Is It ADHD... Or Something Deeper?
More and more people are being diagnosed with ADHD—and while for some, it can be a helpful and accurate label, I believe we’re also witnessing a moment of over-identification with the diagnosis.
From my perspective as a psychodynamic, attachment-based therapist, ADHD symptoms can be very real—but they can also overlap with other emotional or relational struggles, such as:
- Childhood trauma or neglect
- Chronic anxiety or depression
- Emotional dysregulation rooted in insecure attachment
- The natural challenges of living in a fast, fragmented world
If you’re struggling with focus, impulsivity, time management, or overwhelm—it doesn’t automatically mean you “have ADHD.” But it does mean something in your mind and nervous system is asking for care and understanding.
What We Often Call ADHD: A Psychodynamic View
Symptoms commonly associated with ADHD—like difficulty focusing, procrastination, forgetfulness, or emotional reactivity—can often be traced back to early relational experiences.
For instance:
- If you grew up in an unpredictable environment, you may have developed a hyperactive internal world as a way to cope.
- If your emotions weren’t met with attunement, your nervous system may still struggle to self-regulate.
- If you were shamed or ignored for needing support, it may now feel impossible to ask for
- help or follow through on tasks.
These patterns aren’t deficits. They’re survival strategies—and they make sense when viewed through the lens of attachment.
Attachment-Based Support for ADHD-Like Struggles
Whether or not you’ve been formally diagnosed with ADHD, you may be facing real difficulties with executive functioning—like managing time, staying organized, or following through on goals. And that’s where my integrative approach can help.
In our work, we will:
- Explore the emotional and relational roots of your patterns
- Work psychodynamically to understand unconscious blocks or defenses
- Gently untangle shame and self-criticism tied to “underperforming”
- Offer practical coaching strategies to support executive functioning and reduce overwhelm
My additional training in coaching allows me to help clients bridge the gap between insight and action—especially when daily life feels chaotic or hard to manage.
What the Neuroscience Tells Us About ADHD
While my approach is grounded in psychodynamic and attachment-based theory, I also value what neuroscience teaches us about how the brain functions—especially when it comes to attention, regulation, and executive functioning.
Research shows that ADHD is associated with differences in certain areas of the brain, particularly in the prefrontal cortex, which is responsible for:
- Planning and organization
- Impulse control
- Emotional regulation
- Working memory and attention
Functional MRI studies have also shown differences in dopamine regulation, which helps explain why individuals with ADHD may struggle with motivation or sustaining focus on tasks that don’t offer immediate stimulation or reward.
But here’s what’s important: Neuroscience can explain patterns—but it doesn’t define the person.
Just because a brain functions differently doesn’t mean someone is disordered. Brains develop in context—shaped by experience, attachment, trauma, and environment. Understanding these brain-based patterns can be empowering, especially when combined with emotional insight and practical support.
Do I Think ADHD Is Real? Yes—And Also Complex.
There’s no question that some people’s brains are wired differently—and for those individuals, a diagnosis of ADHD can be a helpful, validating experience.
But I also believe we must be cautious. We live in a culture that rewards productivity, speed, and hyper-efficiency—and pathologizes anything that deviates from it. In many cases, what gets called ADHD is actually the result of trauma, burnout, nervous system dysregulation, or a sensitive mind trying to function in a disorganized world.
In our work together, we make space for that complexity. We don’t reduce you to a diagnosis—we listen for your story.
A Thoughtful Approach to Diagnosis and Medication
When ADHD is suspected, I recommend a comprehensive assessment. In Germany, ADHD diagnosis typically involves:
- Structured clinical interviews
- Behavioral questionnaires (e.g., WURS-K, ADHD Self-Report Scale)
- Collateral history (input from family members, when appropriate)
- Neuropsychological testing (such as attention span, impulse control, and executive functioning assessments)
- Sometimes an evaluation by a specialist (e.g., psychiatrist or neurologist)
A nuanced diagnosis matters—because both under-diagnosis and over-diagnosis are real risks.
ADHD Medication Options in Germany
If ADHD is diagnosed, medication may be part of a treatment plan, often alongside psychotherapy and coaching. In Germany, common ADHD medications include:
Stimulants:
- Methylphenidate (e.g., Ritalin, Medikinet, Concerta)
- Dexmethylphenidate (e.g., Focalin) – less commonly used
- Lisdexamfetamine (e.g., Elvanse) – a prodrug stimulant, often preferred for its smoother profile
Non-Stimulant:
- Atomoxetine (Strattera) – a norepinephrine reuptake inhibitor, sometimes preferred if stimulants are poorly tolerated or contraindicated.
Medication decisions are highly individualized, weighing potential benefits with side effects, lifestyle fit, and personal preferences.
Importantly, not every person with ADHD needs or benefits from medication—but for many, it can significantly enhance attention, emotional regulation, and quality of life.
As always, any decisions regarding medication involve collaboration with a prescribing physician. I would work in partnership with psychiatrists and general practitioners who approach ADHD—and all mental health care—with thoughtfulness and depth.
ADHD Screening and Support
If you recognize yourself in some patterns often associated with ADHD—such as chronic distractibility, emotional impulsivity, difficulty organizing tasks, or mental restlessness—we can explore this thoughtfully together.
While I do not offer formal medical diagnoses, I provide initial ADHD screening through clinical interviews and validated questionnaires.
If further evaluation is indicated, I would suggest referral to psychiatrists, neurologists, or specialized diagnostic centers in Berlin.
Whether or not a formal diagnosis is made, therapy can support you in better understanding your mind, building practical strategies, and strengthening your self-compassion.
You Are Not Lazy or Broken
Struggling with focus or follow-through is not a character flaw. It’s often a sign that your nervous system, emotional world, or relational history needs more support.
With the right combination of deep therapeutic work and tailored executive functioning tools, it’s possible to feel more grounded, capable, and aligned with your own rhythm.
Let's Begin
Whether you’re newly exploring the possibility of ADHD, feeling misunderstood by past diagnoses, or just looking for support to manage life better—I’m here to meet you where you are.
Schedule a free 15-minute consultation to find out if this work could be right for you.