ADHD, Testing and Assessment

ADHD Testing in Los Angeles: How to Choose the Right Psychologist and Get Accommodations You Need

Written by Here Counseling

ADHD Testing in Los Angeles: Finding the Right Psychologist

When it comes to ADHD testing in Los Angeles, it is essential to find the right psychologist who specializes in ADHD. However, finding this “ideal provider” can feel impossible. This can be a strenuous, challenging, and lengthy process. You may have already looked through dozens of psychologists’ profiles and feel like the process is never ending. You may be unsure of what to look for, feel overwhelmed, and be ready to give up. 

It is completely understandable if you feel this way. You are not alone. In fact, many of the patients who call me to book a testing session began the process of seeking an assessment provider weeks or even months ago, but found that they didn’t know where to look or what to ask for. The method to demystifying and streamlining this process is to know three key questions to ask each provider you speak with. When you get the right answers (which will be identified below), then you’ll be able to rest easy knowing that you’ve booked your assessment with the right provider. I’ll walk you through the questions you ought to ask, as well as clarifying the process by explaining how I approach testing for ADHD.

What Questions should I Ask?

There are a few key questions to ask any psychologist you are consulting with to consider booking for an assessment. These questions are based on a few key concept. First and foremost, it is most important to find a psychologist who has experience evaluating and treating ADHD. So is finding someone you feel you have strong rapport with who offers the methodology of testing you need. For instance, I specialize in ADHD testing and therapy and offer ADHD testing in Los Angeles in-person as well as anywhere across California virtually. The psychologist you work with should be able to explain their methods to you in a relatable, understandable manner so you feel confident about getting the testing you need.


Most psychologists offer a free, 15-minute consultation phone call. This gives you the opportunity to ask any questions you may have about the ADHD testing process. Here are some helpful questions you may with to ask to ensure you are working with the right psychologist.

Question #1: What is this Psychologist’s experience in ADHD Assessment; is ADHD their Area of Expertise?

You have a right to receive treatment from a provider who is well trained and highly experienced in ADHD. It can feel awkward to ask, but these sort of questions are so normal for us to hear as psychologists! Just as you likely wouldn’t want to fly on a pilot’s first flight with the airline, you don’t want to select a psychologist who is brand new to testing. Remember, assessment is a highly intricate skill that takes years of training (and a doctorate!) to gain experience in, let alone expertise. There are also countless diagnoses psychologists can be trained to assess for, so you want to make sure that the provider you select is specifically trained and experienced in ADHD.

Additionally, in case you build strong rapport with your psychologist and wish to obtain therapy for ADHD from them post-assessment, you’ll likely wish to ask about their methodology for providing therapy for patients with ADHD. Thus, consider some of the following questions when you consult with a provider:

  1. What is their experience assessing for ADHD?
  2. What is included in your report? Recommendations in a variety of contexts?
  3. Do they use evidence-based assessment tools and treatment methods?
  4. If your results show you do indeed have ADHD, what are the next steps they provide?
    • Do they help match you with a psychiatrist if you are interested in medication?
    • Do they offer therapy so you can continue working together? If so, what is their experience working with clients with ADHD? What is their typical treatment model?

Question #2: In-person versus Virtual ADHD Testing: Which is Right for me?

In-person and virtual ADHD testing are both effective options for identifying and treating ADHD. While some individuals may prefer the traditional in-person approach, virtual testing has become increasingly popular due to its convenience, accessibility, and flexibility. Virtual testing allows individuals to receive the same quality of care from the comfort of their own homes. Additionally, it helps avoid the hassle of transportation and scheduling conflicts.

Benefits and Drawbacks of Virtual ADHD Testing in Los Angeles

Virtual ADHD testing offers a variety of benefits. This includes the ability to meet with a qualified provider from anywhere, reduced wait times, no commute, and increased privacy. It is important to work with a provider who is highly experienced in conducting ADHD assessments virtually to ensure accurate results.

If you are seeking ADHD testing because you feel you would benefit from accommodations, check with your employer or school to ensure that virtual testing qualifies you. While I have never had a client’s assessment not qualify them for all necessary accommodations, it is no problem to administer some or all of the assessment in-person.

Question #3: What Accommodations do I Need and can this Psychologist Provide them if I am Diagnosed?

As a psychologist who specializes in therapy and testing for ADHD, I understand the challenges that individuals with ADHD face in various aspects of their lives. The good news is that there are accommodations available to help individuals with ADHD achieve success in numerous contexts, including work, school, and standardized testing. If you meet the diagnostic criteria for ADHD, you will qualify for numerous of these accommodations.

Brief Assessments do not qualify you for accommodations

When it comes to standardized testing, accommodations may include extra time, breaks, separate testing rooms, and the use of a calculator or other assistive technology. Notably, to qualify for testing accommodations, individuals with ADHD must provide documentation from a psychologist that confirms their diagnosis. This documentation must demonstrate the extensive nature of the assessment they underwent to ascertain that they meet diagnostic criteria. Thus, brief assessments do not qualify.

In the workplace, individuals with ADHD may benefit from numerous specific accommodations. This can include flexible work hours, the ability to take frequent breaks, and the use of noise-canceling headphones to minimize distractions. Employers may also allow for written instructions, provide regular feedback, and use visual aids to help individuals with ADHD stay on task.

