ADHD/ADD
Attention Deficit Hyperactive Disorder
ADHD the Basics
ADHD is a neurodevelopmental disorder that begins in childhood and can be chronic. Studies suggest it affects 1 out every 45 people worldwide. It is characterized by a persistent pattern of inattention and/or hyperactivity and impulsivity.
Of course everyone can have trouble focusing or controlling their impulses from time to time. For people with ADHD these issues are pervasive and severe enough to disrupt most core aspects of their lives (professional, social, academic, family). Severity can range from being annoying to downright debilitating.
Emotional Effects of ADHD
ADHD can often take a toll on an individual’s self-esteem and confidence. We have worked with many people who did not receive an accurate diagnosis until later in life and thought of themselves as “stupid” or “forgetful” or “a troublemaker.” Having these messages reinforced by peers, family, teachers, and co-workers can have a large impact on self-esteem.
Many adults with ADHD can readily list-off friendships and romantic relationships that were negatively impacted by impulsivity, or forgetfulness.
Diagnosing ADHD
When it comes to diagnosing attention deficit/hyperactive disorder a comprehensive evaluation is recommended. Many psychiatric and physiological conditions can cause symptoms very similar to ADHD. Testing is needed to ensure an accurate diagnosis and accurate treatment. The evaluation can not only diagnose but also provide you with the necessary documentation for accommodations at school, for standardized tests, and at work. It can also help put people’s mind at ease.
Anyone can read about something online but having a formal diagnosis can be reassuring that this is a real condition. A quality evaluation will also include recommendations for treatment and accommodations tailored to your specific difficulties and needs. This is often the most helpful part of an assessment because it provides clear steps to help you achieve your goals and manage your symptoms.
Unfortunately, with all mental health issues there can be a lot of misunderstanding and stigma. ADHD is one that routinely has a lot of misunderstanding. Compared to other mental health conditions, we know a fair amount about the neurological and psychological components of ADHD.
People with ADHD often have measurable differences with certain parts of the brain that are connected to attention, memory, reinforcement, motivation, impulse control and movement. Mostly in the frontal and temporal lobe of the cerebellum, the corpus callosum, the basal ganglia and the cerebellar vermis.
Within these brain structures researchers have found that for people with ADHD, the neurobiology or reinforcement and motivation is altered. The structures that relate to motivation, reinforcement and reward are often somewhat underdeveloped or inconstantly firing. This lack of firing may be why it is difficult for people with ADHD to stay on task and stay motivated. The normal neurological incentives are not as strong for people with ADHD.
The diagnostic criteria for ADHD
are listed in two major domains, Inattention and Hyperactivity/Impulsivity. To be diagnosed with ADHD one must display at least six of the following symptoms over the past six months in either or both domains (for children these symptoms must be at an inappropriate development level):
Inattention:
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Often fails to give close attention to details or makes careless mistakes
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Often has trouble holding attention on tasks or activities
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Often does not listen when spoken to directly
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Often does not follow through on instructions and fails to finish tasks
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Often has trouble organizing tasks and activities
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Often avoids or greatly dislikes, or is reluctant to do tasks that require mental effort over a long period of time
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Often looses things necessary for tasks, and activities (keys, wallet, books, homework, phone, etc)
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Is easily distracted
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Is often forgetful
Hyperactivity and Impulsivity:
Again at least six symptoms are present for more than six months, and they are developmentally inappropriate for the individuals age or abilities.
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Often fidgets, taps hands and feet, or squirms in seat
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Has difficulties remaining seated when necessary
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Often runs or climbs in situations where it is not appropriate (in teens and adults this may be limited to frequently feeling restless)
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Often unable to play or take part in leisurely activities quietly
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Is often “on the go” or acts as if they are being “driven by a motor”
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Often talks excessively
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Often blurts out answers before questions is finished
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Often has trouble waiting for their turn
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Often interrupts or intrudes on conversations and activities of others.
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Additionally, all of these symptoms must have been present since childhood, and are present in two or more settings such as home, the workplace, school, in social gatherings, etc. These symptoms must significantly interfere with and reduce the quality of school, work, social activates and overall life.
ADHD Specialists at Houston Therapy
At Houston Therapy, several of our clinicians specialize in working with ADHD, executive functioning difficulties, emotional regulation, procrastination, neurodiversity, and related concerns. Our team works with teens, college students, professionals, and adults whose ADHD may affect work, school, relationships, self-esteem, and daily functioning.
Dr. Daniel Katz is a licensed psychologist and the founder of Houston Therapy. He works with adolescents and adults struggling with ADHD, executive dysfunction, perfectionism, procrastination, and anxiety. Dr. Katz combines practical ADHD strategies with deeper insight-oriented therapy focused on emotions, identity, relationships, and long-standing patterns. He has extensive experience working with high-achieving adults, professionals, and college students whose ADHD may have gone unrecognized for years.
