ADHD therapy across Texas,
for attention that moves in waves.
Attention with ADHD is not a flat line that came out too low. It rises and falls all day, and most of the damage comes from working against that motion instead of with 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.
Sailors never got to choose the sea. They learned the currents and planned the crossing around them. That is the working stance here: read the wave, and match the task to it, instead of grading yourself against a line that was never going to hold flat.
Match the task to the wave, not the wave to the task.
The costly part
is rarely the attention.
Ask an adult what ADHD has actually taken from them and they rarely say focus. They say the reputation that calcified around the missed replies. The relationships that absorbed the forgetting. The private ledger of near misses that hardened into anxiety, and the verdict of lazy that arrived years before the right explanation did. Treatment that only chases attention misses the part that does the most damage.
The unglamorous foundations count too. Most of the people I work with sleep badly, and it quietly undoes everything else we build. That gets addressed directly, not as an afterthought.
Learn the currents. Plan the crossing.
Systems that survive a bad week.
I am an active therapist. We take real problems from your actual week, pull them apart, and build something you can test before we talk again. The systems we build assume the collapse instead of pretending it will not come: memory that lives outside your head, one calendar that tells the truth, plans with the bad week already priced in. A system that only works on good weeks is not a system. And we treat the anxiety and depression that usually rode in alongside, because they are most of what makes 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 productivity system has failed you in both directions, that combination has a page of its own.
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.
Here is why that matters. 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. No diagnosis is required to start here, and if getting one matters for your plans, here is how I think about that question.
- 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?