Therapist is a broad term that can refer to several types of licensed mental health professionals, including psychologists, counselors, and clinical social workers.

Psychologists typically complete doctoral-level education and supervised clinical training. My background includes a PsyD in Clinical Psychology from Yeshiva University, with training in evidence-based approaches such as CBT, ACT, DBT, and ERP.

The right fit depends on your concerns, the clinician's experience, and the approach to treatment.

Online therapy can be an effective option for many adults with ADHD. Evidence-based approaches, including CBT and practical executive functioning strategies, can often be adapted to virtual sessions.

One benefit is the opportunity to work on challenges within the environment where they actually occur. We can discuss organizational systems, routines, and everyday responsibilities in a practical and collaborative way.

Whether telehealth is appropriate depends on your individual needs and circumstances.

Our first appointment is an opportunity for me to understand what brings you to therapy, your relevant history, and what you'd like to work toward.

We'll discuss your concerns, begin identifying treatment goals, and consider what approach may be most helpful.

You don't need to arrive with everything organized or know exactly where to begin. We'll work through that together.

Private-pay therapy means that you pay the practice directly for your appointments rather than having sessions billed through an insurance plan.

My individual therapy fee is $300 per session.

Some insurance plans offer out-of-network benefits, although reimbursement depends on your specific coverage and eligibility. You can contact your insurer directly to understand your benefits.

Telehealth eligibility generally depends on where you're physically located at the time of your session, not simply where you live.

I currently provide therapy to eligible clients located in California and New York. If you expect to travel or temporarily relocate, please let me know in advance so we can determine whether sessions can continue while you're away.

ADHD doesn't necessarily begin in adulthood, but its effects can become more noticeable as responsibilities increase. Work, relationships, parenting, and managing a household often require more planning and organization than earlier stages of life.

Many adults have developed ways to compensate for their difficulties, sometimes without realizing how much effort those strategies require. When life becomes more demanding, those systems may no longer be enough.

Absolutely. Academic success doesn't rule out ADHD. Some people perform well because they're interested in their coursework, have strong external structure, or work considerably harder than others realize.

Difficulties may become more apparent when that structure disappears. Managing deadlines, finances, relationships, and household responsibilities independently can reveal challenges that weren't as noticeable in school.

ADHD and overwhelm can look similar. Both may involve difficulty concentrating, procrastination, forgetfulness, and trouble completing tasks.

One important consideration is whether these difficulties have been present across different periods of your life or are primarily connected to a recent increase in stress. Anxiety, sleep, and other factors can also affect attention, so a careful assessment is important.

Some high-achieving adults with ADHD appear organized and successful while privately struggling with procrastination, time management, exhaustion, or constant self-criticism.

They may rely on urgency, perfectionism, or demanding routines to keep up. Therapy can help examine these patterns and develop more sustainable approaches to everyday responsibilities.

For many adults, understanding whether they have ADHD provides useful context for challenges they've experienced for years.

A diagnosis can also help guide decisions about treatment, accommodations, and practical strategies. It doesn't resolve every difficulty, but it can provide a clearer starting point for understanding what support may be helpful.

ADHD in women is sometimes less recognizable because difficulties may involve internal restlessness, forgetfulness, emotional overwhelm, or problems with organization rather than obvious hyperactivity.

Some women become highly organized to compensate, while others experience ongoing difficulties that are attributed to anxiety or personality. Understanding these patterns can help identify where additional support may be useful.

ADHD symptoms may become more difficult to manage after having a baby. Interrupted sleep, hormonal changes, unpredictable routines, and increased responsibilities can all affect attention and executive functioning.

Therapy can help identify which demands are creating the most difficulty and develop realistic strategies for this stage of life. Postpartum anxiety and depression should also be considered when relevant.

Some women notice changes in attention, emotional regulation, and executive functioning throughout their menstrual cycle. Hormonal fluctuations may contribute to these differences, although the experience varies considerably.

Recognizing patterns over time can be useful when planning routines and discussing treatment with appropriate healthcare professionals.

Managing work, relationships, household responsibilities, and the expectations of others requires considerable planning and mental effort.

For someone with ADHD, keeping track of those demands can be particularly exhausting. Treatment may involve reducing unnecessary demands, developing external systems, and addressing the self-criticism that often accompanies these struggles.

Managing ADHD with a newborn often requires simplifying expectations rather than adding more complicated routines. External reminders, accessible supplies, shared responsibilities, and flexible systems can make daily tasks easier.

Therapy can help identify strategies that account for your schedule, sleep, support system, and emotional well-being. The goal is to make daily life more manageable, not to create another set of expectations you feel pressured to meet.

Becoming a parent changes nearly every part of daily life. Sleep, relationships, responsibilities, independence, and personal identity can all shift at once.

Many new parents are surprised by how difficult the adjustment feels, particularly when they expected to feel happier or more confident. Therapy offers space to talk openly about those experiences and identify support that fits your circumstances.

It's common for new parents to experience changes in their sense of identity. Activities, relationships, routines, and opportunities for personal time may look very different after having a baby.

These feelings deserve attention, particularly when they're accompanied by persistent sadness, anxiety, or hopelessness. Therapy can help you make sense of the adjustment and reconnect with parts of your life that remain important to you.

Life changes often introduce uncertainty and disrupt familiar routines. Even positive transitions can create new responsibilities and decisions that feel difficult to manage.

Anxiety may increase when you feel less certain about what to expect or how to respond. Therapy can help identify the concerns driving that anxiety and develop more flexible ways of navigating change.

A positive change can still require considerable adjustment. Starting a new job, moving, getting married, or becoming a parent may bring excitement alongside stress, uncertainty, and additional responsibilities.