Dr. Shea McTaggart is the Director of Psychological Assessment at Houston Therapy and specializes in ADHD assessment and treatment for adults and professionals. He has extensive experience with Neuropsychological Assessment, executive functioning difficulties, emotional regulation, and complex diagnostic presentations. Dr. McTaggart also provides comprehensive ADHD evaluations and diagnostic clarification.
Kelly Birkhold works with adults navigating ADHD, burnout, emotional overwhelm, life transitions, and anxiety. Clients often appreciate Kelly’s direct, practical, and down-to-earth style. She helps clients build realistic systems for organization, boundaries, self-care, and managing the day-to-day challenges that often accompany ADHD.
Emma Barr works with adolescents and adults experiencing ADHD, executive functioning challenges, emotional overwhelm, and neurodiversity-related concerns. Emma takes a pragmatic and solution-focused approach while helping clients better understand how ADHD can impact confidence, relationships, school, and work functioning.
Claire Cooper works with teens, college students, and adults with ADHD, emotional regulation difficulties, and anxiety. Claire is especially experienced helping young adults develop executive functioning skills, improve emotional awareness, and reduce the shame and self-criticism that often accompany ADHD.
Elizabeth Seabolt-Esparza works with ADHD, autism, neurodiversity, and anxiety. Elizabeth is affirming, warm, and highly knowledgeable about neurodivergence, helping clients better understand how ADHD affects emotional functioning, sensory experiences, relationships, identity, and self-esteem.
Some individuals benefit primarily from therapy and executive functioning support, while others may also benefit from formal Psychological Assessment or ADHD testing for diagnostic clarification, accommodations, or treatment planning.
Frequently Asked Questions About ADHD
Can adults have ADHD without realizing it?
Yes. Many adults with ADHD were never diagnosed as children, especially individuals who were academically successful, highly intelligent, anxious, or able to compensate through structure and last-minute pressure. Many people do not recognize ADHD until adulthood, when responsibilities increase and coping strategies stop working effectively.
What does ADHD look like in adults?
ADHD in adults often looks different than the stereotypical image of someone who is physically hyperactive. Adult ADHD may involve procrastination, chronic overwhelm, difficulty starting tasks, disorganization, forgetfulness, emotional reactivity, time blindness, difficulty prioritizing, or feeling mentally “scattered” despite high effort.
Can ADHD cause anxiety?
ADHD and anxiety commonly overlap. Many people with ADHD develop anxiety related to missed deadlines, chronic stress, disorganization, relationship conflict, underperformance, or fear of forgetting important responsibilities. Over time, ADHD-related difficulties can contribute to significant anxiety and burnout.
Is ADHD more than difficulty paying attention?
Yes. ADHD can affect executive functioning, emotional regulation, motivation, impulse control, planning, organization, time management, and relationships. Many individuals with ADHD struggle more with task initiation, overwhelm, and follow-through than with attention alone.
What is executive dysfunction?
Executive dysfunction refers to difficulties with planning, organization, prioritization, task initiation, working memory, emotional regulation, and self-management. Executive functioning difficulties are extremely common in people with ADHD and can significantly affect work, school, and daily life.
Can therapy help with ADHD?
Yes. Therapy can help individuals with ADHD better understand their patterns, reduce shame and self-criticism, improve emotional regulation, develop practical systems, strengthen executive functioning skills, and improve relationships, work performance, and daily functioning.
What is the difference between ADHD testing and ADHD therapy?
ADHD testing is used to clarify diagnosis and better understand cognitive, emotional, and executive functioning patterns. ADHD therapy focuses on helping individuals manage symptoms, improve functioning, reduce overwhelm, and develop healthier coping strategies. Some people benefit from both assessment and therapy.
Can ADHD affect relationships?
Yes. ADHD can affect communication, emotional regulation, follow-through, organization, listening, and shared responsibilities. Many couples experience conflict related to ADHD symptoms, especially when the condition is misunderstood or untreated.
Do women experience ADHD differently?
Many women with ADHD are underdiagnosed or diagnosed later in life. Women are often more likely to present with inattentive symptoms, internalized shame, anxiety, overwhelm, emotional dysregulation, or chronic self-criticism rather than obvious hyperactivity.
Do you offer ADHD testing at Houston Therapy?
Yes. Houston Therapy provides comprehensive ADHD testing and Psychological Assessment for adolescents and adults. ADHD evaluations may help with diagnostic clarification, treatment planning, and accommodations when appropriate.
ADHD Help is available
There are some great tools to help people with ADHD organize and structure their lives as to minimize symptoms. Additionally, working with a professional on interpersonal and communication skills can greatly help with relationships. Psychotherapy and counseling are often also helpful to unpack and process through old narratives and create new, more helpful ones. Gaining insight about yourself and your emotional world can lead to better impulse control, self-esteem, and emotion regulation.
If ADHD is affecting your work, relationships, confidence, emotional well-being, or daily functioning, you do not have to navigate it alone. The therapists at Houston Therapy provide ADHD therapy, executive functioning support, and psychological assessment for teens, college students, and adults throughout Houston and Texas.
To learn more about ADHD treatment or schedule an appointment, contact Houston Therapy today.