J. Russell Ramsay

J. Russell Ramsay
University of Pennsylvania | UP · Department of Psychiatry

PhD

About

61
Publications
41,295
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Introduction
Russell Ramsay works at the Dept. of Psychiatry, University of Pennsylvania. Russ does research in various aspects of adult ADHD, most notably psychosocial treatment and negative cognitions. His recent book, "Rethinking Adult ADHD," focuses on the important role of cognitions and beliefs in the experience of adults with ADHD and in psychosocial treatment, as these cognitive factors represent an essential mediating factor that contributes to difficulties implementing plans and coping strategies.

Publications

Publications (61)
Article
Full-text available
Background This study examined the association between cognitive distortions and ADHD severity after accounting for depression, anxiety, and personality traits.Methods Archival data were collected on 112 adult participants diagnosed with ADHD after an extensive assessment, which included inventories measuring mood, anxiety, and personality traits....
Book
Full-text available
Pour plusieurs individus, les symptômes liés au trouble de déficit de l’attention/hyperactivité (TDAH) persistent à l’âge adulte, entraînant d’importantes atteintes fonctionnelles. L’un des obstacles majeurs au bon fonctionnement des adultes ayant un TDAH est que, bien qu’ils sachent ce qu’ils ont à faire, ils arrivent difficilement à se mettre en...
Article
Introduction It is commonly observed in clinical settings that patients with ADHD regularly present with comorbid “sleep disturbances”. In the absence of broad based sleep disorders assessments, it is thought that this represents Delayed Sleep Phase Disorder (DSPD). Recently, a surveillance study was undertaken in a university-based, outpatient spe...
Article
Introduction To date, research on differences in sleep complaints between patients with different subtypes of ADHD has been mixed. On balance, the evidence tends towards ADHD-Combined Presentation (ADHD-C) being associated with more severe sleep and sleep-related daytime complaints than ADHD-Primarily Inattentive (ADHD-I). In order to further asses...
Book
This book is a first of its kind exploration of the common beliefs that underlie and maintain ADHD in adults, and it offers a blueprint to help clients overcome ADHD symptoms using cognitive behavior therapy. Author J. Russell Ramsay targets emotional, behavioral, and relationship problems for work in therapy, using traditional cognitive change tac...
Article
Background Impulsivity is a core deficit in attention deficit hyperactivity disorder (ADHD). Transcranial direct current stimulation (tDCS) of the dorsolateral prefrontal cortex (DLPFC) has been shown to modulate cognitive control circuits and could enhance DLPFC activity, leading to improved impulse control in ADHD. Objective/Hypothesis We predic...
Article
Full-text available
Objective: We computationally analyze the language of social media users diagnosed with ADHD to understand what they talk about, and how their language is correlated with users’ characteristics such as personality and temporal orientation. Method: We analyzed approximately 1.3 million tweets written by 1,399 Twitter users with self-reported diagnos...
Article
Full-text available
J Russell Ramsay Adult ADHD Treatment & Research Program, Perelman School of Medicine, University of Pennsylvania Philadelphia, PA, USA Abstract: Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental syndrome that emerges in childhood or early adolescence and persists into adulthood for a majority of individuals. There are many ot...
Article
Alongside pharmacotherapy, cognitive-behavioral therapy (CBT) is the second evidence-supported treatment for attention-deficit/hyperactivity disorder (ADHD) in adults. ADHD is increasingly understood as a disorder of poor self-regulation. This core difficulty creates the many downstream functional impairments associated with a lifetime diagnosis of...
Article
A common problem in the treatment of attention-deficit/hyperactivity disorder (ADHD) is that, in addition to the myriad of functional impairments reported by clinic-referred adults, the disorder itself interferes with follow-through on and effective use of treatment recommendations, particularly the coping skills that are central to effective manag...
Article
The current chart review study examined the relationship between self-reported cognitive distortions, attention-deficit/hyperactivity disorder (ADHD) symptoms, and co-occurring symptoms of depression and anxiety in a clinical sample of adults diagnosed with ADHD. Thirty subjects completed inventories measuring cognitive distortions, ADHD, anxiety,...
Article
Full-text available
Contemporary models of attention-deficit/hyperactivity disorder (ADHD) provide frameworks for understanding this condition that move beyond the diagnostic symptom criteria. ADHD is currently viewed as a developmental syndrome of impaired self-regulatory processes that underlie the common symptoms and functional problems. Most clinic-referred adults...
Article
Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder associated with symptoms of inattention, hyperactivity, and impulsivity. When ADHD persists into adulthood, patients often experience occupational and social impairments and may present with mood, anxiety, or substance use disorders. Despite the deleterious effects of...
Article
Historical, economic, and cultural issues all contribute to barriers to African Americans' mental health care in the United States. African Americans compose about 12% of the US population, with over 50% living in the South. Significant health disparities exist between the white majority and African Americans (a culturally diverse group including i...
