ADHD & Autism Therapy

We do not accept insurance. However, we will provide you with a medical receipt (aka: a superbill) that you can use to submit your claims to your insurance. You can also use your FSA/HSA for our appointments.

Please see our full fee details here.

Short version: they're deeply connected, but it's usually less "A causes B" and more "these two keep feeding each other." Adults with ADHD are significantly more likely to experience depression than people without it, and there are a few reasons why.

The one we see most is depression that grows out of years of unsupported ADHD. When you've spent a lifetime working twice as hard for half the credit (missing deadlines you genuinely cared about, getting called lazy or careless, masking constantly, bracing for the next bit of rejection) it wears down your sense of self. That slow erosion is fertile ground for depression. Living undiagnosed and unsupported in a world that wasn't built for you is genuinely depleting.

There's also real overlap in the symptoms themselves. Low motivation, trouble concentrating, exhaustion, and disrupted sleep show up in both; which is exactly why some people get treated for depression for years, never quite get better, and only later find out ADHD was part of the picture all along. And once depression sets in, it tends to amplify ADHD symptoms, making focus and follow-through even harder.

The good news is you don't have to perfectly separate the two to start feeling better. We treat the whole picture (the brain, burnout, and shame underneath) so the relief is real, not just symptom whack-a-mole.

Occupational therapists are often the right referral for a formal sensory assessment and for direct sensory work, like sensory integration therapy. If that's what you need, we'll gladly point you toward a good one.

Worth knowing: "Sensory Processing Disorder" isn't actually a standalone diagnosis in the DSM, but the experiences are very real and well-documented, sensory differences are written right into the autism criteria, and the debate over the label is part of why OTs handle the assessment side.

But here's where talk therapy comes in — especially the somatic, nervous-system-based work we do. We're not changing the volume of the input so much as changing your relationship to it and your capacity around it. That looks like:

• Catching overload earlier. Somatic work builds interoception (your ability to feel what's happening in your body) so you can notice you're nearing your limit before you hit full meltdown or shutdown.

• Recovering from a dysregulated nervous system. A sensory meltdown isn't a character flaw; it's a flooded nervous system. Somatic Experiencing works directly with that system so you can come back down and recover faster.

• Unlearning the "push through it" reflex. So many neurodivergent people override their sensory limits to seem fine, and they pay for it later in burnout. We help you stop overriding and start trusting what your body is telling you.

• Dropping the shame. If you grew up being called "too sensitive" or "dramatic," there's usually a layer of self-blame to unwind. Your sensitivity isn't a defect to apologize for.

• Advocating for your needs. Naming what helps and asking for it without apology.

In short: OT tends to address the sensory input; therapy addresses what your nervous system, your emotions, and your sense of self do in response to it. At their best, the two work side by side.

"Combined type" means you meet the criteria for both the inattentive side and the hyperactive-impulsive side. So you get the daydreamy, lose-your-keys, can't-start-the-task experience and the restless, fidgety, blurt-it-out, hard-to-wait experience at the same time. No wonder it feels like a lot.

In practice it tends to look like:

• Inattention: losing focus mid-sentence, getting pulled away by every shiny thing, mistakes on stuff you genuinely know, a graveyard of half-finished projects.

• Hyperactivity-impulsivity: physical restlessness, a motor that won't idle, interrupting because you'll lose the thought if you wait, saying yes (or buying the thing) before the slower part of your brain catches up.

Put those two together and the ordinary parts of life, like focusing, staying organized, and managing your energy, can feel very overwhelming.

Here's what's actually at the heart of how we work with it:

• Self-compassion, top-down and bottom-up. Top-down means loosening the "I'm lazy / I'm a mess" stories. Bottom-up means working through the body sensations, because shame shows up there too, not just in your thoughts.

• Values-driven goals. Before we touch a single system, we figure out what actually matters to you, and start there. Motivation is a lot easier to find when the goal is genuinely yours instead of someone else's idea of "having it together."

• Emotion regulation that fits an ADHD nervous system. Tools for the 0-to-100 intensity, rejection sensitivity, and overwhelm, withOUT asking you to flatten your feelings to get there.

• Executive-function scaffolding, not willpower. We build external supports, like externalized reminders, body-doubling, friction-reduction, and time-perception workarounds, so follow-through doesn't hinge on you white-knuckling it.

• Working with your attention, not against it. ADHD brains run on interest, novelty, and urgency. Rather than forcing neurotypical focus, we design around how your attention actually engages.

• Understanding impulsivity instead of just suppressing it. We look at where that fast, spontaneous wiring costs you and build a pause where it helps all while keeping the parts that make you quick, creative, and genuinely fun to be around.

That's incredibly common, and it usually isn't a you problem. A lot of neurodivergent people have sat through therapy that assumed a neurotypical brain: "just make a schedule," "try harder," "manage your stress better," advice that never accounted for how your brain is wired or what it might need in order to achieve those tips in the first place.

When the approach doesn't fit, it can leave you feeling even more broken than when you walked in.

We start from the opposite assumption: your brain isn't the problem to be corrected. If past therapy felt like being asked to mask in the one room you came to stop masking, this work will feel very different.