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Coaching for Motivation
inAdults withADHD
Leveraging Self DeterminationTheory
and the Interest-based Brain Model
David Rickabaugh, MscCoachPsych
Agenda
• What is Motivation?
• Self DeterminationTheory
• The ADHD Interest-Based Nervous System
• Coaching Application
• Coaching Practice
• Discussion
Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 2November 2019
Learning
Objectives
• Summarize Self DeterminationTheory (SDT) as it applies to
motivation.
• Summarize the ADHD Interest-based Nervous System (AINS)
for adults with ADHD as it applies to motivation.
• Apply SDT and AINS “levers” in coaching to enhance/develop
motivation.
• Recognize coaching situations where using the SDT/AINS
approach would be effective.
• Practice coaching for motivation using the SDT/AINS
framework.
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 3
What is
Motivation?
Definitions:
• A reason or reasons for acting or behaving in a
particular way.
• A desire or willingness to do something.
• Internal and external factors that stimulate desire and
energy in people to be continually interested and
committed to a job, role or subject, or to make an effort
to attain a goal.
Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 4November 2019
Self
Determination
Theory
Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 5November 2019
Self DeterminationTheory (Deci & Ryan) is a theory of motivation. It’s about
supporting our natural or intrinsic tendencies to behave in effective and healthy ways.
Deci, E. L., & Ryan, R. M. (2000). The 'what' and 'why' of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268.
And the more intrinsically generated the
motivation is, the greater the level of
motivation.
Self
Determination
Theory
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 6
Deci, E. L., & Ryan, R. M. (2000). The 'what' and 'why' of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268.
SDT argues that supporting the individual’s experience of autonomy,
competence, and relatedness fosters the highest forms of motivation.
Self
Determination
Theory
SDT also says that for a high level of intrinsic motivation two
psychological needs have to be fulfilled:
• Competence - so the activity results in feelings of self-
development and efficacy.
• Autonomy – so the performance of the chosen activity was
self-initiated or self-determined.
ADHD Meta Challenge: If individuals with ADHD struggle to
perform the activity or believe they won’t succeed, they will likely
not feel competent. And if they fear failure because of this
perceived competence deficit, they will be less likely to
autonomously choose to engage in the activity.
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 7
The
ADHD
Interest Based
Nervous
System
According to DrWilliam Dodson, people with an ADHD style
nervous system are always able to do anything if the person can get
in the “zone” through...
• Interest
• Challenge
• Novelty/Creativity
• Passion
• … or Urgency(!)
But they are not able to even start a task based on importance,
rewards, or consequences [unless or until it becomes urgent?]
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 8
Dodson, William W. (2006) Real-World Office Management of ADHD in Adults. Psychiatric Times 23(13).
Dodson, William W. (2017) Webinar: How ADHD Shapes Your Perceptions, Emotions & Motivation. ADDitude Magazine.
https://www.additudemag.com/webinar/adhd-symptoms-emotions-motivation/
The
ADHD
Interest Based
Nervous
System
Urgency
As we all know, people with ADHD can become “urgency junkies,”
becoming over-reliant on urgency as a primary source of
motivation.
Individuals may be successful in their reliance on urgency, but
performance becomes inconsistent over time and across domains.
Reliance on urgency becomes more problematic when others
depend on the individual’s performance – e.g. in family and in
organizational/leadership roles.
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 9
Urgent
The
ADHD
Interest Based
Nervous
System
Positive Emotional Support
Dodson also discusses the value of a “cheerleader” (friend, family
member, coach, etc.) who lends positive emotional support.
Speaks to the value of supporting and fostering positive emotions –
see Fredrickson’s Broaden and BuildTheory of Positive Emotions
• Negative emotions lead to specific action tendencies and have a
narrowing or focusing effect – we want to get rid of what is
causing that emotion.
• Positive emotions have been proven to have both a broadening
and building, discarding automatic responses and looking for
creative, flexible and unpredictable new ways of thinking and
acting.
