Therapy for ADHD
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You’re capable. You’re driven.
And something still feels harder than it “should."

The vast majority of my caseload are ADHD clients and they are some of the most driven, ambitious, passionate humans I have the privilege of working with. That word deficit in Attention Deficit Disorder? I think of it as a massive misnomer. For most of my clients, it’s less about a lack of attention and more about an abundance of it that’s hard to direct where they want or where the world tells them it “should” go.

On the outside, your life may look well-functioning, even successful. You’re thoughtful, insightful, deeply passionate about the things you love. And yet, internally, ADHD can feel like:

  • A constant tension between what you intend to do and what actually happens
  • Cycles of intense hyper focus and output followed by crash and burnout
  • Forgetfulness that creates real consequences, especially in relationships
  • Emotional intensity that’s hard to regulate in the moment
  • A quiet, accumulating shame around your capacity your worth

Many of my clients grew up in an era Millennial and Gen X especially where ADHD was discussed but flattened down to “hyperactive kid” or “trouble focusing in class.” The complexity was entirely missed. And so they were missed. Now they’re adults carrying core beliefs about not being enough, not trying hard enough, being “too much” or “inconsistent” when the truth is, no one ever gave them the full picture.

That full picture? ADHD impacts every domain of life relationships, mood, intimacy, eating habits, friendships, wo

Man holding his head in distress, illustrating emotional burnout and mental overload

ADHD isn’t just about attention it’s about regulation

ADHD affects:

  • Attention and task initiation
  • Working memory and follow-through
  • Emotional regulation
  • Nervous system activation
  • Relational patterns and attachment dynamics

For many adults, especially high-functioning individuals, ADHD doesn’t look like chaos. It looks like invisible strain.

You may be:

  • Overcompensating to keep things together
  • Relying on urgency or pressure to function
  • Experiencing strong emotional reactions you can’t “think your way out of”
  • Feeling deeply affected by relational ruptures, rejection, or perceived disappointment

This is not a character issue. It’s a nervous system pattern and one that can be understood and worked with.

Women & ADHD: The Diagnosis That Keeps Getting Missed

More and more women are walking into my office— some completely unaware they’re presenting with ADHD, others carrying a diagnosis that was never connected to the suffering they’ve lived with for years. For so long, ADHD research centered almost exclusively on young boys. Women were left to wonder why everything felt so hard while they appeared to be holding it all together.

This is not a coincidence. It is a systemic failure.

What we now understand is that ADHD in women is not just underdiagnosed, it is biologically distinct in ways that medicine is only beginning to fully reckon with. At the heart of this is one word: estrogen.

Estrogen directly modulates dopamine, the neurotransmitter most central to ADHD, attention, and executive function. Higher levels of estrogen are linked to enhanced executive function and attention, while low or fluctuating estrogen is associated with cognitive deficits and neuropsychiatric disruption. (ADDitude) For women with ADHD, whose dopamine systems are already dysregulated, hormonal fluctuations across the lifespan don’t just create new symptoms, they amplify everything that was already there.

Perimenopause

As a therapist who supports many millennial and Gen X neurodivergent clients, the role of perimenopause is becoming increasingly central to my therapeutic work. Perimenopausal symptoms in women with ADHD are more severe and can begin up to a decade earlier than in women without ADHD. (ADDitude) The coping systems, structures, and sheer willpower that women spent decades building to manage their ADHD can start to buckle. This is not because they’ve gotten weaker, but because hormonal changes can amplify symptoms and render strategies that once worked ineffective, prompting many women to finally seek answers for challenges they’ve faced their entire lives. (ADDA)

Many of these women were never diagnosed with ADHD. They were diagnosed with anxiety, depression, OCD, or burnout instead. Often repeatedly, over many years. Perimenopause didn’t create their ADHD. It unmasked it.

