ADHD Therapy for Late-Diagnosed Adults in Chicago & Illinois
“There’s no such thing as laziness. There’s only barriers to motivation.” - Unknown
ADHD Therapy, Not Executive Function Coaching
You won’t get a worksheet, you won’t get a morning routine, you won’t get a thought record. Because there is no perfect system standing between you and a functional life.
What you will get is a therapist who knows the terrain and understands that the reason nothing sticks isn’t that you need better tools. It’s that shame has been running the show.
We start with the self-concept built from years of being misunderstood. The grief of late diagnosis. The exhaustion of masking. We address the things that are actually keeping you stuck. The skills come after. They always work better that way.
What Shame-First ADHD Therapy Means
Shame-first ADHD therapy treats internalized shame as the primary clinical target rather than a side effect of ADHD symptoms. The shame work comes before the skill-building, because executive function strategies don't hold on a nervous system that has already decided it's going to fail.
Most ADHD treatment runs the opposite order. It starts with systems, planners, and accountability structures, and treats the self-blame underneath as something that will resolve once the systems are working. For late-diagnosed adults, that order is backwards. The self-concept was built first, over decades, and it filters every tool you try before you get a chance to use it.
In practice that means the first thing we do is not build you a better system. It's take apart the one you've been running on.
The Practical Stuff
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I work with adults of all genders who are navigating ADHD, AuDHD, chronic shame, rejection sensitivity, burnout, perfectionism, emotional overwhelm, and the exhaustion of constantly trying to function in ways that do not feel sustainable.
My practice welcomes women, men, transgender, nonbinary, and gender-expansive adults throughout Illinois.
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Virtual only, statewide in Illinois. Chicago-based practice.
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50 minutes, weekly or biweekly.
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Shame-first, skills-second. IFS-informed parts work, somatic and nervous system work, RSD-specific interventions.
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Samantha Skvaril, LCPC, ADHD-CCSP. Licensed in Illinois.
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BlueCross and BlueShield, UnitedHealthcare UHC | UBH, Cigna and Evernorth
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$160 per session. Superbills available for out-of-network reimbursement.
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Free 20 minutes.
Online ADHD Therapy for Adults Across Illinois
Whether you’re in Chicago or in the suburbs.
All sessions are online: no commute, no waiting room, no performing okayness in a parking lot before you walk in.
Questions People Ask Before Booking
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I work with adults of all genders who are navigating ADHD, AuDHD, chronic shame, rejection sensitivity, burnout, perfectionism, emotional overwhelm, and relationship patterns that no longer feel sustainable.
My practice welcomes women, men, transgender, nonbinary, and gender-expansive adults throughout Illinois.
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ADHD is often treated as a side note. Therapy may focus on anxiety, relationship difficulties, low self-esteem, or burnout without addressing the patterns underneath them.
I begin with the ADHD—and with the shame, coping strategies, and beliefs that may have developed around it. We are not only trying to manage symptoms. We are working to understand why certain patterns continue even when you already know what you are “supposed” to do.
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ADHD does not have to be the only reason you come to therapy. Many of the adults I work with are also exhausted from overextending themselves, managing other people’s reactions, overexplaining their decisions, or feeling guilty whenever they try to say no.
People-pleasing and boundary difficulties often overlap with rejection sensitivity, masking, chronic shame, and the belief that being useful or agreeable is what keeps relationships safe. Therapy can help you understand those patterns, communicate more directly, and begin making decisions without automatically abandoning yourself.
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That is completely okay. Many people arrive after years of reading, relating to ADHD experiences, and wondering whether there might finally be an explanation for patterns they have struggled to understand.
You do not need a formal diagnosis to begin therapy, and you will not need to prove anything to me. When a formal assessment may be helpful, we can talk through your options.
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Yes. Some adults who recognize their ADHD later in life also begin exploring Autism or identify with the AuDHD experience.
Masking, sensory overwhelm, burnout, difficulty with transitions, and the exhaustion of trying to meet neurotypical expectations can all be part of our work. My approach is neurodivergent-affirming, which means the goal is not to help you mask more effectively. It is to help you understand yourself and build a life that works more sustainably for you.
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Yes. Medication may support attention, regulation, and your ability to access certain skills, but it does not automatically change the beliefs you have developed about yourself after years of struggling.
Therapy and medication address different parts of the experience. Our work can focus on the shame, relationship patterns, emotional responses, and coping strategies that medication alone may not resolve.
Feel Familiar?
🪫The empty that doesn’t fill
You’re not running low. you’re running on a deficit that’s been accumulating for years. masking takes energy. performing okayness takes energy. doing everything twice as hard to look like you’re keeping up takes energy. At some point, the tank just stays empty.
🌀 The list you rewrote 12 times
You didn’t forget the task. You rewrote it on four different lists. You just couldn’t start it. That’s not laziness. That’s executive dysfunction. And no planner has ever fixed it because the planner was never the problem.
🔄 The words that were right there
You had them. You knew exactly what you wanted to say. Someone interrupted you, and now they’re gone. And the thing that’s hardest to explain is that it doesn’t feel like losing a thought. It feels like losing yourself mid-sentence.
⚡The rest that doesn’t work
You finally sit down. You’re not doing anything, and somehow you feel guilty for every second of it. Your body is still. Your brain has seventeen tabs open, and three of them are frozen.
🫥 The social math that never adds up
You’re either completely in or completely gone. Texting everyone back immediately or ghosting for three weeks and spiraling about it. There’s no casual. there’s no in-between. And every time you disappear, you write another entry in the evidence file about what’s wrong with you.
I say the quiet part out loud.
Most ADHD content stops at symptoms and strategies. I don’t.
I talk about shame, late diagnosis, grief, rejection sensitivity, and why the planner industry is a predatory feedback loop.
I talk about what clinicians get wrong and what the neurodivergence movement still hasn’t said out loud.
WORTHY MOTHER PODCAST — ADHD IN MOTHERHOOD
NEWSWEEK — BATHROOM HABITS AS SIGNS OF ADHD IN WOMEN
🎧 Podcast interviews
📰 Article features
🎤 Panels & events
You don’t have to have it together to reach out.
If you’re in Illinois and you’re tired of the gap between knowing and doing — this is where that starts to close.

