Parents who have undergone their Pre-Adoption Psychological Evaluation with their adopted child: a happy family.
Testing and Assessment

Unlock the Power of the Pre-Adoption Psychological Evaluation

Written by Here Counseling

Transitioning into parenthood through adoption is a journey filled with anticipation, love, and the promise of new beginnings. Yet, as you embark on this life-altering adventure, there are essential steps to consider. One of these steps is the Pre-Adoption Psychological Evaluation. In my previous blog, I detailed exactly what this process is and how to navigate it. You can read that by clicking here. Adoption agencies require a psych eval as part of the adoption process to help ensure a good placement of child and parent(s) (which you can read more about by clicking here). Today, let’s delve into the invaluable insights this evaluation can offer you, as you prepare to embrace parenthood through adoption.

The Significance of the Pre-Adoption Psychological Evaluation

As mentioned, in my previous blog, I provided a comprehensive explanation of what a Pre-Adoption Psychological Evaluation entails. Furthermore, I highlighted how it serves as a vital tool for prospective parents. It offers them a deeper understanding of themselves, their parenting styles, and their readiness for adoption. If you haven’t had a chance to read that blog, I encourage you to do so, as it lays the foundation for the discussion here. Now, let’s shift our focus to the significance of the Pre-Adoption Psychological Evaluation beyond its procedural aspects. Here, we explore why this evaluation is more than just a checklist item—it’s a transformative experience that can enrich your adoption journey in numerous ways.

1. Self-Discovery and Reflection

The evaluation process encourages introspection. It prompts you to reflect on your motivations, values, and experiences, allowing you to gain a deeper understanding of your own identity and how it aligns with your parenting aspirations.

2. Navigating Challenges

Parenthood, whether through adoption or biological means, comes with its share of challenges. The Pre-Adoption Psychological Evaluation equips you with insights into your coping strategies, emotional resilience, and stress management techniques, ensuring you are better prepared to handle the demands of parenting.

3. Building Secure Attachments

Understanding your attachment style and history is pivotal in forming strong bonds with your future child. This knowledge enables you to create a secure and loving environment for them from day one. Understanding your attachment style and history is crucial for building strong bonds with your future adopted child. Your attachment style, whether secure or otherwise, shapes how you approach relationships and parenting. A secure attachment style can foster a safe and emotionally connected environment, while recognizing less secure styles empowers you to address potential challenges. By delving into your attachment history, you gain insights into your tendencies and can proactively create a loving, secure, and emotionally nurturing atmosphere for your adopted child, ensuring they feel valued and cherished from day one in their new family.

4. Setting Realistic Expectations

It’s common for individuals to have expectations about parenthood and adoption. The evaluation helps you align these expectations with the realities of the adoption process, fostering a more informed and adaptive mindset.

5. Strengthening Support Networks

A strong support system is crucial on your adoption journey. The evaluation process encourages you to assess your existing support network and explore ways to enhance it, ensuring you have the backing you need.

6. Personal Growth

Embracing the evaluation as an opportunity for personal growth can be immensely rewarding. It’s not about judgment but about growth, self-awareness, and empowerment.

7. Informed Decision-Making

Post-evaluation, you’ll have a clear picture of your strengths and areas for development. Armed with this knowledge, you can make informed decisions about your adoption journey, from choosing the right agency to preparing for your child’s arrival.

Utilize the Power of the Pre-Adoption Psychological Evaluation

Remember, the Pre-Adoption Psychological Evaluation is not a standalone event. Rather, it is an integral part of your preparation for parenthood. By recognizing the importance of self-discovery, personal growth, and readiness, you can navigate the adoption journey with greater confidence and insight.

In my role as a clinical psychologist with extensive experience in Pre-Adoption Psychological Assessments, I am here to support you on this transformative path. The evaluation process is a collaborative and nurturing experience, designed to empower you to become the best possible parent for your future child.

Book your Pre-Adoption Psychological Evaluation Today

Let’s begin this adventure together, where every step is a meaningful one toward becoming the loving and nurturing parent you aspire to be. Your journey to parenthood through adoption continues, and I am here to walk beside you every step of the way.

