Treatments · ADHD & neurodivergent care

ADHD therapy without the shame.

Affirming in-person psychotherapy in Mississauga and online across Ontario for ADHD and neurodivergent adults. Sessions focus on how your brain actually works, what it needs, and how to build a life that fits.

An open notebook, pen and glasses on a tidy desk, evoking structured, neurodivergent-affirming ADHD therapy at Anchor & Bloom
Fee
$160 to $180 · 50-minute individual session
Free consultation
15 minutes, no charge
Format
In-person in Mississauga, or secure online video via Jane
Modalities
Neurodivergence-affirming, executive-function support, ACT, CBT
Clinician
Daniella Simas Medeiros, RP (Qualifying), CRPO #19387
Receipts
Provided for extended-health reimbursement · HST-exempt

About ADHD therapy at Anchor & Bloom.

ADHD therapy at Anchor & Bloom is in-person psychotherapy in Mississauga and online across Ontario for adults living with ADHD or other neurodivergent experiences. It is led by Daniella Simas Medeiros, RP (Qualifying), CRPO #19387.

The work is neurodiversity-affirming. We treat ADHD as a real difference in how attention, motivation, and executive function are wired, not as a character flaw or a matter of willpower, while taking the genuine challenges seriously. Daniella works from a strengths-based lens: sessions focus on building a life and a set of systems that fit how your brain actually operates, and on gently unlearning the shame that tends to get layered on by years of being told to try harder.

What we work toward

Strengths-based, not fixing.

We are not trying to make you neurotypical. We are trying to help you build a life that fits the brain you actually have, and to unlearn the layered story that your brain is the problem. The outcomes we work toward are about trust, sustainability, and self-knowledge, not productivity.

  • Self-trust. The slow rebuild of believing your own perceptions, needs, and pace. Your brain works differently. It is not wrong. A lot of the early work is letting that sentence land in the body, not just the head.
  • Sustainable systems that fit you. Not generic productivity advice. We look at what you have actually been able to keep, what fell apart and why, and what a low-friction version might look like. A useful system is one you can still be using in six weeks.
  • Repairing self-criticism stories. Years of being told you were lazy, careless, dramatic, or not trying hard enough do not evaporate at diagnosis. We work on the voice in your head that still talks to you the way old teachers, parents, or managers did.
  • Working with rejection sensitivity. Not pretending it does not exist. Naming the wave when it starts, slowing the response, and protecting the relationships and decisions you care about from a spiral that will pass in 20 minutes.
  • Telling apart traits from coping strategies. An ADHD trait is part of how your brain is built. A coping strategy is something you learned to survive an environment that did not fit you. Some coping strategies still serve you. Others are quietly hurting you. We sort which is which.
  • Preparing for accommodation conversations. At work, in school, at home, or with family. We can help you think through what to ask for and how to approach the conversation, and explore options that may support your day-to-day functioning.

Over time, and at a pace that fits you, this work often supports:

  • Ways of planning, starting, and finishing that work with your attention rather than against it
  • Routines built around your own energy, not borrowed from someone else's day
  • Less shame and task paralysis around the things that have felt impossible to begin
  • More room to feel a strong emotion without it taking over the whole day
  • A steadier sense of self-trust and self-understanding
  • Language for what you need at work, at home, and in your relationships
  • Systems light enough that you can still be using them a month from now

Learn more

Want the full picture?

Everything below is optional. Open any section to go deeper on how ADHD and neurodivergent therapy works at Anchor & Bloom, who it fits, and what changes over time.

Who comes for this work

The clients I see most.

Most people who come to me are not looking for a productivity coach. They are tired. Tired of starting systems and dropping them, of replaying meetings because they think they overshared, of feeling like an unreliable version of someone they could be. The work is rarely about adding more discipline. It is usually about untangling what is actually ADHD, what is anxiety on top of ADHD, and what is a survival strategy that helped once and is now costing too much.

