Updated November 2026 · By Joel Blackstock, LICSW-S

PTSD and ADHD are separate conditions that often occur together and can look alike: both can involve trouble concentrating, restlessness, irritability, reckless or impulsive behavior and poor sleep. A 2016 meta-analysis found that people with ADHD were about 2.9 times as likely as comparison groups to have PTSD, and people with PTSD about 1.7 times as likely to have ADHD. Timeline and context are what tell them apart.¹

My argument in this article is that the two conditions can produce the same complaint, "I can't focus," through different machinery. ADHD attention is unreliable. It drifts in every setting, on good days and bad, and it has done so since childhood. PTSD attention is captured. It gets pulled toward danger, toward the memory that keeps replaying and toward the fog left by nights of broken sleep, and it usually changes after a traumatic event. When both are present, the stronger evidence points to ADHD usually coming first and raising the odds of trauma and of PTSD afterward. That is why the distinction matters in practice. Medication can steady ADHD attention without touching nightmares, startle or avoidance, and trauma-focused therapy, which does treat those, asks for exactly the sustained attention that untreated ADHD makes hard.

How often do PTSD and ADHD occur together?

The most useful number is a ratio, not a percentage. Andrea Spencer and colleagues at Massachusetts General Hospital screened 402 articles, kept 28 that used formal diagnoses and control groups, and pooled 22 of them. The relative risk of PTSD in people with ADHD was 2.9. Against healthy controls it was 3.7, and against people who had also been through trauma it was 1.6. The relative risk of ADHD in people with PTSD was 1.7, rising to 2.1 against traumatized controls. Against people with other psychiatric disorders, the association was not significant.¹ That last result matters. Part of the overlap is probably not special to these two conditions but reflects how often attention problems travel with psychiatric illness in general.

Figures like "up to 25% of people with PTSD also have ADHD" circulate without a source, and the published range is wider than a single number suggests, because it depends on who was sampled. In a Boston family study, 10.0% of adults with ADHD had a lifetime PTSD diagnosis, against 1.6% of controls.² Among children and teenagers with ADHD in a companion study, the figure was 5.2%, against 1.7%.³ At the other end, a 2004 study of 25 male veterans with PTSD found that 28% met criteria for current ADHD and 36% for childhood ADHD, compared with 5% and 9% of veterans with panic disorder.⁴ A 2025 systematic review of adult studies reported comorbidity of roughly 28% to 36%, but those figures lean on small veteran samples like that one.⁵ The direction is consistent across studies. The size is not.

The combination is also heavier to carry than either condition alone. In both Boston studies, people with ADHD plus PTSD had more additional psychiatric diagnoses than people with ADHD alone. Adults with both rated their quality of life lower in every domain measured, and young people with both were more likely to have been hospitalized for psychiatric care.^{2, 3}

Sex appears to matter. A 2025 meta-analysis of 13 studies with 13,585 participants found the ADHD and PTSD combination more often in females than in males (odds ratio 1.32), and the difference showed up in adults (1.41) rather than in children.⁶ That fits two older observations. PTSD is more prevalent among women,⁷ and ADHD in girls and women is often missed, because inattention is more prominent than hyperactivity and because anxiety and depression draw the clinician's eye first.⁸ A woman with both conditions can be treated for anxiety or depression for years before either the ADHD or the trauma is named.

Why the symptoms look alike

The DSM-5-TR sorts PTSD symptoms into four clusters: intrusions, avoidance, negative changes in thinking and mood, and changes in arousal and reactivity. The last cluster reads like an ADHD checklist. It includes irritable behavior and angry outbursts, reckless or self-destructive behavior, hypervigilance, an exaggerated startle response, problems with concentration and disturbed sleep.⁹ Teachers, partners and employers see the lost focus, the fidgeting, the snapping and the risk-taking. They rarely see what is driving them.

