Behavioral Issues Therapists in Des Moines, WA
![Photo of Anna Marie Torres, LMHCA, Counselor](https://photos.psychologytoday.com/5a886663-0a24-4153-817b-423d05329423/1/320x400.jpeg)
I believe in evidence based therapy that is strength based, cognitive behavioral and solutions focused to empower your individual growth.
Negative self talk has become part of your routine. You feel overwhelmed and when life is unexpected or conflict arises, your mind spirals. You are flooded with emotion, experiencing anger and anxiety and you are ready to stop holding things in and open up in a safe space to be heard. You are struggling to start this journey, yet you are wanting to take that first step. I have created a space for you.
I believe in evidence based therapy that is strength based, cognitive behavioral and solutions focused to empower your individual growth.
Negative self talk has become part of your routine. You feel overwhelmed and when life is unexpected or conflict arises, your mind spirals. You are flooded with emotion, experiencing anger and anxiety and you are ready to stop holding things in and open up in a safe space to be heard. You are struggling to start this journey, yet you are wanting to take that first step. I have created a space for you.
![Photo of Peggy Morgan, MAABS, LMHC, Counselor](https://photos.psychologytoday.com/4fc7ad62-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Training:
Masters in Applied Behavioral Science, Leadership Institute of Seattle Bachelors Human Health and Behavior, The Evergreen State College Qualified Hypnotherapist, trained in Eye Movement Desensitization and Reprocessing (EMDR.
My life experiences combined with my training give me a compassionate understanding of people and their struggles. Mother of six, one killed in an accident, grandmother of seven, one developmentally delayed. These traumas, though sad, have been great teachers. I use humor and common sense in my own humanistic style.
Improving your sense of humor will help with personal growth, relationships, grief, pain, and your emotional and physical health. Designing Therapeutic Gardens gives me a sense of the cycle of life and I use Healing Horticulture with some of my clients.
Training:
Masters in Applied Behavioral Science, Leadership Institute of Seattle Bachelors Human Health and Behavior, The Evergreen State College Qualified Hypnotherapist, trained in Eye Movement Desensitization and Reprocessing (EMDR.
My life experiences combined with my training give me a compassionate understanding of people and their struggles. Mother of six, one killed in an accident, grandmother of seven, one developmentally delayed. These traumas, though sad, have been great teachers. I use humor and common sense in my own humanistic style.
Improving your sense of humor will help with personal growth, relationships, grief, pain, and your emotional and physical health. Designing Therapeutic Gardens gives me a sense of the cycle of life and I use Healing Horticulture with some of my clients.
![Photo of Bill Kohlmeyer, MSW, LMHC, CCTP, Counselor](https://photos.psychologytoday.com/3fc5139a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
I have over 35 years of service in individual, couples and group counseling. I am a compassionate friend, open to healing your heart and opening your mind by deepening spirit and celebrating the Real You. I have worked in community mental health centers, schools and private practice facilitating domestic violence offender programs, recovery programs, anger management programs, protective non-risk parenting groups, providing spiritual, emotional, cognitive and behavioral counseling to individuals. I love working with individuals around issues of trauma, relationships, and emotional regulation.
![Photo of Trish Ferreira, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c664b4f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Trish Ferreira
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Des Moines, WA 98198 (Online Only)
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
Everyone goes through difficult times and needs a little additional support sometimes. I am interested in assisting you in finding ways to meet your personal goals. This is a collaborative, confidential process that can involve learning new coping skills, improving communication skills, increasing motivation for change, working through past trauma or feelings of grief, starting recovery for an addiction, or any of numerous other therapeutic goals. I have been working as a mental health therapist since 2000, and I find it very rewarding to be able to help others enrich their lives.
