Objective: At least a third of U.S. adults with ADHD do not access recommended treatments (medication or cognitive behavioral therapy CBT), and those receiving treatment face barriers (e.g., inconsistent availability of medication). We investigated systemic inequities in CBT access for adults with ADHD versus psychiatric diagnoses with similar prevalence. Method: We accessed and extracted publicly available listings from the Psychology Interjurisdictional Compact (PSYPACT) provider directory ( N = 12,898) in April 2025. Results: Only 26.4% of PSYPACT providers explicitly offer any services for adult ADHD. They were nearly three times more likely to treat adult depression (69.2%) and anxiety (74.0%). CBT for adult ADHD was offered by just 21.3% of providers. Conclusion: U.S. psychologists are chief CBT providers for adult mental disorders; however, they systemically underserve adults with ADHD. Contributors to this inequity must be identified to advance adult ADHD care, as untreated ADHD is a costly public health burden.
Rout et al. (Thu,) studied this question.