Mount Sinai Adult ADHD Treatment Program

Mary Solanto, PhD
Program Director: 212-241-5420

The Mount Sinai Meta-Cognitive Therapy Program for adults with ADHD employs cognitive-behavioral methods to address and remediate cognitive difficulties in adults as they affect time-management, organization, and planning. Specific topics addressed include: awareness of ADHD deficits, planner use and scheduling, overcoming procrastination, prioritizing and planning, establishment and maintenance of organizational systems, follow-through on tasks, and long-range planning. The program also addresses co-morbid symptoms of anxiety and depression as they exacerbate the problems described above.

The program is administered in a small-group format with 6-8 participants, in 15 weekly sessions, each 2 hours in length. The treatment program is administered by Mary Solanto, PhD, a licensed clinical psychologist with extensive experience in the diagnosis and treatment of ADHD in adults.

The program may also be administered in an individual (1:1) psychotherapy format.

This program is unique in the country in having a strong evidence base of effectiveness and in having been subject of a formal efficacy study supported by a grant from NIMH, The results of the just-completed NIMH efficacy study (Solanto et al., 2010) showed clinically and statistically significant improvement in the Cognitive Therapy group.

Group sessions are held on a weekday evening from 6:30-8:30pm.
Individual sessions are arranged as convenient.

Eligibility

In order to be eligible for the Group treatment, patients must have been diagnosed as having ADHD by a mental health professional. Patients may receive the evaluation in our program, as described below. For all potential enrollees, a consultation visit ($250) is necessary before enrollment in the Group to review the current treatment regimen and to ascertain that this program will meet the patient's needs.

Evaluations

Evaluations consist of three sessions, usually separated by a week (although they can be compressed). The first session reviews current difficulties and functioning in all domains; the second session reviews the history of those difficulties, beginning in childhood. The 3rd session is reserved for feedback, discussion of treatment options, and psychoeducation). If formal psychological or psychoeducational testing is needed, that is billed separately ($300/hour).

Costs of Evaluation and Treatment

The 15-week program (2 hr/week) costs $1350 ($90/week).

Individual treatment sessions may be scheduled at a mutually convenient time - the cost is $250 for a 50-minute session.

The cost of the 3-session evaluation is $800. We do not accept any insurance directly, but give patients the information needed to file for reimbursement if the patient has out-of-network benefits.

The CPT codes for the Group program are 90853 or 90857. For Individual Therapy, the CPT code is 90806.

Travel Directions

We are located at 19 East 98th St. - between Madison and Fifth Ave. The inner door to the vestibule is locked; if necessary, please pick up the phone in the vestibule and dial Security (X46068) to buzz you in. Come to the 5th floor - suite 5-D.

The nearest subway stop is the Lexington Ave. local #6 - 96th St. station. Parking is available at Pro-Park - 99th St. between Madison and Park Ave. Nearest Metro-North station is Harlem/125 St. (cab and car service available from there)

References:
Solanto, M. V., Marks, D. J., Wasserstein, J., Mitchell, K., Abikoff, H., Alvir, J. M., & Kofman, M. D. (2010). Efficacy of meta-cognitive therapy (MCT) for adult ADHD. American Journal of Psychiatry, 167: 958-968.