In schools, accommodations may include extra time for tests, preferential seating, and access to assistive technology such as laptops or tablets. Students with ADHD may also benefit from receiving notes and outlines to help them stay organized and focused, as well as the option to take tests in a distraction-free environment.

Question #4: What about Cheaper Options Mass-Advertised Online, like Cerebral for ADHD Testing in Los Angeles?

I am adding this fourth question because, while it is not one you need to ask providers you consult with, it is a question I hear a lot and feel could be beneficial to cover here. Cheaper online options that offer “ADHD testing with therapists” such as Cerebral often do not qualify you for these accommodations. They may qualify you for non-stimulant medications, such as anti-depressants, but not for ADHD stimulants such as Adderall. Many such sites do not offer optional follow-up therapeutic appointments either.

Such online options do not qualify you for accommodations

Most organizations, including workplaces, schools, and standardized testing, do not accept assessments from these sites due to how brief/non-thorough the assessments can be, their lack of empirical evidence (e.g.: using screeners that have not been proven to be valid and reliable in empirical trials) and, at times, under-qualified assessors. Remember to ask the psychologist you are considering booking an assessment with about their qualifications, training, experience, and which accommodations your assessment results will qualify you for if they reveal that you meed diagnostic criteria for ADHD.

We offer ADHD testing that qualifies you for accommodations

Learn About ADHD Testing
Read More
ADHD, Parenting, Testing and Assessment

Planning for Success with ADHD at Home: ADHD Strategies for Children

Written by Connor McClenahan

It is possible to have more fun with your child and experience less frustration, even if your child has ADHD. You may feel like all you do right now is remind or nag your child to brush their teeth, complete homework, get ready in the morning, and not fight with siblings. You have tried the strategies that worked with your other kids or have worked for your friends, but with no success. If your child has traits of ADHD or has been diagnosed with ADHD, this probably sounds very familiar. This blog can help you learn ADHD strategies for children that you can utilize to help your child successfully complete tasks such as school assignments, chores, and self-care.

ADHD Strategies for Children at Home

Many parents of kids with ADHD struggle to get their children to complete tasks at home. Your child may need more support than other children their age to be able to be successful at homework, chores or even maintaining hygiene.

Thankfully, there are a few strategies that will help you and your child navigate the challenges. These strategies can be used by all parents, but are especially important for parents of a child with ADHD. You may have to provide more consistency and structure in your parenting to support the different ways your child’s brain works.

1) Prioritize

When tackling challenges at home, it is important to start small. You have a thousand things you want your child to do and they all are important. Focus on the most important task first. Select 1-3 things and become highly consistent in prioritizing them until they become a habit for your child. Then, you will know it is time to move on to the next thing on your list.

While this can be challenging, it is key for success.

Remember, you will have to ignore some important things as you focus on your goals. However, doing so will be more effective. It will help your child make progress with one task before moving on to the next.

Prioritizing is especially important for children with ADHD, because they already experience difficulty remembering what needs to be done. Fewer things to remember equals more success.

So, what is the one task you want to focus on right now?

2) Create a Plan

Now that you have prioritized, create a plan with your child. If your child has ADHD, then you may need to be more explicit when creating a plan to enhance their ability to remember the plan.

Your plan should include a very clear description of your expectations for your child. It also needs to include description of what you are going to do to help them. Create a plan in collaboration with your child. This will grant the opportunity for them to express what is difficult for them and what they need from you in order to succeed. Keep in mind, you may have to adjust your expectations so that the plan works for both of you.

3) Rewards

Rewards can be far more powerful for changing behavior over time than punishments. However, they can be difficult to implement.

Identify what your child can earn if they complete the task you expect this week. Maybe it is a later bedtime, additional screen time, or the selection of your family dinner or the Friday night movie. Think of things that can be repeated, are doable, and do not break the bank. Create a menu so that your child can choose which reward they want: whatever best incentivizes them from your pre-approved list.

Rewards are effective for all children, but may be more necessary for children with ADHD. They tend to be more bored by routine tasks less likely to feel naturally rewarded by completing a task they need to do. Attaching an external reward can make the task seem feel interesting or worthwhile.

4) Praise

Praise more than you think you need to. This is so important for children with ADHD because they may often feel like a failure. Praise serves as an incentive for them to repeat appropriate behavior. It also helps boost their self-esteem.

Even if something is not perfect, praise them for the little progress you observe every week.

5) Reminders

Get creative with these! Because the ADHD brain works differently, reminders are crucial. Keep in mind, they need to be consistent with your child’s interests or strengths. You can try charts, phone alarms, visual reminders, and scheduling a check in with you, so that you can remind them about the plan and praise any progress. Choose a reminder system that works best for your child based on their age and preferences.

6) Consistency is Key

It takes times to form healthy habits and may be harder for your child with ADHD. If they are forgetful or uninterested, it can take a while to figure out what they need and create a habit.

7) Get Help with ADHD Testing in Los Angeles

Even the best parents need help! These ADHD strategies for children may sound easy. However, they can be challenging for children with ADHD to accomplish consistently. That’s why identifying and developing a strategy that works best for your child’s unique needs is so important. Every child with ADHD has different needs, strengths, and interests. It may be helpful to work with a psychologist to identify the strategies that will work best for your child. ADHD testing can also help clarify how your child’s brain works, as well as identifying their strengths and weakness.

If you are wondering if your child has ADHD and would like more information about therapy or testing, you can set up a free consultation to discuss your assessment and/or therapeutic needs.

