ADHD Therapy
ADHD is a different way of moving through the world. The strategies, the shame, and the relationships it shapes are all part of what needs attention in therapy, not just the focus and the follow-through.
You have probably tried the planners, the apps, the productivity systems. Perhaps you have a late diagnosis and are still making sense of what that means. ADHD may be affecting your relationship, your work, your sense of self, or all three at once.
This work is not about fixing you. It is about understanding how ADHD shows up in your life and building something that fits.
Therapy That Meets You Where You Are
This is not coaching on organization or time management. It is a space to understand the full picture of what ADHD means for you, including the emotional side, the relational side, and the parts that have nothing to do with productivity.
Many adults with ADHD come to therapy carrying years of being told they were lazy, careless, or not trying hard enough. That history shapes how you see yourself and how you show up in relationships. Untangling it is often as important as the practical work.
This practice works alongside other services including neurodiverse couples therapy for couples navigating ADHD together, and therapy for neurodivergent adults more broadly. If you are wondering whether ADHD counts as neurodivergent, read more at is ADHD neurodivergent.
You Might Be in the Right Place If...
You have a recent or late ADHD diagnosis
A late diagnosis can reframe your entire history. Therapy gives you space to process what it means, grieve what it explains, and figure out what comes next. Read more about late diagnosis ADHD and relationships.
ADHD is affecting your relationship
Emotional dysregulation, hyperfocus followed by withdrawal, difficulty with follow-through. ADHD shapes relationships in ways that are hard to see from the inside. Read more about how ADHD affects relationships.
You are burned out and not sure why
Burnout in adults with ADHD is different from ordinary tiredness. If you have hit a wall and the usual fixes are not working, therapy can help you understand what is happening and how to recover. Read more about ADHD burnout.
You are carrying a lot of ADHD shame
Years of missing deadlines, forgetting things, letting people down. The shame that accumulates around ADHD often does more damage than the ADHD itself. Read more about ADHD and shame.
You suspect ADHD and autism overlap for you
Autism and ADHD frequently co-occur, and the combination shapes therapy in important ways. Read more about adult autism therapy and how these two can intersect.
You are a woman with ADHD or a late diagnosis
In women, ADHD is frequently missed or misdiagnosed. The presentation is often different, the masking is often deeper, and the path to diagnosis is often longer. Read more about female ADHD in relationships.
What to Expect
ADHD therapy at Sagebrush is individual, online, and paced by you. Sessions are 50 minutes and available via telehealth across Texas, New Hampshire, Maine, and Montana.
A Complimentary 15-Min Consultation
A brief call to make sure this is the right fit. You can ask questions, share what is bringing you in, and get a sense of whether working together feels right before committing to anything.
Understanding Your Specific Picture
ADHD looks different for everyone. The early sessions are about understanding your version of it, what it has cost you, where it shows up most, and what you want from therapy.
Going Deeper
We work from a relational foundation and adapt to what you need. Some people want practical strategies and a solutions-focused approach. Others need to go deeper into shame, burnout, or what ADHD has meant for their sense of self. We follow your lead.
ADHD Touches More Than Focus
This practice covers the full landscape of what ADHD affects, not just productivity and time management.
ADHD and relationships
The way you connect, conflict, and repair in relationships is shaped by how ADHD works in you. Whether you are working on this individually or your partner is also involved, therapy can help you understand the dynamic more clearly. Explore neurodiverse couples therapy if you want to bring your partner in.
ADHD burnout and emotional dysregulation
The cycle of pushing hard, crashing, and starting again. The emotional intensity that catches you off guard. These are experiences that therapy can help you understand and work with rather than against.
Late diagnosis and identity
Getting diagnosed as an adult means reframing a lot of your history. Therapy gives you space to process that, including the grief, the relief, and the questions about who you are now that you have a different explanation for your life.
ADHD shame and self-esteem
Years of not measuring up to neurotypical standards leave a mark. Untangling the shame from the ADHD itself is some of the most important work in therapy, and often the most freeing.
