ADHD Therapy in Austin, TX
Book a Free 15-Minute Call
You Are Not Lazy, and You Don't Need Another Planner
Almost everyone arrives here having already tried the obvious things. The apps. The bullet journal. The two-hour Sunday planning session that survives eleven days. The label maker.
Those fail for a specific reason, and it isn't discipline. Most productivity systems are designed by and for people whose brains already supply motivation on demand and whose sense of time works. Handing that system to an ADHD brain and asking for more willpower is like prescribing reading glasses for a broken arm — sincere, and aimed at the wrong thing.
So we do two things instead. We build systems that suit how your attention actually behaves, which usually means fewer, uglier and more automatic than what you've tried. And we work on the other half, which nobody sells you a course for: the twenty or thirty years of evidence you've collected that you're careless, unreliable and not living up to your potential.
The second half is usually why the first half finally sticks.
- ✓Systems built for how your attention behaves, not against it
- ✓Fewer and uglier beats elegant and abandoned
- ✓The self-story gets worked on, not just the calendar
- ✓No planners, no apps to buy, no productivity philosophy
What We Work On
ADHD is the whole practice. It's not a specialism listed under twelve others.
We don't diagnose or prescribe. We'll tell you plainly whether pursuing an assessment looks worth your time, and refer you to people who do it well.
Five Things About ADHD Therapy
Said up front, because finding them out in month three is worse.
The first system we build will fail
Probably the second too. That's the method, not a setback — we're looking for the one that survives contact with a bad week, and you cannot find it by reasoning about it in a room.
You will forget appointments
Yours is a practice that treats forgetting, so charging punitively for it is absurd. Two late cancellations a year are forgiven with no conversation, and we'll set up reminders that work for you.
We are not a substitute for medication
Nor an argument against it. Many clients do both, and the combination outperforms either alone for most people. We don't prescribe, and we won't have an opinion on your dose.
Some of this is grief work
Especially if you were diagnosed late. Rereading your own history with new information is genuinely hard, and it tends to arrive around session five when you thought you were here about calendars.
Progress will not look linear
Three excellent weeks then a bad fortnight is the normal shape. We measure over months. If we judged this month to month, both of us would have quit by now.
The Symptoms Nobody Calls Symptoms
ADHD in adults rarely looks like a child bouncing off the walls.
Time behaves strangely
Everything is either now or not-now. A deadline four days out doesn't exist until it's tomorrow, and then it's the only thing that does.
Interest, not importance, drives you
You can work eleven hours on something absorbing and cannot make yourself send a two-line email that matters ten times more. This isn't a character flaw; it's how the fuel works.
Criticism lands physically
Mild feedback produces a response out of all proportion, and then hours of replaying it. Rejection sensitivity is one of the least-discussed and most disruptive parts of adult ADHD.
Ninety percent finished, everywhere
The interesting part is done, the last ten percent isn't, and the guilt about the last ten percent is now blocking the next thing from starting.
The mess is a working memory problem
Out of sight is genuinely out of mind, so putting things away means losing them. Most tidiness advice assumes an object filed is an object remembered.
Rest doesn't rest you
Evenings vanish into scrolling that isn't enjoyable and isn't restorative — the brain reaching for stimulation while the body is exhausted.
What an Hour Actually Looks Like
More practical than most therapy and less practical than coaching. Roughly half the hour goes on what happened since we last met — specifically the moments things went sideways, in enough detail to see the mechanism rather than the story about it.
The other half is building or repairing something. A way of starting the thing you've avoided for nine days. A capture system that survives your phone dying. Which of the four apps you're running to delete, usually three of them.
We write things down for you during the session and send them afterwards, because expecting an ADHD client to remember the plan for managing their memory is a design flaw we'd rather not build in.
And we ask about the last plan every single time. Not to check up on you — the plans that fail are the most informative thing in the room, and there is no version of this where you get told off for one not working.
- ✓Half on what happened, half on building or fixing something
- ✓We write the plan down and send it after — you don't have to hold it
- ✓Every session revisits the last plan, especially the failed ones
- ✓Nobody is ever told off for a system that didn't work
Four Steps, and We Handle the Admin
The booking process is designed for someone who has already closed this tab twice.