![Photo of Elizabeth Cabibi - Real Solutions Therapy, PLLC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/8d40347b-31e2-4c4b-9749-b6bdda4d6f18/1/320x400.jpeg)
Real Solutions Therapy, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Des Moines, WA 98198
You need an affordable mental health appointment soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
You need an affordable mental health appointment soon. The difficulties of daily life, relationship concerns, experiences with depression, anxiety, anger, ocd or grief have you searching the internet for a therapist you can afford, that takes insurance, that has in person and virtual options. Our knowledgeable and compassionate team have morning and evening appointments available virtually, in our Des Moines, Bellingham and Lacey office. With a free no commitment 15 minute call, you get to decide if you have found a match for your needs.
![Photo of Laura Falsgraf, MA, LMHC, CMHS, Counselor](https://photos.psychologytoday.com/646e62c1-f379-4607-94dc-6861c7346ac9/2/320x400.jpeg)
Whether you are seeking counseling for the first time or seeking a new clinician, you have already taken steps towards positive change. I have been providing counseling support to children, adolescents, adults and their families for over 26 years. My mission is to provide a safe environment, in which you can grow and come to understand and know yourself more deeply. I seek to help you find ways to relieve the emotional stressors around your struggles.
Whether you are seeking counseling for the first time or seeking a new clinician, you have already taken steps towards positive change. I have been providing counseling support to children, adolescents, adults and their families for over 26 years. My mission is to provide a safe environment, in which you can grow and come to understand and know yourself more deeply. I seek to help you find ways to relieve the emotional stressors around your struggles.
![Photo of Angela Ferrara, MA, LMHCA, Counselor](https://photos.psychologytoday.com/241df731-472f-425a-b8fe-d186a363a1cf/2/320x400.jpeg)
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are seeking your attention and pointing the way towards your growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
You wake up one day realizing you can no longer go on like this. You're ready to find help navigating difficult emotions, thoughts, behaviors, and conflicted relationships. You might be experiencing disconnection from yourself or others, anxiety, depression, feeling overwhelmed, or processing grief. I’m here to support you as we work through the things that seem to be getting in the way. Your emotions and internal experiences are seeking your attention and pointing the way towards your growth, healing, and connection. My style is warm and direct, working with you towards clarity, depth, and expansion of the self.
![Photo of Wendy L Olsen, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d6bee33-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Accepting New Clients: In my work with clients, the major areas of focus include: issues with relationship conflict, sexual compatibility, infidelity and intimacy. Whether as a couple or as an individual, I work with people to resolve on-going concerns. In my practice, all couples/individuals are welcome regardless of race, religion or sexual orientation. It is my belief that compassion and humor are agents of change and healing. I offer a safe and comfortable place for my clients to explore new ways of working on current or on-going problems.
Accepting New Clients: In my work with clients, the major areas of focus include: issues with relationship conflict, sexual compatibility, infidelity and intimacy. Whether as a couple or as an individual, I work with people to resolve on-going concerns. In my practice, all couples/individuals are welcome regardless of race, religion or sexual orientation. It is my belief that compassion and humor are agents of change and healing. I offer a safe and comfortable place for my clients to explore new ways of working on current or on-going problems.
![Photo of Paul Hunziker, MA, LMFT, SUDP, Marriage & Family Therapist](https://photos.psychologytoday.com/037857f9-17fc-446f-bbe8-63dab6394891/1/320x400.jpeg)
Paul Hunziker
Marriage & Family Therapist, MA, LMFT, SUDP
Verified Verified
1 Endorsed
Des Moines, WA 98148
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
My ideal clients are couples in early recovery from substance use disorders or other addictions. Early recovery can be a critical time for both partners to quickly gain the skills needed to be successful and stay strong as a couple. I also have extensive experience working with youth and young adults with substance use and mental health challenges.
![Photo of Kim M W McClain, LMHC, Counselor](https://photos.psychologytoday.com/6e61c981-6a5e-4b79-878c-0cefe672e79a/1/320x400.jpeg)
I believe, that although we sometimes through no fault of our own fall onto difficult times and challenges, we are all special and have something to offer this world. Sometimes we just need a helping hand, to get back to that point where we can deal with our challenges in a healthier way and outlook.
I believe, that although we sometimes through no fault of our own fall onto difficult times and challenges, we are all special and have something to offer this world. Sometimes we just need a helping hand, to get back to that point where we can deal with our challenges in a healthier way and outlook.