ADHD and CPTSD
Complex trauma and ADHD frequently overlap and reinforce each other. If your ADHD history includes a lot of failure, shame, and relational difficulty, there may be trauma underneath that needs its own attention.
ADHD in women, perimenopause and menopause
Hormonal shifts during perimenopause and menopause often intensify these symptoms significantly, and many women receive a first diagnosis during this season. Therapy can help you understand what is happening and what changes as a result.
Signs ADHD Therapy Might Be What You Are Looking For
Select any that resonate. You do not need a formal diagnosis to benefit from ADHD therapy.
Tap or click each statement that feels true for you right now.
Questions Worth Answering First
You can find a full list of answers on the FAQs page. The questions below come up most often before starting ADHD therapy specifically.
Is ADHD neurodivergent?
Yes. ADHD is one of the most common forms of neurodivergence. Understanding ADHD as a neurological difference rather than a character flaw changes how you approach both therapy and daily life. Read more about whether ADHD is neurodivergent and what that framing means in practice.
Do I need a formal ADHD diagnosis to start therapy?
No. Many adults come in suspecting ADHD without a formal evaluation. Online ADHD counseling and in-person therapy are both helpful regardless of where you are in the diagnostic process. If you are still figuring out whether ADHD fits, therapy for neurodivergent adults is also available as a broader starting point.
Can ADHD therapy help with relationships?
Yes. ADHD has a significant impact on relationships and it is one of the most common reasons adults seek therapy. If ADHD is affecting your marriage specifically, ADHD couples therapy and ADHD-focused marriage counseling is available for couples who want to work on this together.
I was just diagnosed with ADHD as an adult. Where do I start?
A late ADHD diagnosis can reframe a lot of your history at once. It is clarifying and disorienting in equal measure. Therapy gives you a space to process what the diagnosis means, what it explains, and what you want to do differently going forward. You do not need to arrive with a plan.
Do you work with ADHD and anxiety, depression, or autism together?
Yes. ADHD rarely shows up alone. Anxiety, depression, CPTSD, and autism frequently overlap with ADHD, and therapy works best when it accounts for the full picture rather than treating each thing separately.
Is ADHD therapy available online?
Yes. All sessions are available via telehealth across Texas, New Hampshire, Maine, and Montana. You join through a secure video platform from wherever you are. Many people with ADHD find working from a familiar environment easier than commuting to an office. No software to download.
Why do I keep self-sabotaging even though I know better?
This is one of the most common things people with ADHD ask. Understanding something and being able to act differently are two separate things, and the gap between them is often where ADHD lives. Therapy works with what is underneath the pattern, not just the pattern itself.
Can ADHD cause emotional dysregulation and intense feelings?
Yes. Emotional dysregulation is one of the most under-discussed aspects of ADHD in adults. The intensity, the quick escalation, the difficulty coming back down. These are neurological, not character flaws. Understanding that changes how you work with them.
What does ADHD therapy cost?
Sessions are $200 per 50-minute session. I do not work with insurance directly, but I can provide a superbill for potential out-of-network reimbursement. For full pricing details visit the services page. Your complimentary 15-min consultation is always free.
What is your approach to ADHD therapy?
I work from a relational foundation and adapt to what you need. Some people want practical tools and a solutions-focused approach. Others want to go deeper into shame, burnout, identity, or relationships. Learn more on the services page.
Is ADHD therapy different for women?
ADHD in women is frequently missed, misdiagnosed, or diagnosed much later than in men. The presentation is often different, the masking is often deeper, and the impact on self-esteem and identity tends to be significant.
Online ADHD Therapy Across Four States
If you are in Texas, New Hampshire, Maine, or Montana, you can start ADHD therapy from wherever you are. No office visit required. You join virtually through a secure telehealth platform from wherever you feel most comfortable.
In Texas this includes adults in Houston and Austin, as well as throughout the state via telehealth.
ADHD Therapy for How It Shows Up in Your Life
If you are in Texas, New Hampshire, Maine, or Montana, you can start ADHD therapy from wherever you are via telehealth. Evening and weekend appointments available.