Feeling overwhelmed doesn't mean you've made the wrong decision or that you aren't grateful. It means you're adjusting to something significant, and that adjustment may require time and support.

Therapy can help you understand the emotional and practical challenges that come with changing roles, responsibilities, and relationships.

Our work may involve clarifying priorities, managing anxiety, strengthening communication, and developing strategies for responsibilities that feel unfamiliar. We'll focus on what's relevant to your circumstances rather than assuming there's one correct way to navigate adulthood.

Knowing what needs to be done and being able to initiate it are different skills. Executive functioning difficulties can make starting a task unusually challenging, particularly when it feels complicated, boring, or emotionally uncomfortable.

Rather than assuming you need more discipline, we'll examine what makes the task difficult to begin. Breaking it into smaller steps, changing the environment, or addressing anxiety around the task may help.

Urgency can temporarily make a task easier to focus on by creating immediate consequences and a clearer deadline. For some people with ADHD, that pressure becomes a familiar way of getting things done.

Unfortunately, relying on urgency can also create considerable stress. Therapy can help identify why tasks are being delayed and develop approaches that don't require waiting until the last possible moment.

A planner can help you remember what needs to happen, but it doesn't necessarily address the difficulty of starting, prioritizing, or completing a task.

Some systems also require more maintenance than they're worth. Instead of searching for the perfect planner, we'll look at where your current approach breaks down and find ways to make it easier to use consistently.

Executive dysfunction refers to difficulties with skills such as planning, initiating tasks, regulating attention, and following through. These difficulties can occur even when someone genuinely wants to complete a task.

Calling yourself lazy often overlooks the underlying problem and adds unnecessary shame. A more useful question is what is interfering with your ability to act and what could make the task more manageable.

Yes. Therapy for ADHD can include concrete work on organizational systems, time management, planning, and task initiation.

My approach also considers the emotional factors that may contribute to avoidance. We might begin with a practical difficulty and discover that anxiety, perfectionism, or self-criticism is making it harder. Addressing both sides of the problem is often useful.

ADHD and anxiety can both affect concentration, organization, sleep, and the ability to complete tasks. They can also occur together.

Understanding the reason behind a difficulty is important. Someone may avoid a task because they feel anxious about making a mistake, because they struggle to initiate it, or for both reasons. A careful assessment of your history and symptoms can help clarify what's contributing.

Anxiety doesn't always correspond to an immediate threat. Sometimes your mind and body respond to uncertainty, anticipated problems, or patterns of worry that have become familiar.

Therapy can help you understand what triggers those responses and how attempts to avoid discomfort may unintentionally maintain anxiety. We'll work on responding to those experiences with greater flexibility.

Overthinking often develops from a desire to prevent mistakes, avoid uncertainty, or feel more confident about an outcome. Unfortunately, repeatedly reviewing a conversation or decision doesn't always provide the reassurance you're looking for.

Treatment can help you recognize these patterns, tolerate uncertainty, and make decisions without needing to eliminate every possible concern first.

Ordinary worries are often connected to recognizable concerns about work, relationships, health, or the future. Intrusive thoughts may feel sudden, unwanted, repetitive, or particularly upsetting because they conflict with your values.

Both can become distressing, but the way someone responds to them matters. When intrusive thoughts are accompanied by compulsions or repeated attempts to obtain certainty, an OCD-focused assessment may be appropriate.

Avoidance can bring temporary relief, but it may also reinforce the belief that a situation or feeling is too difficult to handle.

Exposure-based treatment involves gradually approaching appropriate situations, thoughts, or sensations that have become associated with fear. The work is planned collaboratively, with the goal of building flexibility and reducing the hold anxiety has over everyday life.

College often involves less external structure and considerably more independent planning. Managing assignments, schedules, sleep, finances, and social responsibilities can place greater demands on executive functioning.

ADHD may become more noticeable when the systems that previously helped you succeed are no longer available. Therapy can help identify new strategies suited to the demands of college life.

High school often provides predictable schedules, frequent reminders, and more direct support from teachers and family. College requires students to manage many of those responsibilities independently.

Difficulty adjusting doesn't erase your previous abilities. It may indicate that you need different systems, additional support, or treatment for concerns such as ADHD or anxiety.

Developing independence with ADHD often means creating external supports that don't rely on another person remembering everything for you.

Calendar systems, reminders, structured routines, and realistic approaches to planning can help. The important part is finding systems you'll actually use, rather than ones that look organized but are difficult to maintain.

Living independently involves managing responsibilities that may previously have been shared with family or supported by established routines.

Meals, laundry, finances, scheduling, academics, and relationships can quickly become difficult to balance. Therapy can help you identify which responsibilities are creating the most stress and develop manageable approaches to them.

Yes. Therapy can address both the practical and emotional factors that contribute to procrastination and academic stress.

We may work on planning assignments, managing time, breaking down tasks, or developing more effective study routines. We can also address perfectionism, anxiety, avoidance, and the pressure you may feel to meet certain expectations.

Therapy focuses on ongoing support and treatment. Psychological testing is an assessment process intended to help clarify questions about symptoms, functioning, or diagnosis.

Testing may inform recommendations for treatment and next steps, but it is not the same as an ongoing therapy relationship.

Testing may be useful when questions about attention, executive functioning, or overlapping concerns are difficult to sort through.

The appropriate assessment approach depends on your history and the questions you're hoping to answer. We can discuss whether testing is a good fit for your situation.

The process begins with understanding your concerns and the questions you're hoping to answer.

The specific steps and number of appointments depend on the type and scope of assessment. We'll discuss what is involved before moving forward.

Testing sessions are $300 per 45-minute session.

The total cost depends on how many sessions are needed for your particular assessment. Please reach out to discuss the anticipated process and fees.