Send anything at all
One line in the form is plenty. If writing a paragraph about yourself is the obstacle — and for a lot of people it genuinely is — write "ADHD, please call me" and we'll take it from there.
A free 15-minute call
We ring you. No form to complete first, no portal to register for. If we're not the right fit we'll say so and name two other Austin practices worth trying.
A first session, with reminders
Ninety minutes, and you'll get a reminder at booking, the day before and two hours before, on whichever channel you actually read.
Weekly, then fortnightly
Weekly for the first couple of months while systems are being built and broken, then fortnightly for most people. Many finish inside a year and come back for a tune-up later.
Shared With Permission
Every previous therapist tried to fix my anxiety. This was the first one who said the anxiety was mostly downstream of thirty years of nearly missing things, and that we should go after the nearly-missing-things instead. Six months later I am much less anxious, and I did not do a single breathing exercise.
I have bought eleven planners. I own a label maker. None of it stuck, and I'd concluded I was the problem. What actually worked was two ugly systems that would embarrass a productivity blogger and that I have now used for a year without thinking about them.
The thing I didn't expect was the grief. Realising at forty-one that a lot of what I'd decided about myself at nine was just untreated ADHD is a strange thing to sit with. Having somewhere to put that down mattered more than any of the strategies.
What It Costs, and the Cancellation Policy That Isn't a Trap
Sessions are $175 for 50 minutes. The first session is 90 minutes at $260, because a proper history of an adult with ADHD does not fit in fifty.
We're out of network and issue a superbill monthly, automatically, without you having to remember to ask — which is rather the point in this practice.
On cancellations: the standard policy across therapy is to charge in full inside 24 hours. Applied to a caseload of people whose diagnosis includes forgetting things, that's a fee for having the condition you came in for. So: two late cancellations a year are forgiven, no explanation needed and no awkward conversation. Beyond that it's half the session fee, not the whole thing.
Four reduced-fee places are held, with priority to people whose ADHD is currently costing them their job. That's not a hypothetical category — it's roughly a fifth of the enquiries we get.
- ✓$175 per 50-minute session · $260 for the 90-minute first session
- ✓Out of network, superbill issued monthly without asking
- ✓Two late cancellations a year forgiven; beyond that, half fee
- ✓Four reduced-fee places, prioritised by employment impact
Asked on Nearly Every Call
Do you diagnose ADHD?
No. We're therapists, not assessors. What we will do on the call is tell you honestly whether pursuing an assessment looks worth your time and money based on what you describe, and refer you to psychologists in Austin who do it properly. Plenty of clients start here undiagnosed and get assessed while they're with us.
Is this therapy or coaching?
Both, deliberately. Pure ADHD coaching builds systems but doesn't touch the twenty years of accumulated self-judgement, so the systems keep collapsing. Pure talk therapy addresses the self-judgement while the tasks keep piling up, which regenerates it. Doing them separately is the most common reason people have tried and stopped.
I've already tried every app and planner. Why is this different?
Because we're not going to recommend one. Most of what we build with people is uglier and smaller than what they arrive with — usually two or three things, chosen because they survive a bad week, not because they're elegant. And we assume the first version will fail and plan the revision into the process.
Will you tell me to try harder?
No, and if that were going to work it would have worked by now — you have almost certainly tried harder than most people you know. Effort isn't the missing input. Structure that matches your brain, plus undoing what you've concluded about yourself, is.
Do I need to be on medication for this to work?
No. Many clients are, many aren't, and both do well. Where medication is helping, therapy tends to work faster, because there's more capacity available to build with. We don't prescribe and we won't offer an opinion on your dose — that's between you and your prescriber.
What if I miss sessions?
You will, at some point, and it's been planned for. Two late cancellations a year are forgiven outright, and after that it's half the fee rather than the whole session. Reminders go out at booking, the day before and two hours ahead on whichever channel you'll actually see.
South Lamar, Second Floor
Street parking out front, which is genuinely the first question we get asked.
Write One Line. We'll Ring You.
If composing a paragraph about yourself is the thing standing in the way — and for a lot of people with ADHD it genuinely is — put "ADHD, please call me" in the box and send it. Email works too — hello@northcurrentadhd.com.
Book a Free 15-Minute Call
One line is enough. We ring you — there's no portal to register for and no intake form before the call.