ADHD has requirements that PTSD does not. An adult needs at least five symptoms of inattention or of hyperactivity and impulsivity, several of them present before age 12, showing up in two or more settings such as home and work, and not better explained by another mental disorder.⁹ What separates the two is less the symptom than its source. A 2024 UK quality standard for ADHD assessment lists PTSD among the differential diagnoses to consider, notes that attention can fail to hold because of anxiety, intrusive thoughts or hypervigilance, and advises clinicians to explore what triggers the wandering.¹⁰

There is a plausible mechanism for how threat produces ADHD-like attention. Amy Arnsten's review of stress signaling describes how even mild, uncontrollable acute stress can rapidly impair the prefrontal abilities that hold a goal in mind and screen out distraction, and how prolonged stress, studied mostly in animals, changes the structure of prefrontal neurons.¹¹ In people with PTSD, a review by Robin Aupperle and colleagues found subtle impairments in response inhibition and attention regulation that may predate the trauma, may make PTSD more likely, and tend to worsen in emotional or trauma-related contexts.¹²

The deficits are measurable. A meta-analysis of 60 studies and 4,108 participants found PTSD associated with medium-sized deficits in verbal learning, processing speed, and attention and working memory, with Cohen's d between about −0.5 and −0.6. The effects were larger in studies that did not exclude people with ADHD.¹³ One reasonable reading is that some of the attention problems attributed to PTSD in that literature belong to ADHD that nobody screened for.

Context explains a finding that surprises people. In a 2023 study of 576 young adults recruited from the community, poor performance on a computerized sustained-attention task showed up across many disorders, including social anxiety and obsessive-compulsive disorder, and the authors concluded that attention problems are not specific to ADHD. Participants with PTSD, though, performed relatively well on the task.¹⁴ A quiet room, a neutral task and a short session may simply not contain what pulls a traumatized person's attention away. That is the clinical version of this article's argument. ADHD attention fails in the boring meeting, the tax form and the long drive alike. Trauma-driven inattention tends to spike around reminders, crowds, conflict and exhaustion.

Which comes first?

The strongest evidence on direction comes from a 2023 study in Biological Psychiatry that combined genetic data with a population-based sibling comparison. ADHD and PTSD showed substantial genetic overlap, with genetic correlations of 0.43 to 0.52. Mendelian randomization, which uses inherited variants as a kind of natural experiment, linked genetic liability for ADHD to a higher risk of PTSD, but found no consistent effect in the other direction. Among more than two million people, those diagnosed with ADHD were more likely to develop PTSD than their own undiagnosed siblings (hazard ratio 2.37), a comparison that controls for much of what families share.¹⁵

The timing fits. In the Boston youth sample, PTSD began at an average age of 12.6, later than the ADHD, and ADHD ran in families just as strongly whether or not the child also had PTSD. The authors concluded that the overlap was not a diagnostic mistake.³ In the veteran study, the men who met criteria for childhood ADHD had those symptoms before the adult trauma behind their PTSD; none of the PTSD group reported severe childhood trauma.^{4, 5}

How might ADHD raise the risk? One route is exposure. In a British cohort of 2,232 twins followed from childhood into young adulthood, childhood ADHD predicted later abuse and neglect, mostly among children who also had conduct disorder.¹⁶ Another route may run through recovery. Aupperle's review, which concerns executive function in PTSD generally rather than ADHD, proposes that weaker inhibition and attention control make it harder to disengage from a trauma memory, which pushes a person toward avoidance.¹² Applying that model to ADHD is a reasonable extension, not a tested finding.

The reverse question, whether childhood trauma causes ADHD, gets a more cautious answer. In 18,168 adult Swedish twins, childhood maltreatment was linked with more ADHD symptoms. The link shrank, but did not vanish, when identical twins were compared with each other, which the authors read as partly familial confounding and partly consistent with a causal effect.¹⁷ In 8,192 Swedish nine-year-olds, identical twins who differed in maltreatment did not differ in their number of neurodevelopmental disorders, though the maltreated twin had slightly more ADHD symptoms; most of the overlap was genetic.¹⁸ In the British cohort, childhood abuse and neglect did not predict ADHD in young adulthood once childhood ADHD was accounted for.¹⁶ Trauma can produce symptoms that look like ADHD and may push them up a little. The data do not support the popular idea that ADHD is simply trauma under another name.

