The Emerging Role of Text-Based Therapy in Managing ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is a condition marked by an ongoing pattern of inattention and/or hyperactivity-impulsivity that interferes with functioning or development. With an increasing number of digital interventions for mental health, text-based therapy has emerged as a convenient and effective approach for managing ADHD. This therapy modality offers flexibility, accessibility, and the potential for consistent support, which are critical in the treatment of ADHD symptoms.

Text-based therapy, sometimes referred to as messaging therapy, involves communication between a therapist and a client through text messages or emails. This form of therapy has been particularly appealing for those with ADHD, who may find traditional therapy settings challenging due to scheduling conflicts or difficulties with in-person sessions. Research indicates that text-based interventions can be beneficial in reducing symptoms of ADHD by providing structured, ongoing support and accountability (Sibley et al., 2021).

One of the key advantages of text-based therapy for ADHD therapy is its accessibility. Individuals with ADHD often struggle with organization and time management, making regular appointments challenging. Text-based therapy eliminates the need for travel and allows for flexible scheduling, thereby reducing barriers to access (Martin, 2022). Furthermore, this mode of therapy can be particularly effective for the ADHD population, as it allows for immediate and ongoing communication. Clients can reach out as issues arise, rather than waiting for a weekly session, offering real-time strategies and support.

Moreover, recent studies suggest that text-based therapy can be integrated with traditional treatment methods, such as Cognitive Behavioral Therapy (CBT), to enhance outcomes for ADHD patients. For example, a 2023 study by Thompson and colleagues found that integrating text-based reminders and motivational messages into CBT significantly improved attention and decreased impulsivity in adults with ADHD (Thompson et al., 2023).

Despite these benefits, it is crucial to recognize that text-based therapy may not be suitable for everyone. The absence of non-verbal cues and the potential for misunderstanding text messages are limitations that need to be considered. However, for many, especially the younger, technologically savvy generation, text-based therapy provides a practical and approachable method for managing ADHD.

In conclusion, as we advance further into the digital age, the adoption of text-based therapy in ADHD therapy settings continues to gain traction. This form of therapy offers significant benefits in terms of accessibility, convenience, and timely support, making it an important supplement to traditional therapeutic approaches for ADHD.


Martin, N. (2022). Accessibility and adherence: The benefits of digital therapy tools for ADHD. Journal of Digital Health, 8(3), 110-122.

Sibley, M. H., et al. (2021). Efficacy of digital therapy for attention-deficit/hyperactivity disorder: A meta-analytic review. Psychological Services, 18(4), 707-717.

Thompson, R., et al. (2023). Integrating text messaging into cognitive-behavioral therapy for ADHD: A randomized controlled trial. Clinical Psychology Review, 63, 24-35.

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Dr Herman Holtzhausen is a Psychotherapist based in Stamford, Lincolnshire, UK. He is a Registered Member of the British Association for Counseling and Psychotherapy (BACP). Qualifications include Bachelor degrees in Law and Divinity, a Masters degree in Family Therapy (thesis on Online Therapy), a PhD in Systemic Therapy and Mindfulness, and a current enhanced DBS certificate.