  • Late-diagnosed ADHD in adults. Especially common in women, often arriving after a child's diagnosis. Late diagnosis tends to bring grief and relief at once. Sessions hold both.
  • Self-identified neurodivergent clients. We do not gatekeep diagnosis. Formal assessment is its own process. If your lived experience tells you your brain works differently, that is enough to start the work here.
  • AuDHD (autism and ADHD together). Autistic need for structure colliding with ADHD novelty-seeking, sensory needs amplified by dysregulation, masking stacked on executive fatigue. We treat AuDHD as its own experience, not a sum of two diagnoses.
  • Burnout in high-performing ADHD-ers. The professional who looks fine in meetings and cannot get groceries on the weekend. We work on what sustainability actually looks like for an ADHD nervous system.
  • Executive function struggles intersecting with anxiety. When working-memory gaps create anxiety, and the anxiety further degrades the working memory, the loop can feel impossible from inside. Naming the loop is usually where the work starts.
  • Intense sensitivity to criticism or perceived rejection. Sometimes referred to as rejection-sensitive dysphoria, or RSD, this is a strong, often body-level reaction to real or perceived rejection. We work on recognizing the wave, slowing the response, and protecting relationships from the spiral.
  • Masking exhaustion. Years of performing focus, eye contact, and neurotypical timing to be accepted. Therapy is often the first place where masking is allowed to drop.
  • Identity work post-diagnosis. Figuring out what to keep, what to put down, what to tell people, and what to forgive yourself for. Diagnosis is the beginning of a longer conversation, not the end.
  • Parenting as a neurodivergent person. Often raising neurodivergent kids while managing your own dysregulation and the household admin. We work on regulation first, parenting strategies second.
  • Neurodivergent in relationships. Many couples we see have one ND partner and one NT partner. Conflict shows up as chores, plans, and time. Underneath is usually a mismatch in how each brain processes the world.
  • Workplace accommodation conversations. Thinking through whether to disclose, what to ask for, and how to prepare for the conversation, exploring options that may support your functioning.

How sessions are adapted

What therapy looks like when you actually have ADHD.

Most therapy was not designed for ADHD brains. The standard 50-minute format, the unspoken expectation that you stay on topic, the homework between sessions, the assumption that insight will smoothly translate into behaviour change. None of that lines up cleanly with how an ADHD nervous system actually moves. So we adapt the room around the brain in it.

  • Sessions do not punish time blindness. Showing up late, losing track of the day, rescheduling because you missed the appointment in the calendar. This is information about how the brain is doing, not evidence that you do not want to be here. We work on it without shame.
  • No homework-style between-session tasks unless you want them. Worksheets that live in a folder you will never open again are not therapy. If structure helps you, we build structure together. If it adds another item to drop, we leave it out.
  • We name when we are losing track and reset. Out loud. Without it being a failure. ADHD conversations branch. That is a feature of the brain, not a bug to manage. The skill is noticing the branch and choosing whether to follow it.
  • External scaffolding is built in. Writing things down together during session. Shared notes when they help. A short summary at the end so the work survives the week. The goal is to make the therapy itself ADHD-accessible, not to test whether you can remember it.
  • Divergent thinking is information, not a derail. The tangent often holds the point. You are not required to stay on topic to be doing the work. We follow the thread and come back, instead of treating the original agenda as sacred.
  • Movement, fidgeting, standing, and pacing are welcome. Online sessions mean you can move. Hold a fidget. Walk to the kitchen for water mid-sentence. You do not need to perform a still, attentive face to be in therapy.

What often shows up alongside

Co-occurring concerns we work with.

ADHD and anxiety

The overlap is high enough that treating them as separate diagnoses can miss the point. Anxiety often grows out of years of trying to compensate for executive-function gaps. We work on both at once instead of asking you to pick a lane.

ADHD and depression

Especially the kind of depression that comes from years of underperformance relative to your own potential. The gap between what you know you can do and what you have been able to deliver. That gap is not a character flaw. It is what untreated ADHD does to motivation and mood.

ADHD and trauma

Especially attachment trauma in adults whose ADHD was missed and who were instead called lazy, difficult, or dramatic by the people who were supposed to know them. We hold both the neurodevelopmental piece and the relational piece in the same room.

Perfectionism and masking

The high-achieving ADHD-er who has built an entire identity around looking competent. The internal cost of that mask, the exhaustion underneath, and what it might look like to set some of it down without losing yourself.

