ADHD · Adults · Telehealth Therapy
You've done the work. Something still hasn't moved.
Most people who find their way to this practice have been in therapy before. Some of them have been in therapy for years. They've done the reading. They understand their diagnosis, sometimes better than the clinicians they've worked with. They've tried the strategies.
And something still hasn't shifted in the way they expected it to.
If that's where you are, I want to say something directly: the problem is almost never that you didn't try hard enough. In my experience, the people who are most stuck are often the ones who have tried the hardest. The problem is usually something in the picture that hasn't been fully seen or addressed.
Here's what that usually looks like.
The diagnosis is right. The treatment wasn't designed for it.
OCD is the most common example of this. OCD is frequently treated as anxiety, because it looks like anxiety and because most therapists were trained in anxiety treatment. General anxiety therapy can provide some relief, but it was designed for a different mechanism. It often makes OCD worse over time rather than better, because the approaches that help anxiety, reassurance, thought challenging, finding evidence against the fear, are the same things OCD uses to fuel the cycle.
ERP, Exposure and Response Prevention, is the treatment that actually interrupts OCD. Most people with OCD have never received it. Not because it doesn't exist, but because the clinician they worked with wasn't trained in it.
This isn't about finding fault with previous therapists. It's about recognizing that specific presentations require specific approaches, and that a good therapist working from the wrong framework still produces incomplete outcomes.
The treatment addressed the behavior. Not what was driving it.
Eating disorders are the clearest example of this. The behaviors that maintain an eating disorder are always doing something. Restriction provides control in a life that feels uncontrollable. Binge eating is often the one unstructured space in a life of relentless self-management. The food rules create certainty in a nervous system that craves it.
Treatment that changes the eating behavior without addressing what the behavior was managing tends to produce progress that doesn't hold. The behavior comes back because the function remains. Something else, usually something more disruptive, takes its place.
This isn't unique to eating disorders. It's a pattern across presentations. The behavior is the surface. What the behavior is doing is the thing that requires attention.
There's a layer underneath the diagnosis that never got named.
For a lot of adults, particularly adults who were high-functioning enough to compensate for a long time, the most impairing thing they're carrying isn't the diagnosis. It's the layer of meaning that built up around the years before the diagnosis.
Adults with ADHD who spent twenty years being told they weren't trying hard enough have usually built a thorough internal case for why they are the problem. That case doesn't reorganize itself when a diagnosis arrives. The diagnosis changes the explanation. It doesn't automatically reach the places where the old explanation has already settled.
Adults with OCD whose intrusive thoughts have never been fully disclosed, because disclosure felt more dangerous than the symptoms, are doing ERP on the presenting content while the most clinically relevant material stays hidden. The treatment works on what it can see.
Adults with eating disorders who have addressed the food behaviors without examining what the behaviors were managing find themselves with better eating patterns and the same underlying experience that made the eating disorders functional in the first place.
In each case, the layer underneath is usually shame. Not shame as a feeling to process, but shame as a maintaining factor, something that keeps the symptom cycle running after other parts of the treatment have done their work. It doesn't announce itself. It operates in the background, shaping what gets disclosed in therapy, what feels safe to change, and what feels too threatening to approach directly.
Two things happened at once and only one got treated.
OCD, ADHD, and eating disorders co-occur at rates that are high enough that it's genuinely unusual, in my practice, to see one without at least considering the others. When they appear together, they interact. The ADHD reduces the cognitive resources available to resist OCD compulsions. The OCD shapes the eating disorder's specific rigidity. The eating disorder's restriction interacts with ADHD in ways that affect mood, attention, and impulse regulation.
Split across providers who don't talk to each other, or treated sequentially rather than together, the interactions don't get addressed. Each provider sees their piece. Nobody is holding the full picture.
This practice was built specifically for that. Not because complex presentations are the only thing worth treating, but because they're the thing I understand most fully and the thing most likely to fall through the gap in standard care.
What's different here.
I'm not going to tell you that you'll definitely get unstuck if you work with me. That would be dishonest and you'd be right to be skeptical of it. What I can tell you is that the work here starts from a more complete picture than most people have had access to.
The intake is thorough because a complete picture matters. The treatment is specific because specific presentations require specific approaches. The coordination with other providers, dietitians, prescribers, happens when it's clinically warranted rather than as an afterthought.
And I will tell you directly if I think something isn't working or if your presentation calls for a different level of care. I'm not going to let you spend a year in weekly sessions doing work that isn't moving. If we're stuck, we name it and figure out why.
The fact that you've tried and not fully gotten there doesn't mean you're unfixable. It usually means the treatment was missing something that was genuinely hard to see.
What people come here navigating.
OCD that was treated as anxiety for years. ADHD that was diagnosed and medicated but still feels like it's running the show. Eating disorder treatment that produced real progress that didn't hold. Late diagnoses that explain everything and somehow haven't changed how the day-to-day feels. Two things happening at once that nobody has ever addressed together.
If any of that is familiar, that's what this practice is for.
Common questions.
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A: The honest answer is that it might not be. What I can offer is a specific clinical lens on the presentations I specialize in, and a willingness to look at what previous treatment may have missed. If the previous therapy was good but wasn't specifically designed for OCD, or didn't account for ADHD, or addressed eating behavior without the underlying function, those are specific gaps that specific treatment can address. If something else is operating, we'll figure that out in the intake.
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A: YNo. A lot of people who contact me aren't sure what they're dealing with. They know something isn't working and they know they've tried. That's enough to start. The intake is designed to build a clear picture together, not to confirm what you already know.
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A: That's actually the most common presentation I see. People who have received multiple diagnoses, multiple treatments, and are still not where they expected to be. The question isn't whether the diagnoses were right. It's whether the treatments accounted for how the pieces interact, and whether anything in the picture has been missed. That's where we start.
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A: I hear this often. The people who say it are usually the ones who have tried the hardest and been failed by treatment that wasn't specific enough. Complexity and treatment history don't make someone unfixable. They make the clinical picture more important to get right. That's something this practice is built for.
If this is where you are, reaching out costs nothing. The consultation is free and you don't have to have anything figured out before we talk.
Virtual · Licensed in CO · ID · SC · Currently accepting new clients