Therapy and assessment designed for the questions that come with aging, from late-life ADHD evaluation to retirement adjustment to the cognitive changes that deserve clear, data-driven answers. Your psychologist should understand your stage of life, and ours does.
Telehealth across Oregon • Insurance accepted • No waitlist
The concerns that come with aging deserve real clinical expertise and thoughtful, honest answers, not dismissive reassurance.
Many older adults are exploring for the first time whether lifelong patterns like disorganization, difficulty finishing projects, restlessness, and impulsivity have a clinical explanation. ADHD awareness simply did not exist when you were in school. Our assessment uses age-normed thresholds designed specifically for adults over 40, 50, 60, and beyond.
When you notice changes in memory, attention, processing speed, or word-finding, it is natural to want answers. We provide clear clinical data about what is happening, whether it is normal age-related change, the result of ADHD, depression, medication side effects, or something that warrants further medical evaluation.
These two conditions look remarkably similar in older adults: forgetfulness, difficulty concentrating, losing track of conversations, misplacing things. The distinction matters enormously because the treatment paths are completely different. Our assessment uses validated data to differentiate them with confidence, not guesswork.
Depression in older adults often shows up differently than in younger people: less sadness, more fatigue, irritability, withdrawal, or physical complaints. It can masquerade as cognitive decline. We recognize these patterns and treat them effectively with evidence-based approaches.
Health worries, financial stress, fear of losing independence, concerns about being a burden. Anxiety at this stage of life is incredibly common and highly treatable. Therapy gives you practical tools to manage worry productively instead of letting it consume your energy.
Retirement, loss of a spouse or lifelong friend, downsizing, role reversals with adult children, physical changes that alter daily life. These are major adjustments that deserve real support, not just "that is just how it goes." Therapy helps you navigate each one with clarity and dignity.
This is one of the most underserved areas in mental health. We take it seriously.
If you grew up in the 1950s, 60s, or 70s, ADHD was not on anyone's radar, especially if you were a girl or a high achiever who compensated. Many adults over 60 have lived their entire lives with undiagnosed ADHD, attributing their challenges to personality, laziness (which it never was), or just "the way I am." Age-related changes finally raise the question because old coping strategies stop working.
At 65 or 70, missed ADHD can look indistinguishable from early-stage cognitive decline. Families panic. Doctors order neurological workups. The anxiety compounds. But if the answer is ADHD, the treatment is completely different, and the outlook is far more optimistic. Getting the right diagnosis changes everything about what happens next.
We use age-normed thresholds through our CAST method, your complete developmental and occupational history, and the specific cognitive patterns that distinguish ADHD from age-related changes or neurodegenerative conditions. This is not a guess based on a screening form. It is a thorough evaluation designed to give you a definitive answer.
Whether you are 55, 65, 75, or 85, a clear diagnosis changes what you do next. It changes how you manage your daily life, what medications might help, and how you understand decades of your own history. For many older adults, the diagnosis is not just clinical information. It is a revelation that reframes their entire life story.
Here is what ongoing therapy looks like for older adults at Breakwater. Every session is purposeful and adapted to your specific situation.
The financial plan is done. But what about the identity plan? Retirement removes the structure, social connections, and sense of purpose that work provided for decades. Therapy helps you build new rhythms, redefine what meaningful contribution looks like, and embrace this chapter on your own terms.
By this stage of life, grief is often layered: a spouse, friends, siblings, physical abilities, the life you expected to have. Therapy gives you space to process each loss at your own pace, with real support from someone who understands that grief is not a problem to solve but a process to move through.
Social circles naturally shrink with age. Friends move, pass away, or become less available. Therapy helps you build new connections, maintain the ones that matter, and stay engaged with life. Isolation is one of the biggest risk factors for depression in older adults, and we address it directly.
When your body starts sending new signals and doctor visits become more frequent, health worry can become a full-time occupation. Therapy helps you manage health-related anxiety with practical strategies so concern stays productive instead of consuming. CBT is particularly effective here.
Role reversals with adult children, differing opinions about care, navigating dependency while maintaining autonomy, adjusting to grandparenthood. Family dynamics shift significantly in later life, and therapy helps you navigate them with clarity and grace.
This stage of life is still full of possibility. Therapy helps you discover meaningful direction, whether that is volunteering, mentoring, creative pursuits, travel, deepening relationships, or something you have never tried before. Your life is still unfolding. Therapy helps you actively shape what comes next.
You bring decades of experience, wisdom, and resilience into the room. We honor that completely. Luke talks to you like the capable, intelligent adult you are. No condescension, no oversimplification, no assumptions about your abilities based on your age.
Luke tells you what he sees, names patterns, and gives you straight answers you can act on. He does not sugarcoat findings or tiptoe around difficult topics. You have earned the right to honest, respectful information about your own mind.
Luke understands how depression, anxiety, and ADHD present differently in older adults. He knows the distinction between normal cognitive aging and clinical conditions. He uses assessment tools with age-appropriate norms. This expertise matters. A lot.
Same quality care from your living room, anywhere in Oregon. No driving in weather, no navigating parking garages, no sitting in waiting rooms. Just therapy from wherever you are most comfortable. If you need help getting set up with video, we will walk you through it.
A quick call to talk about your goals and see if Breakwater is the right fit. Whether you are looking for therapy, assessment, or both, we will help you figure out the right starting point.
We dive in and you leave knowing exactly what we are working on together, why, and what progress looks like.
Concrete progress you can see, clear answers to diagnostic questions, and a plan for what comes next.
Book a free consultation and we will figure out the best path forward together. Whether you are looking for therapy, answers about cognitive changes, or an ADHD evaluation, we are ready when you are.
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.