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ADHD
Adult & Teen

Therapy in Sarasota 

IN-PERSON THERAPY IN SARASOTA | ONLINE THROUGHOUT FLORIDA

There's a constant mental load in the background, and it's not always visible from the outside. We work on ways to make that load more manageable.

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When trying harder hasn't worked

For many people, ADHD has little to do with being high energy. It's the exhaustion of a mind that doesn't slow down, and the constant, invisible effort it takes to keep up with everyday life.

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If you've spent years feeling like you're working twice as hard just to stay on track, you already know that "just try harder" doesn't work. Whether you were diagnosed years ago or are only starting to wonder, there's a reason things have felt this difficult for so long. You don't need a formal diagnosis to start.

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Make sense of how your brain works

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Get started on what you've been avoiding

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Build systems that fit your life

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Ease up on the self-criticism

WHEN ADHD GETS MISSED IN ADULTS & TEENS

Not all ADHD looks obvious. In many adults and teens, it gets missed because it doesn't match the picture people expect. It may not look disruptive or hyperactive. Instead, it looks like chronic overwhelm, procrastination, and the sense that everyday life takes far more effort than it should.

THE HIGH FUNCTIONING MASK

If you were the quiet kid who drifted through class, or the gifted one who learned to compensate early, your ADHD may have been missed entirely. You may have gotten very good at masking, using pressure, perfectionism, and harsh self-criticism to keep up. On the outside, you look capable. On the inside, you feel ashamed and perpetually behind.

THE MIND THAT WON'T SETTLE

For many people, the restlessness isn't in their body. It's in their mind: a brain that overthinks, replays conversations, and gets overstimulated easily. Because you've learned to contain it so well, it often gets mistaken for anxiety alone. Treating the anxiety without understanding the ADHD underneath tends to leave the most important part untouched. It often shows up at night too, in not being able to make yourself go to bed even when you're exhausted.

ADHD AND EMOTIONS

For some people, the emotional side of ADHD is harder than the attention side. Feelings arrive fast and hit hard. A brief comment or a delayed reply to a text can stay with you all day, and criticism can land so sharply that you work hard to never invite it. Because this looks like sensitivity rather than ADHD, it often gets missed. It's sometimes called rejection sensitivity.

When It Isn’t Only ADHD

ADHD doesn't always shows up by itself.

Anxiety & Burnput

Many of the people I work with are also dealing with anxiety, burnout, or the effects of years of feeling different.

Autism

Some are also autistic, which can make it hard to tell which traits come from where

Giftedness & ADHD

Others were identified as gifted early on, and their ADHD stayed hidden behind how well they compensated. This is sometimes called being twice-exceptional (2e).

We don't have to sort every piece into the right category before we start. What matters is understanding how these things interact for you, and what that means for your daily life.

ADHD in Teens

From the outside, ADHD in teens often looks like a motivation problem: missed assignments, last-minute everything, arguments about grades. From the inside, it usually feels more like falling behind no matter how hard you try, and getting tired of hearing that you're not living up to your potential.

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I work with teens directly. Sessions are private, within the usual limits, so teens have space to talk honestly about what's going on. I'm glad to collaborate with parents when it's helpful.

How I Work with ADHD

Many people come in already knowing a lot about ADHD. They've read the articles and tried the planners. Knowing more hasn't been the missing piece.

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I'm less interested in productivity for its own sake than in understanding how your brain actually works and what's been getting in the way. That means paying attention to the internal experience: what happens right before you avoid something, what the self-criticism sounds like, and where you've been compensating so hard that it's worn you down.

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Practical tools are part of the work. We might build routines, find ways to get started on things you've been avoiding, or set up systems for time, tasks, and follow-through. But systems tend to fall apart when they're built on shame. If every missed step becomes proof that something is wrong with you, even a good system turns into one more thing to fail at. So we work on both: what helps you function, and how you treat yourself when things don't go as planned.

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If you see yourself in this, that's a good place for us to start.

You don't need to be fixed. You need support, understanding, and tools that fit your brain.

Ready to Take the Next Step?

Let's work together to create a plan that supports your goals and your life.

Contact

patricia@patriciastoff.com

941-374-7250

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Location

4837 Swift Rd

Suite 110-4

Sarasota, FL 34231

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I offer in-person appointments in Sarasota as well as online appointments for individuals across Florida.

© 2026 Bloom Clinical Counseling, LLC.   |    Patricia Stoff, LCSW

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