapeutic challenges. |
| adult adhd focused couple therapy clinical interventions: Attachment Theory in Practice Susan M. Johnson, 2019 Drawing on cutting-edge research on adult attachment--and providing an innovative roadmap for clinical practice--Susan M. Johnson argues that psychotherapy is most effective when it focuses on the healing power of emotional connection. The primary developer of emotionally focused therapy (EFT) for couples, Johnson now extends her attachment-based approach to individuals and families. The volume shows how EFT aligns perfectly with attachment theory as it provides proven techniques for treating anxiety, depression, and relationship problems. Each modality (individual, couple, and family therapy) is covered in paired chapters that respectively introduce key concepts and present an in-depth case example. Special features include instructive end-of-chapter exercises and reflection questions. |
| adult adhd focused couple therapy clinical interventions: A Comprehensive Guide To Attention Deficit Disorder In Adults Kathleen G. Nadeau, 2013-06-17 This groundbreaking volume, written by pioneering clinicians and researchers firmly convinced of the neurobiological underpinnings of ADD in adults, is the first to provide broad coverage of this burgeoning field. Written for professionals who diagnose and treat adults with ADD, it provides information from psychologists and physicians on the most current research and treatment issues regarding our understanding of ADD as a neurobiological disorder. According to the contributors, ADD in adults may be responsible for difficulties ranging from minor attention, memory, and organization problems in well-functioning adults to drug abuse and criminal behavior. A Comprehensive Guide to Attention Deficit Disorder in Adults begins by addressing the history of ADD and the evolution of our understanding of the disorder. The neurobiology of ADD is examined, laying a solid foundation for the clinician to develop a scientific understanding of this complex syndrome. The assessment and differential diagnosis of ADD is explored from the perspectives of a variety of specialists in the field. This includes an exploration of the interrelationships between attention deficit disorder and other neurodevelopmental disabilities that may interact with ADD to affect cognitive functioning, and an examination of the connections between ADD and a host of psychiatric conditions. Also covered is the process of differential diagnosis from a neurological perspective, which will help the non-medically trained clinician better to determine when a complete neurological evaluation seems warranted in the assessment process. Authors examine ADD with and without hyperactivity and describe a wide range of assessment tools that can be useful in developing a full diagnostic picture of different conditions that must be addressed in treating adults with the disorder. A wealth of experience, highly practical suggestions, and an optimistic outlook are the hallmark of the section on treatment. The authors strongly recommend a multifaceted treatment plan combining medication, psychotherapy, and addressing the pervasive self-esteem issues which typically haunt the adult whose condition has gone untreated. Specific treatment issues for Adults with ADD are also discussed. These include:- * the development of practical life management skills * the difficulties in relationships * ADD within the context of marriage and family * and higher education and the workplace. The volume concludes with a discussion of the legal implications of the diagnosis of ADD in adults as it pertains to education and employment, the important role of support groups for adults with ADD, and a thought-provoking examination of current and future research including the need for increased public recognition of ADD in adults. A Comprehensive Guide to Attention Deficit Disorder in Adults is a pioneering volume that will bring the most current information available to the attention of those able to help adult ADD sufferers...vocation and rehabilitation counselors, and numerous psychotherapists who recognize symptoms of depression and anxiety, but perhaps overlook the underlying attention deficit disorder. It will stimulate the interdisciplinary research that is the key to increasing knowledge and educate those who can truly make a difference. |
| adult adhd focused couple therapy clinical interventions: ADHD Coaching Frances F. Prevatt, Abigail Levrini, 2015 People with ADHD often struggle with time management, staying organized, maintaining relationships, and other life skills. Professional coaching can help them overcome these obstacles and regain confidence in their own problem-solving abilities. This book is an A-Z guide for mental health professionals who want to develop or expand their ADHD Coaching skills. Drawing on over a decade of research and clinical work with ADHD clients, Frances Prevatt and Abigail Levrini have established an empirically-based model for ADHD Coaching. Their approach uses elements of cognitive behavioral theory and psycho-education to target executive functioning deficits, and focuses on clients' key impairments.This book describes the underlying principles as well as the nuts and bolts of ADHD Coaching. Step-by-step details for gathering information, conducting the intake, establishing goals and objectives, and working through all stages of coaching are included, along with helpful forms and a detailed list of additional resources. The practicalities of setting up a practice, as well as professional issues are covered, and five richly detailed case studies illustrate how to help adults, college students, and adolescents who present with a variety of ADHD symptoms. |