Pregnancy & Postpartum

The perinatal window is equally significant. Hormonal shifts during pregnancy are dramatic and directional: rising estrogen levels during the second and third trimesters tend to lessen ADHD symptoms for some women, while the sharp drop in estrogen and progesterone following delivery can cause symptoms to surge again

The postpartum period, in particular, carries serious implications. A 2023 Swedish study found that 16.8% of women with a pre-pregnancy ADHD diagnosis were subsequently diagnosed with postpartum depression,a prevalence five times higher than women without ADHD. The same study found that 24.92% of women with ADHD developed postpartum anxiety disorders. These are not mild statistical differences. They represent a population of women who are being profoundly underserved at one of the most vulnerable moments of their lives.

The convergence of historical diagnostic bias, the lack of routine screening, and significant gaps in research has created a self-reinforcing cycle that perpetuates inadequate care for neurodivergent mothers.

Woman lying on a couch appearing physically and emotionally exhausted, representing ADHD burnout

My approach to ADHD therapy

I work from an attachment-based, trauma-informed lens, integrating:

This means we’re not just working on surface-level strategies like planners or routines.

We’re working on:

1. Regulation first

Before productivity, before optimization—we focus on your ability to stay grounded, present, and emotionally regulated.

2. Understanding your patterns

We map how ADHD shows up in your:

  • Work and performance
  • Relationships
  • Self-concept and identity
Person sitting in a messy home environment looking overwhelmed, representing ADHD-related stress and disorganization

3. Reducing shame

Many adults with ADHD carry years of internalized messaging.
Therapy becomes a space to unpack—and shift—that narrative.

4. Building systems that actually work for your brain

Not rigid structures that collapse after a week—
but adaptive systems that align with how you naturally function.

Woman sitting on the floor using a laptop with color palettes, representing ADHD hyperfocus and creativity

ADHD and relationships

Even in individual therapy, we often explore how ADHD impacts your relationships.

This might include:

  • Forgetting things that matter to your partner
  • Struggling with follow-through or consistency
  • Emotional reactivity during conflict
  • Feeling misunderstood or criticized
  • Difficulty repairing after disconnection

ADHD doesn’t just affect your internal world—it shapes relational dynamics.

If this is a primary concern, you may also be interested in Neurodivergent Couples Therapy

You might be a good fit for ADHD therapy if:

  • You’ve been diagnosed with ADHD—or strongly suspect it
  • You identify as high-functioning but internally overwhelmed
  • You struggle with emotional regulation, not just focus
  • You’ve tried productivity systems that don’t stick
  • You want depth-oriented work, not just surface-level coaching
  • You’re ready to understand your patterns—not fight against them

ADHD in high performers

Many of my clients are:

ADHD in these contexts often goes unnoticed—
because performance is still high.

But the effort required to maintain that performance can be unsustainable.

Therapy helps reduce that internal load.

What ADHD therapy can help you with

  • Emotional regulation and reactivity
  • Follow-through and task completion
  • Reducing cycles of burnout
  • Navigating shame and self-criticism
  • Improving relationship patterns
  • Creating sustainable structure and systems
  • Feeling more in control of your attention and energy

ADHD Is Also a Superpower, But It Comes at a Cost

Here’s what I want you to hear: ADHD allows people to feel deeply, to enter flow states, to generate and create at a pace most people can’t touch. That is real, and it is remarkable.

But often, at a cost. And that cost deserves real attention.

This is where ADHD is still so widely misunderstood. You may have been told you’re doing exceptionally well, while privately feeling like you’re barely holding things together. That gap between how you appear and how you actually feel, is exhausting in a way that’s hard to put into words.

This is exactly where our work begins.

Location & availability

I offer:

  • In-person therapy in Pasadena, CA
  • Virtual therapy across California

Start here

If you’re looking for a thoughtful, in-depth approach to ADHD
one that respects both your intelligence and your nervous system

I invite you to schedule a consultation.

👉 Book a Consultation

Danielle Palomares, trauma therapist, in her Pasadena office