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 10
Fredrickson, B. L. (2001). The Role of Positive Emotions in Positive Psychology: The Broaden-and-Build Theory of Positive Emotions. American Psychologist, 56, 218-226.
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 11
Coaching Opportunity:
To help clients generate motivation to engage in a task by…
• Re-framing their situation to illuminate possibilities that
may boost their feelings of autonomy, competence, and
relatedness…
• Increasing their interest in the task (through interest,
novelty/creativity, challenge, or passion – not urgency!)
• Providing positive emotional support that helps them
succeed in the activity in such a way that it boosts their
confidence and unlocks a virtuous cycle.
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 12
Pulling Levers
Think of each of the elements of Self Determination
Theory and the ADHD Interest-Based Nervous System
we’ve discussed as possible “levers” your clients can pull
to increase their level of intrinsic motivation, without
resorting to URGENT.
Not all of these dimensions need to be explored,
especially in one session.
Use your best judgment based on what you know (or
learn) about your client’s ADHD and motivational profile.
Consider using “psycho-education” to teach your client
about these models as you engage with them.
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 13
Autonomy
Competence
Relatedness
Interesting
Novel/Creative
Challenging
Passion
Urgent
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 14
Autonomy
Autonomy is key – take some time to explore your
client’s perception of their autonomy.
• Why do they need to do this thing?
• Do they feel capable? And they they have the self
belief/self efficacy in their ability to do it? Is this
impacting their sense of autonomy (actually wanting
to do it?)
I believe ADHD individuals over-focus on the need
to do the thing just because they struggle with it.
• What agency do they have? Can they choose to not
do the thing? Can it be delegated or outsourced?
• What might they do to make the task/project their
own?
• Be their cheerleader re: autonomy!
Autonomy
The need to
control the
course of our
own lives.
Coaching
Application
Autonomy
• Explore how your client values
the AINS dimensions – how do
they impact your client’s sense
of motivation? Do they tend to
prefer one more than others?
• If so, inquire about how they
might make the task more
(interesting, creative,
challenging…) for themselves.
• Explore ways your client might
leverage the AINS dimension(s)
to feel more autonomous and
motivated.
• Help them build their sense of
agency to do so.
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 15
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 16
Competence
• Explore your client’s sense of
their ability to do the task.
• Do they believe they have the
necessary knowledge and skills?
If not, how might they access
them?
• To what degree is their sense of
competence eroded by self-
doubt associated with their
ADHD. How might you help
them access effective strategies
to overcome the relevant ADHD
challenges?
Our need to
interact effectively
with our
environment.
Coaching
Application
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 17
Relatedness
• Explore to what degree your
client might benefit from
support from others in
completing their task.
• Could they benefit from
collaboration with others to
maximize their strengths and
productivity? Might they be too
focused on a perceived need to
do the task by themselves?
• How might a ”body double”
alone be helpful in boosting their
motivation?
The need to have
relationships with
others.
SDT Dimension Possible Coaching Questions
Coaching
Practice
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 18
What questions might you ask your client?
AINS Dimension Possible Coaching Questions
Coaching
Practice
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 19
What questions might you ask your client?
Coaching
Practice
• In pairs, practice coaching each other using this model
– take turns!
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 20
Questions
and Discussion
• What did you learn or discover in your practice?
• What questions do you have?
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 21
Resources
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 22
Self DeterminationTheory:
• Center for Self DeterminationTheory
• PositivePsychology.com
• GoStrengths.com
The Interest-Based Nervous System
• Dodson,WilliamW. 3 Defining Features of ADHDThat Everyone
Overlooks (2018) ADDitude Magazine.
• Dodson,WilliamW. (2006) Real-World Office Management of
ADHD in Adults. PsychiatricTimes 23(13).
• Dodson,WilliamW. (2017)Webinar: How ADHD ShapesYour
Perceptions, Emotions & Motivation. ADDitude Magazine.
Thank You!