| adult adhd focused couple therapy clinical interventions: ADHD Martin L. Kutscher, 2009 This concise book contains everything that parents and professionals need to know about ADHD. The author describes the spectrum of ADHD, the co-occurring symptoms, and common difficulties that parents face. The rest of the book focuses on solutions. The concluding chapter summarizes the information covered. |
| adult adhd focused couple therapy clinical interventions: ADHD in Adults Russell A. Barkley, Kevin R. Murphy, Mariellen Fischer, 2010-11-01 Providing a new perspective on ADHD in adults, this compelling book analyzes findings from two major studies directed by leading authority Russell A. Barkley. Groundbreaking information is presented on the significant impairments produced by the disorder across major functional domains and life activities, including educational outcomes, work, relationships, health behaviors, and mental health. Thoughtfully considering the treatment implications of these findings, the book also demonstrates that existing diagnostic criteria do not accurately reflect the way ADHD is experienced by adults, and points the way toward developing better criteria that center on executive function deficits. Accessible tables, figures, and sidebars encapsulate the study results and methods. |
| adult adhd focused couple therapy clinical interventions: Making Marriage Simple Harville Hendrix, Helen LaKelly Hunt, 2013 Draws on extensive research, counseling workshops with couples and the authors' own 30-year relationship to distill basic, provocative truths about marriage and provide essential tools for rendering a marriage more rewarding and positive. 50,000 first printing. |
| adult adhd focused couple therapy clinical interventions: Medical Family Therapy and Integrated Care Susan H. McDaniel, William Joseph Doherty, Jeri Hepworth, 2013-08-01 This thorough update of a classic text describes the impact of recent economic and structural changes in health care on the role of the medical family therapist, and how medical and mental health providers can learn to collaborate in various settings. |
| adult adhd focused couple therapy clinical interventions: Treating Difficult Couples Douglas K. Snyder, Mark A. Whisman, 2003-05-22 This essential handbook describes effective treatments for a particularly challenging clinical population: couples struggling with both relationship distress and individual mental health difficulties. Distinguished scientist-practitioners provide detailed accounts of their respective approaches, reviewing conceptual and empirical foundations as well as clinical procedures. Included are well-established treatments for couples in which one or both partners has anxiety, mood disorders, schizophrenia, substance abuse, sexual dysfunction, or physical aggression. Also covered are emerging couple-based approaches to managing personality disorders, PTSD, difficulties related to aging and physical illness, and other problems. Following a standard format to facilitate comparison across treatments, each chapter is illustrated with detailed case material. Provided are powerful insights and tools for couple and family therapists, clinicians providing individual therapy, and students in any mental health discipline. |
| adult adhd focused couple therapy clinical interventions: Brief Strategic Family Therapy José Szapocznik, Olga E. Hervis, 2020 This book describes Brief Strategic Family Therapy, a strengths-based model for diagnosing and correcting interaction patterns that are linked to troublesome symptoms in children ages 6 to 18. |
| adult adhd focused couple therapy clinical interventions: Love Sense Dr. Sue Johnson, 2013-12-31 The bestselling author of Hold Me Tight presents a revolutionary new understanding of why and how we love, based on cutting-edge research. Every day, we hear of relationships failing and questions of whether humans are meant to be monogamous. LOVE SENSE presents new scientific evidence that tells us that humans are meant to mate for life. Dr. Johnson explains that romantic love is an attachment bond, just like that between mother and child, and shows us how to develop our love sense--our ability to develop long-lasting relationships. Love is not the least bit illogical or random, but actually an ordered and wise recipe for survival. LOVE SENSE covers the three stages of a relationship and how to best weather them; the intelligence of emotions and the logic of love; the physical and psychological benefits of secure love; and much more. Based on groundbreaking research, LOVE SENSE will change the way we think about love. |
abbreviations - What do CI, CIM, CID, CIB mean? - English …
Apr 9, 2014 · I was talking to a friend about a girl, and he mentioned that “She can pretty much CI anything, CIB, CIM or CID.” I’m wondering what these mean. The context was sexual …
possessives - adults’ English teacher or adult’s English teacher ...