Ready to embark on this incredible journey? Click below to book your Pre-Adoption Psychological Evaluation with us today.

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Childhood ADHD screener. Pre-Adoption Evaluation for parents trying to adopt child as psychologist helps individual or couple with adoption process
Testing and Assessment

Pre-Adoption Psychological Evaluations: Everything You Need to Know

Written by Here Counseling

The journey towards adoption can be a roller-coaster of emotions, hopes, and uncertainties. If you are a prospective adoptive parent, you may feel wholly overwhelmed by the process. This can be frustrating and confusing. You may find yourself wondering why the worthy goal to provide a loving and stable home for a child in need is so challenging. Perhaps you are thinking that a Pre-Adoption Psychological Evaluation is just one more box to tick in a series of required steps towards your goal. Additionally, you may be wondering why it is even necessary.

I am here to simplify this process. Psychologists play a crucial role in the adoption process. We offer support and conduct Pre-Adoption Psychological Evaluations to ensure the best possible match for both child and family. My goal is to make this part of the process comfortable, streamlined, and straightforward for you. Firstly, let me explain what we will be doing and why Pre-Adoption Psychological Evaluations have become a mandatory step in the adoption process.

To learn more about our pre-adoption psychological evaluation services in California, click here. You can also book a call with us at the button at the bottom of the page.

Understanding Pre-Adoption Psychological Evaluations

A pre-adoption psychological evaluation is a comprehensive assessment conducted by a psychologist to determine the psychological readiness of prospective adoptive parents. This evaluation aims to provide insights into the individual’s emotional well-being, parenting abilities, and capacity to meet the needs of an adopted child. Here are some key aspects of the evaluation:

1. Psychosocial History

Firstly, I will conduct a clinical interview to assess your psychosocial history. This includes an exploration of your own family of origin and your mental health history, including any previous diagnoses or treatments. By understanding your mental health journey, I can assess its impact on your current well-being and coping strategies. That’s because this helps me identify potential challenges and develop strategies to support you in providing a loving and stable environment for your future child.

2. Parenting Attitudes and Skills

Secondly, I will ask you about your parenting attitudes, beliefs, and strategies. My aim here is to learn more about your ability to provide a nurturing and supportive environment. We will explore elements such as your parenting approach, discipline methods, and communication style. This part of the assessment helps ensure that your parenting style aligns with the needs of the child you adopt.

3. Relationships and Support Systems

Thirdly, I will evaluate your current support systems, including your relationships with family, friends, and community, which contribute to a strong support network. I recognize the importance of a robust support system in the adoption journey. By assessing the quality of your relationships and the availability of social support, I can gauge the resources you currently have in place and recommend additional resources, if relevant, to help you navigate the joys and challenges of adoptive parenting.

Common Questions about Pre-Adoption Psychological Evaluations

1. I’ve already done so much. Why is a psychological evaluation necessary for adoption?

A pre-adoption psychological evaluation is necessary to ensure the well-being and compatibility of the prospective parents and the child, promoting a successful adoption outcome and long-term family stability. By assessing various psychological factors, I can identify any potential challenges or areas of strength, which allows me to provide targeted support and guidance throughout the adoption process.

2. I have faced mental health challenges in the past. Sometimes I still do. Will this affect my chances of adopting?

Firstly, having a history of mental health challenges does not automatically disqualify someone from adopting. Psychologists focus on assessing your current emotional well-being and coping strategies. I understand that individuals grow and evolve over time. Thus, your present state matters most in determining your readiness to provide a loving and stable home. I work collaboratively with you to address any concerns and to provide resources and strategies to support your emotional well-being throughout the adoption journey.

3. What can I do to prepare for a pre-adoption psychological evaluation?

Prior to the evaluation, it is helpful to reflect on your motivations for adoption, review your parenting strategies, and be open and honest about your experiences and challenges. Initially, consider what you envision for your future family. Next, think about any concerns or questions you may have. Remember, the evaluation is designed to support you in the adoption process, so approach it with an open mind and a willingness to share your thoughts and feelings. Understandably, it can be uncomfortable to talk about such personal topics. That’s why I create a warm, empathetic, and comfortable space for your evaluation, be it virtual or in-person.