Learn about ADHD testing
Read More
ADHD, Managing emotions

How to pay for your Child’s ADHD Assessment: 3 Ways

Written by Connor McClenahan

An ADHD assessment provides answers. It can help you understand your child’s behaviors and illustrate their strengths and weaknesses. It clarifies a diagnosis and provides a clear path forward. But how do you get an ADHD assessment for your child and how can you pay for it?

Thankfully, you have some options. There are 3 ways to receive or pay for an ADHD evaluation: through your child’s school, through insurance, and through private pay. Each option has pros and cons to consider.

ADHD Assessment through your Local School District 

First, consider having your child evaluated through your local school district. Whether your child attends private or public school, the school district is required to provide educational evaluations for students who are struggling academically.

Pros:

  • Cost: There is no cost for an evaluation through the school district.
  • Access: You do not have to find an outside provider or take your child out of school for extended periods of time. This is because all testing can be done at school by school staff.

Cons:

  • Qualifying: It may be difficult to get the school to complete an evaluation if your child is doing well enough academically. Schools are only required to provide evaluations for students who qualify based on low academic performance.
  • Long wait times: Schools usually have a long process to determine if students qualify for an evaluation. Even once the school approves an evaluation, it may take months to complete.
  • Less comprehensive: A school evaluation considers academics and school behavior, but is less likely to take other parts of your child’s life into consideration. A school evaluation might not be able to provide a diagnosis of ADHD.

ADHD Assessment through Insurance

ADHD is a medical diagnosis and so an ADHD assessment may be covered by your insurance provider.

Pros:

  • Cost: There is low cost to you or may be paid completely by your insurance.
  • Provider list: Check with your insurance for a list of providers who take your insurance in your area.

Cons:

  • Access: It is sometimes difficult to find a provider through insurance. Providers may have long wait lists.
  • Comprehensiveness: Insurance plans limit what they pay for. Your insurance will likely not cover academic testing or testing for other mental health diagnoses. The evaluation may only be able to determine whether or not a child has ADHD, and not include what else could be going on for your child (ex. learning or emotional problems.)

ADHD Assessment Through Private Pay

Lastly, you have the option of paying out of pocket for an ADHD evaluation. You pay for the evaluation up front but insurance may still cover some or all of the cost of an evaluation. Many providers offer a superbill, which is a receipt that you submit to your insurance. Based on your plan, your insurance may reimburse the full or partial cost for the evaluation.

Pros:

  • Choice of provider: Paying out of pocket allows you to choose a provider who will be the best fit for your child’s needs based on location, specialty, availability and your comfort with the provider.
  • Comprehensiveness: Your provider can tailor the assessment to answer your specific questions instead of only focusing on what insurance covers. Get all of your questions answered, without the limits of school resources and insurance coverage.

Cons:

  • Cost: This may be a more expensive option since you pay up front and there is more uncertainty regarding insurance reimbursement, depending on your plan and deductible.
  • Access: You may have to take your child out of school longer to travel to see your provider.

Weighing Your Options 

All of these options can be really helpful for getting support for your child. You may decide to check in with school and insurance before deciding whether or not private pay is the right option for your family. Whichever you choose, having more answers and clarity will empower you to advocate better for your child’s needs.

If you would like to discuss which of these options would be the best fit for you or if you are ready to schedule an appointment, please contact us for a free consultation.

Our Assessment Process

Read More
ADHD, Parenting, Testing and Assessment

5 Empowering Options for your Child with ADHD

Written by Connor McClenahan

You received a diagnosis of ADHD for your child. Hopefully that clarifies some of the questions you had!  But where do you go from here?

Whether a diagnosis feels helpful or daunting, it does give you some options. You can now make an informed decision of what will be best for your child. Consider each one and discuss them with your child’s pediatrician or mental health therapist. More than one option may be right for your child.

School Accommodations

Having a diagnosis will give you the ability to advocate for your child’s needs at school. Check out my blog on school strategies for more details on this option.

Medication

Many pediatricians recommend medication to help manage the symptoms of ADHD. Doctors most commonly prescribe psychostimulants, but other options exist. Medication is an effective treatment for many children and often improves focus, peer relations (ex. by reducing aggression), compliance with teacher instructions and work completion.

Weigh the pros and cons of medication and find a medication that works best for your child. Not all children respond to the same medications. Side effects also need to be considered and closely monitored when trying a medication. Some common side effects include insomnia and lack of appetite.

Many parents worry that the use of psychostimulants in children will increase the risk of substance abuse in adolescents. However, the majority of studies have found no increase in risk. Some studies have actually found that prescription of medication for ADHD reduces likelihood of substance abuse in the future. This may be because those who are properly medicated are less likely to self-medicate. Stimulants can be over used, either to get high or in attempts to improve intelligence, and their use may need to be closely monitored. They may not be recommended for adolescents who already struggle with drug abuse.

Medication is very effective for immediate improvement but behavioral treatment and mental health treatment should also be considered for more long term impact. For more information, check out FIU’s Center for Children and Families information sheet.

Supplements

Though generally less effective than medication, some children may still benefit from supplements. Evidence suggests that some children with ADHD have lower levels of Omega-3 fatty acids, which are essential for brain development. For this reason, Omega supplements may help alleviate symptoms. It is unlikely that a supplement will reduce symptoms entirely, but it may be helpful for children with mild ADHD symptoms or for maintaining lower doses of medication for children with moderate or severe ADHD.

