Andrea Lynn Piazza

ADHD therapy that deals with the shame and the laundry.

For adults with ADHD or AuDHD, diagnosed or suspected. Therapy and practical coaching from a clinician who was diagnosed as an adult too.

Book a free 15-minute consultFees and insurance
An open weekly planner

Who this is for

  • Women diagnosed late, or who suspect ADHD and want a clear answer
  • High achievers who are exhausted from compensating
  • Adults with AuDHD, ADHD and anxiety, or ADHD and trauma
  • People who have tried apps and planners and feel worse for not sticking with them

How I approach it

ADHD therapy has two jobs. One is practical: time, tasks, planning, follow-through. The other is emotional: years of being called lazy or too much, rejection sensitivity, and the habit of blaming yourself for how your brain works. I work on both, usually in the same session.

I also have ADHD. You will not have to explain why the simple thing is hard.

Approaches I use

  • ADHD coaching: Systems for time, tasks and follow-through that fit your brain.
  • Therapeutic body doubling: Getting the stuck task done together, then looking at why it was stuck.
  • CBT for ADHD: Practical strategies for procrastination, planning and self-talk.
  • DBT skills: For big emotions, rejection sensitivity and getting through the hard moment.
  • ACT: Acting on what matters to you without waiting to feel ready.
  • Creative therapies: Writing, art and movement when words are not getting there.
  • Adult ADHD and autism assessment: A formal answer, plus documentation when you need it.

Cost

Sessions are $180 for 60 minutes after a $200 initial assessment. I am in network with Anthem, Aetna and United through Alma, and provide superbills for other plans. See all fees.

Questions

Do I need a diagnosis to start?

No. Many clients come in suspecting ADHD. If you want a formal answer, I offer adult ADHD and autism assessment.

Do you prescribe medication?

No. I can coordinate with your prescriber, and help you prepare for that conversation.

Is this therapy or coaching?

Both, depending on what you need. Most clients use a mix of practical strategies and deeper therapeutic work.

Tired of trying harder?

Book a free 15-minute consult and we can talk about what would actually help.

Book a free consult