ADHD & Executive Functioning Therapy

ADHD isn't really about attention. It's about how your brain manages time, motivation, follow-through, and the dozen invisible steps between knowing what to do and doing it. I work with teens and adults on the whole picture, not just productivity hacks.

What this kind of therapy actually looks like

When you work with me on ADHD, we don't spend sessions making you feel like you just need more willpower. We start from the premise that your brain works the way it works, and the goal is to build a life that fits it instead of constantly fighting against it.

Practically, that means we look at your energy curves, your environment, your relationships, and your systems. We figure out which strategies actually stick for your specific brain and which ones are just making you feel worse. We talk about the emotional pieces that rarely come up in standard ADHD conversations: the rejection sensitivity, the time blindness, the cycle of overwhelm and avoidance that leaves you exhausted before you even start.

And we unpack the shame layer. Most adults with ADHD have been told their whole lives that they're lazy, careless, or not living up to their potential. None of that is true. But undoing a lifetime of hearing it takes real work, and it's part of what therapy is for.

What ADHD looks like when it's actually ADHD

ADHD shows up differently in different people. Some of what I commonly see in the room:

• Time blindness — deadlines don't feel real until they're on fire, transitions always sneak up, "start earlier" is advice that doesn't fit your brain
• Rejection sensitive dysphoria (RSD) — feedback lands as total condemnation, small social friction feels catastrophic, you organize your life around avoiding the feeling
• Task initiation paralysis — you know exactly what to do, you want to do it, you physically cannot start
• Working memory slippage — you walk into a room and forget why, you lose track of what you were saying mid-sentence, the mental clipboard just drops things
• Emotional dysregulation — feelings come on fast and big, recovery takes longer than it seems like it should
• Masking and burnout — you've gotten really good at looking okay at work or school, and now you're exhausted in ways that rest doesn't fix

ADHD never shows up alone

ADHD overlaps significantly with autism, anxiety, OCD, depression, and substance use. A lot of the adults I see have been treated for one of those for years without anyone ever screening for ADHD, and vice versa. I hold the whole picture rather than treating each label in isolation. If you have ADHD plus autism plus anxiety plus childhood trauma, we work with all of it together, because that's the reality of how it shows up.

Ready to start?

Book your first session through Tava Health. You can verify your insurance in about 30 seconds and see my real availability. If you want to read more first, the ADHD Isn't Really About Attention article on my blog goes deeper into how I think about this work. The specialties page covers everything else I work with.