ADHD therapy across Texas,
for attention that moves in waves.
Most people who reach this page have done therapy before, and that work was usually worth doing. The ADHD piece can still go years without a name, because what sends somebody to a therapist is the anxiety or the exhaustion sitting on top of it. I work with professional adults with ADHD, online across Texas and in person in Dallas. Diagnosed at eight or wondering at forty eight, both doors are open.
Stop grading yourself on consistency.
You already know the pattern: a week where you move mountains, then a week you cannot explain to anyone, least of all yourself. If the standard you hold is sameness, every day at the same output, you have chosen the one race this brain cannot win, and the shame that follows does more damage than the missed deadline did.
You are not going to hold a flat line, and no amount of discipline will make you. What you can do is stop being surprised by your own week, and put the work that needs your best where your best tends to land. I have written more about what that looks like across a week.
Match the task to the wave, not the wave to the task.
Why it gets missed.
Ask an adult what ADHD has taken from them and they rarely say focus. They say the reputation that hardened around the missed replies, and the verdict of lazy that arrived years before the right explanation did.
This presentation hides well. What arrives in a room is usually the anxiety or the flatness sitting on top of it, because that is what is loudest and that is what the person came in for. The attention piece underneath can go years without being named, especially in somebody who has been compensating successfully since school. Naming it is most of the work, and it is the part treatment most often skips.
Systems that survive a bad week.
I am an active therapist, and we work on the week you are in. A meeting you are dreading, a project stalled at ninety percent, an inbox you stopped opening. We take one of those, find the place your current approach breaks, and build something you can test before we speak again.
What we build assumes the bad week rather than pretending it will not come: memory that lives outside your head, one calendar that tells the truth, plans with the collapse already priced in. Anything that only works when you are at your best is not a system, it is a mood. We also treat the anxiety and the sleep, because those are usually what make the ADHD feel unmanageable.
One more thing worth checking. In one longitudinal sample, almost half of adults diagnosed with ADHD also screened positive for autistic traits.1 If you need novelty and routine at the same time, and every system has failed you in both directions, that combination has a page of its own. You do not need a diagnosis to start either way, and here is how I think about that question.
I do not prescribe. That is useful to you.
It means I have no stake in the answer. Some of my clients do well on medication alongside therapy, some do well without it, and that decision belongs to you and your prescriber. It does not mean I am out of my depth when medication is on the table. I trained at Daughters of Charity alongside prescribers, and I know the psychotropic medications well: what each one can offer, what a wrong dose looks like, and which side effects deserve a phone call rather than a shrug.
You and I meet far more often, and for far longer, than the fifteen to thirty minutes a psychiatric appointment allows. If something shifts between med checks, I will usually see it first, and I bring it to your prescriber so they can decide what to do with it. They write the prescriptions. I make sure they are deciding from a full picture instead of a fifteen minute snapshot.
- Adamis D, et al. Coexistence of autism spectrum disorder traits in adults diagnosed with attention-deficit/hyperactivity disorder: longitudinal outcomes. Irish Journal of Psychological Medicine, 2025.
Work with the wave.
The first consultation is free, by phone or video, and there is nothing to prepare. A two line text is a perfectly good way to start. Online across Texas, in person in Dallas. Which wave keeps catching you?
Currently accepting new clients. I reply within 24 hours.