Omega-3 supplements are not considered a primary treatment for ADHD, due to lack of efficacy and the need for more research. However, it may be useful as an adjunct treatment.

Neurofeedback

Neurofeedback aims to develop the capacity of the brain to self-regulate at the cortical level. Theoretically, individuals with ADHD have an under-aroused brain with insufficient communication between neurons. Neurofeedback utilizes EEG technology to help train the brain to increase certain brain waves while decreasing waves that are excessively active in ADHD.

There is growing evidence of the effective use of neurofeedback for ADHD. It has not been found to be as widely effective as medication but may be helpful for those who do not respond well to medication or are hoping to maintain lower doses.

Mental Health Therapy

Due to the stress of living with ADHD, children often feel more anxious, depressed or angry. They need to learn how to cope with these feelings and also develop new strategies that work with their brain. Mental health therapy has a very good track record for helping reduce the negative impact of ADHD through behavioral and emotional strategies.

Behavioral interventions help children, their teachers and parents identify strategies that will help compensate for the symptoms of ADHD. This may include regular check-ins, organizational strategies and reward systems. Emotional strategies help children overcome anxiety, anger and sadness.

Mental health therapy does not reduce the prevalence of inattention or hyperactivity, but instead helps kids and parents cope with them more effectively. Therapy provides long-term skills and most research indicates that the combination of mental health therapy and medication as the most effective treatment for ADHD.

Here for you!

If you are interested in a consultation to see if therapy would be a good fit for your child, give us a call today. If you are not sure if you child has ADHD, contact us to discuss psychological testing.

Read More
ADHD, Testing and Assessment

Diagnosed with ADHD? How to Make the Most of the Results of Your ADHD Testing

Written by Here Counseling

Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder that is often diagnosed in childhood. However, it can persist into adulthood and may not be recognized until later in life. If you are looking for ADHD testing in Los Angeles or have recently received a diagnosis of ADHD as an adult, you may feel unsure of where to turn next. While it’s natural to feel overwhelmed or confused, it’s also important to remember that there is help and support available.

How to Cope with Being Diagnosed with ADHD as an Adult

Seek Support

It’s important to have a supportive network of friends and loved ones at this time. They can provide emotional support and help you navigate the challenges of a new diagnosis. Consider joining a support group or connecting with others who have received a diagnosis of ADHD later in life. Your psychologist can help you find the right group therapy for you.

Learn about ADHD

Knowledge is power, and it can be helpful to learn as much as you can about ADHD and how it affects your life. This can help you understand your symptoms and develop strategies for managing them.

There is A LOT of misinformation on the internet and social media about ADHD. Click here to read my last blog to learn more about common ADHD myths debunked. This includes erroneous symptoms that mask other diagnosis, which are incorrectly attributed to ADHD. Make sure you use reliable and verified sources. Working with a psychologist with extensive experience and expertise in ADHD will help you ensure you are getting the best care from a qualified professional.

Ask your psychologist about their experience working with people with ADHD. What is their training? What is their experience administering ADHD assessments? If you are seeking diagnostic clarity about other diagnoses too, ask them how they consider other such diagnoses. What is their experience assessing for the other diagnoses you are considering (such as learning disorders, Autism Spectrum Disorder, Anxiety, Depression, Bipolar Disorder, etc.)? What do they incorporate into therapy for ADHD?

Seek Treatment: Therapy for ADHD & ADHD Testing in Los Angeles

Therapy for ADHD

Therapy can be effective in managing symptoms and improving daily functioning. This may include medication, therapy, or a combination of both. It’s important to work with a qualified mental health professional to determine the best treatment approach for you. As I explored in a previous blog (https://herecounseling.com/adhd-comorbid-diagnoses-may-be-affecting-your-focus/) , ADHD commonly goes hand-in-hand with other diagnoses. Thus, ask the psychologist you intend to seek ADHD testing or therapy how they integrate treatment of BOTH (or multiple) diagnoses into your tailored therapy. 

ADHD Testing in Los Angeles

Are you are interested in ADHD testing in Los Angeles (in-person or virtual) or therapy for ADHD? If so, you can request a complimentary consult with me today to discuss your options and learn about what the ADHD testing process looks like.

To learn more about the cutting-edge science psychologists are researching to discover new forms of treatment for ADHD, check out the amazing work UCLA’s Semel Institute is producing to help aid adults with ADHD: click here.

Practice Self-Compassion

It’s natural to feel frustrated or overwhelmed after receiving a diagnosis of ADHD later in life. It’s important to practice self-compassion and remind yourself that you are not alone and that there is help available.

Set Realistic Goals

Having ADHD can impact your ability to meet certain goals, and it’s important to be realistic about what you can accomplish. It can be helpful to work with a therapist or coach to develop strategies for setting and achieving goals that are realistic and achievable.

      Next Steps: Therapy for ADHD & ADHD Testing in Los Angeles

      Receiving a diagnosis of ADHD later in life can be a challenging and emotional experience, but it’s important to remember that you are not alone and that there is help available. By seeking support, learning about ADHD, seeking treatment (ADHD testing and/or therapy), practicing self-compassion, and setting realistic goals, you can learn to manage your symptoms and live a fulfilling life. So, take the next step towards ADHD testing and/or therapy to learn how to successfully cope with, manage, and alleviate your symptoms. Click this link to schedule a free 15-minute consultation with me today.