Chapter
Introduction Young adults with attention-deficit hyperactivity disorder (ADHD) are at risk for experiencing numerous life difficulties as a consequence of impairments in the cognitive skills that undergird self-control, also known as the executive functions [1, 2]. Moreover, coming as they do during this period of life during which there are long-t...
Article
The diagnosis and treatment of attention-deficit/hyperactivity disorder (ADHD) may be overlooked among African Americans. Barriers within the medical profession pose challenges, including biases among health care professionals and a lack of specialty services. Educating medical professionals in cultural competence, as well as educating community ga...
Article
It is currently recognized that attention deficit/hyperactivity disorder (ADHD) persists into adulthood for more than half of affected individuals. ADHD in adulthood is associated with impairments in most adult roles. Medications are considered an effective treatment for the core symptoms of ADHD. Adjunctive psychosocial treatment, primarily cognit...
Article
Full-text available
Medications are considered the primary treatment for symptoms of adult attention-deficit/hyperactivity disorder (ADHD), although medications alone may not produce sufficient functional improvements for many patients. Moreover, some adults with ADHD decline pharmacotherapy due to lack of response, side effects, medical contraindication, or personal...
Article
• Objective: To review principles of cognitive behavioral therapy (CBT) as a psychosocial treatment for adult patients diagnosed with attention-deficit/hyperactivity disorder (ADHD). • Methods: Case presentation and review of the literature. • Results: Although previously thought to be a neurodevelopmental syndrome exclusive to childhood, it is now...
Chapter
Including evaluations for psychiatric and personality functioning as components of comprehensive assessments of attention and learning problems for older adolescents and young adults provides additional clinical information needed to understand the functional problems that necessitated the assessment as well as factors that might influence prognosi...
Article
Full-text available
Attention deficit/hyperactivity disorder (ADHD) is a lifespan developmental syndrome that is associated with significant impairments. Although there is strong evidence that ADHD persists into adulthood for a majority of individuals, adults with ADHD are identified and treated at much lower rates than are children with ADHD. Considering the heritabi...
Article
Full-text available
Attention deficit hyperactivity disorder (ADHD) has long been identified as a common disorder of childhood. There is increasing recognition that adults also are affected by this disorder. Many adults, however, are often undiagnosed or misdiagnosed until their child is diagnosed with the disorder. Improved recognition and treatment for parental ADHD...
Article
Full-text available
Attention-deficit/hyperactivity disorder (ADHD) was formerly thought to be exclusively a disorder of childhood. However, research has indicated that a majority of individuals diagnosed with ADHD will continue to exhibit clinical significant symptoms in adulthood. Many other individuals may not have their symptoms recognized and diagnosed until faci...
Article
Despite the fact that medications have been established as the best single treatment available for individuals with attention-deficit/hyperactivity disorder (ADHD) of all ages, there has been an ongoing search for adjunctive treatments to further improve psychosocial functioning. In fact, many of the treatment approaches delivered to children with...
Article
The purpose of this chapter is to review the status of neurofeedback and neurocognitive training approaches for the treatment of attention-deficit/ hyperactivity disorder (ADHD). Note that the term neurocognitive training is used to describe a group of computer-based attention and working memory training approaches to avoid confusion with cogniti...
Article
The purpose of this chapter is to provide an overview of ADHD in adults. More specifically, this chapter briefly reviews the evolution of the diagnostic criteria and the relatively recent acknowledgement that clinically significant symptoms of ADHD persist into the adulthood years for a majority of affected children. The developmental course of ADH...
Article
Full-text available
It is well established that most children with attention-deficit/hyperactivity disorder (ADHD) will continue to experience clinically significant problems in adulthood. Moreover, many individuals exhibiting symptoms of ADHD during childhood and adolescence may not experience impairments necessitating assessment and intervention until they face diff...
Article
Guidelines for assessment, diagnosis, and treatment of ADHD have been drawn from research focused primarily on Caucasian males generating, in part, the need to redress health disparities. Diagnostic criteria may therefore be limited, especially regarding gender differences and other associated cultural, familial, socio-environmental, and individual...
Article
Attention-deficit/hyperactivity disorder (ADHD) is the most prevalent behavioral disorder among children in the United States. Many of these children continue to experience prominent functional difficulties through adolescence and into adulthood. Specific impairments common to adults with ADHD have only recently come to light. The goal of this arti...
Article
