Adult ADHD

Learn more about the treatment options available for adults and teens with ADHD.
Explore whether seeking support from our specialist can help you manage symptoms and feel empowered.

We aim for you to live effectively, authentically, and confidently as a neurodivergent person by helping you with your challenges and amplifying your strengths.

ADHD is often overlooked in comparison to other disorders or illnesses but it can be extremely debilitating and even life-threatening. A person with ADHD can have a shortened lifespan of up to 13 years and is much more susceptible than others to substance use issues, sexual health risks, problems with physical health and fitness, early pregnancy, accidental injury, and developing other mental health concerns. It can also be costly living with ADHD as it impacts spending habits and medical bills; employment stability and managing finances; losing and forgetting things; and drains excessive time and energy. These challenges alongside emotion dysregulation can make maintaining relationships with partners, friends, family, and coworkers very difficult for individuals with ADHD and their loved ones resulting in conflicts and isolation; feelings of shame, rejection, and low self-esteem.

However, those with ADHD can and do live full, happy, and successful lives. With the right support, they can become empowered and see the value in their differences. Behind the “impulsivity, racing mind, and attention deficit” are out-of-the-box thinkers who are creative, spontaneous, talented, intellectual, empathetic, resilient, and loveable- let's bring that to the forefront.

Having ADHD can make you feel defective, like a failure, or never good enough, but this is what we learn when we lack the information, understanding, and support needed to succeed- it’s not because it’s true.

What else can be done for managing ADHD besides proper exercise, diet, and sleep? Treatments for adult ADHD in the order of effectiveness are: Diagnosis, education, medication, counselling, and other treatments to address co-existing concerns.

  • An ADHD diagnosis can provide someone with the clarity and validation they need to find the right support and begin building a life around a new sense of self.

    Diagnosis is based on an assessment of symptom expression and cannot be tested through brain scans or blood tests. This can include a combination of self-assessments, assessments by a qualified practitioner, and collected reports by others. The causation of ADHD is complex but largely biological and it is highly hereditary (parent to child). Individuals with ADHD are 25-35% likely to have a child with ADHD, someone with ADHD is 25-50% likely to have a sibling with ADHD, and an identical twin is 70-92% likely to have a twin with ADHD. There is no evidence to support social factors as the cause for ADHD (parenting, life experiences, screen time etc.) unless they are exacerbating genes for ADHD that are already present. Special circumstances that can cause ADHD include brain injury, biohazards, toxins, and pregnancy complications.

    Many individuals find that even just receiving a diagnosis can create a shift in their life and perspective. Having this information helps them and their loved ones understand them better, meet their needs more effectively, and improve the care they provide.

    E-Therapy is unable to provide formal assessments and diagnosis but we can explore whether getting an assessment is right for you, and discuss which options best suit your needs; we’ll be there for you throughout the process, advocate on your behalf, and support your continued development afterwards.

    You can visit our FAQs page where we have provided more information about assessment options.

  • Knowledge about ADHD is necessary for those diagnosed with ADHD, caring for someone with ADHD, or working with individuals with ADHD. Unfortunately, it’s common for little to no information to be provided to individuals and their families after receiving a diagnosis. This can lead to confusion and overwhelm; feelings of frustration and hopelessness; difficulty finding adequate support and navigating treatment challenges; and more shame and suffering. Part of the problem is the lack of healthcare providers with sufficient training and experience specific to ADHD, alongside prevalent misinformation and misunderstanding around ADHD.

    At E-Therapy our support provider can provide you with in-depth knowledge about ADHD and curated credible resources. Our goal is for it to all make sense and for you to feel confident in your understanding of ADHD. You will know what it is, and how it manifests in your life; identify what you need and how to get it.

    Our practitioner is not only extensively trained and certified in ADHD support provision, she is also diagnosed with ADHD. Elizabeth brings together her professional knowledge and personal understanding of ADHD to sessions by translating the clinical black-and-white text to real-life experiences and practical application.

  • Medication is often offered as the first course of action for ADHD because it is a highly effective intervention that can work quickly and be more cost-effective than others.

    ADHD is a neurodevelopmental disorder that creates quantitative differences in brain development and functioning in various areas. While symptoms can be managed in different ways, medication can also help accomplish this more directly, specifically, and quickly. ADHD medication is also one of the most effective medications overall for treating what it’s prescribed for.

    While other treatment options can be explored instead, most find other options more effective in combination with medication. Aside from reducing ADHD symptoms, an individual might also consider medication because it can help remove limitations to their personal development, potentially lessen the need for other tools and medication over time; to give themselves more daily capacity, improve mood and relationships, free their full potential, and achieve goals; reduce other mental health issues, health and safety concerns, the amount of effort they have to exert for survival, and because other options are not available or accessible.

    It is not necessary for someone with ADHD to have to take medication. It is an available option for individuals who find that they need additional assistance and are having difficulty managing. Speaking to a professional can help you determine whether or not medication is a good option for you by understanding what is available, what they do and how, how things could potentially be different, and whether it aligns with your goals.

  • Pills don’t build skills or heal emotional wounds. ADHD greatly affects executive functioning, the likelihood of adverse life experiences, and emotion regulation. Even with medication, we are still left with behaviours and coping strategies that may not be serving us anymore and scars from navigating a neurotypical-centred society. Counselling can help you develop more effective and healthy skills and strategies; build a positive sense of self and amplify your strengths.

    Working with someone who specializes in ADHD support is beneficial because individuals with ADHD require specialized care. General techniques and approaches created by and for neurotypical folks are often ineffective for someone neurodivergent.

