Individual therapy

ADHD Therapy for Adults

Therapy for adults with ADHD, diagnosed or still figuring it out. You've heard "just use a planner" your whole life. This isn't that. It's structured, practical work built around how you actually function, not how people keep telling you to.

50-55 minute sessions ND-affirming, structured work 100% online · TX · ME · MT · NH
Is this you?

You've been trying harder for years. Effort was never the problem.

You can hyperfocus for six hours on the thing that doesn't matter and can't start the ten-minute task that does. You know exactly what to do; the doing is the problem. And by now the hardest part isn't the ADHD, it's what years of it have done to how you talk to yourself. If this sounds familiar:

  • Time either doesn't exist or is suddenly gone; you're chronically early to nothing and late to everything
  • Starting a task feels physically impossible until panic finally does it for you
  • A mildly critical email can wreck your entire day; rejection lands like a physical blow
  • Your home and inbox are archaeological sites of abandoned systems that each worked for two weeks
  • You got diagnosed as an adult, and now your whole history looks different, including the years of being called careless
  • You've white-knuckled it through school and work by masking, and the exhaustion is catching up
The loop, mapped

The problem isn't the task. It's the loop.

ADHD struggles rarely stay contained to attention. They run in a cycle that recruits panic to get things done, then charges shame as interest. Naming the loop is the first phase of the work, because you can't interrupt what you can't see.

The ADHD shame loop A cycle of five stages connected by arrows in a circle: intention, time slips, deadline panic, the sprint or the shutdown, and shame, which feeds back into the next intention. The center is labeled: the loop, not the person. The loop, not the person and around again, unless it's interrupted Intention "this time will be different" Time slips now isn't urgent, so now doesn't count Deadline panic adrenaline finally starts the engine Sprint or shutdown an all-nighter, or nothing at all Shame "what is wrong with me"

The work is interrupting the loop, not gritting through it. Every stage has an intervention point, and none of them is "try harder."

Who I work with

Every version of an ADHD adulthood

Diagnosed last month or twenty years ago, self-identified or still questioning. If you run on interest instead of importance, this work was built for it.

Late-diagnosed adults

Diagnosed in adulthood, re-reading a whole life through a new lens.

High-masking ADHDers

Outwardly "fine," inwardly exhausted. Often missed for decades, especially in women.

AuDHD adults

ADHD and Autistic together: two systems that sometimes want opposite things.

Self-identified & questioning

No formal diagnosis required. If the pattern fits, the work fits.

ADHD in your relationship

When ADHD is straining a partnership, couples work may fit better.

What we work on

Four fronts, worked in sequence

Each intervention point from the loop gets its own focused work, matched to how your ADHD actually shows up.

Executive function, built for you

Task initiation, time blindness, working memory, and follow-through, using external scaffolding built around your actual life. Not the forty-third planner. Systems that assume ADHD instead of punishing it.

Emotional intensity & rejection sensitivity

The ADHD nobody warned you about: emotions that arrive at full volume, and criticism that lands like a verdict. We work on recognizing the surge earlier and widening the gap between feeling it and being run by it.

The shame story

Decades of "lazy," "careless," and "not living up to potential" leave a narrator in your head. This is the deeper therapy work: separating what ADHD does from what you decided it means about you.

Work, relationships & daily life

Where the loop actually costs you: missed deadlines, strained partnerships, the friend you forgot to text back for three months. We take the skills into the specific places your ADHD is doing the most damage.

How treatment works

A clear, structured plan, built in sequence

This is structured, ND-affirming work, not open-ended venting. By session three you'll know your plan, its phases, and roughly how long the work takes. Sessions are 50-55 minutes.

ADHD isn't treated as a character flaw to fix but as a neurotype to work with. If medication questions come up, I'll coordinate with your prescriber or help you find one; therapy and medication address different parts of the picture, and they work well together.

The methods, explained in plain English →

1

Assessment

Your ADHD profile: where it helps, where it costs, what's been tried.

2

Your loop map

Where your version of the cycle runs, and its intervention points.

3

Skills phases

Executive scaffolding, emotional regulation, and the shame story, in sequence.

4

Consolidation

Making the systems yours, so they survive contact with real life.

Format

All sessions online via secure, HIPAA-compliant video. You must be physically located in Texas, Maine, Montana, or New Hampshire at the time of session. Online works especially well for ADHD: no commute to forget, no waiting room to dread.

Insurance

Visit the services page to see which insurances are accepted, along with current rates and private pay options.

Approach

ND-affirming, structured therapy informed by specialized neurodivergence training, including AANE coursework. Full credentials →

Common questions

About ADHD therapy

Quick answers. The full FAQ page has the rest.

No. Self-identified and questioning adults are welcome.
No. Some clients take medication, some don't, some are deciding. I don't prescribe, and I don't push either way. If you want to explore it, I'll coordinate with your prescriber or help you find one. Therapy addresses the parts of ADHD that medication doesn't touch: the habits, the shame, the systems.
Because those tools assume the problem is information: that you don't know what to do or when. ADHD is an activation problem, not an information problem. We build external scaffolding designed for someone who runs on interest and urgency, and we work on the shame that made every abandoned system feel like your failure instead of the system's.
Yes, and it's very common. Many adults are diagnosed with anxiety first and only learn about the ADHD years later, because anxiety is what's visible: the worry, the over-checking, the racing mind. Sometimes the ADHD was underneath all along; often the two genuinely co-occur. They also tangle: when executive function is unreliable, anxiety steps in as the backup system, supplying the urgency that starts tasks and the double-checking that catches mistakes. That's part of why treating anxiety alone can backfire; we work on both together, in the right order.
Yes. Years of ADHD setbacks can wear down into depression, and depression drains the energy executive function needs, so the two feed each other. The overlap is also confusing: low motivation, trouble concentrating, and losing interest show up in both. Untangling what's driving what is part of the assessment, and the work addresses both.
Yes, the two can be diagnosed together and often co-occur. It matters for the work: ADHD and Autistic traits can want opposite things (novelty vs. routine, stimulation vs. quiet), and generic ADHD advice can backfire for AuDHD adults. We map your specific profile first, then build for how you actually work rather than a category.
If the biggest cost of your ADHD right now is the partnership — the parent-child dynamic, the nagging-and-shutdown cycle — neurodiverse couples therapy is often the better starting place, because the pattern lives between you, not just in you. If it's mostly work, daily life, and self-worth, start individually. Unsure? That's exactly what the free consultation is for.

Whenever you're ready. Even if you meant to book last month.

The consultation is free and short. We'll talk by phone (I'll call you at the time you schedule) and see if we're a fit. No pressure, no commitment.

Free 15-min consultation