David L. Rickabaugh, MScCoachPsych
Coaching for Leaders and Professionals with ADHD
Leading with ADHD
www.leadingwithadhd.com
david@leadingwithadhd.com
+1 206-427-1766
November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 23

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Coaching for Motivation in Adults with ADHD

  • 1. Coaching for Motivation inAdults withADHD Leveraging Self DeterminationTheory and the Interest-based Brain Model David Rickabaugh, MscCoachPsych
  • 2. Agenda • What is Motivation? • Self DeterminationTheory • The ADHD Interest-Based Nervous System • Coaching Application • Coaching Practice • Discussion Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 2November 2019
  • 3. Learning Objectives • Summarize Self DeterminationTheory (SDT) as it applies to motivation. • Summarize the ADHD Interest-based Nervous System (AINS) for adults with ADHD as it applies to motivation. • Apply SDT and AINS “levers” in coaching to enhance/develop motivation. • Recognize coaching situations where using the SDT/AINS approach would be effective. • Practice coaching for motivation using the SDT/AINS framework. November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 3
  • 4. What is Motivation? Definitions: • A reason or reasons for acting or behaving in a particular way. • A desire or willingness to do something. • Internal and external factors that stimulate desire and energy in people to be continually interested and committed to a job, role or subject, or to make an effort to attain a goal. Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 4November 2019
  • 5. Self Determination Theory Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 5November 2019 Self DeterminationTheory (Deci & Ryan) is a theory of motivation. It’s about supporting our natural or intrinsic tendencies to behave in effective and healthy ways. Deci, E. L., & Ryan, R. M. (2000). The 'what' and 'why' of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268. And the more intrinsically generated the motivation is, the greater the level of motivation.
  • 6. Self Determination Theory November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 6 Deci, E. L., & Ryan, R. M. (2000). The 'what' and 'why' of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11, 227-268. SDT argues that supporting the individual’s experience of autonomy, competence, and relatedness fosters the highest forms of motivation.
  • 7. Self Determination Theory SDT also says that for a high level of intrinsic motivation two psychological needs have to be fulfilled: • Competence - so the activity results in feelings of self- development and efficacy. • Autonomy – so the performance of the chosen activity was self-initiated or self-determined. ADHD Meta Challenge: If individuals with ADHD struggle to perform the activity or believe they won’t succeed, they will likely not feel competent. And if they fear failure because of this perceived competence deficit, they will be less likely to autonomously choose to engage in the activity. November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 7
  • 8. The ADHD Interest Based Nervous System According to DrWilliam Dodson, people with an ADHD style nervous system are always able to do anything if the person can get in the “zone” through... • Interest • Challenge • Novelty/Creativity • Passion • … or Urgency(!) But they are not able to even start a task based on importance, rewards, or consequences [unless or until it becomes urgent?] November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 8 Dodson, William W. (2006) Real-World Office Management of ADHD in Adults. Psychiatric Times 23(13). Dodson, William W. (2017) Webinar: How ADHD Shapes Your Perceptions, Emotions & Motivation. ADDitude Magazine. https://www.additudemag.com/webinar/adhd-symptoms-emotions-motivation/
  • 9. The ADHD Interest Based Nervous System Urgency As we all know, people with ADHD can become “urgency junkies,” becoming over-reliant on urgency as a primary source of motivation. Individuals may be successful in their reliance on urgency, but performance becomes inconsistent over time and across domains. Reliance on urgency becomes more problematic when others depend on the individual’s performance – e.g. in family and in organizational/leadership roles. November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 9 Urgent
  • 10. The ADHD Interest Based Nervous System Positive Emotional Support Dodson also discusses the value of a “cheerleader” (friend, family member, coach, etc.) who lends positive emotional support. Speaks to the value of supporting and fostering positive emotions – see Fredrickson’s Broaden and BuildTheory of Positive Emotions • Negative emotions lead to specific action tendencies and have a narrowing or focusing effect – we want to get rid of what is causing that emotion. • Positive emotions have been proven to have both a broadening and building, discarding automatic responses and looking for creative, flexible and unpredictable new ways of thinking and acting. November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 10 Fredrickson, B. L. (2001). The Role of Positive Emotions in Positive Psychology: The Broaden-and-Build Theory of Positive Emotions. American Psychologist, 56, 218-226.
