You're not lazy. You need different scaffolding.
Individual ADHD therapy for adults and teens (13–17) in Duxbury, MA and online across Massachusetts. Practical systems for starting and follow-through, plus the shame and strain that make them hard to keep.
Book your free 20-minute call
Cat Baker offers individual ADHD therapy for adults and teens ages 13–17. Sessions are 60 minutes, in person at 20 Tremont St, Suite 8, Duxbury, MA or online anywhere in Massachusetts. The work combines practical systems for time, starting, and follow-through with therapy for the shame, emotional reactions, and relationship strain ADHD often brings. Cat does not diagnose or prescribe, and coordinates with prescribers when asked.
The gap between what you intend and what happens
What is ADHD therapy with Cat Baker?
Most ADHD help is either productivity content or a prescription. Neither touches the part that hurts: years of being told you weren't trying, and the story you built about yourself because of it.
So the work runs on two tracks. The practical one builds outside scaffolding that survives a real week, designed around how your attention actually behaves. The emotional one unpicks the shame, perfectionism, and bracing-for-criticism that come from decades of falling short of a standard built for a different brain.
Sessions are structured and more directive than open-ended talk therapy, with follow-up on what we agreed last time.
Four things ADHD therapy helps with
Systems that hold
Externalized memory, starting rituals, and visible time, built to bend instead of collapse.
Shame and self-story
Separating "my brain works this way" from "I can't be relied on." That change shifts everything downstream.
Emotional regulation
Rejection sensitivity, the flare that comes before the thought, and recovering from criticism faster.
Relationships and work
Asking for what you need without apologizing, with a partner, a parent, or a manager.
ADHD therapy vs. ADHD coaching vs. medication
They solve different problems, and many people use more than one.
| ADHD therapy | ADHD coaching | Medication | |
|---|---|---|---|
| Main focus | Systems plus shame, emotional reactions, and relationships | Planning, routines, accountability | Attention and focus symptoms |
| Who provides it | A trained mental health clinician | A coach; training varies widely | A physician, psychiatrist, or nurse practitioner |
| Insurance | Often reimbursable out-of-network with a superbill | Usually not covered | Usually covered |
| Best for | You know what to do but keep getting stuck, or ADHD affects mood or relationships | You feel steady and mainly need structure | Works best combined with skills and support |
How do we start?
Book a free 20-minute call
Tell me what's getting in the way. No diagnosis needed.
Intake session
We map where things break down. For teens, a parent joins this one.
Weekly, then every other week
Build systems, test them in a real week, adjust what doesn't stick.
ADHD therapy in Duxbury: quick answers
Who is ADHD therapy with Cat Baker for?
Adults and teens ages 13–17 who have ADHD, or suspect they do, and feel stuck between knowing what to do and doing it. Sessions are 60 minutes, in person in Duxbury, MA or online anywhere in Massachusetts.
Do I need an ADHD diagnosis to start?
No. Many clients are somewhere between "I've wondered for years" and formally diagnosed. If a full evaluation would help, Cat refers to clinicians who do them well.
Can Cat Baker prescribe ADHD medication?
No. Cat is a therapist, not a prescriber. She works alongside psychiatrists and nurse practitioners and coordinates with your prescriber when you want her to. Therapy plus medication tends to work better than either alone.
How is ADHD therapy different from ADHD coaching?
ADHD coaching focuses on planning, routines, and accountability. ADHD therapy covers those too, plus the shame, emotional reactions, and relationship strain that keep strategies from sticking. Many people benefit from both.
Does Cat Baker see teens with ADHD?
Yes, ages 13–17. The work covers school stress, procrastination, emotional reactions, self-esteem, and conflict at home. A parent or guardian consents and joins the intake; session details stay private except for safety concerns.
Does Cat Baker take insurance for ADHD therapy?
No. The practice is out-of-network, provides monthly superbills, and works with Thrizer so many clients pay only their estimated coinsurance up front.
What if the real problem is my relationship?
Say so on the free call. Sometimes the right answer is individual ADHD therapy, sometimes couples therapy, occasionally both. Cat works primarily with couples, so she'll tell you honestly which fits.
How do we start?
Book a free 20-minute call
Tell me what's getting in the way. No diagnosis needed.
Intake session
We map where things break down. For teens, a parent joins this one.
Weekly, then every other week
Build systems, test them in a real week, adjust what doesn't stick.
Why a couples therapist does ADHD work
Most of my practice is couples, and ADHD comes up constantly: one partner drifting into manager, the other into managed, both resentful and neither wrong. That taught me how much of ADHD is relational.
So if you come alone, you get a therapist who understands the effect on the people around you. If you'd rather bring your partner in, that door is already open.