    Psychotherapists are covered by most insurance plans and can provide the same functions as a coach while also having the ability to explore how your past influences the present and provide support for a wide range of concerns. Therapy can also be helpful throughout various stages of life since we are always changing.

  • Neurodivergent individuals often experience more stressful life events, traumas, and challenges than their neurotypical counterparts. Many develop low self-esteem, rejection sensitivity, perfectionism, demand avoidance, mood disorders, emotion dysregulation, interpersonal issues and more. Psychotherapy is helpful for addressing these other issues that often co-occur with ADHD. A therapist can help you heal past wounds, process experiences, learn new techniques, develop an authentic sense of self, and live more mindfully.

    If someone is interested in therapy and they’re diagnosed with ADHD, suspects they may have ADHD or have concerns related to someone with ADHD, it can be very helpful for them to work with a therapist who is ADHD-informed regardless of whether or not their concerns are specifically about ADHD management. This ensures that support is provided with an understanding of how issues with ADHD present are different, experienced differently, and need to be considered differently, and so interventions are specialized with that knowledge to be more effective.

    Medication for anxiety, depression, and/or sleep issues can also be helpful for some individuals, as well as accommodations for school and work.

How E-Therapy can help

Elizabeth Choi is a registered psychotherapist and an ADHD-certified clinical service provider. The ability to provide both psychotherapy and ADHD services gives her clients access to ADHD-specific care and ADHD-informed support for other concerns through a neurodivergent-affirming lens. Elizabeth is also diagnosed with ADHD and brings both her personal and professional understanding of the disorder into her sessions to help validate and empower others in the same community. Having experienced and witnessed the lack of adequate support for individuals with ADHD as a provider and receiver, she hopes to give others the information and tools that they need along with the care and compassion they deserve.

Some examples of support provided and topics commonly explored:

Managing dysregulation

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Burnout

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Shame and rejection sensitivity

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Anger, anxiety, and depression

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Avoidance and procrastination

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Strategies for goal setting and task completion

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Work related stress

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Relationship difficulties and conflict resolution

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Education on ADHD

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Curated resources

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Strategies for managing executive dysfunction

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Personalized techniques

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Advocating for needs and accomodations

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Self-love and acceptance

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Medication and treatment option guidance

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Masking and unmasking

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Processing trauma

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Addressing ableism

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Affirming identity and identity integration

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Exploring the possibility of ADHD and assessment options

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Career counselling

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Communication and boundary setting skills

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Paralysis, shut down, and avoidance

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Fixation and ruminations

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Cultivating mindfulness

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Exploring assistive tools

Managing dysregulation 〰️ Burnout 〰️ Shame and rejection sensitivity 〰️ Anger, anxiety, and depression 〰️ Avoidance and procrastination 〰️ Strategies for goal setting and task completion 〰️ Work related stress 〰️ Relationship difficulties and conflict resolution 〰️ Education on ADHD 〰️ Curated resources 〰️ Strategies for managing executive dysfunction 〰️ Personalized techniques 〰️ Advocating for needs and accomodations 〰️ Self-love and acceptance 〰️ Medication and treatment option guidance 〰️ Masking and unmasking 〰️ Processing trauma 〰️ Addressing ableism 〰️ Affirming identity and identity integration 〰️ Exploring the possibility of ADHD and assessment options 〰️ Career counselling 〰️ Communication and boundary setting skills 〰️ Paralysis, shut down, and avoidance 〰️ Fixation and ruminations 〰️ Cultivating mindfulness 〰️ Exploring assistive tools

Some examples of how Elizabeth provides neurodivergent affirming care:

Emailing session notes and resources

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Thoughtful and validating self-disclosure

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Stimming and fidgeting encouraged

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Visuals aids when possible

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Strength-based approach

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Modalities and strategies tailored for ADHD

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Ease of scheduling and financing flexibility

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Active engagement and expression

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Transparent, open, and direct communication

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Accommodation for sensory needs

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Wide variety of techniques

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Collaboration with other supports

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Incorporating interests and passions

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Accepting self-diagnosis as valid

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Role modeling and encouraging freedom to be oneself

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Aligning with client goals

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Offering advocacy and support

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Having as much fun as possible

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Encouraging creative "unconventional" ideas

Emailing session notes and resources 〰️ Thoughtful and validating self-disclosure 〰️ Stimming and fidgeting encouraged 〰️ Visuals aids when possible 〰️ Strength-based approach 〰️ Modalities and strategies tailored for ADHD 〰️ Ease of scheduling and financing flexibility 〰️ Active engagement and expression 〰️ Transparent, open, and direct communication 〰️ Accommodation for sensory needs 〰️ Wide variety of techniques 〰️ Collaboration with other supports 〰️ Incorporating interests and passions 〰️ Accepting self-diagnosis as valid 〰️ Role modeling and encouraging freedom to be oneself 〰️ Aligning with client goals 〰️ Offering advocacy and support 〰️ Having as much fun as possible 〰️ Encouraging creative "unconventional" ideas

We hope that this information was helpful in understanding ADHD and how it can be treated. If you have any additional questions or would like to begin working with us, please feel free to contact Elizabeth Choi who would be happy to help.

The information provided has been summarized from articles and presentations made by the internationally renowned ADHD expert, Dr. Russell A. Barkley, Ph. D ., and PESI Inc’s ADHD Summit. More information can be found here.

Get started with E-Therapy, today.