AuDHD specifics

Sensory needs that contradict each other. Routine that soothes and bores. The double-bind of masking for both diagnoses at once. We work with AuDHD as its own experience, not a checklist of overlapping traits.

PMDD and ADHD

Hormonal cycles meaningfully amplify ADHD symptoms for many people. The week before a period can wipe out executive function and intensify rejection sensitivity. Tracking the cycle and adapting around it is part of the work, not a separate referral.

On diagnosis

Where we stand on assessment.

Registered Psychotherapists in Ontario do not formally diagnose ADHD. That is the role of a physician, psychiatrist, or psychologist with the relevant training. What we can do is sit with you in the question of whether assessment is worth pursuing for your situation, and refer to assessing clinicians when it is.

We work with self-identified neurodivergent clients. You do not need a piece of paper to be taken seriously here. If your experience tells you your brain works differently, that is enough to begin the work. For some clients, formal diagnosis later becomes useful, whether for medication access, workplace accommodations, or simply for their own clarity. For others, it never becomes necessary. Both paths are valid, and we can support either one.

On medication

How we work alongside prescribers.

We do not prescribe. If medication is part of your story, we collaborate with your physician or psychiatrist and keep the therapy work in our lane. Many of our clients are on stimulants and benefit from the combination of medication and psychotherapy. The meds help with the neurochemistry, the therapy helps with everything that has been built on top of years of unmedicated experience. Other clients are not on medication, for personal, medical, or access reasons. Both are valid choices. The therapy work does not require you to pick one.

For partners

When one of you is neurodivergent.

Couples work that names the ND dynamic is different from generic couples work. Conflict that looks like a communication issue is often a processing-style mismatch. Resentment around chores is often executive function meeting an unfair distribution of invisible labour. We can do this work too. Couples sessions that take the neurotype seriously, instead of asking the ND partner to perform a neurotypical relationship to keep the peace. Couples sessions are $200 for 50 minutes.

What changes

When ND-affirming therapy is working.

  • You stop apologizing for how your brain works. The reflexive sorry at the start of every email, every meeting, every conversation about your own needs starts to drop away.
  • You build systems that do not require you to become someone else. The system fits you. Not the other way around. When it stops working, you adjust it instead of blaming yourself.
  • You can name your needs without shame. Sensory needs, processing time, accommodation requests, rest. You ask for what you need without first proving you have earned it.
  • The internalized critic gets quieter. The old voice that called you lazy and dramatic loses authority. It does not always disappear, but it stops running the show.
  • Rejection waves get shorter. The spiral that used to take three days starts to move through in an hour. You learn to ride it instead of being swept under.
  • You start trusting your own pace. Slow days are allowed to be slow. Hyperfocus days are allowed to be productive without becoming a new baseline expectation.

What ADHD often looks like in adults

The patterns clients bring in.

Executive function

Starting, switching, and stopping tasks. Time blindness. Working memory gaps. The infamous ADHD tax: lost items, late fees, abandoned projects.

Emotional regulation

Rejection sensitivity. Big feelings, fast. Difficulty letting go of a perceived slight. Shame spirals that come on quickly and stay too long.

Identity and self-trust

Years of internalized criticism. A quiet sense of being too much and not enough at the same time. The grief of late diagnosis.

Sensory and nervous system

Overstimulation. Difficulty winding down. Burnout cycles. Body signals that get ignored until they cannot be.

Relationships

Inattention misread as not caring. Hyperfocus misread as obsession. Conflict cycles around chores, plans, and time.

Work

Boom and bust cycles. Difficulty with administrative work. Imposter feelings that do not match the actual evidence of capability.

How sessions work

What a typical course looks like.

  • First session. A real conversation about what is happening, what you have already tried, and where you want to be heading. You set the pace.
  • Following sessions. Working with patterns as they show up. Trying small experiments between sessions. Adjusting what is and is not working.
  • Modalities used. CBT adapted for ADHD, Emotion-Focused Therapy, attachment theory, somatic therapy, mindfulness, and psychodynamic work. We blend them around your needs.
  • Frequency. Weekly for the first 8 to 12 weeks works well for most clients. Many shift to biweekly as patterns settle.
  • Format. In-person sessions in Mississauga, or online video through Jane, a PHIPA-compliant Canadian platform. Fidget, stand, walk, take notes. Sessions are yours to use.
  • Length. Usually 50 minutes.