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A literature search found five empirical studies of psychological treatment for adults with ADHD, out of 1,419 articles on ADHD in adults. Practice guidelines to date all recommend multimodal intervention, given that a significant number of patients cannot tolerate, do not respond to, or fail to reach optimal outcomes with medication alone. This ar...
Book
Attention Deficit/Hyperactivity Disorder (ADHD) is a disorder that afflicts anywhere from 2 to 5 percent of the adult population (roughly 8-10 million Americans). Among several therapeutic treatment approaches available as a supplement or alternative to medication, Cognitive Behavioral Therapy (CBT) has emerged as the most successful and has the st...
Article
Full-text available
Joe is a 25-year-old single male who has had problems with severe impulsivity, inattentiveness, focusing and sustaining his attention, easy distractibility, hyperactivity, a short temper, and school problems dating back to early childhood. These symptoms have resulted in marked impairment in academic, social, vocational, and daily adaptive function...
Article
Full-text available
A convergence of research has established that attention-deficit/hyperactivity disorder (ADHD) is a valid clinical syndrome affecting individuals of all ages. ADHD is associated with significant impairment in many important life domains that often requires clinical intervention. Although medications are a well-researched and effective first-line tr...
Article
Full-text available
As recently as 1997, the empirical database guiding the selection of psychosocial treatments for adults with attention-deficit/hyperactivity disorder (ADHD) could be summarized as "entirely anecdotal" (American Academy of Child and Adolescent Psychiatry, 1997, p. 107S). However, there is preliminary evidence supporting the use of psychosocial inter...
Article
Full-text available
Increasing numbers of adults are seeking treatment for ADHD. Pharmacotherapy is well established as the first line treatment for adult ADHD, although medications alone may be insufficient treatment for the myriad problems experienced by these patients. Few studies have examined the clinical outcomes of a combination of pharmacotherapy and psychothe...
Article
Full-text available
Attention-Deficit/Hyperactivity Disorder (ADHD) is a developmental syndrome that persists into adulthood for the majority of children with ADHD. Other individuals may not experience the full neg-ative effects of undiagnosed ADHD until they face the demands of adult life. College counseling centers in particular are seeing a rise in the num-ber of s...
Article
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Requests for the assessment and treatment of Asperger Syndrome (AS) are on the rise. AS is a pervasive developmental disorder characterized by significantly impaired social competence but intact intellectual functioning. Adult AS patients often present for psychotherapy with anxiety, depression, and problems navigating their social worlds. The chal...
Article
Full-text available
Attention deficit/hyperactivity disorder (ADHD) is the most prevalent behavioral disorder among children in the United States. Although symptoms may remit over time for some individuals diagnosed with ADHD in childhood, a significant number continue to report clinically significant impairment into adolescence and adulthood. The specific difficultie...
Article
The risk of a patient's suicide is a prominent occupational hazard for psychotherapists. The precise number of patients who attempt suicide while in treatment and then resume therapy with the same therapist is not known, but this situation is a relatively common occurrence in clinical practice. Such scenarios can pose significant challenges to the...
Article
Full-text available
Requests for the assessment and treatment of attention-deficit/hyperactivity disorder (ADHD) among adult patients are on the rise. The findings from longitudinal research indicate that clinically significant symptoms persist into adulthood for many children diagnosed with ADHD. Many other patients' symptoms are not identified until they are in acti...
Article
Full-text available
While attention deficit/hyperactivity disorder (ADHD) is the most prevalent behavioral disorder of childhood, the past decade has seen a rise in the number of adults presenting for treatment with difficulties related to ADHD. Few treatments (particularly psychosocial treatments) offered to adult patients with ADHD, however, have been empirically te...
Article
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S. B. Messer (1992) introduced the notion of assimilative integration in psychotherapy, theorizing that integrative practitioners adhere to their preferred theoretical paradigms while judiciously blending aspects from other models. His assimilative approach offers a conceptual and clinical middle ground between technical eclecticism and a grand, un...
Article
The purpose of this paper is to outline a course of treatment with Anna, a woman who presents for therapy with major depression and borderline personality disorder. A cognitive case conceptualization, influenced by constructivist theory and developed from the patient's background, is presented and utilized to guide treatment and to inform the clini...
Article
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A hallmark of both cognitive and constructvist-narrative theories of psychotherapy is the prominent role of personal meaning-making. Although there has been much debate between proponents of these theories, the assimilation of these models may signal the movement toward a more integrative model of psychotherapy. Cognitive and constructivist-narrati...