Practical, structured sessions built around how you actually think. Not generic advice about making lists and trying harder, but real strategies designed for the ADHD experience, delivered by a psychologist who specializes in it.
Telehealth across Oregon • Insurance accepted • No waitlist
Your experience is unique. The strategies that help you need to match your specific reality, not a textbook description.
Planning, prioritizing, starting, and finishing tasks. For ADHD brains, the issue is not motivation. It is activation. We build strategies around how your executive function actually works so the daily infrastructure runs smoother. This includes everything from task initiation techniques to project management systems designed for ADHD.
Deadlines feel abstract until they are immediate. Five minutes and two hours can feel indistinguishable. We teach time-management tools specifically designed for ADHD brains, not the standard calendar advice that has never worked for you, but strategies that account for how you actually experience time.
Quick frustration, sensitivity to feedback, emotional swings that seem disproportionate. Emotional dysregulation is one of the most impactful and least talked-about aspects of ADHD. Therapy helps you steady the emotional side so your reactions match the situation and your relationships reflect who you actually are.
Follow-through, attention during conversations, reliability, remembering important dates. ADHD affects relationships in ways that can be frustrating for everyone involved. Therapy helps your relationships reflect your actual intentions instead of your executive function challenges.
Years, sometimes decades, of compensating, masking, and white-knuckling through daily life take a real toll. ADHD burnout is its own thing, and it needs to be addressed directly. We help you build sustainable strategies so you are not running on fumes.
You know exactly what to do. Getting started is the hard part. This is one of the most universal ADHD experiences, and it is not about willpower. We use specific strategies that bridge the gap between intention and action, strategies that account for how ADHD brains initiate tasks.
Structured, practical, and adapted to how your brain actually works. Every strategy is designed for the ADHD experience specifically.
Standard CBT was not built for ADHD brains. Our approach adapts it with shorter exercises, more concrete strategies, built-in accountability, and a focus on the specific thought patterns that ADHD creates (like catastrophizing about deadlines or all-or-nothing thinking about productivity). Session by session, you build strategies that compound.
Task initiation, time management, organization, prioritization, and follow-through. We do not just talk about these. We build specific, personalized systems during sessions and troubleshoot them in real time. These are strategies designed for how your brain handles (or does not handle) daily infrastructure.
We understand how ADHD works. We know that good intentions do not automatically translate to action, and that external accountability can be the bridge. We build accountability structures into therapy that support you without being rigid or punishing.
ADHD almost never shows up alone. Anxiety, depression, perfectionism, relationship stress, and burnout all interact with ADHD and often need to be addressed together. Luke treats the whole situation, not just one piece of it.
Great. We skip the diagnostic question and get straight to building the strategies that make your daily life work better.
A diagnosis is the beginning, not the end. Therapy helps you understand what ADHD means for your specific life: your work, your relationships, your daily routines. We build strategies for the areas where ADHD has the most impact and help you reframe years of experience through a new lens.
Life has changed since your diagnosis. Your responsibilities are different, your coping strategies may have stopped working, and you might need a fresh approach. We reassess what you need right now and update your strategies to match the life you are actually living.
If you are exploring the question, start with a comprehensive ADHD assessment. If you get assessed at Breakwater and then start therapy, your therapist already knows your results. No repeating your history, no starting from scratch. That continuity makes therapy faster and more effective from day one.
ADHD does not stay the same as you age. The challenges shift, the compensations change, and what you need from therapy evolves. We meet you where you are right now.
Career launch, relationships getting serious, and daily life without the structure that school provided. Many people first recognize ADHD here because the external scaffolding falls away and the gap between potential and performance becomes hard to ignore. Therapy helps you build your own structure from the ground up.
Life gets more complex. Career demands increase, family responsibilities multiply, and the coping strategies that worked at 25 stop holding up. Many people, especially women, get their first ADHD diagnosis in this decade. Perimenopause can also unmask ADHD that was previously hidden. Therapy helps you adapt your strategies to a life that has outgrown the old ones.
Retirement removes the structure that kept ADHD in check for decades. Cognitive changes associated with aging can amplify ADHD symptoms or create new ones. Late-life ADHD diagnosis is more common than most people realize. Therapy helps you build new structure, manage cognitive changes, and differentiate ADHD from other age-related concerns. Learn more about our work with older adults.
A brief call to talk about your ADHD, your goals, and whether Breakwater is the right fit. No pressure, no commitment.
Your ADHD history, your current challenges, your goals, and the start of a real plan, all on day one. You leave knowing exactly what we are working on and why.
Weekly or biweekly sessions focused on practical strategies, skill building, and measurable progress. Each session builds on the last.
Book a free consultation and let us show you what ADHD therapy looks like when it is actually designed for ADHD.
Book a Free ConsultationChoose your own adventure. Want to ask a question first? Send us a message. Ready to dive in? Book a time that works for you.