![Photo of Annie Sturtewagen, MA, LMHCA, Counselor](https://photos.psychologytoday.com/e4f3f33b-8dd7-4234-99d2-a6342c51c26a/1/320x400.jpeg)
Accepting New Patients In Person and Telehealth children, teens, and couples. She received their master’s degree in clinical mental health counseling at Northwestern University in June of 2023. Annie's past clinical experience includes working with a variety of clients at a community mental health agency dedicated to reaching underserved populations. Prior to becoming a licensed mental health counselor associate.Annie worked as a board-certified music therapist at a state psychiatric hospital for six years. Annie utilized a variety of expressive arts and therapeutic activities in both individual and group therapy settings.
Accepting New Patients In Person and Telehealth children, teens, and couples. She received their master’s degree in clinical mental health counseling at Northwestern University in June of 2023. Annie's past clinical experience includes working with a variety of clients at a community mental health agency dedicated to reaching underserved populations. Prior to becoming a licensed mental health counselor associate.Annie worked as a board-certified music therapist at a state psychiatric hospital for six years. Annie utilized a variety of expressive arts and therapeutic activities in both individual and group therapy settings.
![Photo of Savana Ramirez, MS, LMHCA, Counselor](https://photos.psychologytoday.com/02029716-df8d-49e4-b379-8e7c6d9e6c81/1/320x400.jpeg)
Are you looking for assistance through major life transitions such as relocating, a breakup, or loss? I aim to create an environment where one can work through their battles. I am here to support individuals seeking a safe space to process trauma and am passionate about helping clients find confidence, and personal power.
Are you looking for assistance through major life transitions such as relocating, a breakup, or loss? I aim to create an environment where one can work through their battles. I am here to support individuals seeking a safe space to process trauma and am passionate about helping clients find confidence, and personal power.
![Photo of Madeleine 'Mayda' Taney, MA, MEd, LMHC, ATR-BC, Counselor](https://photos.psychologytoday.com/ed82c23f-6c84-482e-82cc-22269ac5939c/1/320x400.jpeg)
Madeleine 'Mayda' Taney
Counselor, MA, MEd, LMHC, ATR-BC
Verified Verified
Des Moines, WA 98148
Not accepting new clients
I blend cognitive/behavioral, family systems & positive psychology with art & play therapy wherever appropriate.
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
I blend cognitive/behavioral, family systems & positive psychology with art & play therapy wherever appropriate.
I can help you find solutions to persistent problems like: panic attacks, not being able to say no, struggling with your children,, excessive worrying or unresolved grief & loss. I am committed to working with children & teens as well as adults. I am told that I am easy to talk to, warm, validating & practical. You are tired of banging up against the same wall, the same problem. Working with me is collaborative. WE work as a team. We focus on your strengths and needs. You are ready to put in the effort and take action to change.
More Therapists Nearby
![Photo of Teryn Sahagún, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3713eb63-6119-4956-aec6-e078c5ebabac/1/320x400.jpeg)
Teryn Sahagún
Clinical Social Work/Therapist, LICSW
Verified Verified
Burien, WA 98166 (Online Only)
I have advanced training in Dialectical Behavior Therapy (DBT) and use this most often due to its focus on behavior change, wide applicability, and effectiveness.
I view therapy as a partnership between client and therapist and approach issues from a behavior change perspective. I work with clients to identify areas that are causing distress, understand how they may be contributing to these problems, and identify changes they can actively make to yield the results they want to see. Because of the many positions I have held in the mental health field during the past 17 years, I am able to pull from a variety of evidenced-based treatment modalities and easily adjust course in order to best meet a client’s needs. Please refer to my website bio for more. Initial inquiries preferred via email.
I have advanced training in Dialectical Behavior Therapy (DBT) and use this most often due to its focus on behavior change, wide applicability, and effectiveness.