How clinicians tell them apart

Clinicians have worried about this confusion for a long time. In 2000, a review in Clinical Psychology Review noted that ADHD and PTSD were the diagnoses most often given to sexually abused children, that their symptoms overlapped heavily, and that the diagnostic manual of the day did not list PTSD as a differential diagnosis for ADHD. The authors recommended asking every child who presents with ADHD symptoms about traumatic experiences.¹⁹ The manual has moved since then. A 2026 review of how six DSM editions describe ADHD reports that the DSM-IV listed 10 conditions in the ADHD differential diagnosis and the DSM-5-TR lists 17, and that the DSM-5-TR added an increased risk of trauma and later PTSD to the consequences of ADHD.²⁰

A careful evaluation works through a handful of questions:

• When did it start? ADHD requires several symptoms before age 12. Old report cards, a parent's memory and earlier evaluations matter here, because adult memories of childhood are imperfect. If the attention problems clearly began after an assault, a deployment or a serious accident, PTSD moves up the list.
• Where does it happen? ADHD shows up across settings, including safe and boring ones. Trauma-driven inattention clusters around reminders, conflict, crowds and poor sleep.
• Where does the mind go? ADHD attention drifts toward whatever is more interesting. PTSD attention gets pulled into scanning for danger, replaying a memory or blanking out. Asking what someone was thinking about when they lost the thread often tells more than asking whether they lose it.
• What happens at night? Nightmares and waking on alert are PTSD symptoms. Poor sleep from any cause worsens attention, so sleep has to be assessed in its own right before anyone credits or blames a diagnosis.
• What else is present? Distinct episodes of elevated mood, a chronic fear of abandonment, or constant worry each point toward other diagnoses that overlap with both. We have written separately about telling bipolar disorder apart from ADHD, about how borderline personality disorder and bipolar disorder differ, and about how anxiety and ADHD feed each other.

Questionnaires help structure this but do not settle it. The World Health Organization's Adult ADHD Self-Report Scale is a short, validated screener,²¹ and our adult ADHD self-assessment walks through similar territory. In someone with untreated PTSD, though, a positive ADHD screen can reflect the PTSD itself. A screen is a reason for a fuller evaluation, not a diagnosis.

What brain research does and does not show

Popular writing about this overlap often says both conditions damage or rewire the same circuits. The large consortium studies show something more modest. The ENIGMA ADHD Working Group pooled MRI scans from 1,713 people with ADHD and 1,529 controls at 23 sites. Several subcortical structures, including the amygdala, nucleus accumbens and hippocampus, were smaller on average in ADHD, with effect sizes between d = −0.11 and −0.19, and the differences in adults were not significant.²² The parallel ENIGMA-PGC study of PTSD analyzed 1,868 people from 16 cohorts and found a smaller hippocampus in current PTSD compared with trauma-exposed controls (d = −0.17). An amygdala difference did not survive correction for multiple comparisons.²³

Effects that small mean the two groups' distributions overlap almost entirely. They tell researchers something about groups. They cannot tell a clinician which condition a particular person has, and neither diagnosis is made from a scan. The same caution applies to quantitative EEG. A meta-analysis of the theta/beta ratio, once promoted as an ADHD marker, concluded that it is not a reliable diagnostic measure, though it may carry prognostic value for a subgroup.²⁴ Taproot offers qEEG brain mapping and neurofeedback; if you have a brain map done here or anywhere else, treat it as one piece of information, not as a test that can separate trauma from ADHD.

Treating both without treating only one

For PTSD itself, the evidence is strongest for trauma-focused psychotherapy. A 2020 meta-analysis of 114 randomized trials with 8,171 participants found robust evidence for cognitive behavioral therapy with a trauma focus and for EMDR. It named cognitive processing therapy, cognitive therapy and prolonged exposure as the trauma-focused protocols with the strongest support.²⁵ Our practice offers EMDR therapy in Hoover.