  • 11. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 11 Coaching Opportunity: To help clients generate motivation to engage in a task by… • Re-framing their situation to illuminate possibilities that may boost their feelings of autonomy, competence, and relatedness… • Increasing their interest in the task (through interest, novelty/creativity, challenge, or passion – not urgency!) • Providing positive emotional support that helps them succeed in the activity in such a way that it boosts their confidence and unlocks a virtuous cycle.
  • 12. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 12 Pulling Levers Think of each of the elements of Self Determination Theory and the ADHD Interest-Based Nervous System we’ve discussed as possible “levers” your clients can pull to increase their level of intrinsic motivation, without resorting to URGENT. Not all of these dimensions need to be explored, especially in one session. Use your best judgment based on what you know (or learn) about your client’s ADHD and motivational profile. Consider using “psycho-education” to teach your client about these models as you engage with them.
  • 13. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 13 Autonomy Competence Relatedness Interesting Novel/Creative Challenging Passion Urgent
  • 14. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 14 Autonomy Autonomy is key – take some time to explore your client’s perception of their autonomy. • Why do they need to do this thing? • Do they feel capable? And they they have the self belief/self efficacy in their ability to do it? Is this impacting their sense of autonomy (actually wanting to do it?) I believe ADHD individuals over-focus on the need to do the thing just because they struggle with it. • What agency do they have? Can they choose to not do the thing? Can it be delegated or outsourced? • What might they do to make the task/project their own? • Be their cheerleader re: autonomy! Autonomy The need to control the course of our own lives.
  • 15. Coaching Application Autonomy • Explore how your client values the AINS dimensions – how do they impact your client’s sense of motivation? Do they tend to prefer one more than others? • If so, inquire about how they might make the task more (interesting, creative, challenging…) for themselves. • Explore ways your client might leverage the AINS dimension(s) to feel more autonomous and motivated. • Help them build their sense of agency to do so. November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 15
  • 16. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 16 Competence • Explore your client’s sense of their ability to do the task. • Do they believe they have the necessary knowledge and skills? If not, how might they access them? • To what degree is their sense of competence eroded by self- doubt associated with their ADHD. How might you help them access effective strategies to overcome the relevant ADHD challenges? Our need to interact effectively with our environment.
  • 17. Coaching Application November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 17 Relatedness • Explore to what degree your client might benefit from support from others in completing their task. • Could they benefit from collaboration with others to maximize their strengths and productivity? Might they be too focused on a perceived need to do the task by themselves? • How might a ”body double” alone be helpful in boosting their motivation? The need to have relationships with others.
  • 18. SDT Dimension Possible Coaching Questions Coaching Practice November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 18 What questions might you ask your client?
  • 19. AINS Dimension Possible Coaching Questions Coaching Practice November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 19 What questions might you ask your client?
  • 20. Coaching Practice • In pairs, practice coaching each other using this model – take turns! November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 20
  • 21. Questions and Discussion • What did you learn or discover in your practice? • What questions do you have? November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 21
  • 22. Resources November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 22 Self DeterminationTheory: • Center for Self DeterminationTheory • PositivePsychology.com • GoStrengths.com The Interest-Based Nervous System • Dodson,WilliamW. 3 Defining Features of ADHDThat Everyone Overlooks (2018) ADDitude Magazine. • Dodson,WilliamW. (2006) Real-World Office Management of ADHD in Adults. PsychiatricTimes 23(13). • Dodson,WilliamW. (2017)Webinar: How ADHD ShapesYour Perceptions, Emotions & Motivation. ADDitude Magazine.
  • 23. Thank You! David L. Rickabaugh, MScCoachPsych Coaching for Leaders and Professionals with ADHD Leading with ADHD www.leadingwithadhd.com david@leadingwithadhd.com +1 206-427-1766 November 2019 Coaching for Motivation in Adults with ADHD - 2019 International Conference on ADHD - David L. Rickabaugh 23