Sep 6, 2019 · Use a noun adjunct. "I am an adult English teacher." It still has ambiguity, namely whether you are an adult who teaches English or whether you teach English to adults, but my …
Referring to adult-age sons and daughters as children
Dec 21, 2012 · "adult children" is sometimes used in contexts where age is important, such as a form requiring someone to list all children under 18 and all adult children living with them. And …
Specific word for "grown-up children"? [duplicate]
Mar 5, 2014 · There is a group the ACA (Adult Children of Alcoholics) whose website is adultchildren.org So, this is definitely a common usage. – David M Commented Mar 4, 2014 at …
single word requests - English Language & Usage Stack Exchange
From the Wikipedia entry for 'young adult': A young/prime adult, according to Erik Erikson's stages of human development, is generally a person between the age of 20 - 40, whereas an …
Use of 'as per' vs 'per' - English Language & Usage Stack Exchange
Similarly, cops cop: instead of "a man" we find employed "an adult male individual". Tinhorns have to blow hard--such is the nature of tin--and so come to be known as blowhards. *"per" is here …
What do you call a person who has a relationship with a much …
Aug 20, 2015 · Stack Exchange Network. Stack Exchange network consists of 183 Q&A communities including Stack Overflow, the largest, most trusted online community for …
Can "Mr", "Mrs", etc. be used with a first name?
Jan 7, 2012 · As Mr. England's post indicates, common usage dictates the rules, not the other way around. And in the South, this is very common and accepted. It can be a bit rude (or at …
How offensive is it to call someone a "slag" in British English?
One more colorful slang term I gleaned from the British movie I recently watched is slag. In the movie, it was used in curses like, "Fuck-ing dogs! Slags." "Right slag, that one." Now I know via
问问前辈们，有什么适合打R18mod的steam游戏吗？ - 知乎
知乎，中文互联网高质量的问答社区和创作者聚集的原创内容平台，于 2011 年 1 月正式上线，以「让人们更好的分享知识、经验和见解，找到自己的解答」为品牌使命。知乎凭借认真、专业 …
abbreviations - What do CI, CIM, CID, CIB mean? - English …
Apr 9, 2014 · I was talking to a friend about a girl, and he mentioned that “She can pretty much CI anything, CIB, CIM or CID.” I’m wondering what these mean. The context was sexual …
possessives - adults’ English teacher or adult’s English teacher ...
Sep 6, 2019 · Use a noun adjunct. "I am an adult English teacher." It still has ambiguity, namely whether you are an adult who teaches English or whether you teach English to adults, but my …
Referring to adult-age sons and daughters as children
Dec 21, 2012 · "adult children" is sometimes used in contexts where age is important, such as a form requiring someone to list all children under 18 and all adult children living with them. And …
Specific word for "grown-up children"? [duplicate]
Mar 5, 2014 · There is a group the ACA (Adult Children of Alcoholics) whose website is adultchildren.org So, this is definitely a common usage. – David M Commented Mar 4, 2014 at …
single word requests - English Language & Usage Stack Exchange
From the Wikipedia entry for 'young adult': A young/prime adult, according to Erik Erikson's stages of human development, is generally a person between the age of 20 - 40, whereas an …
Use of 'as per' vs 'per' - English Language & Usage Stack Exchange
Similarly, cops cop: instead of "a man" we find employed "an adult male individual". Tinhorns have to blow hard--such is the nature of tin--and so come to be known as blowhards. *"per" is here …
What do you call a person who has a relationship with a much …
Aug 20, 2015 · Stack Exchange Network. Stack Exchange network consists of 183 Q&A communities including Stack Overflow, the largest, most trusted online community for …
Can "Mr", "Mrs", etc. be used with a first name?
Jan 7, 2012 · As Mr. England's post indicates, common usage dictates the rules, not the other way around. And in the South, this is very common and accepted. It can be a bit rude (or at …
How offensive is it to call someone a "slag" in British English?
One more colorful slang term I gleaned from the British movie I recently watched is slag. In the movie, it was used in curses like, "Fuck-ing dogs! Slags." "Right slag, that one." Now I know via
问问前辈们，有什么适合打R18mod的steam游戏吗？ - 知乎
知乎，中文互联网高质量的问答社区和创作者聚集的原创内容平台，于 2011 年 1 月正式上线，以「让人们更好的分享知识、经验和见解，找到自己的解答」为品牌使命。知乎凭借认真、专业 …