The evidence on ADHD medication in people who also have PTSD is thin. A 2025 systematic review of adult studies found two single-patient case reports, one with lisdexamfetamine and one with atomoxetine, a small randomized pilot of atomoxetine, and a mindfulness training study.⁵ In that pilot, a crossover trial in veterans with both diagnoses, atomoxetine modestly reduced self-reported ADHD symptoms, while PTSD severity and quality of life did not differ from placebo.²⁶ A separate pilot trial of 32 people with PTSD, traumatic brain injury or both found that methylphenidate improved cognitive complaints and PTSD checklist scores compared with placebo, and its authors called for a larger trial before drawing conclusions.²⁷

Put together, ADHD medication may help the ADHD in someone who also has PTSD, though the evidence is a handful of small studies. Those studies have not shown it worsening PTSD, and the only randomized trial limited to people with both diagnoses found no difference from placebo in PTSD severity. Medication is not a substitute for trauma treatment. The risk Weinstein and colleagues described is misdiagnosis rather than the medicine itself: if trauma-driven concentration problems are read as ADHD, a person may leave with a prescription and an explanation while the nightmares, avoidance and startle go untreated.¹⁹ If you take or are considering any medication for attention, sleep or anxiety, the choice, the dose and any change belong with your prescriber, who will also weigh substance-use history. Childhood ADHD carries a higher risk of later substance use disorders,²⁸ and PTSD is strongly comorbid with other psychiatric disorders.⁷

Taproot also offers body-based and brain-based approaches, and they deserve the same honesty. Somatic Experiencing has one randomized trial in people diagnosed with PTSD: 63 participants, 15 weekly sessions, compared with a waitlist, with large improvements in PTSD and depression symptoms.²⁹ Two Danish trials in people with chronic low back pain and posttraumatic stress symptoms disagree. In the first, adding brief SE to usual care reduced PTSD symptoms more than usual care alone, though the authors questioned how clinically important the effects were.³⁰ In the larger second trial, adding SE to physiotherapy brought no additional benefit on any outcome.³¹ A 2021 scoping review called the evidence promising but preliminary and of mixed quality.³² EEG neurofeedback for ADHD shows benefits on ratings by the least blinded assessors, the people closest to the treatment, but the effect is not significant when raters are probably blinded or when trials use sham controls.³³ For PTSD, a 2020 meta-analysis of four small randomized trials found large effects but rated the certainty of the evidence as very low, and none of the trials compared neurofeedback with a sham version.³⁴ In one of those trials, by Bessel van der Kolk and colleagues, 27% of the neurofeedback group still met PTSD criteria after treatment, against 68% of the waitlist group.³⁵

Brainspotting, which the therapist David Grand says he developed in 2003, has not been tested in large randomized trials, and the idea that it works on trauma memories through the midbrain is a hypothesis Grand and a colleague set out in a 2013 paper, not a finding.³⁶ Lifespan Integration's published research consists mainly of single-case studies,³⁷ plus one small pilot trial of a modified one-session version for women with PTSD after a single sexual assault, which reported large gains three weeks later; its authors say the result needs replicating. That trial excluded people with ADHD.³⁸ These methods are offered here as options for people who find direct trauma talk too much at first, not as proven treatments for PTSD with ADHD.

What this looks like in therapy

The first several sessions go to history, not technique. A careful therapist builds a timeline: when attention problems first showed up, what school was like, when the traumatic events happened and what changed afterward. Collateral information helps when it exists, such as report cards or a parent's or partner's account. Both conditions get screened, rather than stopping at the first one that fits. When the picture suggests ADHD that predates the trauma, a formal evaluation and a conversation with a prescriber come next.

Trauma-focused work for someone with ADHD usually needs more structure, not less. That can mean shorter assignments between sessions, a written summary at the end of each session, reminders, and agreeing ahead of time on what to do when attention drifts in the middle of processing a memory. It also means bringing arousal down before asking for focus. Someone whose startle and sleep are out of control will struggle to hold a memory steadily enough to work with it, ADHD or not.