      Dr. Shannon Thomas

      I help adults and couples learn to thrive emotionally, vocationally, and relationally. I offer therapy for ADHD, anxiety, and relationship issues.

      Learn more about Shannon
      Read More
      Adult with ADHD receiving therapy for ADHD and ADHD testing in Los Angeles
      ADHD, Testing and Assessment

      ADHD Testing in Los Angeles: Why this Year Is the Best Time to get Diagnosed

      Written by Here Counseling

      As a psychologist who specializes in both therapy for people with ADHD as well as ADHD testing in Los Angeles, I know firsthand the struggles that adults with undiagnosed or untreated ADHD face on a daily basis. You may have been labeled as “lazy” or “unmotivated” throughout your life. However, these are only two of the common ADHD myths that society perpetuates. Click here to read my last blog to learn more about common ADHD Myths Debunked. In reality, ADHD is a very real and valid condition that affects millions of people in the United States alone. Indeed, ADHD is one of the most common psychological disorders. That’s why LACARE.org devotes a section of their websitespecifically to how adults who suspect they may qualify for an ADHD diagnosis can live healthier, more productive lives. The first step is seeking treatment for their ADHD.

      Have you been struggling with symptoms such as difficulty focusing, impulsivity, and hyperactivity? Good news. It is never too late to seek a diagnosis for ADHD. In fact, seeking a diagnosis as an adult can be an incredibly empowering step towards understanding yourself and learning how to manage your symptoms more effectively.

      Read More
      happy couple who resolve conflict without feelings of abandonment
      Healthy Relationships

      Take a Time Out: How to survive relationship conflict without abandonment

      Written by Kristi Wollbrink

      Having the skills to stay engaged when relationship conflict arises can feel impossible. Sometimes, you wish you could push the eject button as soon as another argument begins. You find yourself remaining silent, or saying whatever you feel will “ease the tension,” even just for a moment. You feel desperate to quickly resolve the tension in whatever way you can.  

      Fight or Flight: To Enter Relationship Conflict or Flee

      This cycle can ease the tension for a brief moment. You may feel a brief wave of relief. You were able to keep things from getting out of hand. However, that underlying unease you feel may remain.This may be a sense of internal guilt: a form of self-blame for feeling unable to express your needs. You may feel stuck inside your own head, knowing all the things you wish you could have said but somehow couldn’t find the words in the heat of conflict. This can lead to even greater frustration and a continued feeling of disconnection with your partner.  

      In moments of stress, you may experience a natural flight response pattern: a desire to withdraw and avoid.

      When experiencing the stress of relationship conflict, our bodies are programmed to respond in one of two ways, which correlate with our need for survival: pursue or withdraw. These are natural tendencies when we feel we need to protect ourselves. Some try to overcome this stress by engaging with their partner in relationship conflict. Others engage in the pattern of withdrawal. The latter can lead to feeling trapped in the stress, which often produces a strong desire to avoid the source of conflict.

      Relationship conflict can cause these patterns of stress response to arise because our brains register conflict as a threat to our social well-being. Many individuals have a tendency to desire to “escape” conflict because they struggle to process their thoughts when under emotional stress. This desire fuels acts of abandonment: pushing the source of conflict (often our partner) away to alleviate the stress.

      Is Avoiding Conflict Always Bad?

      In short, no. This escape pattern is not always bad. However, at times it can prevent us from expressing our own wants and needs. This can lead to a destructive cycle of guilt and frustration or, alternatively,  anger and hopelessness. It doesn’t have to be this way.

      You can learn a new way to manage conflict in your relationship, which will lead to greater connection.

      How To Better Manage Relationship Conflict 

      Consider the following three steps to break the cycle of fight or flight and better manage your next relationship conflict.

      1. Learn to notice your stress response

      • The first step is to gain awareness. Specifically, aim to notice the ways you typically respond to conflict in your relationship. Do you tend to fight, flight, or freeze? Understanding your typical conflict stress response can be an invaluable tool to navigate conflict more effectively.
      • Your stress response is likely a learned response that has helped you navigate difficult situations in the past. However, is it serving you in your current relationship?
      • It is common for one partner to have a stress response of fighting and the other partner to have a stress response of avoidance. Understanding both your and your partner’s response to conflict can help you to learn to recognize when you are experiencing tension in your relationship and to remain engaged, rather than exacerbate or avoid the conflict.

      2. Explore a phrase that can help to communicate your need to take a break

        • The value of a phrase that both partners agree will pause an argument cannot be overstated.
        • When one partner uses this phrase, it provides both individuals with the time and space to process what the conflict and identify their emotions. 
        • When they return, they will both be more capable to communicate their feelings and needs, without being overwhelmed by emotion in the moment.
        • Remember, collaborate with your partner to select this phrase prior to arguing: in a conflict-free moment.
        • Phrases such as, “I think I need a time out” or “Let’s take some space” can be easy phrases to help you and your partner pause and take a break.