Choosing the Right Psychologist for Your Pre-Adoption Psychological Evaluation

It is important to consider what you are looking for from your assessment. I pride myself in offering competitive prices to lower the financial stressor. I also offer both virtual and in-person assessments. Therefore, as long as you are a resident of California, you don’t have to physically be in Los Angeles. If you’re interested in virtual assessment, check in with your adoption agent. Specifically, ask if the country you are adopting from (e.g. India) requires you to be at least partially assessed in-person. If you would like to learn more about Pre-Adoption Psychological Evaluations, peruse common Q&A’s answered by Raising Everlasting Hope by clicking here.

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Person utilizing EMDR to address trauma
EMDR, Managing emotions

Is EMDR the best way to treat trauma? Proven therapy options to help you recover

Written by Here Counseling

Emotional trauma can be a daily struggle. It can be upsetting to have feelings like fear, panic, anger, or sadness pop-up uninvited. Maybe you have wondered about how to get help, but have felt overwhelmed at the options. Which therapist is going to help me? Is there a “right” kind of therapy that will make my daily life better? And what is EMDR?

I understand how hard it can be to settle on the right kind of therapy for you. In this blog, I’m going to help you make sense of a few of the most common approaches to treating emotional trauma, including EMDR, Somatic Experiencing, CBT, and DBT.

Is there a “go-to” way to treat trauma?

In short, no. Trauma affects people in very different ways. It can be caused by a single highly traumatic event or by repeated experiences to what therapists refer to as “little ‘t’ traumas.” Regardless of the form it takes, trauma can cause long-lasting psychological distress that affects every aspect of one’s life.

Let’s talk options, EMDR and otherwise

The most common form of therapy for trauma is talk therapy. Talk therapy can utilize numerous modalities, from psychodynamic to CBT (cognitive behavioral therapy). Both integrate evidence-based practices. They have been tried and tested and demonstrated effectiveness across various populations and symptoms. EMDR is a new method that many people find highly effective to alleviate their symptoms of trauma. However, it is just one of many therapeutic techniques that can help you more effectively cope with and overcome your trauma. Depending on your needs and preferences, you may select for a therapist who specializes in one/multiple of the following forms of treatment.

1. Eye Movement Desensitization and Reprocessing (EMDR)

In recent years, EMDR was developed. It quickly became a popular form of treatment for trauma. EMDR was developed in the late-1980s by psychologist Francine Shapiro to treat PTSD (Post Traumatic Stress Disorder). EMDR targets trauma’s underlying emotional and cognitive processes. Therapists who practice EMDR believe that traumatic experiences can become “stuck” in the brain. Memories of trauma can thus cause negative beliefs and emotions that affect one’s ability to cope. EMDR can help reprocess these experiences and help develop more adaptive beliefs and coping mechanisms.

In summary, EMDR involves bilateral stimulation. This may be achieved through eye movements, tapping, or auditory cues. While focusing on these cues, the client focuses on a traumatic memory. This bilateral stimulation is believed to aid the client as they reprocess their traumatic memory, thereby facilitating the client to process the memory in a new manner. In my next blog, I’ll interview a therapist who integrates EMDR into treatment for trauma to further explore the goals, practice, and effectiveness of EMDR therapy.

2. Somatic Experiencing (SE)

Of the other treatment methods included in this blog, Somatic Experiencing (SE) has the most in common with EMDR. If you have ever heard of “tapping,” you are already familiar with SE! SE focuses on the physical sensations associated with trauma. It is based on the belief that traumatic experiences can become “trapped” in the body. SE theorizes that by releasing these physical sensations, you can release the trauma and heal. In SE, the therapist will help you become more aware of the physical sensations associated with trauma. This may include tightness in the chest, tension in the muscles, or a racing heart. You will then learn to tune into these sensations and to develop strategies for releasing them. SE often involves gentle physical touch, such as tapping or holding, to help the person release the physical tension that is associated with the trauma. The therapist might also guide you through movements or exercises to help release the trauma from your body.

3. Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) focuses on the triad relationship between thoughts, emotions, and behaviors. It is often used to treat anxiety and depression, but can also be effective in treating trauma. CBT will teach you how to identify negative thought patterns associated with your trauma. Then you will learn to challenge them, and then replace them with more realistic, positive, and adaptive ones. This can help you develop coping strategies and improve your overall well-being.

4. Dialectical Behavior Therapy (DBT)

Dialectical Behavior Therapy (DBT) was originally developed to treat borderline personality disorder. However, it has been found to be effective in treating other mental health disorders as well, including trauma. DBT focuses on helping you learn to regulate your emotions and develop more effective coping strategies. In DBT, your therapist will teach you how to identify the triggers that lead to emotional dysregulation. You will then learn and practice skills to help you manage your emotions. These skills may include mindfulness, distress tolerance, and interpersonal effectiveness.

So how do I determine which method is right for me?

Actually, you don’t need to choose just one! EMDR is not a standalone treatment for trauma. That means that it is often used in combination with other therapies. EMDR’s goal is to reduce traumatic memories’ intensity and associated negative beliefs. Thus, EMDR can make it easier for you to engage in other forms of therapy. Overall, there are many different therapeutic approaches to treating trauma, and no one approach is right for everyone. The best approach will depend on your individual needs, preferences, and experiences.

What are my next steps?

Whether you choose EMDR, CBT, DBT, SE, or another approach to treating trauma, the most important thing is to take that first step and seek help. If you are struggling with trauma or a trauma-related disorder, it’s important to seek help from a qualified mental health professional who can help you find the right treatment approach for you. As a psychologist, I appreciate when potential clients ask me about my qualifications to help them achieve their treatment goals! I hope this empowers you to ask the therapist you are considering working with about their level of experience and expertise in treating trauma in general and/or in a specific form of treatment.

Trauma can have a profound impact on a person’s life, but it doesn’t have to control it. With the help of a qualified mental health professional, you can develop the skills and strategies you need to heal from the effects of trauma and live a happier, more fulfilling life.

Don’t let trauma hold you back any longer – book an appointment with a psychologist today and start your journey towards healing and recovery. Your mental health and well-being are worth investing in, and there is no better time than now to take that first step towards a brighter future.

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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
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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
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      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.

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      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.

       

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      Client working with best fit mental health professional: a therapist who fits her needs to develop coping skills for anxiety and depression and ADHD symptoms
      Managing emotions

      What kind of therapist do I need? How to choose the right mental health professional

      Written by Here Counseling

      It’s a huge relief to finally find the mental health professional who is your “right fit.” Not only will you be able to receive the help and support you need, but you may also find that your overall sense of well-being improves as you work through your unique issues with the guidance of a compassionate and understanding professional. Certainly, when beginning the process of finding the right mental health professional, it can be difficult to know where to start. However, it is well worth the effort.

      Sometimes, the decision is simple. If your goal is solely to seek information or a psychiatric medication prescription, then a psychiatrist is likely the best fit. Additionally, if you seek assessment to determine your diagnoses or if you qualify for accommodations, then you likely need a psychologist. However, if you are looking for therapy, then you have numerous options.

      Why does it matter which type of mental health professional I choose?

      Mental health is an important aspect of overall well-being. Thus, seeking out the right type of mental health professional for your needs can make a significant difference in your journey towards healing and self-improvement. Finding the right fit is crucial. It can impact the effectiveness of treatment and how comfortable you feel opening up and discussing sensitive topics. Presently, in this blog we’ll explore factors to consider when choosing a mental health professional so that you can choose the right type of therapist to best match your needs.

      Mental health professionals are trained professionals who provide support, treatment, and care to people experiencing mental health challenges. There are many different types of mental health professionals, each with their own specific training and areas of expertise. Understanding the role of each type of mental health professional can help you find the right support for your needs.

      How to Find the Right Mental Health Professional

      I hope this chart helps you decide which type of mental health professional best meets your needs. To make an informed decision, I broke this chart down into detailed information about each type of therapist who can help you accomplish your treatment goals for therapy, assessment, or medication.

