ADHD Therapy in NYC and Online

You can run the meeting, hit the deadline and still lose a whole Sunday to one email you couldn't make yourself open. People call you organized. You know what it costs you.

Adult ADHD rarely looks like the kid bouncing off the walls. More often it looks like overpreparing, overthinking, and a quiet sense that everything takes you twice the effort it takes everyone else. We help adults, teens and kids work with their brains instead of against them, in Midtown Manhattan, in Port Washington and online.

Book a free 15-minute consultation

What ADHD can look like in adults

Knowing exactly what to do and still not being able to start
Four hours of hyperfocus on the wrong thing, then panic
Perfectionism as a survival strategy: if it's flawless, no one sees how hard it was
Losing track of time, keys, conversations, the thread of your own sentence
Feeling things fast and hard, especially criticism
Burnout that a weekend off doesn't touch
A diagnosis that came late, or hasn't come at all

Many of our clients, especially women, spent years being told it was anxiety, or that they just needed to try harder. Sometimes it is anxiety. Sometimes it's both. Sorting that out is part of the work.

When high achievement hides ADHD

Masking is the full-time job of looking fine. The color-coded calendar. The three alarms. Rereading every email before you hit send. It works, right up until it doesn't, and the crash usually gets blamed on stress.

If that sounds familiar, our founder wrote about it in The Perfectionism Paradox, and Sam Sundborg goes deeper on masking and burnout in The Heavy Invisible Noise.

How therapy helps with ADHD

Willpower isn't the fix. Systems that fit how your brain actually works, and a lot less shame, usually are.

Practical strategies. CBT adapted for adult ADHD: getting started, planning, time, and the tasks you keep circling.
Untangling ADHD from anxiety and perfectionism. They feed each other. Pulling them apart takes pressure off both.
Emotional regulation. DBT skills for the big, fast feelings that come with ADHD and rarely get talked about.
Support for the people around you. Partners, and parents of kids and teens with ADHD.
Coordination with your prescriber. Our therapists don't prescribe medication, but we're glad to work alongside your psychiatrist or doctor.

Wondering if it's ADHD?

You don't need a diagnosis to start therapy. Plenty of people come in with a hunch and a list of examples, and that's enough.

If you want a formal evaluation, we coordinate psychological testing through our partner, United Assessments, so the results feed straight into your care. Learn about testing.

Therapists who treat ADHD

Everyone on our team treats ADHD, our founder included. Here are some of the clinicians you might be matched with, or meet the whole team.

Alexis Sturnick, LCSW, PMH-C

Our founder. Online in NY, FL, NJ and more. Treats ADHD alongside anxiety, perfectionism and disordered eating.

Kristine DiLorenzo, LMHC, NCC

Online in NY, FL, NJ and PA. Works with young adults caught in people pleasing, perfectionism, ADHD or anxiety, using mindfulness alongside CBT and ACT.

Patsy Iannico, MS, LMHC

Online in NY, FL and NJ. Works with high achievers, athletes and caregivers dealing with burnout and perfectionism.

Micaela Schiff, LCSW

In person in Midtown Manhattan. Trained by the Beck Institute in CBT, with years of work with individuals, couples and families.

Lily Dumas, MA, MHC-LP

Online in NY and FL. Holds a degree in cognitive neuroscience and works with students, athletes and professionals whose worth got tied to performance.

Samantha Sundborg, LMSW

Online in NY, FL and AK. Works with teens and young adults, pairing IFS with practical CBT and DBT tools.

Dr. Lauren Hoffman, LCSW, PhD

In person in Port Washington. DBT-certified, working with kids, teens and adults.

Leor Wasser, LCSW

In person in Midtown Manhattan. EMDR-trained, for adults whose ADHD comes tangled up with anxiety, burnout or trauma.

David Rachman, MS, LMSW

In person in Midtown Manhattan. Works with kids, teens and adults, blending IFS and somatic work.

Not sure who fits? Tell us a little about what's going on and we'll match you.

ADHD in kids and teens

Lauren Hoffman, Sam Sundborg and David Rachman work with children, and many of our therapists see teens. For younger clients, parents are part of the process, because the strategies only stick if they work at home too.

In person or online

Therapy room at our Midtown Manhattan office, with a mustard velvet loveseat and soft lighting — Midtown Manhattan

Therapy room at our Port Washington office, with a teal sofa and warm floor lamp — Port Washington

Midtown Manhattan: a quiet office a short walk from Grand Central and Bryant Park.

Port Washington: in-person sessions on Long Island's North Shore.

Online: secure video sessions in NY, FL, NJ, CT, DE, DC, ME, MA, PA, OH, AK, CO, IL, TX, VA, SC and VT. Not every therapist is licensed in every state, so we'll match you with one who is.

ADHD therapy FAQ

Is perfectionism a sign of ADHD?

It can be. Many adults with ADHD lean on perfectionism to compensate: overpreparing, overchecking, holding themselves to impossible standards so nothing slips. Perfectionism on its own isn't a symptom, though, and plenty of perfectionists don't have ADHD. A therapist can help you figure out what's driving it.

Can you be a perfectionist and have ADHD?

Yes. It's especially common in high-achieving women, whose ADHD often goes unnoticed for years because the perfectionism hides it.

What is ADHD masking?

Masking means working hard to hide ADHD traits so you look organized and on top of things. It often involves elaborate systems, constant self-monitoring and a lot of energy spent behind the scenes. Over time it tends to lead to exhaustion and burnout.

Do I need an ADHD diagnosis to start therapy?

No. You can start therapy without one. If you'd like a formal evaluation, we coordinate psychological testing through our partner, United Assessments.

Do your therapists prescribe ADHD medication?

No. Our therapists provide psychotherapy and don't prescribe. If you take medication or are considering it, we're glad to coordinate with your psychiatrist or doctor.

Does therapy help adult ADHD?

Yes. CBT adapted for adult ADHD has solid research support, and many people do well combining therapy with medication. Therapy also helps with what often comes along with ADHD, like anxiety, low self-esteem and burnout.

Can I use my insurance?

Many of our clients use out-of-network benefits, and we provide monthly superbills to make reimbursement easier. We're in network with Northwell Direct, and some of our therapists are in network with other plans. We'll help you figure out your options during your free consultation. See cost and insurance details.

Less friction. Less self-blame.

Book a free 15-minute consultation and we'll match you with a therapist who gets how your brain works.