ADHD therapy for adults who've been compensating for years.
Diagnosed late, or not yet. For people who've been smart enough to hide it and are tired of the effort it takes.
What ADHD looks like in someone who's doing well on paper
High-achieving adults with ADHD get missed because the compensation works, often for decades. Things I hear:
- Your best work happens at 1am in a hyperfocus. The routine tickets at 10am take all day.
- Twelve tabs open, four half-finished pull requests, and one you've been avoiding for a week.
- The hard, interesting problem gets done. The expense report doesn't.
- Meetings drift past you and you reconstruct them afterward from Slack.
- You were diagnosed in your thirties and are now re-reading twenty years of report cards that said "so much potential."
- Medication helped with focus. It didn't touch the shame, the sensitivity to criticism, or the effect on your relationships.
- You've built elaborate systems to keep it together, and maintaining them is its own job.
If you don't have a diagnosis and think you might need one, we can talk through what an evaluation involves and who to see.
Why tech is full of undiagnosed ADHD
Software work rewards the things ADHD is good at: intense focus on novel problems, pattern recognition, tolerance for chaos, and pulling an all-nighter when something is interesting. For a long time that's enough to cover the rest.
Then the job changes. A promotion adds coordination, documentation, and follow-through. A move into management swaps interesting problems for recurring ones. A founder finds the company now needs operational discipline they've never had. The strengths stop covering for the gaps, and people who have never struggled at work suddenly are.
I've worked with a lot of people in tech through this particular transition, and it's treatable.
How I work with ADHD
I'm a psychologist, not a prescriber. If medication is part of your plan I'll coordinate with your psychiatrist, and if you need one I can point you to a few. Therapy handles what medication doesn't.
That means building executive-function systems around how your brain works instead of against it, and then dealing with the emotional layer: the shame that built up over years of near misses, the sensitivity that turns a neutral code review into a bad night, and the strain on the people who've been picking up the slack.
We also work on the practical career side. Whether and how to talk to your manager. What accommodations look like at a tech company without making it a whole thing. How to shape a role so it plays to your strengths.
More About MePrivate, out of network, and less complicated than it sounds.
I don't bill insurance, so nothing about your therapy reaches an insurer, an employer, or a background check. Most of my clients use out-of-network benefits. I provide a superbill after each session, and the plans common at tech companies often reimburse a large share of the $200 fee. Sessions are HSA and FSA eligible.
In person in Midtown Manhattan, or by secure video from anywhere in New York State. See fees and a worked reimbursement example.
Questions people ask before reaching out
My focus is therapy rather than formal testing. If you need a diagnostic evaluation I can describe what's involved and refer you to someone who does them well. If you already have a diagnosis we can start right away.
No. Psychologists in New York don't prescribe. I work alongside psychiatrists and psychiatric nurse practitioners regularly and can coordinate with yours or help you find one.
The books give you systems. Therapy addresses why the systems keep collapsing, which is rarely a knowledge problem. Usually it's shame, avoidance, or a system designed for someone else's brain.