      Mental Health Professional Graph

      Types of Mental Health Professionals:

      1. Psychiatrists

        A lot of patients call me and are unsure of whether they need a psychiatrist vs psychologist. Psychiatrists are medical doctors who specialize in the treatment of mental health conditions. They can prescribe medication, provide therapy, and order laboratory tests or other diagnostic procedures to help diagnose and treat mental health conditions.
        • Training: They went to medical school, as opposed to graduate school for psychology/therapy. In California they are the only professionals on this list who can prescribe medication. Their training includes 4 years of medical school and another 4 years of residency in psychiatry.

      1. Psychologists

        Psychologists (like myself) are trained in the science of the mind and behavior. They can provide therapy to help individuals understand and cope with their thoughts, feelings, and behavior. They may do this by helping clients process their experience, identify patterns, and develop coping and problem-solving skills to better cope with or eradicate their symptoms.
        • Therapeutic Approach: They may use a variety of therapeutic approaches to help people change negative patterns of thought and behavior. This can include a wide variety of psychodynamic, humanistic, or cognitive-behavioral therapy (CBT). This could include ACT, solution-focused therapy, relational, DBT, and so many other potential modalities. If you are looking for depth-oriented short or long-term psychotherapy with a specialist trained to work with your specific symptoms, a psychologist may be your best fit.
        • Training: Psychologists’ training includes 4-6 years of post-undergraduate additional schooling and specialization that incorporate clinical work throughout. This is followed by 2-3 years of pre- and post-doctoral clinical training. 
        • Assessments: Psychologists are also trained to administer psychological assessments. This involves administering and interpreting tests to help understand an individual’s cognitive, emotional, and behavioral functioning. If you aim to learn whether you qualify for diagnoses (and associated work or school accommodations), psychologists can conduct a wide variety of assessments.
          • For instance, do you think you might have ADHD? Do you feel you may qualify for many different diagnoses and aim to learn which actually apply to you? If so, then assessment can help you gain these answers as well as receive personalized recommendations about how to more effectively manage or eradicate your symptoms
          Degree Types: It is important to note that there are two different types of psychologist degrees: PhD and PsyD. PhD’s are doctors of Philosophy, whereas PsyD’s are doctors of Psychology. PsyD graduate programs prepare graduates to apply scientific knowledge to working with clients therapeutically. PhD programs emphasize research by preparing graduates to study the theories behind psychological principles and practices. Many PhD programs also require applied clinical training. However, the major difference frequently lies in PhD programs requiring double the research as PsyD’s, and PsyD programs requiring double the clinical work (conducting patient therapy and assessment) as PhD programs.

      1. Marriage and Family Therapists

        Another common question I receive is about the differences between a psychologist vs MFT. Marriage and family therapists are trained to work with individuals, couples, and families to address relationship issues, communication, and problem-solving. They may work with people who are dealing with a wide range of issues. This may include mental health conditions, relationship problems, and parenting challenges.
        • Training: MFT’s are typically the second most trained type of therapist (excluding psychiatrists) after psychologists on this list. Their training includes a two-year graduate program followed by approximately two years of working with clients pre-licensure.
        • MFT vs Psychologist: Ultimately, the decision between a psychologist and an MFT will depend on your specific needs and preferences. If you are seeking support for a specific mental health condition, such as anxiety or depression, a psychologist may be a good choice. If you seek support for relationship issues or to improve communication and problem-solving skills within your family, an MFT may be a better fit.

      1. Clinical Social Workers

        Clinical social workers train to provide therapy, support, and advocacy to individuals, families, and groups. They may work with people who are dealing with a wide range of issues, including mental health conditions, relationship problems, and substance abuse. Social workers often work for organizations that provide community services, such as in government agencies or non-profit organizations.
        • Training: Similar to MFT’s, social workers’ training includes a two year graduate program. MFT’s typically follow this with approximately two years of training in the field.

