Department of Psychiatry

Penn Behavioral Health

Who We Are

The Penn ADHD Treatment and Research Program was founded in 1999 with a commitment to excellence in both research and clinical service. We specialize in assessing and treating older adolescents and adults (generally age 18 and older) who have difficulties related to ADHD.

The program offers diagnostic assessment, consultation and recommendations, specialized treatment, and access to clinical research protocols, whenever they are available.

Anthony L. Rostain, MD, MA, Professor of Psychiatry and Pediatrics, and J. Russell Ramsay, PhD, Associate Professor of Clinical Psychology in Psychiatry are the co-founders and Co-Directors of the Adult ADHD Treatment and Research Program. Both Drs. Rostain and Ramsay lecture to professional and lay audiences around the world on the topic of ADHD and have written extensively on the subject.

Drs. Rostain and Ramsay have developed a program for treating adults with ADHD that combines personalized Cognitive Behavior Therapy (CBT) and medication management. This combined treatment has been shown not only to reduce the core symptoms of ADHD but more importantly, to address and manage the day-to-day impairments of ADHD. Patients usually benefit through an improved quality of life while experiencing fewer difficulties with other psychiatric disorders that often accompany ADHD, such as depression and anxiety.

Drs. Rostain and Ramsay have published the most recent developments in their approach in the second edition of their book, Cognitive Behavioral Therapy for Adult ADHD: An Integrative Psychosocial and Medical Approach (2nd ed.; 2015, Routledge).  This book describes the treatment approaches used in the program and provides valuable guidance for clinicians in treating patients in an effective and time-efficient manner. The book is a useful resource for patients who would like a better understanding of ADHD and its treatment.  The book also outlines the components of the diagnostic assessment conducted at the program.

As a companion to the aforementioned treatment manual, Drs. Ramsay and Rostain have written a client-oriented coping guidebook designed specifically for adults with ADHD, The Adult ADHD Tool Kit: Using CBT to Facilitate Coping Inside and Out (2015, Routledge).  This coping resource focuses not only on the strategies for managing the effects of ADHD but also on specific tactics for following through on the use of these strategies and overcoming various barriers and includes itemized take-away coping reminders to support the use of coping skills in daily life.

Dr. Ramsay also wrote the book, Nonmedication Treatments for Adult ADHD: Evaluating Impact on Daily Functioning and Well-Being (2010, American Psychological Association), which provides a thorough review of the types of adjunctive treatments that are available for adult ADHD as well as the research behind them. This book is a useful resource for understanding the different treatment options that are currently available.

Dr. Ramsay is nearing completion on his next book for professionals and interested lay readers on the role of thoughts and beliefs in the experience of adults with ADHD and in psychosocial treatment, primarily using CBT. This book, tentatively titled, “Thinking Through Adult ADHD: The Role of Thoughts and Beliefs” (to be published by the American Psychological Association) is likely due to be released in late 2019. Dr. Ramsay also completed filming a contribution to the APA Psychotherapy Training Video series on CBT for adult ADHD.

The Adult ADHD Treatment and Research Program offers psychosocial and psychiatric treatment of adult ADHD. Within the psychosocial treatment domain, individual CBT for adult ADHD is a specialty of the program. Drs. Ramsay and Rostain were among the first clinician-researchers to adapt CBT for adult ADHD and continue to be involved in honing and refining the model. This treatment model provides an evidence-supported model for treatment that can be modified to the unique needs of each individual.

Dr. Ramsay is active in clinical practice through the program, though his availability is limited. The program is also staffed by two advanced graduate clinicians from doctoral programs in clinical psychology who are supervised by Dr. Ramsay in a year-long training experience. There is also another senior staff clinician, with limited hours.

Within the psychosocial treatment domain, the program offers a group coaching program developed by Lisa Joy Tuttle, MA, BCC, NBC-HWC. Her Mindful Self-Management® group focuses on foundational strategies for managing adult ADHD drawn from a variety of evidence-supported approaches (see Group Programs). Ms. Tuttle also provides individual CBT-informed executive skills coaching, career coaching, and health and wellness coaching to address the needs of adults with ADHD (see Coaching). 

Dr. Rostain oversees the pharmacotherapy treatment section of the program. He is no longer available for direct referrals but supervises and mentors a select group of psychiatry residents through the University of Pennsylvania's Perelman School of Medicine who complete a year-long specialized training in the diagnostic assessment and medical treatment of adult ADHD. 

Here are some links to articles and interviews that involve members of the Penn Adult ADHD Treatment and Research Program.

Dr. Rostain was interviewed for an article in Live Science on omega-3 supplements and ADHD.
Click for article 

Dr. Ramsay is interviewed about the role of dopamine on motivation. 
Click for article

Dr. Rostain spoke with Attention Talk Radio about addiction and ADHD stimulant medication. 
Click for interview 

Dr. Ramsay is interviewed about assessing ADHD research. 
Click for article

Dr. Rostain participated in an "Ask the ADHD Experts" panel discussing the following topics:

Dr. Ramsay is interviewed about his review of the common ADHD treatments in a two-part interview.
Click for interview part one
Click for interview part two 

Dr. Ramsay quoted in a story about adult ADHD that appeared in the Monitor on Psychology of the American Psychological Association.
Click for article 

Dr. Ramsay quoted in a story on ADHD appearing on Huffington Post.
Click for article 

Dr. Ramsay quoted in a Washington Post story about ADHD among senior adults.
Click for article 

Dr. Ramsay's 9-minute talk on CBT for Adult ADHD as part of ADHD Awareness Month - October 2014.
Click for article 

Dr. Ramsay and Dr. Rostain interviewed about their treatment approach:

Dr. Ramsay interviewed about the history of ADHD:

Dr. Ramsay interviewed about nonmedication treatments for adult ADHD:

Dr. Ramsay quoted on the role of cognitive behavioral therapy in the treatment of adult ADHD:

Dr. Ramsay quoted on adult ADHD:

Dr. Ramsay presented on ADHD Coaching and CBT for Adult ADHD: Differences, Similarities, and Benefits —

Close


Back to Top