Therapy for adults with ADHD
When the job demands more than your systems can carry.
You know what you need to do, and you very much want to do it, but you can’t seem to get yourself to do it consistently. I help professionals with ADHD build systems that fit how their brains work, and untangle the stress and self-doubt that years of extra effort can leave behind.
Former BigLaw attorney · JD, Harvard Law School · MSW, Columbia
ADHD at work
Capable, and exhausted from compensating.
Many of my clients are bright, accomplished professionals who have spent years wondering why everyday tasks seem harder for them than for everyone else. It might look like:
- Running late, or working late to make up for lost hours during the day
- Putting off the important project until the deadline forces it
- An inbox and to-do list that never get smaller
- Staying on top of everything at work, then having nothing left at home
- Strong performance reviews alongside a constant fear of being found out
- Decision fatigue, procrastination, and difficulty getting started
More than attention
ADHD is about executive functioning.
Skills like planning, prioritizing, organizing, starting tasks, managing time, regulating emotions, and following through can all be affected. In a demanding job, those gaps get filled with willpower, long hours, and anxiety, until that stops working.
These challenges often lead to burnout, shame, and self-doubt. That’s why our work addresses both the practical side of ADHD and the way it has shaped how you see yourself.
What we work on
Practical systems and the patterns underneath them.
- Routines that fit your brain
- Building realistic planning and daily structure, instead of borrowing systems designed for someone else.
- Big projects, smaller steps
- Breaking overwhelming work into manageable pieces, and finding ways to start.
- Time and priorities
- Improving time management and reducing procrastination and decision fatigue.
- Emotional regulation
- Handling frustration and overwhelm at work and at home.
- Perfectionism and self-esteem
- Loosening the habits of overpreparing and self-criticism that often grow up around ADHD.
- Relationships and family
- Understanding how executive functioning affects your relationships, parenting, and household.
Diagnosed as an adult, or still wondering
You don’t need a diagnosis to start.
More than half of U.S. adults with ADHD were diagnosed as adults, according to the CDC. If you’re wondering whether ADHD explains what you’ve been experiencing, we’ll look at your history and goals together and decide whether pursuing a formal evaluation would be useful.
A diagnosis can be a helpful tool for insight. It doesn’t define who you are.
One person for the whole picture
Practical strategies and the emotional work, together.
You might wonder whether you need one person for the practical side of ADHD and another for the emotional side. In my experience, the two can’t be separated. The guilt over what didn’t get done, the anxiety about impending tasks, and the self-doubt that builds over years are part of the same cycle as the executive dysfunction itself.
That’s why my approach combines teaching executive functioning skills and strategies with therapy, in the same sessions. I don’t believe in one-size-fits-all productivity advice. We experiment, adjust, and keep what works, while working through what’s been making it hard.
Questions
Questions about ADHD therapy.
Do I need an ADHD diagnosis before starting therapy?
No. Many of my clients come to therapy wondering whether ADHD might explain some of the challenges they’ve experienced throughout their lives. Together, we’ll explore your symptoms, history, and goals to determine whether pursuing a formal evaluation or diagnosis would be helpful. A diagnosis can provide valuable insight, but it’s only one tool. It doesn’t define who you are.
Should I see an ADHD coach or a therapist?
Many people with ADHD assume they need one person for the practical side and another for the emotional side. In my experience, the two can’t be separated. The guilt over what didn’t get done and the anxiety about what’s coming up are tangled up with the executive functioning challenges themselves. My approach combines teaching executive functioning skills and strategies with therapy, so we work on both together, with one person who sees the whole picture.
I have ADHD. Will therapy just be about organization and time management?
No. Executive functioning strategies can be an important part of our work, but ADHD affects far more than productivity. Together, we may explore emotional regulation, self-esteem, perfectionism, relationships, work stress, burnout, and the ways ADHD has shaped how you see yourself. Therapy addresses both the practical and emotional sides of living with ADHD.
Do you prescribe ADHD medication?
No. I’m a therapist, not a prescriber. If you take ADHD medication or are considering it, you’d work with a psychiatrist or other prescriber for that. If you’re comfortable with it, and you sign a HIPAA release allowing me to speak with your prescriber, I’ll communicate with them so we can coordinate your care and better address your needs.
Will my employer know I’m in therapy?
My practice is independent of any employer or employee assistance program, and I don’t share information about you with your workplace without your written permission.
Can therapy fit around a demanding work schedule?
Yes. Sessions are by video, so there’s no commute, and I’m happy to reschedule on short notice when work or family plans change.
Using your insurance
How out-of-network benefits work.
I’m an out-of-network provider and don’t bill insurance directly. Many plans, especially PPOs, reimburse part of the cost of out-of-network therapy. I’ll help you find out what yours covers before we begin.
We verify your benefits
Before your first session, I can help you check your out-of-network mental health benefits, so you know what to expect.
I provide a superbill
A superbill is a detailed receipt your insurer needs to process a claim. I provide one for your sessions.
You get reimbursed
I use Reimbursify, a service that makes submitting superbills to your insurance company simple, so reimbursement comes back to you with less paperwork.
Reimbursement depends on your plan and isn’t guaranteed.
Spend less energy struggling.
The goal isn’t to become perfectly organized. It’s to have more energy for the life you want. A free consultation is a good place to start.