      1. Counselors

        Many people wonder about the difference between a counselor vs clinical social worker. Counselors can provide therapy and support to people facing a variety of challenges. This includes mental health conditions, relationship issues, and career problems. They may use a variety of therapeutic approaches, such as CBT or mindfulness-based therapy, to help people overcome their challenges.
        • Training: MFT training tends to be more variable. Depending on their qualifications, it often includes a 1-3 year training course followed by clinical work pre-qualification.

      So which Mental Health Professional is right for you?

      In summary, each type of mental health professional has different training and qualifications. Therefore, it’s important to find the right fit for your needs. It’s important to choose a mental health professional with whom you feel comfortable and safe. Trust and rapport are key to the therapeutic relationship. Therefore, it’s important to find someone whom you feel comfortable talking to about personal issues. Most mental health professionals offer a free consultation call to discern goodness of fit. Remember, if a therapist feels you are looking for something beyond their scope of practice, they should discuss your options. They may refer you to the type of mental health professional that is most likely to best meet your needs. Keep in mind, may take some trial and error to find the right fit. However, the effort is worth it for the benefits of effective treatment.

      Understanding the Letters Behind the Name (PhD, LMFT, etc)

      Understanding the letters behind a therapist’s name can help you decipher which type of professional you are reading about when you see someone’s title:

      Psychiatrists:

      • Doctor of Medicine (MD)
      • Doctor of Osteopathic Medicine (DO)

      Psychologists:

      • Doctor of Philosophy (PhD) in the field of psychology
      • Doctor of Psychology (PsyD)

      Counselors and Therapists:

      • LMFT, Licensed Marriage and Family Therapist
      • LPC, Licensed Professional Counselor
      • LCADAC, Licensed Clinical Alcohol & Drug Abuse Counselor

      Social Workers:

      • LICSW, Licensed Independent Social Workers
      • LCSW, Licensed Clinical Social Worker
      • ACSW, Academy of Certified Social Worker

      Finally, remember that it’s okay to take your time and be selective in your search for a mental health professional. Your mental health is just as important as your physical health. Finding the right person to work with can make all the difference in your journey towards healing and growth. So, when you’re ready to take the next step and begin therapy or seek assessment, fill this out to schedule a free consultation call. Begin your journey today: contact a therapist

       

      Shannon N. Thomas, Psy.D.
      Shannon N. Thomas, Psy.D.

      I work with individuals and couples struggling with ADHD, anxiety, vocational, or relational issues who seek to thrive emotionally, individually, and relationally.

      LEARN ABOUT SHANNON
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      Man with ADHD procrastinating distracted from remote work.
      ADHD, Managing emotions

      5 ADHD Myths Debunked

      Written by Here Counseling

      When you’re diagnosed with ADHD, it can be difficult to discern facts from reality. The same is true if you are in the contemplation phase; wondering if you qualify for an ADHD diagnosis can be difficult while sifting through all the misinformation on social media that is perpetuated across the internet and pop-culture. Here I explain the reality behind the five main ADHD myths I encounter the most when working with new clients who struggle with symptoms of ADHD.

      ADHD Myth #1: “You’re just lazy”

      One of the biggest misconceptions about undiagnosed people with ADHD is that they just aren’t trying hard enough. Over half of the patients with ADHD I work with have been blamed for their untreated symptoms. Do any of these statements sound familiar?

      • “You’re just not trying hard enough!” 
      • “Everyone else can get it done in time!” 
      • “You just need to be more determined.”

      These are fallacies! Not to mention incredibly damaging and demoralizing. The reality is that there is NO psychological correlation between ADHD and laziness.  Lack of effort is NOT a symptom of ADHD. In fact, most people with ADHD work harder than their neuro-typical counterparts because of the symptoms they’re knowingly or, too often, unknowingly combating.

      ADHD Myth #2: Symptoms include…”

      If you have TikTok or Instagram then you probably haven’t managed to avoid the endless cycle of videos explaining what ADHD looks like.

      Social media would have us believe that everyone qualifies for an ADHD diagnosis. Now, social media has done a great job of raising awareness about disorders that people may otherwise not have thought to explore, get tested for, and treat. 

