Therapy for Autistic and ADHD Adults in Washington State
You may have spent years looking capable while privately working much harder than anyone realized.
Maybe starting basic tasks feels weirdly impossible until panic takes over. Maybe social interactions require constant calculation, sensory input builds until you shut down, or your energy swings between intense productivity and complete exhaustion. Maybe you relate to ADHD, Autism, both, or neither label feels entirely settled yet.
You do not need a formal diagnosis or perfect explanation before starting therapy. You just need the sense that the way you have been pushing through is no longer working.
You might be looking for therapy because
You rely on urgency, anxiety, perfectionism, or last-minute panic to get things done.
You can focus intensely on some things but cannot reliably direct that focus where you need it.
Social interaction takes more effort than other people seem to realize, and you often replay conversations afterward.
Sensory input, transitions, interruptions, or unexpected changes can quickly become overwhelming.
You have spent years masking, people-pleasing, or overriding your needs to meet expectations.
You keep cycling between pushing yourself too hard and needing longer than expected to recover.
You are beginning to recognize yourself in descriptions of ADHD, Autism, or both, and want space to understand what that means for you.
You do not have to relate to everything on this list. Therapy begins with understanding your actual patterns, not squeezing you into a checklist.
Therapy that does not require you to perform therapy correctly
Therapy should not become another place where you have to mask, meet unclear expectations, or work harder to be understood. You do not need to communicate a certain way, arrive with a perfectly organized explanation, or know what you need before we begin.
Our work is collaborative, direct, and adapted to how you process information. Sessions can be structured when structure is useful, flexible when it is not, and explicit enough that you are not expected to guess what I mean.
Therapy may include:
understanding your attention, energy, sensory, and emotional patterns
recognizing masking and the cost of constantly overriding your needs
finding more workable ways to approach tasks, transitions, and overwhelm
recovering from burnout and building a more sustainable pace
communicating your needs and setting boundaries without treating them as personal failures
rebuilding trust in yourself after years of feeling inconsistent, difficult, or somehow behind
The goal is not to make you appear less Autistic or more conventionally productive. It is to help you understand yourself more accurately and build a life that requires less constant self-abandonment.
Support for late-identified and self-identified adults
I specialize in working with adults who were missed earlier in life, did not match common stereotypes, or became very good at hiding how much effort everyday life required.
Some people begin therapy with a formal diagnosis. Others are self-identified, questioning, or still trying to understand what fits. You do not need documentation to work with me, and therapy is not contingent on pursuing an assessment.
I am also AuDHD and late-diagnosed. My experience is not the same as yours, but it informs my understanding of how complicated, relieving, disorienting, and meaningful this process can be.
Therapy at a glance
Who I work with: Adults, including late-identified, self-identified, and questioning Autistic and ADHD adults
Format: Secure virtual sessions
Location: Available to clients throughout Washington State
Initial session: $225
Ongoing sessions: $200
Insurance: Private pay and out of network. I do not bill insurance directly. Superbills are available upon request for possible out-of-network reimbursement.
Common questions
Do I need an Autism or ADHD diagnosis to begin therapy?
No. I work with formally diagnosed, self-identified, questioning, and late-identified adults. You do not need documentation or certainty about your neurotype before starting.
Can therapy help if I am still figuring out whether I am Autistic or have ADHD?
Yes. Therapy can give you space to explore your patterns, needs, and experiences without requiring you to reach a particular conclusion. Therapy is different from a formal assessment and does not result in diagnostic documentation.
Do you provide online therapy throughout Washington State?
Yes. All therapy sessions are virtual and available to adults located anywhere in Washington at the time of the session.
Do you accept insurance?
I do not bill insurance directly. Therapy is private pay, and I can provide a superbill that you may submit for possible out-of-network reimbursement. Coverage depends on your specific plan.
You do not have to keep white-knuckling it
You do not need to understand everything about yourself before reaching out. We can begin with what feels difficult now, look at the patterns together, and figure out what support would actually make life more workable.
Schedule a free consultation to see whether working together feels like the right fit.
Looking for diagnostic clarity or documentation? Learn more about adult Autism and ADHD assessments.