Shame is often the thread that ties the two together. The DSM-5-TR's PTSD criteria include persistent negative beliefs about oneself and distorted blame of oneself or others for the trauma.⁹ Many adults with ADHD arrive with years of being called lazy or careless layered on top. Sorting out which parts of the self-criticism came from the trauma and which came from a lifetime of missed deadlines is part of the work. Parts-based language can make that sorting easier to talk about: the vigilant part that scans every room, the scattered part that loses the keys, and the critic that blames both.

There is also a conversation about strengths to have, carefully. One useful way to see hypervigilance is as a defense that made sense in danger and kept running afterward. In interviews with successful adults with ADHD, Jane Sedgwick and colleagues identified themes they called cognitive dynamism, courage, energy, humanity, resilience and transcendence.³⁹ That is a qualitative interview study, not proof of a hidden advantage, and nothing in the research shows that having both PTSD and ADHD confers special clarity in a crisis. What it does support is a less shaming starting point: the traits that cause trouble in a cubicle have often been useful somewhere else.

If attention problems and a trauma history are tangled together for you, an evaluation that looks at both is a reasonable place to start. Our page on therapy for ADHD and AuDHD describes how we work with attention, and you can contact us to ask whether it fits. If you are in crisis, call or text 988, the Suicide and Crisis Lifeline; veterans can press 1 after dialing. For a wider list of community supports, see our guide to mental wellness resources in the Birmingham-Hoover metro.