      However, they also contain a lot of myths about ADHD. I’ve lost track of how many completely incorrect symptoms I’ve heard on social media, from symptoms that actually indicate other disorders altogether to “frequent tripping.” 

      The truth is, whenever you want to learn the specifics of psychological disorders, social media is such a mixed bag of fact and fiction that you’re likely to encounter too many of they myths we’ve discussed so far. 

      Instead, consult with a psychologist or the DSM. The DSM is our Diagnostic Statistical Manual, which we use for differential diagnosis. It describes the symptoms of every psychological disorder and how many of them you need to experience in a certain time frame to qualify for various disorders and specifiers. 

      In short, there are three subtypes for ADHD:

      • Predominantly Inattention Presentation
      • Predominantly Hyperactivity Presentation
      • And ADHD, Combined Presentation

      Depending on how many of each type of symptom you meet, you can be diagnosed with one of these specifiers. In a future blog, I’ll break down each of these specifiers in greater detail. In the meantime, you can check the DSM (our current version is the DSM-5-TR) to learn more.

      ADHD Myth #3: “Adderall is always dangerous and addictive”

      A lot of people have concerns about taking medication for ADHD. This isn’t incorrect, but there are also a lot of myths about the statistics of how medication can impact you. In short, there are numerous types of medications that can be used to treat ADHD. Some of these are stimulants, such as Adderall and Ritalin, and some are non-stimulants, such as Wellbutrin and Stratera which can also be used to treat depression. 

      1. Just as psychologists are the experts on therapy, psychiatrists are the experts on medication. Your psychiatrist can provide education about the different types of medications and which may be the best suited to your specific needs and concerns. 

      Adderall is a class-A stimulant, which is why it needs to be carefully monitored by your psychiatrist. It certainly has the potential to be addictive, and can be dangerous due to its side effects such as appetite suppression which can lead to dangerous weight levels. 

      However, if used correctly and monitored responsibly, many people find Adderall to be highly effective to help mitigate their symptoms. But, then there’s the other side of the coin…

      ADHD Myth #4: “Adderall is a magic pill; it fixes ADHD”

      Adderall is not a one-stop-shop magic pill that will get rid of your symptoms. It won’t suddenly make you stop procrastinating or maintain focus on what you feel that you should be focusing on. However, many people find that it can give you a choice. In other words, it can help you feel capable of, for instance, maintaining attention, but that doesn’t mean that you aren’t still capable of procrastinating just like a person without ADHD can.

        Some people do find that Adderall feels like this “night and day” experience that drastically helps them manage their symptoms. If you try it and find that is not your experience, remember that there are plenty of medication options and that plenty of people try various medications or dosages before finding the right fit.

        I like to recall the mantra that a psychiatrist I used to work with utilized when advising patients beginning ADHD medication: start low, go slow. 

        ADHD Myth #5: You grow out of ADHD, it’s “a childhood thing”

        This popular myth may have stemmed from the fact that, in order for a psychologist to diagnose you with ADHD, your symptoms must have manifested prior to age 12. So yes, ADHD must be present in childhood, but it isn’t confined to childhood. 

        Some people do find that their symptoms lessen with age. Some people needed medication while in school, for instance, but find it less necessary to take medication in later life. 

        Remember, however, that many people do not find that their symptoms decrease as they age. Many people report that they discovered coping mechanisms to aid their ADHD symptoms, which may contribute to them feeling that their symptoms lessened as they got older. These strategies may include the following, which I’ll expand upon in a future blog:

        • Breaking larger projects down into its minor components
        • Setting reminders for daily or important tasks 
        • Taking regular breaks when studying or working, such as employing the Pomodoro technique
        • Making their work/study environment as distraction free as possible
        • Using rewards to motivate themselves
        • Identifying and utilizing an “acountabili-buddy.”

        Next Steps

        Separating the myth from reality is key when learning about your new or suspected ADHD diagnosis. ADHD is a diagnosis with a high percentage of comorbidity, which means that people with ADHD sometimes also have another diagnosis, such as Anxiety, Depression, or ASD (Autism Spectrum Disorder).