I view therapy as a partnership between client and therapist and approach issues from a behavior change perspective. I work with clients to identify areas that are causing distress, understand how they may be contributing to these problems, and identify changes they can actively make to yield the results they want to see. Because of the many positions I have held in the mental health field during the past 17 years, I am able to pull from a variety of evidenced-based treatment modalities and easily adjust course in order to best meet a client’s needs. Please refer to my website bio for more. Initial inquiries preferred via email.
![Photo of Mar Galizio, MSW, LSWAIC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/af8d5ab1-b7ae-4ea5-bf52-8e4552defb88/2/320x400.jpeg)
Mar Galizio
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Burien, WA 98166 (Online Only)
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
I provide Dialectical Behavioral Therapy, in which I have extensive training by DBT Linehan Board-Certified clinicians, as well as Exposure and Response Prevention for OCD.
Do you feel overwhelmed by intense emotions or struggle to be connected to your life? You're not alone. Together we can work to build the skills you need to live a life that fits within your values. Being emotionally sensitive myself, I understand the difficulties many of us face when we feel things deeply. My mission as your therapist will be to support you in cherishing this aspect of yourself, while we work on any negative impacts it might have on your life. My specialty is working with adults and older teens with difficulty regulating emotion, as well as anxiety, depression, complex trauma, eating disorders, and mood disorders.
![Photo of Donna Imler, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bc285068-ca7b-4500-bd47-3b23d0063494/3/320x400.jpeg)
My preferred approach is cognitive behavioral within a systems perspective that looks at each person's functioning in all domains.
People come to counseling when they have problems that cause them unhappiness and pain, and do not know how to manage on their own. I have over 25 years of experience helping people cope with the challenges of their ever changing lives. I believe my role as a therapist is to teach my clients what I know, and to guide them through thinking and behavior changes that will bring them to a place of peace and contentment. I strive to help my clients improve their level of self-awareness, to increase their understanding of and empathy for themselves and others, and to increase their ability to communicate affectively.
My preferred approach is cognitive behavioral within a systems perspective that looks at each person's functioning in all domains.
People come to counseling when they have problems that cause them unhappiness and pain, and do not know how to manage on their own. I have over 25 years of experience helping people cope with the challenges of their ever changing lives. I believe my role as a therapist is to teach my clients what I know, and to guide them through thinking and behavior changes that will bring them to a place of peace and contentment. I strive to help my clients improve their level of self-awareness, to increase their understanding of and empathy for themselves and others, and to increase their ability to communicate affectively.
![Photo of Patricia Eslava Vessey, CHT, BA](https://photos.psychologytoday.com/3f5c08d9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you struggling with unhealthy habits and lack of motivation? Is pain and trauma from the past interfering with your life today? Are you struggling with anxiety, fears, shame, or depression and nothing has helped? Do you just want to feel worthy, confident, productive, empowered, and successful? If you are ready to heal your past, love yourself, and gain control of your thoughts, feelings, and behavior, I can help. Even though I don't accept insurance, you'll discover quicker, more effective, and longer-lasting results with the services I provide with fewer sessions Contact me and let's talk, so you can begin feeling better now.
Are you struggling with unhealthy habits and lack of motivation? Is pain and trauma from the past interfering with your life today? Are you struggling with anxiety, fears, shame, or depression and nothing has helped? Do you just want to feel worthy, confident, productive, empowered, and successful? If you are ready to heal your past, love yourself, and gain control of your thoughts, feelings, and behavior, I can help. Even though I don't accept insurance, you'll discover quicker, more effective, and longer-lasting results with the services I provide with fewer sessions Contact me and let's talk, so you can begin feeling better now.
![Photo of Issy K Kleiman - Counseling Services for Wellbeing, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/a47d11f0-d13e-4fa9-8c1d-a8a4120bef1f/1/320x400.png)
Counseling Services for Wellbeing
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burien, WA 98166
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
Mood Disorders, depression/anxiety, Parenting Concerns, Child and Adolescent Behavioral Problems Women’s Issues, pregnancy-related difficulties, PPD, Body image Personal Growth, introspective, spiritual, and emotional exploration Trauma and Loss Interpersonal Issues Interpersonal Issues Family Matters Self-Injury, Transitional Concerns, Addiction.
