ADHD & Autism Therapy for Adults in Washington & Texas
Anxiety and Rejection Sensitive Dysphoria Therapy for highly sensitive and neurodivergent adults who are exhausted from overthinking, people-pleasing, and bracing for rejection
If you’re here, you’ve likely done a lot of work already.
You’ve read the books, listened to the podcasts, collected every skill your past therapists recommended, and can map out your patterns with color-coded arrows if asked.
And yet you still find yourself overwhelmed, shutting down, spiraling into shame, replaying conversations, bracing for rejection, or contorting yourself to avoid disappointing anyone.
For most people seeking ADHD therapy for adults, these aren’t separate issues at all.
They’re how a highly sensitive nervous system adapts to years of invalidation, misunderstanding, criticism, and pressure to “do better.”
Knowing why hasn’t translated into feeling or acting any differently.
You’re not stuck because you’re doing it wrong.
You’re stuck because the patterns you’re trying to change were learned below the level of logic.
This is where rejection sensitive dysphoria therapy comes in.
The Anxiety—Rejection Sensitivity—Shame Loop
Managing yourself until you can’t, then crashing into self-criticism.
This is where behavioral therapy for adults with ADHD stalls—it ask people who already over-manage themselves to do even more of it.
More than strategies, you need the patterns underneath to shift.
What therapy with Becca is like
Sessions are active, focused, and collaborative.
We don’t just recap your week. We use what’s happening in your life to identify and shift the deeper patterns underneath your reactions.
I track themes and protective patterns in real time. You don’t have to steer the work alone.
We move between:
Understanding what’s happening
Building capacity
And working directly with the emotional experiences driving it
The pace is steady and intentional. Deep enough to create change, without overwhelming your nervous system.
A Bottom-Up Approach to Lasting Change
I work at the level where change where anxiety, shame, and rejection sensitivity actually live: your nervous system and emotional memory.
When the underlying patterns shift, the coping skills you already know finally click into place.
This is what allows my approach to ADHD therapy for adults to create lasting change—without requiring more self-monitoring or emotional control.
This approach may be right for you if—
You want therapy that shifts patterns, not just creates insight.
You’re done talking in circles, recapping your week, or leaving sessions unsure if anything shifted. You want depth, direction, and integration rather than endless analysis.
You want work that goes beyond reframing thoughts.
You’re exhausted with policing your thoughts. You want approaches that makes it feel easier and more natural to show up the way you want.
You want to stop reacting to the past as if it’s still happening.
You recognize that your reactions match something older, not your current reality.
You want modalities that help your body update, not just give you more strategies to manage old pain.
You want therapy that is focused, intentional, and efficient.
You want to find and address the root of your issues and get back to creating a fulfilling life.
The Adult ADHD Trifecta
When your brain works differently in a world that doesn’t understand it, your nervous system adapts.
It learns three jobs: anticipate, protect, punish.
High-Functioning Anxiety
Trying to prevent anything from going wrong.
overthinking
perfectionism
people-pleasing
over-functioning
masking
rehearsing
difficulty making decisions & taking risks
Rejection Sensitivity
Your system reacts fast and hard to perceived disapproval.
replaying interactions on a loop
instantly assuming you messed up
panic about what they think
wanting to fix it right now
swinging between defending yourself or collapsing
days of shame from one moment
Relational Trauma
Earlier experiences that taught your body how fast belonging can disappear.
being bullied or left out
being chronically misunderstood
being criticized or compared
feeling unseen
betrayal
being labeled “too much” or “not enough”
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Rejection Sensitive Dysphoria (RSD) is an intense emotional reaction to perceived criticism, disapproval, or exclusion.
If you’d like a deeper breakdown of how rejection sensitivity develops and how rejection sensitive dysphoria therapy helps, you can read more here.
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No. Some people come in already diagnosed or on medication. For many others, therapy is the first stop after recognizing themselves in the experiences of late-identified neurodivergence.
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This pattern is also common among highly sensitive people (HSPs), adults with autistic traits, people who have been given the label “borderline personality disorder” in the past, and people with complex relational trauma.
The nervous system adaptations are the same — anticipate, protect, punish.
We work with the pattern itself, not just the diagnosis.
Approaches I Use
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A short-term, evidence-based approach using eye movements and imagery to update distressing memories quickly and gently. A strong fit for people who want their reactions to finally match what they know is true, instead of getting pulled into old emotional patterns
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A powerful, non-pathologizing approach that helps you understand and unburden the parts of you still carrying old emotional learnings. Especially effective with shame, self-criticism, and relational wounds.
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Body-based methods that help regulate the nervous system, release stored survival responses, and restore capacity to feel without overwhelm.
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Tools that support emotional regulation, flexibility, boundaries, communication, and aligned action, once the underlying emotional burdens have softened enough to make them usable.
What You Can Expect From Me
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I aim to balance compassion and directness in equal measure. If something needs to be named, I name it, plainly and kindly. You don’t need to read between the lines. If it’s hard to hear, I stay with you while it lands.
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The “yep, that’s your pattern” smile. The “your system is brilliant even when it’s inconvenient” smile. You can know it means I see you, not I’m judging you.
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I won’t joke at your pain, but I do introduce the kind of lightness that creates perspective and reduces attachment. I want to make just enough space between you and the problem to see it clearly and work with it in a new way.
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I hold a clear sense of direction and will guide us toward the outcomes you want. You don’t have to carry the session, fill space, or guess at the point.
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I don’t say things I don’t mean. When I validate you or point out your progress, it’s because it’s true, not because it’s polite. I don’t people-please in the therapy room, and I don’t offer empty reassurance. You don’t have to wonder if I “have to say that.”
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I help you see where you have choices, what’s yours to own, and what was never yours. We’ll separate old survival strategies from present-day reality, so your decisions come from clarity, not fear.
Let’s Talk Logistics
Frequency & Format
Weekly (60 min) or Biweekly (90 min) sessions via secure telehealth all across Washington and Texas.
*Additional states coming in 2026 through licensure expansion and the interstate compact for licensed clinical social workers. Send me an email to get notified when states are added.
Timeline
Most clients work with me weekly for 6-12 months before transitioning to less frequent sessions.
It depends on how long it takes to move through your layers.
I keep the work focused and intentional, without rushing your nervous system or dragging things out.
Fees
Initial Intake
90 minutes; one time
$280
Weekly Sessions
60 minutes
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Yes. Therapy is an eligible healthcare expense, and you can use HSA/FSA funds for all sessions, including the intake.
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Yes. I use a self-selected sliding scale so you can choose the rate that fits your financial circumstances. You can view the tiered structure here
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I’m an out-of-network provider.
This gives me the flexibility to do deeper work without insurance dictating session length, frequency, diagnosis requirements, or what is considered “medically necessary.” It also protects your privacy; no information is shared with insurance unless you choose to submit for reimbursement.
If you have out-of-network benefits, I can check them for you so you know exactly what your expected reimbursement would be. I provide superbills for clients who want to submit claims themselves.
If you know you’re unlikely to follow-through on submitting paperwork, I also partner with a reimbursement service that files, tracks, and resubmits claims on your behalf for a 5% service charge. Many clients prefer this because it removes the administrative burden entirely.
Availability
I keep only a few spots for ongoing ADHD therapy for adults. It allows me to show up fully, protect my limits, and take on only the clients I believe I can help in a uniquely meaningful way.
Want to get started without a waitlist?I have immediate openings for ART Intensives, an evidence-based EMDR alternative for quicker, gentler processing of the old experiences that contribute to rejection sensitivity.
When your reactions soften, your life expands.
Reach out to see how RSD therapy can help.