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ADHD Therapy

You're not lazy. You're not broken. You're just exhausted from trying to fit into a world that wasn't built for your brain.

The short version

ADHD in adults often affects attention, executive functioning, emotional regulation, time management, relationships, motivation, and self-worth. Whether you've known you were neurodivergent for years, recently received a diagnosis, or are still figuring it out, therapy can help you better understand how your brain works and build strategies that actually fit your life.

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Many adults with ADHD carry years of shame, burnout, anxiety, self-criticism, or feeling misunderstood. Together, we'll explore both the practical challenges of ADHD and the emotional weight that often builds up around them so your brain begins to feel less like something you're constantly fighting and more like something you know how to work with.

I have ADHD myself, and I know what it's like to be fully aware of what you're capable of while watching yourself struggle with things that seem effortless for others. I don’t approach ADHD as a personal failing or deficit to fix, but as a different way of operating that comes with some real frustrations and real strengths.

Common Patterns

Executive Dysfunction

ADHD can affect task initiation, organization, memory, prioritization, task breakdown, switching tasks, follow-through, and the ability to manage responsibilities consistently. These aren't character flaws, even if they've been treated that way forever.

Emotional Overwhelm

Many adults with ADHD experience emotional intensity, rejection sensitivity, anxiety, burnout, frustration, overwhelm, cycles of shame, emotional dysregulation, years of overcompensating, masking, or relying on anxiety to stay afloat.

Time Management

ADHD often affects time perception, impulse control, hyperfocus, decision-making, and transitions between tasks. Many adults experience time blindness, chronic lateness, difficulty estimating time, or feeling constantly behind.

ADHD in adults can look like unopened mail piling up for weeks, getting stuck in hyperfocus and forgetting to eat, avoiding tasks until they feel impossible to start, losing track of time constantly, or feeling overwhelmed by responsibilities that seem easy for other people.

How I Work with ADHD

Therapy for ADHD involves both practical support and deeper emotional work. In sessions, we'll look at how ADHD shows up specifically for you, including patterns around focus, overwhelm, routines, relationships, avoidance, motivation, and nervous system regulation that can easily become overloaded or dysregulated.

 

Rather than forcing rigid systems that don't stick, we'll work toward approaches that are realistic, sustainable, and tailored to how you and your attention actually function. That may include environmental structure, task batching, emotional regulation tools, habit support, or understanding the patterns underneath procrastination and avoidance.

We'll also explore the emotional impact ADHD can have over time, including shame, fear of failure, perfectionism, burnout, or internalized beliefs about productivity and self-worth. If substance use or compulsive behaviors developed as coping strategies, we'll work on that too.

 

The approaches I draw on most include psychodynamic therapy, which looks at the deeper emotional patterns underneath behavior, cognitive behavioral therapy (CBT) for practical tools and thought patterns, emotion-focused therapy (EFT) and accelerated experiential dynamic psychotherapy (AEDP) for working with emotional experience more directly, and internal family systems (IFS) for understanding the different parts of yourself that show up around ADHD.

What Therapy Can Help With

Daily Functioning

Build tools for executive functioning, task initiation, routines, time management, and reducing the overwhelm that tends to accumulate when those things consistently feel harder than they should.

Emotional Patterns

Understand rejection sensitivity, emotional regulation, burnout, self-criticism, anxiety, and the emotional weight ADHD can create over time.

Self Understanding

Many adults with ADHD spend years without understanding how much of their experience actually connects to ADHD, and how to separate the ADHD patterns from the stories built around them.

​DC LICSW # LC200004425

MD LCSW-C # 32747
VA LCSW # 0904019292

IL LCSW # 149031601

MA LICSW # LICSW1144075

Megan Goldberg, LICSW, LCSW-C, LCSW

megan@megangoldbergtherapy.com

1350 Connecticut Ave NW, Washington, DC 20036

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