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Individual Therapy · New York

ADHD Therapy for Adults in New York, Beyond “Just Try Harder”

Adult ADHD rarely looks like the stereotype. It looks like twelve open tabs and a missed deadline, a brilliant start and a stalled finish, bills paid late by someone who is perfectly capable of paying them. It looks like years of being told you have so much potential.

Peace Love Wellness offers online therapy for adults with ADHD across New York — whether you were diagnosed as a kid, diagnosed last month, or are only starting to wonder. Three of our clinicians work with ADHD and are accepting new clients.

You may be here because

  • You know exactly what you need to do and still cannot make yourself start
  • You were recently diagnosed, or suspect ADHD, and are rethinking a lot of your own history
  • Work, money, or home keeps sliding into crisis, then you pull it together at the last second and crash
  • Your emotions arrive fast and big, and criticism lands harder than it seems to for other people
  • A partner, boss, or family member reads your ADHD as not caring, and you are tired of explaining

You do not need a formal diagnosis to start therapy. If these patterns are getting in your way, that is enough to work with.

What ADHD therapy can help with

  • Getting started, following through, and managing time in ways that fit your brain
  • Overwhelm, procrastination, and the boom-and-bust cycle
  • Emotional intensity and sensitivity to rejection or criticism
  • Shame and self-criticism built up over years of “underperforming”
  • Making sense of a new or late diagnosis
  • ADHD in relationships, at work, and in daily life at home

More than tips and planners

Most adults with ADHD have already tried the systems: the apps, the planners, the alarms. Strategies matter, and we work on them. But they tend to stick only once the layer underneath gets attention — the shame, the anxiety, the exhaustion of compensating, and the story you have been telling yourself about why things are hard.

Therapy here does both. We build practical approaches around how your attention actually works, and we make room for what years of struggling quietly have cost you.

Who works with ADHD here

Ryn Cagle, LMHC, works with ADHD and autistic adults in an affirming way, including masking, burnout, and late identification. Zaire Smalls, MHC-LP, works with ADHD and focus-related challenges using CBT and DBT skills. Karen Garcia, MHC-LP, has experience working with ADHD and autistic clients and offers sessions in English or Spanish.

All three are accepting new clients. Zaire and Karen also see teens ages 16 and 17.

Therapy, evaluation, and medication

We offer therapy for ADHD. We do not offer formal ADHD evaluations, and our clinicians are therapists, so they do not prescribe medication. Many clients do therapy alongside medication managed by a psychiatrist or primary care provider, and many do therapy on its own. If you want an evaluation or want to explore medication, we can talk through how to find the right provider while therapy continues.

Neurodivergent-Affirming Therapy

Online and insurance-friendly

All sessions are online for clients located in New York — no commute to forget or run late for. Many clients use insurance. We are in-network with Aetna, Anthem / Empire BlueCross (including Excellus, Highmark, and out-of-state BlueCard plans), Carelon, Cigna, EmblemHealth, MagnaCare, Meritain, and NYSHIP / The Empire Plan. Coverage varies by plan and clinician, and we help clarify options before you begin.

Who You Could Work With

Ryn Cagle, LMHC

Affirming therapy for ADHD and AuDHD adults, including masking, burnout, and late identification.

Currently accepting new clients

Zaire Smalls, MHC-LP

CBT and DBT skills for focus, follow-through, and emotional regulation, for teens ages 16+ and adults.

Currently accepting new clients

Karen Garcia, MHC-LP

Practical, strengths-based support for ADHD at work, school, and home, for teens ages 16+ and adults, in English or Spanish.

Currently accepting new clients

Sessions are online for clients located in New York. We review clinical fit, insurance, and current openings before you begin. Insurance & Fees · Get Started

Adult ADHD therapy FAQ

Questions we hear from adults with ADHD, and adults who think they might have it.

Do I need an ADHD diagnosis to start therapy?

No. You can start therapy whether you are diagnosed, self-identified, or unsure. We work with the patterns that are getting in your way, such as focus, follow-through, overwhelm, and emotional intensity, whatever they end up being called.

Can therapy help ADHD without medication?

Therapy can help with or without medication. It focuses on skills, routines that fit your brain, emotional regulation, and the shame and anxiety that often come with ADHD. Some people find medication helpful as well; that is a decision to make with a prescriber, and therapy can continue alongside it.

Do you offer ADHD testing or prescribe ADHD medication?

No. We do not offer formal ADHD evaluations, and our clinicians are therapists, so they do not prescribe medication. If you want an evaluation or want to explore medication, we can talk through how to find a psychiatrist or other provider, and coordinate with them if you would like.

Which therapists at Peace Love Wellness work with adult ADHD?

Ryn Cagle, LMHC, Zaire Smalls, MHC-LP, and Karen Garcia, MHC-LP, work with ADHD, and all three are accepting new clients. Karen offers sessions in English or Spanish, and Zaire and Karen also see teens ages 16 and 17.

How is this different from neurodivergent-affirming therapy?

They overlap, and the same clinicians offer both. This page is about ADHD specifically: attention, follow-through, and the emotional side of living with it. Our neurodivergent-affirming therapy page speaks more broadly to ADHD, autistic, and AuDHD adults, including identity, masking, and late identification.

Do you accept insurance for ADHD therapy in New York?

Many clients use insurance for therapy at Peace Love Wellness. We are in-network with Aetna, Anthem / Empire BlueCross (including Excellus, Highmark, and out-of-state BlueCard plans), Carelon, Cigna, EmblemHealth, MagnaCare, Meritain, and NYSHIP / The Empire Plan. Coverage varies by plan and clinician, and we help clarify your options before you begin.

You have been trying hard enough

What usually helps is not more effort but a different kind of support. Tell us a little about what you're looking for, and we'll help match you with a clinician who feels like the right fit.