References

1. Spencer, A. E., Faraone, S. V., Bogucki, O. E., Pope, A. L., Uchida, M., Milad, M. R., Spencer, T. J., Woodworth, K. Y., & Biederman, J. (2016). Examining the association between posttraumatic stress disorder and attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. The Journal of Clinical Psychiatry, 77(1), 72–83. https://doi.org/10.4088/JCP.14r09479
2. Antshel, K. M., Kaul, P., Biederman, J., Spencer, T. J., Hier, B. O., Hendricks, K., & Faraone, S. V. (2013). Posttraumatic stress disorder in adult attention-deficit/hyperactivity disorder: Clinical features and familial transmission. The Journal of Clinical Psychiatry, 74(3), e197–e204. https://doi.org/10.4088/JCP.12m07698
3. Biederman, J., Petty, C. R., Spencer, T. J., Woodworth, K. Y., Bhide, P., Zhu, J., & Faraone, S. V. (2013). Examining the nature of the comorbidity between pediatric attention deficit/hyperactivity disorder and post-traumatic stress disorder. Acta Psychiatrica Scandinavica, 128(1), 78–87. https://doi.org/10.1111/acps.12011
4. Adler, L. A., Kunz, M., Chua, H. C., Rotrosen, J., & Resnick, S. G. (2004). Attention-deficit/hyperactivity disorder in adult patients with posttraumatic stress disorder (PTSD): Is ADHD a vulnerability factor? Journal of Attention Disorders, 8(1), 11–16. https://doi.org/10.1177/108705470400800102
5. Magdi, H. M., Abousoliman, A. D., Ibrahim, A. M., Elsehrawy, M. G., El-Gazar, H. E., & Zoromba, M. A. (2025). Attention-deficit/hyperactivity disorder and post-traumatic stress disorder adult comorbidity: A systematic review. Systematic Reviews, 14(1), 41. https://doi.org/10.1186/s13643-025-02774-7
6. Wilson, J., Fida, D., Maurer, R., Wiley, A., Rajasekera, T., & Spagnolo, P. (2025). Sex differences in the comorbidity between attention deficit-hyperactivity disorder and posttraumatic stress disorder: A systematic literature review and meta-analysis. General Hospital Psychiatry, 95, 32–39. https://doi.org/10.1016/j.genhosppsych.2025.04.003
7. Kessler, R. C., Sonnega, A., Bromet, E., Hughes, M., & Nelson, C. B. (1995). Posttraumatic stress disorder in the National Comorbidity Survey. Archives of General Psychiatry, 52(12), 1048–1060. https://doi.org/10.1001/archpsyc.1995.03950240066012
8. Quinn, P. O., & Madhoo, M. (2014). A review of attention-deficit/hyperactivity disorder in women and girls: Uncovering this hidden diagnosis. The Primary Care Companion for CNS Disorders, 16(3), PCC.13r01596. https://doi.org/10.4088/PCC.13r01596
9. American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., text rev.). https://doi.org/10.1176/appi.books.9780890425787
10. Young, S., Absoud, M., Al-Attar, Z., Ani, C., Colley, W., Cortese, S., Crame, J., Gudjonsson, G., Hill, P., Hollingdale, J., Mukherjee, R. A. S., Ozer, S., Partridge, G., Smith, J., Woodhouse, E. L., & Lewis, A. (2024). The ADHD Assessment Quality Assurance Standard for Children and Teenagers (CAAQAS). Neuropsychiatric Disease and Treatment, 20, 2603–2628. https://doi.org/10.2147/NDT.S472923
11. Arnsten, A. F. T. (2009). Stress signalling pathways that impair prefrontal cortex structure and function. Nature Reviews Neuroscience, 10(6), 410–422. https://doi.org/10.1038/nrn2648
12. Aupperle, R. L., Melrose, A. J., Stein, M. B., & Paulus, M. P. (2012). Executive function and PTSD: Disengaging from trauma. Neuropharmacology, 62(2), 686–694. https://doi.org/10.1016/j.neuropharm.2011.02.008
13. Scott, J. C., Matt, G. E., Wrocklage, K. M., Crnich, C., Jordan, J., Southwick, S. M., Krystal, J. H., & Schweinsburg, B. C. (2015). A quantitative meta-analysis of neurocognitive functioning in posttraumatic stress disorder. Psychological Bulletin, 141(1), 105–140. https://doi.org/10.1037/a0038039
14. Grant, J. E., & Chamberlain, S. R. (2023). Attentional problems occur across multiple psychiatric disorders and are not specific for ADHD. CNS Spectrums, 28(3), 357–360. https://doi.org/10.1017/S1092852922000785