        3. Name a time and place to return to the conversation

        • This step is essential. The key step to taking a pause from a relationship conflict is to first mutually agree upon a time and place to return.
        • That way, both parties can rest assured that their partner is dedicated to resolving the issue. Neither has to worry that their partner is avoiding the conflict. 
        • Instead, both individuals can take time to emotionally self-regulate. Then, when they return to the argument, work toward a solution with more clarity and security. 
        • Thus, when asking for a pause, be as specific as possible in terms of the when and how of coming back together. You might try: ”let’s talk tonight right after dinner.” You may prefer: “How about we come back to this in 20 minutes after a mental break to process how we feel.” Both are excellent to give a specific timeframe to the pause.
        • It is important to allow space for your partner to agree with the suggested time frame. Foster opportunity for them to offer an alternate suggestion and be open to compromising if needed.  

        The Benefits of Taking a Pause

        Take a time out to slow down, refresh, and discern what you need in a moment of conflict.

        Using these steps can create an important foundation to navigate stressful moments and conversations in your relationship. You can begin to express your true feelings while also considering your partner’s emotions and needs.  

        It can feel challenging to learn a new way of showing up when you notice tension rising in your relationship. It takes practice to pause in order to minimize feelings of tension with your partner. Over time, however, this practice will foster a new pattern. A pattern that minimizes unwanted conflict and tension, instead helping you move toward connection and resolution.  

        Therapy for Relationship Conflict

        Pursuing therapy can be a key step to help you learn how to more effectively manage relationship conflict. In collaboration with your therapist, you can create a plan for how and when to pause an argument. The mental processing you make space for during this “time out,” in which you step away from the argument, will allow you to learn how to share your true feelings when you return to your partner.

        Remember, you deserve this brief pause. It can help you find a sense of calm in order to think clearly about what you need from your partner. Over time, you will begin to learn how to think with greater clarity and therefore say the things that you know are important to you. This can help you increase your self-confidence and move toward the authentic connection that you have been seeking. 

        Kristi Wollbrink
        Kristi Wollbrink

        I help couples learn a new way to move through conflict and difficulties in order to find a sense of security and connection with each other.  If you find that you are feeling stuck in patterns of stress in your relationship, I would love to help you find a way to move toward deeper connection.  

        Learn More About Kristi
        Read More
        Teen girl achieving success in school due to proven ADHD strategies
        ADHD, Parenting, Testing and Assessment

        20 ADHD Strategies for a Happy, Successful Kid at School

        Written by Connor McClenahan

        A lack of strategies for ADHD preventing success at school is one of the greatest challenges for kids with ADHD. As a parent, you may feel overwhelmed by how to help your child. You may feel that you do not have the expertise to help your child develop effective coping strategies for ADHD.

        Qualifying for School Accommodations

        In order to receive additional supports or accommodations at school, your child will need to qualify for a 504 Plan. A 504 Plan is a detailed description of how the school will aim to support your child. It is not part of special education (such as an IEP). Instead, 504 Plans help children with disabilities and health impairments have equal access to school. Remember, ADHD is considered a health impairment.

        In order to qualify, the school may provide an assessment or require you to provide a diagnosis from a psychologist or physician. Check with your school to see what the requirements are for receiving a 504 Plan for your child.

        Strategies for ADHD in the Classroom

        504 Plans document accommodations that your child will receive. Some schools and teachers may be willing to provide these supports without a 504 Plan, such as in private school settings.

        Here is a list of research-based accommodations that can prove helpful for children with ADHD:

        1. Reducing the number of homework problems without changing the level of content
        2. Preferential seating near front of classroom to reduce distractions
        3. Testing outside of classroom in a quieter environment
        4. Providing extra time on tests or assignments
        5. Increased positive reinforcements (e.g. rewards) and praise in the classroom
        6. Meeting with a school counselor to work on academic or behavioral goals
        7. Breaking long assignments into smaller parts
        8. Increased check-ins to make sure student understands instructions
        9. Allowing for more breaks
        10. Increased support for organization and communication with parents

        There are many more options for accommodations based on your child’s needs and the school’s capacity to provide support. Meeting with the school as well as a mental health professional can help you identify which strategies will best meet your child’s specific needs.

        ADHD Strategies for Homework

        Whether or not your child has accommodations at school, you are still going to need some strategies at home for helping with homework. Some strategies will be the same as those used at school. If your child has a 504 plan it may include a few things that help with homework, like reduced repetitive tasks for homework or extended deadlines if needed.

        Here are some strategies that will help at home whether or not your child has a 504 Plan:

        1. Removing distractions during homework (ex. Devices, TV in the background, etc.)
        2. Set a timer and provide breaks
        3. Have a specific time and place for homework
        4. Schedule agreed-on check-ins to make sure your child is staying on task
        5. Break down assignments into smaller tasks and goals
        6. Create a system for checking in with teacher regularly to increase communication about homework (ex. Assignment record that student completes and teacher signs daily)
        7. Provide rewards for completed homework
        8. Create a visual checklist of things that need to go to school every day
        9. Use an accordion folder and reward having no loose papers in backpack
        10. Discuss plan of what needs to get done and how long it is expected to take daily

        Start small and choose a few strategies to implement at a time. After all, you do not want to overwhelm yourself or your child by attempting to tackle all of these strategies at once.

        How Therapy Can Help

        If you need more support, arrange a consultation with a psychologist who specializes in ADHD. They can help you select and implement personalized strategies. Find a psychologist who is willing to work with you and your child collaboratively to create a plan that will work for both you and your child.

        For more information on ADHD assessment as well as strategies for ADHD, you can download my ADHD Field Guide for free. Reach out today to schedule a free consultation call to discuss therapy or an ADHD assessment for your child. 

