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ADHD

ADHD affects focus, impulse control, and the ability to follow through, but it looks different in every person. Accurate assessment and the right support can make a meaningful difference in daily life.

Table of Contents

Common Signs of ADHD

ADHD presents differently from person to person and can look quite different in children versus adults, and in different genders. Common signs include:

  • Difficulty sustaining attention on tasks, especially those that are repetitive or low-stimulation
  • Frequently losing items, forgetting responsibilities, or missing deadlines
  • Acting before thinking — interrupting others, making impulsive decisions, or difficulty waiting
  • Hyperactivity — restlessness, difficulty sitting still, or a constant need to be moving (more common in children)
  • Inattentive presentation — appearing to daydream, missing details, or struggling to follow through without the hyperactivity component (often missed, particularly in girls and women)
  • Difficulty starting tasks, even when motivated — often mistaken for laziness
  • Emotional dysregulation — intense reactions, low frustration tolerance, or sensitivity to rejection (Rejection Sensitive Dysphoria)
  • Inconsistent performance — excelling in high-interest areas while struggling significantly in others

How ADHD Can Affect Daily Life

ADHD affects far more than attention. It can impact academic and professional performance, relationships, self-esteem, and the ability to manage everyday responsibilities. Children with unaddressed ADHD may fall behind academically, struggle socially, and develop a negative self-image from years of being told they are not trying hard enough. Adults may experience chronic underachievement, relationship strain, financial disorganization, or burnout. Many people with ADHD carry significant shame — not because of lack of effort, but because the world has not always understood how their brain works.

When to Seek Therapy for ADHD

Consider reaching out if:

  • Attention, organization, or impulse control difficulties are consistently affecting school, work, or relationships
  • A child’s teacher is raising concerns about focus, behavior, or task completion
  • You suspect ADHD but have never received a formal evaluation
  • You have a diagnosis but have not found strategies that work for you
  • Emotional dysregulation, low self-esteem, or anxiety related to ADHD is affecting quality of life
  • You are an adult who was never diagnosed but recognizes these patterns throughout your life
  • Medication alone is not providing sufficient support and you want therapeutic strategies alongside it

How Therapy Can Help with ADHD

Therapy for ADHD goes beyond symptom management. It helps clients understand how their brain works, build practical skills for daily functioning, address the emotional impact of living with ADHD — including shame, frustration, and self-doubt — and develop strategies that are tailored to their specific profile. Therapy is particularly valuable because it addresses what medication cannot: the learned patterns, relational dynamics, and emotional wounds that accumulate over years of struggling without adequate support.

Our Approach to ADHD Therapy

At Dr. Inzinna Psychological Services, our approach to ADHD is comprehensive, strengths-based, and deeply informed by lived experience. Our Director of Assessment, Dr. Bret Boatwright, Psy.D., is himself a neurodivergent professional with extensive expertise in ADHD and neurodivergence — bringing both clinical knowledge and genuine understanding to his work. Treatment may draw from:

  • Cognitive Behavioral Therapy (CBT): Addresses the negative thought patterns, avoidance behaviors, and executive functioning challenges associated with ADHD
  • Psychodynamic Psychotherapy: Explores how years of struggling with ADHD have shaped identity, relationships, and self-worth
  • Executive Functioning Coaching: Practical, skill-based support for organization, time management, task initiation, and planning
  • DBT: Builds skills in emotional regulation and distress tolerance — particularly helpful for managing rejection sensitivity and impulsivity
  • Mindfulness-Based Approaches: Support sustained attention, self-awareness, and present-moment grounding
  • Behavioral Parent Training: For families of children with ADHD, equipping parents with strategies that reduce conflict and build on their child’s strengths

We also offer comprehensive psychological assessments for children, teens, and adults who have never received a formal ADHD diagnosis — providing clarity, validation, and a roadmap for support.

ADHD Therapy for Children, Teens, and Adults

ADHD Therapy for Children: Children with ADHD are not misbehaving — they are struggling with skills their brains have not yet fully developed. We work with children to build executive functioning skills, emotional regulation, and self-awareness in age-appropriate, engaging ways. Parents are essential partners in treatment, and we provide guidance and coaching to help families create structure and connection at home. When appropriate, we collaborate with schools to advocate for accommodations and ensure the child’s needs are understood in the classroom.

