Original Investigation

Demographics, Services, and Practices in Attention-Deficit/Hyperactivity Disorder Coaching in the US

JAMA Network Open 10.1001/jamanetworkopen.2025.52407

January 15, 2026 at 11:00 AM EST

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What are the workforce characteristics and common practices of the rapidly expanding attention-deficit/hyperactivity disorder (ADHD) coaching sector?In this survey study including 481 participants in the US, ADHD coaching was documented as a grassroots, online form of support offered by lay individuals reporting lived experience with ADHD, with a spike in ADHD coaching workforce entry appearing since the COVID-19 pandemic. ADHD coaches largely operate outside the traditional health care system, providing services in executive function skills, adaptive thinking, and motivational enhancement.These findings suggest that ADHD coaching is largely practiced by lay people with ADHD lived experience and that standards, effectiveness, safety, and appropriate regulatory safeguards must be established.

Corresponding Author: Margaret H. Sibley, PhD, Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, 2001 Eighth Ave, Ste 400, Seattle, WA 98121 (margaret.sibley@seattlechildrens.org).

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