Who offers this

The clinician you would work with.

Daniella Simas Medeiros, RP (Qualifying)

Registered Psychotherapist (Qualifying), CRPO #19387 · Yorkville University MA Counselling Psychology

Daniella offers affirming therapy for ADHD and neurodivergent adults, with extra room held for 2SLGBTQIA+ and BIPOC clients. Her background includes work in workplace mental health, advocacy, and mental health research.

Modalities: attachment theory, CBT, EFT, mindfulness, psychodynamic therapy, solution-focused therapy, somatic therapy.

About Daniella

Common questions about ADHD therapy.

Do I need an ADHD diagnosis to start therapy?

No. Many adults come to therapy suspecting ADHD without a formal diagnosis, and many come post-diagnosis still trying to make sense of what it means. Psychotherapists do not diagnose ADHD, but we can work with how it is showing up in your life and refer to a physician or psychologist if formal assessment becomes useful.

Is this affirming therapy or behavioural therapy that tries to fix me?

Affirming. We approach ADHD through a neurodiversity-affirming lens that recognizes both strengths and challenges, rather than treating it as a flaw to correct. Sessions focus on building systems that work with your brain, repairing self-trust, and unlearning the shame layered on by years of being told to try harder.

I was diagnosed late in life. Is that something you work with?

Yes, often. Late-diagnosed ADHD is one of the most common reasons clients reach out. Sessions can hold the grief, anger, and relief that often arrive together, while building a more functional present.

Do you work with ADHD and anxiety together?

Yes. Anxiety, depression, and burnout commonly travel alongside ADHD in adults. Treating them as related rather than separate is part of the work.

Can you prescribe ADHD medication?

No. Registered Psychotherapists in Ontario do not prescribe medication. If medication is part of the conversation, we collaborate with your prescribing physician while we focus on the psychotherapy side.

Will online therapy work for someone with ADHD?

For most adults, yes. Many neurodivergent clients prefer virtual sessions for sensory reasons, commute energy, and the option to fidget, stand, or move during a session. We do not require a perfectly still face on camera.

How much do sessions cost?

Individual sessions are $160 to $180. Most extended health benefit plans through Canadian employers cover Registered Psychotherapist services. Psychotherapy is exempt from GST/HST as of June 2024.

For plan-by-plan coverage details, direct billing notes, and how to submit a claim, see Fees & Insurance.

Further reading

Trusted Canadian resources.

The Centre for Addiction and Mental Health publishes evidence-informed information on adult ADHD, including how it can present in women and adults diagnosed later in life.

For information on the regulation of psychotherapists in Ontario, see theCollege of Registered Psychotherapists of Ontario. To learn more about the RP (Qualifying) category Daniella practices under, see CRPO registration categories.

The Centre for ADHD Awareness, Canada (CADDAC) offers Canadian-focused resources, advocacy, and a clinician directory.

Related services and next steps

What pairs with ADHD work.

Why Anchor & Bloom

How we work, and what to expect.

No two ADHD brains are the same, so the work is personalized and strengths-based, and it starts from the relationship in the room rather than a fixed protocol. Daniella draws on evidence-informed approaches and adapts them for how neurodivergent attention actually moves: CBT reshaped so it does not depend on perfect follow-through, Acceptance and Commitment Therapy for the shame and avoidance, attachment and emotion-focused work for the relational side, and somatic and nervous-system tools for the overwhelm and burnout that often ride alongside ADHD.

  • A neurodivergence-affirming stance: your brain is a difference to work with, not a defect to fix
  • Sessions adapted for ADHD, with room to move, fidget, and think out loud
  • No shame about time blindness, missed tasks, or systems that stopped working
  • Collaborative, strengths-based work that starts from what already fits you
  • Online therapy for adults across Ontario
  • In-person therapy in Mississauga by appointment

Start with a free conversation.

A 15-minute consultation to ask questions and decide if the fit feels right.

Book a consultation

Online therapy across Ontario

Sessions are virtual province-wide, with local support for:

Toronto · Mississauga · Oakville · Burlington · Hamilton

Book a free 15-minute consult