ADHD Therapy for Teens: Adolescence brings new academic and social demands that can significantly amplify ADHD challenges. Teens may be managing increased homework, more complex social dynamics, and growing pressure to perform — all while their executive functioning systems are still developing. We provide a nonjudgmental space for teens to understand their ADHD, build practical strategies, and work through the identity and self-esteem challenges that often accompany years of feeling different or falling short.

ADHD Therapy for Adults: Many adults with ADHD were never diagnosed as children — particularly women, who often present with inattentive symptoms that are easier to overlook. Adults may have spent decades developing workarounds, pushing through with sheer effort, or internalizing the belief that they are disorganized, unreliable, or not living up to their potential. Therapy helps adults understand their ADHD, shed unwarranted shame, build sustainable systems, and finally feel like themselves in their work and relationships.

ADHD and Related Concerns

ADHD frequently co-occurs with or contributes to:

  • Anxiety disorders
  • Depression
  • Executive functioning challenges
  • Learning disabilities
  • Oppositional Defiant Disorder (ODD) in children
  • Rejection Sensitive Dysphoria (RSD)
  • Sleep difficulties
  • Substance use
  • Relationship difficulties
  • Low self-esteem and chronic shame

What to Expect in ADHD Therapy

Your first session is an opportunity to share your experience and begin building a relationship with your therapist. For clients who have not yet been evaluated, we may recommend a comprehensive psychological assessment to confirm the diagnosis and clarify your specific profile. From there, sessions are collaborative and practical — focused on building skills, understanding patterns, and working through the emotional dimensions of living with ADHD. Treatment is paced to your needs and adjusted as you make progress.

Is ADHD Therapy Right for You?

If ADHD — diagnosed or suspected — is affecting your daily functioning, relationships, or sense of self, therapy can help. You do not need to be struggling in every area of life to benefit. Many people with ADHD are high-functioning in some domains while quietly overwhelmed in others. Wherever you are, there is support available that can make a real difference.

Why Choose Inzinna Therapy Group?

We are a clinician-owned, insurance-accepting practice on the Upper East Side of Manhattan with deep expertise in ADHD and neurodivergence. Our team includes Dr. Bret Boatwright, a neurodivergent psychologist and our Director of Assessment, who brings both clinical rigor and lived understanding to every evaluation and treatment relationship. We offer therapy, executive functioning coaching, and comprehensive psychological assessments — all under one roof. We accept United Healthcare, Aetna, Oscar, and Oxford,

Schedule ADHD Therapy in NYC 

We offer in-person sessions at our Upper East Side office and secure telehealth throughout New York State. Contact us at [email protected]

Meet Inzinna Psychological Group

Inzinna Psychological Services is a team of licensed mental health professionals specializing in evidence-based treatment for anxiety disorders and other mental health conditions. Our understanding-first approach ensures you feel heard and supported throughout your therapeutic journey.

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Common Questions About ADHD

Here are answers to the most frequently asked questions about ADHD.

ADHD looks different across ages. Children more often show hyperactivity and behavioral challenges that draw attention from teachers and parents, while adults tend to struggle with organization, time management, chronic underachievement, and emotional regulation. Many adults, particularly women, were never diagnosed as children because their symptoms were quieter and easier to overlook. If you recognize these patterns in yourself or your child, a formal evaluation can provide clarity and a clear path forward.

Yes. Medication can be an important part of ADHD treatment, but it does not address everything. Therapy helps clients build practical skills for daily functioning, work through learned patterns of shame or avoidance, and develop strategies that are tailored to their specific profile. Many people find that therapy alongside medication provides a level of support that neither offers on its own.

Treatment is individualized based on each client's needs and may draw from Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), psychodynamic psychotherapy, executive functioning coaching, and mindfulness-based approaches. For families of children with ADHD, Behavioral Parent Training is also available. Your therapist will work with you to identify which combination is the best fit.

No. You can begin therapy whether you have a prior diagnosis or simply suspect ADHD may be affecting your life. For clients who have not yet been evaluated, the practice offers comprehensive psychological assessments for children, teens, and adults to confirm a diagnosis and clarify your specific profile. Many people find that getting that clarity is itself an important first step.

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