Often the goal of therapy is for clients to develop the capacity to resolve personal problems with the support of a therapist. The clinicians at Counseling Services for Wellbeing work collaboratively with the clients to build on their existing strengths, enhance relationships, increase and procure a support system and obtain the necessary skills and tools to lead a happier and more fulfilling life. We strive to work in a comfortable and supportive atmosphere, tailoring to each client’s individual needs and goals to help achieve the personal growth they are striving for.
![Photo of Vanessa Davis, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/0a72c159-8c74-40df-bf1b-d3dfe757025f/1/320x400.jpeg)
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
Thank you for taking the time to put you and your family first in finding a therapist that will best meet your needs in navigating through your present concerns, or life challenges you and your family are presently experiencing. For the past six years I have provided a wide range of psychotherapy services to children, families, individuals, and couples who have experienced depression, perinatal/postpartum difficulties, anxiety, grief, trauma, adverse stress, relationship conflicts, behavioral and developmental related concerns. My approach to therapy is always strength based, warm, non-judgmental, and collaborative.
![Photo of Taen Marie Scherer, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/50d2dbb0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I work with you to uncover underlying self destructive belief/ behavior patterns, then move into more life-enhancing patterns. My approach is culturally aware, founded in understanding the relationships systems within which you live and work, and guided by my intuitive knowledge of change and growth acquired during over 20 years of experience. My advanced training in EMDR eases your movement through grief, loss or trauma. Accountability and "keeping an eye on the goal" is an important part of our work together. I also specialize in LGBTQ concerns as well as the specific pain of the adult adoptee.
I work with you to uncover underlying self destructive belief/ behavior patterns, then move into more life-enhancing patterns. My approach is culturally aware, founded in understanding the relationships systems within which you live and work, and guided by my intuitive knowledge of change and growth acquired during over 20 years of experience. My advanced training in EMDR eases your movement through grief, loss or trauma. Accountability and "keeping an eye on the goal" is an important part of our work together. I also specialize in LGBTQ concerns as well as the specific pain of the adult adoptee.
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Nearby Behavioral Issues Therapists Searches for Des Moines
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What happens in therapy for behavioral issues?
No matter the type of therapy, individuals form an alliance with the therapist; that connection is often therapeutic in itself, plus it becomes an instrument of change. Individuals learn to identify situations that are especially troublesome for them and acquire new patterns of thinking and behaving. In therapy for ADHD, one of the most common behavior issues for children, individuals learn how to improve frustration tolerance, control impulsivity, manage attentional focus, and gain skills of self-organisation.
What therapy types help with behavioral issues?
Many types of therapy have been found effective, each targeting one or more areas of dysfunction. Perhaps best-known and most widely tested is cognitive and behavioral therapy (CBT), in which individuals learn new behavioral strategies and curb reactivity to frustrating or distressing situations that trigger disruptive behaviour. Anger, anxiety, mood disorders, impulse control problems are commonly addressed in CBT. Family therapy or parent management training is often helpful to reduce parent-child conflict and behavioral difficulties at home.
How long does therapy last for behavioral issues?
Among popular approaches to treating behavioral concerns, CBT is considered a short-term therapy intended to be administered in 15 to 20 weekly sessions. Parent training in behavior management, often used when the underlying cause of behavior issues is ADHD in children under 12, usually occurs in weekly sessions for 8 to 16 weeks. When behavioral issues stem from persistent aggression or defiance, therapy may last for months, and usually targets both children and their parents.
How effective is therapy for behavior issues?
Studies show that therapy for behavior issues in children is highly effective and may prevent the development of antisocial behavior later in life. Family intervention—parent management training or family therapy, both of which involve parents and children together—is considered most effective, notably for children under age 12 who persistently engage in aggressive, defiant, rule-breaking or other disruptive behavior. Whether provided alone or in combination with medication, CBT is highly effective in helping people regulate their emotions, and for people with ADHD, it addresses impulsiveness, hyperactivity and attentional focus.