15. Wendt, F. R., Garcia-Argibay, M., Cabrera-Mendoza, B., Valdimarsdóttir, U. A., Gelernter, J., Stein, M. B., Nivard, M. G., Maihofer, A. X., Post-Traumatic Stress Disorder Working Group of the Psychiatric Genomics Consortium, Nievergelt, C. M., Larsson, H., Mattheisen, M., Polimanti, R., & Meier, S. M. (2023). The relationship of attention-deficit/hyperactivity disorder with posttraumatic stress disorder: A two-sample Mendelian randomization and population-based sibling comparison study. Biological Psychiatry, 93(4), 362–369. https://doi.org/10.1016/j.biopsych.2022.08.012
16. Stern, A., Agnew-Blais, J., Danese, A., Fisher, H. L., Jaffee, S. R., Matthews, T., Polanczyk, G. V., & Arseneault, L. (2018). Associations between abuse/neglect and ADHD from childhood to young adulthood: A prospective nationally-representative twin study. Child Abuse & Neglect, 81, 274–285. https://doi.org/10.1016/j.chiabu.2018.04.025
17. Capusan, A. J., Kuja-Halkola, R., Bendtsen, P., Viding, E., McCrory, E., Marteinsdottir, I., & Larsson, H. (2016). Childhood maltreatment and attention deficit hyperactivity disorder symptoms in adults: A large twin study. Psychological Medicine, 46(12), 2637–2646. https://doi.org/10.1017/S0033291716001021
18. Dinkler, L., Lundström, S., Gajwani, R., Lichtenstein, P., Gillberg, C., & Minnis, H. (2017). Maltreatment-associated neurodevelopmental disorders: A co-twin control analysis. Journal of Child Psychology and Psychiatry, 58(6), 691–701. https://doi.org/10.1111/jcpp.12682
19. Weinstein, D., Staffelbach, D., & Biaggio, M. (2000). Attention-deficit hyperactivity disorder and posttraumatic stress disorder: Differential diagnosis in childhood sexual abuse. Clinical Psychology Review, 20(3), 359–378. https://doi.org/10.1016/S0272-7358(98)00107-X
20. Ophir, Y., Shir-Raz, Y., & Tikochinski, R. (2026). Four decades of ADHD: A systematic AI-assisted analysis of conceptual shifts across six DSM editions. Frontiers in Psychiatry, 17, 1792051. https://doi.org/10.3389/fpsyt.2026.1792051
21. Kessler, R. C., Adler, L., Ames, M., Demler, O., Faraone, S., Hiripi, E., Howes, M. J., Jin, R., Secnik, K., Spencer, T., Ustun, T. B., & Walters, E. E. (2005). The World Health Organization Adult ADHD Self-Report Scale (ASRS): A short screening scale for use in the general population. Psychological Medicine, 35(2), 245–256. https://doi.org/10.1017/S0033291704002892
22. Hoogman, M., Bralten, J., Hibar, D. P., Mennes, M., Zwiers, M. P., Schweren, L. S. J., van Hulzen, K. J. E., Medland, S. E., Shumskaya, E., Jahanshad, N., de Zeeuw, P., Szekely, E., Sudre, G., Wolfers, T., Onnink, A. M. H., Dammers, J. T., Mostert, J. C., Vives-Gilabert, Y., Kohls, G., … Franke, B. (2017). Subcortical brain volume differences in participants with attention deficit hyperactivity disorder in children and adults: A cross-sectional mega-analysis. The Lancet Psychiatry, 4(4), 310–319. https://doi.org/10.1016/S2215-0366(17)30049-4
23. Logue, M. W., van Rooij, S. J. H., Dennis, E. L., Davis, S. L., Hayes, J. P., Stevens, J. S., Densmore, M., Haswell, C. C., Ipser, J., Koch, S. B. J., Korgaonkar, M., Lebois, L. A. M., Peverill, M., Baker, J. T., Boedhoe, P. S. W., Frijling, J. L., Gruber, S. A., Harpaz-Rotem, I., Jahanshad, N., … Morey, R. A. (2018). Smaller hippocampal volume in posttraumatic stress disorder: A multisite ENIGMA-PGC study: Subcortical volumetry results from posttraumatic stress disorder consortia. Biological Psychiatry, 83(3), 244–253. https://doi.org/10.1016/j.biopsych.2017.09.006
24. Arns, M., Conners, C. K., & Kraemer, H. C. (2013). A decade of EEG theta/beta ratio research in ADHD: A meta-analysis. Journal of Attention Disorders, 17(5), 374–383. https://doi.org/10.1177/1087054712460087
25. Lewis, C., Roberts, N. P., Andrew, M., Starling, E., & Bisson, J. I. (2020). Psychological therapies for post-traumatic stress disorder in adults: Systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1), 1729633. https://doi.org/10.1080/20008198.2020.1729633
26. Wang, Z., Zuschlag, Z. D., Myers, U. S., & Hamner, M. (2022). Atomoxetine in comorbid ADHD/PTSD: A randomized, placebo controlled, pilot, and feasibility study. Depression and Anxiety, 39(4), 286–295. https://doi.org/10.1002/da.23248
