ADHD Therapy

Psychodynamic therapy for ADHD, including support with executive functioning and emotional regulation, in Berlin and online.

Is It ADHD, Autism, or Something Else?

Many adults begin to explore neurodivergence later in life sometimes through an ADHD diagnosis, sometimes through recognising autistic traits.

For some, this brings relief. For others, it raises more questions than answers.

As a psychodynamic, attachment-based therapist working in-person in Berlin and online, I work with both the realities of neurodivergent wiring and the relational and emotional patterns that often develop alongside it especially for those who grew up misunderstood, masked their inner world, or adapted to environments that did not fully see them.

Where ADHD and Autism Meet

ADHD and autism are distinct diagnoses but in real life, they often overlap. Research suggests that many autistic adults also meet criteria for ADHD.

Many people navigate challenges with executive functioning, sensory sensitivity, or social overwhelm that do not fit neatly into one category.

For those with more internalised coping styles, this can mean years of adapting, masking, or quietly blaming themselves for difficulties that were never fully understood.

Shared struggles often include:

Difficulty with planning, organisation, or memory

Emotional overwhelm or reactivity

Difficulty starting or completing tasks

Sensory overload in stimulating environments

Feeling out of sync socially, emotionally, or cognitively

Not Laziness. Not Failure. A Different Pattern

What can look like distraction, shutdown, or underperformance is often shaped by deeper internal dynamics.

Overwhelm

A nervous system under sustained stress

Wounds

Unprocessed relational or attachment injuries

Masking

The effort of adapting to meet expectations

Shame

Long-standing patterns of self-criticism

You’re not making excuses, you’re beginning to understand yourself.

In therapy, we can:

Understand how early environments shaped your current patterns
Explore the impact of masking, misattunement, or chronic adaptation
Work with self-criticism, shame, or internal pressure
Develop ways of functioning that fit your mind, rather than forcing yourself to meet external expectations

If this feels familiar, therapy offers a space to explore it in depth.

Practical Support for Executive Functioning

Insight matters, but practical support is often needed as well. This work integrates depth-oriented therapy with concrete strategies, so emotional understanding can translate into everyday change.

Planning with
less stress:

Prioritising and organising tasks

Managing
overwhelm:

Including sensory or emotional intensity

Following
through:

Completing tasks without burning out

Creating
systems:

Working with your energy, not against it

ADHD and Autism: Real and Complex

ADHD and autism are recognised neurotypes. For many, receiving a diagnosis brings clarity to patterns that once felt confusing or even shameful.

At the same time, diagnosis is not neutral. It can feel reductive, invasive, or misaligned with how someone understands themselves. A label can describe certain patterns but it does not capture the full complexity of a person’s inner world.

When Medication Helps

For some, medication can be a helpful way to manage executive difficulties or nervous system overwhelm. Where relevant, this can be discussed and integrated alongside therapy.

Getting the Help You Need

Whether you’ve been diagnosed with ADHD or autism, wonder if you might be on the spectrum, or simply feel your mind works differently, therapy can offer a deeper understanding of yourself.

You don’t have to figure it out alone.