        Schedule Today

        Section 504
        Homework Help for ADHD
        Melissa Winfield, PsyD
        Melissa Winfield, PsyD

        I help children, teenagers and parents find hope and resilience through the tough times.

        Learn About Melissa
        Read More
        Therapist giving ADHD assessment to client with ADHD to diagnose ADHD and comorbid ADHD diagnoses
        ADHD, Managing emotions

        ADHD Often Comes with a Partner: How Comorbid ADHD Diagnoses May be Affecting Your Focus

        Written by Here Counseling

        Comorbid ADHD Diagnoses: What does it mean?

        Attention Deficit Hyperactivity Disorder (ADHD) is a common neurodevelopmental disorder with a high frequency of comorbid ADHD diagnoses. A decade ago, many psychologists worried that ADHD was being “over-diagnosed.” However, in recent years, psychological research has proven that almost 10% of the population has ADHD (6 million children: 9.8%, according to the CDC). In 2003, this number was estimated to be only 4.3% of children in the United States.

        Interestingly, researchers now understand this 9.8% statistic to be global. Thus, this implies that it is not culture or ethnicity-dependent but, rather, universally prevalent. People diagnosed with ADHD may have ADHD, Predominantly Inattentive Presentation, Predominantly Hyperactive Presentation, or Combined Presentation. This is dependent on their diagnosable symptoms: are they predominantly focus and attention based? Hyperactivity and impulsivity based? Alternatively, do they meet clinical criteria for a number of both types of symptoms?

        A statistic that is not often discussed, however, is how common it is for people with ADHD to also have comorbid ADHD diagnoses. A comorbid diagnosis is a co-occurring diagnosis. In other words, it is common for an individual to not only have ADHD, but also have one or more diagnoses simultaneously. This is an important fact, as many people misdiagnose their anxiety, depression, bipolar, or other such disorders as ADHD. Then, they do not seek or receive the help they need to best cope with these additional disorders. Treating ADHD is so important. However, so is treating comorbid diagnoses for truly effective symptom management.

        What are some Common Comorbid ADHD Diagnoses? How common are they?

        In short, the answer is: very common! Approximately 65% of all individuals diagnosed with ADHD meet diagnostic criteria for a comorbid mental, emotional, or behavioral disorder. This is a higher comorbidity rate than with many other well-known psychological diagnoses. Here are some specifics. Of all individuals in the U.S. diagnosed with ADHD, the following percentages meet criteria for these diagnoses:

        • 52% have a behavior or conduct disorder
        • 50% have a sleep disorder (such as insomnia)
        • 50% have ODD (Oppositional Defiant Disorder) as children, developing into a behavioral disorder in adulthood
        • 45% have a learning disorder.
          • This is believed to contribute to the finding that 33% of students with ADHD drop out of high school.
          • Notably, research has found that males diagnosed with ADHD have an approximate 65% risk of developing dyslexia or another form of writing disorder, while females have a 57% risk
        • 33% have anxiety (e.g.: Generalized Anxiety Disorder or Social Anxiety)
        • 20% have bipolar disorder
        • 17% have depression
        • 14-25% have ASD: Autism Spectrum Disorder
        • 10% of children with ADHD will develop Tourette syndrome (tics, etc.); 1-2% of whom maintain this syndrome into adulthood
        • 10% have a speech disorder
        • 10% will develop substance use disorder (alcohol or drugs)

        To put this into context, this means that more than 2 out of every 3 individuals with ADHD also have a comorbid disorder. It is important to note that these statistics are based on diagnosed disorders. That implies that far more individuals with ADHD actually have these comorbid ADHD diagnoses than we psychologists have discovered through research thus far. You can learn more about ADHD statistics here:

        1. CDC’s ADHD Facts and Figures 
        2. ADDitude’s ADHD Statistics

        How do I know if I or my Loved One has a Comorbid ADHD Diagnosis?

        Understanding the link between ADHD and its common comorbid diagnoses: how they overlap, are separate, and interact, is key for effective treatment. The high degree of overlap can make it challenging for non-psychologists to differentiate them without a trained professional. For instance, individuals with ADHD may struggle to relax and focus. In combination with other symptoms, this may indicate a comorbid diagnosis of Generalized Anxiety Disorder. People with ASD (Autism Spectrum Disorder) can struggle with Inattention and Impulsivity: two hallmark characteristics of ADHD, Combined Presentation. Therapy and assessment with a psychologist who specializes in ADHD and comorbid diagnoses are your two tools to clarify this overlap.

        When an individual calls me wondering if they qualify for multiple diagnoses, including ADHD, the first step is assessment (psychological testing). There are two types of ADHD testing. The more expedient and moderately less expensive option is an ADHD testing. However, this only tests for ADHD. Choosing to be assessed through a psychologist qualifies individuals who are diagnosed with ADHD for stimulant medication through a psychiatrist, should they choose this treatment route, and accommodations at work or school. The second type is a comprehensive testing. This is referred to as a “psychodiagnostic” assessment. It assesses for all relevant diagnoses listed above. It can help individuals understand the links and differentiate the overlap between these various diagnoses’ symptoms.

        How do I Learn more about Assessment?