27. McAllister, T. W., Zafonte, R., Jain, S., Flashman, L. A., George, M. S., Grant, G. A., He, F., Lohr, J. B., Andaluz, N., Summerall, L., Paulus, M. P., Raman, R., & Stein, M. B. (2016). Randomized placebo-controlled trial of methylphenidate or galantamine for persistent emotional and cognitive symptoms associated with PTSD and/or traumatic brain injury. Neuropsychopharmacology, 41(5), 1191–1198. https://doi.org/10.1038/npp.2015.282
28. Lee, S. S., Humphreys, K. L., Flory, K., Liu, R., & Glass, K. (2011). Prospective association of childhood attention-deficit/hyperactivity disorder (ADHD) and substance use and abuse/dependence: A meta-analytic review. Clinical Psychology Review, 31(3), 328–341. https://doi.org/10.1016/j.cpr.2011.01.006
29. Brom, D., Stokar, Y., Lawi, C., Nuriel-Porat, V., Ziv, Y., Lerner, K., & Ross, G. (2017). Somatic experiencing for posttraumatic stress disorder: A randomized controlled outcome study. Journal of Traumatic Stress, 30(3), 304–312. https://doi.org/10.1002/jts.22189
30. Andersen, T. E., Lahav, Y., Ellegaard, H., & Manniche, C. (2017). A randomized controlled trial of brief Somatic Experiencing for chronic low back pain and comorbid post-traumatic stress disorder symptoms. European Journal of Psychotraumatology, 8(1), 1331108. https://doi.org/10.1080/20008198.2017.1331108
31. Andersen, T. E., Ellegaard, H., Schiøttz-Christensen, B., Mejldal, A., & Manniche, C. (2020). Somatic Experiencing for patients with low back pain and comorbid posttraumatic stress symptoms: A randomised controlled trial. European Journal of Psychotraumatology, 11(1), 1797306. https://doi.org/10.1080/20008198.2020.1797306
32. Kuhfuß, M., Maldei, T., Hetmanek, A., & Baumann, N. (2021). Somatic experiencing – effectiveness and key factors of a body-oriented trauma therapy: A scoping literature review. European Journal of Psychotraumatology, 12(1), 1929023. https://doi.org/10.1080/20008198.2021.1929023
33. Cortese, S., Ferrin, M., Brandeis, D., Holtmann, M., Aggensteiner, P., Daley, D., Santosh, P., Simonoff, E., Stevenson, J., Stringaris, A., Sonuga-Barke, E. J. S., & European ADHD Guidelines Group. (2016). Neurofeedback for attention-deficit/hyperactivity disorder: Meta-analysis of clinical and neuropsychological outcomes from randomized controlled trials. Journal of the American Academy of Child & Adolescent Psychiatry, 55(6), 444–455. https://doi.org/10.1016/j.jaac.2016.03.007
34. Steingrimsson, S., Bilonic, G., Ekelund, A.-C., Larson, T., Stadig, I., Svensson, M., Vukovic, I. S., Wartenberg, C., Wrede, O., & Bernhardsson, S. (2020). Electroencephalography-based neurofeedback as treatment for post-traumatic stress disorder: A systematic review and meta-analysis. European Psychiatry, 63(1), e7. https://doi.org/10.1192/j.eurpsy.2019.7
35. van der Kolk, B. A., Hodgdon, H., Gapen, M., Musicaro, R., Suvak, M. K., Hamlin, E., & Spinazzola, J. (2016). A randomized controlled study of neurofeedback for chronic PTSD. PLOS ONE, 11(12), e0166752. https://doi.org/10.1371/journal.pone.0166752
36. Corrigan, F., & Grand, D. (2013). Brainspotting: Recruiting the midbrain for accessing and healing sensorimotor memories of traumatic activation. Medical Hypotheses, 80(6), 759–766. https://doi.org/10.1016/j.mehy.2013.03.005
37. Rensch, C., Kwee, J., Rossen, L., & McDonald, M. (2021). Lifespan Integration therapy with trauma-exposed children: A hermeneutic single case efficacy study. Journal of Child & Adolescent Trauma, 14(3), 401–413. https://doi.org/10.1007/s40653-021-00359-9
38. Rajan, G., Wachtler, C., Lee, S., Wändell, P., Philips, B., Wahlström, L., Svedin, C. G., & Carlsson, A. C. (2022). A one-session treatment of PTSD after single sexual assault trauma. A pilot study of the WONSA MLI project: A randomized controlled trial. Journal of Interpersonal Violence, 37(9–10), NP6582–NP6603. https://doi.org/10.1177/0886260520965973
39. Sedgwick, J. A., Merwood, A., & Asherson, P. (2019). The positive aspects of attention deficit hyperactivity disorder: A qualitative investigation of successful adults with ADHD. ADHD Attention Deficit and Hyperactivity Disorders, 11(3), 241–253. https://doi.org/10.1007/s12402-018-0277-6