        When the line between myth and reality becomes murky, it can be difficult to discern which diagnosis (if any) is currently impacting you. That can make it hard to figure out the best “next steps.” These next steps likely include working with a psychologist to be assessed for ADHD and learn if you qualify for a diagnosis. A psychologist will help you develop behavioral strategies to alleviate your symptoms or differentiate the impact of multiple diagnoses. Your psychologist may also help you meet with a psychiatrist to learn if medication could help you manage your symptoms more effectively. My hope is that this blog will help dispel some myths, arm you with truths, and help you begin to discern the next step that will be most beneficial for you. 

        Don’t know if you have ADHD?

        I can help you answer that question.

        A clear assessment can make all the difference in your life. Find out how we can help you

        ADHD Testing Options

         

        Shannon Thomas, PsyD
        Shannon Thomas, PsyD

        I work with individuals and couples struggling with ADHD, anxiety, vocational, or relational issues who seek to thrive emotionally, individually, and relationally.

        LEARN ABOUT SHANNON
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        Healthy Relationships, Managing emotions

        How to Set Healthy Boundaries

        Written by Here Counseling
        1. Setting healthy boundaries is always worthwhile, but as quarantine set in, this may have begun to feel like an impossible goal.

        2. You are not alone.

          1. As many of us find ourselves spending all our time in confined spaces with loved ones, recognizing and respecting one’s physical and emotional limitations is a challenge. Lots of people are finding themselves needing to adjust their boundaries, or struggling to maintain any boundaries at all.

        3. What people tend to get wrong:

          1. When people attempt to set new boundaries, there are some pitfalls they frequently find themselves falling into. Sometimes, people can feel that the very concept of boundary-setting is so nebulous. It can be confusing to discern where to start. This frustration can cause them to procrastinate, or decide to avoid the process altogether. 
          3. Other times, people can rush into the process, trying to figure out exactly what they are hoping to gain from setting boundaries while discussing their desire to set boundaries with their loved one. This can cause them to become verbose, defensive, or even apologetic as they attempt to establish healthy boundaries, thereby potentially sabotaging the message they are trying to convey.

        1. Here’s how to get it right:

          1. Instead of feeling that this is an ambiguous, confusing process, the key to successfully setting healthy boundaries is clarity. Here, I will lay out five clear steps to help you achieve your boundary goals as seamlessly as possible. 
            1. 1. Clearly identify your boundaries
              1. This includes understanding why you need those boundaries and why you are putting them in place now.
            2. 2. Be straight forward in your communication of these boundaries
              1. This means resisting the temptation to apologize or to ramble with numerous explanations about why you need to set a certain boundary. 
              2. Try to also attend to your tone: try to maintain a calm tone, rather than sounding antagonistic or defensive.
              1. Remember to make this about you, rather than making it personal towards the person with whom you’re setting boundaries.
            3. 3. Begin by establishing not only clear, but tight boundaries
              1. As time goes on, you can always loosen them if you feel comfortable doing so.
            4. 4. Check in with yourself regularly
              1. Place trust in your own intuition, and if you feel like you’re experiencing a boundary violation, address it as soon as possible rather than waiting until it becomes a pattern.
            5. 5. Finally, establish and regularly utilize a support system
              1. Talking to people you trust, whether this includes your therapist, friends, or close family members, is a great way to stay strong in maintaining your boundaries.

        2. Why do boundaries matter?

          • It might sound like a lot to take those five steps. However, following them can vastly change your life for the better. Here are a few ways you may notice your life improve after you implement boundaries with your loved ones:
            • 1. Healthy boundary setting can help you feel respected, by both yourself and others. 
            • 2. This can help decrease the amount of conflict you experience in relationship with others – something particularly important as conflict levels rise during the ongoing stress of a pandemic.
            • 3. Finally, this can also help you enhance your assertiveness to ensure your needs are met, while improving your self-esteem, productive communication, and sense of feeling respected by others.

        In summary, remember to be clear and straight forward as you establish tight boundaries, check in with yourself regularly, and utilize your support system.

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