        If you feel you may benefit from an ADHD or Comprehensive ADHD Psychodiagnostic Assessment, then contact me today for a free consultation call. I’ll talk you through the benefits of the various options as well as discuss the next steps, fee, insurance reimbursement, and scheduling with you to make the process clear, calming, and effective. By reaching out today, you can learn more about your ADHD testing options and schedule an intake interview to begin your ADHD testing process. You’ll be that much closer to getting the answers you need to manage your symptoms and live a more balanced, fulfilling life.

        Differentiating your diagnoses and how they interact is key for effective therapeutic treatment in the future. It provides clarity as to what you need to work on in therapy. Then, you will know what you need your psychologist to specialize in to ensure you receive the most effective treatment.

        Many of my clients who came to me for testing transitioned to working with me for therapy for their ADHD and comorbid diagnoses. This is my speciality: an area of expertise I am passionate about and eager to help my clients in as we collaboratively work towards therapeutic treatment goals that are directly improving each of their comorbid ADHD diagnoses.

        Remember, a psychological assessment is an investment in yourself. In your future. In your potential to discover clarity about your diagnoses and certainty about the path forward. I provide extensive and personalized recommendations to your unique case to help you develop the effective behavioral strategies needed to thrive with symptom management and alleviation. Reach out to me today to schedule a complimentary consultation call and take the first step towards gaining clarity and understanding.

         

        Learn more about Shannon
        Read More
        Anxiety, EMDR, Managing emotions, Neurology

        Maximize EMDR Therapy: How to Find a Good Therapist

        Written by Connor McClenahan

        Maybe you’re wondering about how EMDR therapy can treat trauma. Trauma can negatively impact an individual’s life and well-being for years, even decades, after the traumatic event has passed. Trauma is a natural survival response to any life-threatening situation. If you’ve experienced trauma, you may notice how it seems to intrude into everyday situations.

        Trauma can impact:

        • Sleep: the quality and restfulness of your sleep
        • Relationships: increase feelings of insecurity and fear
        • Anxiety: increase blood pressure, heart rate, jumpiness
        • Addiction: increased dependence on external substances to reduce symptoms
        • Focus: increased scattered, intrusive thoughts

        Our brains heal from trauma.

        In fact, like a wound that simply needs rest and clean bandages, there’s a natural reparative process that takes place – all on its own – when our minds feel safe enough. We find ourselves sharing more, feeling more, telling the story of what happened with a trusted other. EMDR therapy taps into this natural healing process.

        EMDR (Eye Movement Desensitization and Reprocessing) therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. In this article, you’ll learn how EMDR works for you, and why the relationship between the therapist and client is key in producing long-term change.

        How EMDR works

        EMDR therapy is based on the idea that traumatic memories are stored in a person’s brain in an unintegrated form. Normally, in non-traumatic experiences, memories of the experience can be retrieved and shelved easily with language (think of checking out a video at a library), giving us control and mastery. When someone experiences a traumatic event, however, their brain shields itself from the painful memory, leading to the memory becoming “stuck” in the right prefrontal cortex and limbic system. This can result in persistent symptoms such as anxiety, depression, and post-traumatic stress disorder (PTSD). EMDR therapy works by accessing these stored memories and integrating them through a shared experience with the therapist.  

        EMDR Therapy and Tapping

        The key component of EMDR therapy is the rapid back-and-forth movement of the eyes, also known as “tapping.” This tapping is believed to stimulate the brain’s information processing system, allowing it to process and integrate the traumatic memories. As a result, the negative emotions and physical sensations associated with the trauma are reduced. The individual is then able to move beyond the event and regain control of their life.

        EMDR Therapy and the hidden ingredient: Your therapist

        While the tapping component of EMDR therapy is crucial, it is not the only factor that leads to successful outcomes. In fact, research has shown that the therapeutic relationship between the client and the therapist is even more important in producing long-term change in trauma. A strong therapeutic relationship provides a safe and supportive environment for the individual to explore their traumatic experiences and work through them in a controlled and guided manner.

        Your brain wants – and even needs – to process trauma. Biologically, your brain is looking for safety. While safety can come from trusting a specific intervention or technique, such as EMDR, it will primarily come from your relationship with your therapist. Your ability to feel comfortable and safe with your therapist is exactly the environment your brain is looking for to integrate a painful emotional experience.

        EMDR Therapy Girl wanting to process trauma with an EMDR therapist

        A good EMDR therapist will help you

        • Gingerly approach the trauma, listening to your comfort level
        • Will appropriately challenge you to trust yourself to share
        • Give you space to stop when you’re feeling overwhelmed
        • Review and help you understand what you’re feeling
        • Check in about your symptoms

        In conclusion, EMDR therapy is a powerful tool in helping individuals overcome trauma and regain control of their lives. The rapid back-and-forth movement of the eyes (tapping) stimulates the brain’s information processing system, allowing it to process and integrate traumatic memories. However, it is the therapeutic relationship between the client and therapist that is the most important factor in producing long-term change. A strong therapeutic relationship provides a safe and supportive environment for the individual to work through their traumatic experiences, leading to a more successful outcome.

        EMDR Therapy can help you

        Consider reaching out to a qualified EMDR therapist. With the right support and guidance, it is possible to overcome trauma and reclaim your life.

        You want a therapist who fits you, who you feel safe talking with. I promise, it’s worth it to work through trauma. We can help you find the right fit so you can regain health and peace.

        Which therapist is right for you?
        Take our Stress Coping Quiz
        Read More