ADHD Therapist for Adults
Anxiety and Rejection Sensitive Dysphoria Treatment in Washington and Texas
You’re highly capable, thoughtful, steady…until something hits a nerve.
A comment lands wrong.
A tone shifts.
A response feels shorter, cooler, or harder to read.
Suddenly you’re:
Replaying the interaction again and again, picking apart where you went wrong.
Talking to yourself in a way you’d be embarrassed for anyone else to hear.
Shapeshifting to avoid disappointing others, to the point that you stop checking in with what you want.
Becoming defensive and justifying, or snapping, usually with those closest to you.
All that effort to keep things from going wrong leaves you resentful and exhausted—until you either shut down or go blow up.
Then comes the shame spiral. Not just about what happened, but about how you reacted.
You replay the moment, cringing.
“Why am I like this?”
“You should have handled it better. Stayed calm. Not taken it so personally.”
Next time, you try even harder:
Reading the room more carefully
Over-explaining
Accommodating
Holding back what you actually want or need
Smoothing things over
But the next time something hits that same nerve, your system reacts just as fast.
That’s where rejection sensitive dysphoria treatment comes in.
The Anxiety—Rejection Sensitivity—Shame Loop
This is a daily reality for many of my clients with ADHD traits, autistic traits, or who identify as a highly sensitive person (HSP).
They develop high-functioning anxiety strategies like
overthinking,
people-pleasing,
and clinging to certainty
to manage emotional intensity and rejection sensitivity.
And when those strategies inevitably fail, they shame spiral.
As an ADHD therapist for adults, I provide rejection sensitivity therapy for neurodivergent and highly sensitive people who are exhausted by this cycle and desperate to feel calmer, more self-trusting, and less hijacked by their reactions.
Not by trying harder.
By helping the patterns underneath finally update.
When Self-Awareness Isn’t Enough
You’ve tried reframing thoughts, breathing exercises, and making sense of the past.
But knowing what should help isn’t the same as being able to feel or act differently in the moment.
The mismatch between what sounds true and what feels true (for you) is often a sign that old experiences are still running the show.
Times you felt rejected, shamed, or not good enough, can get stuck in your nervous system.
Even when you understand them logically, your body and emotions keep reacting as if they’re happening now.
When those old patterns loosen their grip, things start to shift in very real ways.
This is the kind of change that’s possible with an ADHD therapist for adults.
A memory that left you feeling too much or not enough no longer stings.
That white-hot flush in your chest can rise and fall, instead of taking over.
“Fundamentally flawed” softens into a sense of worth and adequacy.
When rejection or criticism looms, you recover instead of spiraling.
You feel freer to show up authentically, without hiding, pleasing, or proving.
Your relationships feel steadier because you no longer abandon yourself to avoid conflict.
A Different
Way Forward
Your anxiety, rejection sensitivity, and shame didn’t come from nowhere.
They were learned through experience and reinforced over time.
Most highly sensitive and neurodivergent adults already manage themselves constantly:
monitoring reactions,
editing responses,
bracing for impact,
trying to prevent something from going wrong.
The problem isn’t effort.
It’s that more self-management doesn’t change the old learning that taught your system that discomfort, disapproval, and uncertainty are dangerous.
So we go deeper.
We work with your nervous system, emotional memory, and the protective patterns that formed long before you had better options.
Instead of piling on new strategies or trying to think your way out, we help the old experiences update.
When that happens, things shift:
What once felt like threat becomes information.
The emotional charge drops.
Automatic reactions loosen.
This is what allows rejection sensitive dysphoria treatment to create lasting change.
Growth isn’t about trying harder.
It’s about removing what’s in the way.
If that’s the shift you’ve been missing, you can start here
Meet Becca
I’m Becca Gregory, LICSW, an ADHD therapist for adults, specializing in rejection sensitive dysphoria treatment across Washington and Texas.
Hello!I work with highly sensitive (HSP) and neurodivergent people who are tired of overthinking, people-pleasing, and spiraling after perceived rejection.
Most already understand their patterns.
What they want is lasting change.
Not more coping strategies.
Using approaches like Accelerated Resolution Therapy (ART) and parts-based work, I help you update the emotional learnings underneath anxiety and shame so you can respond differently in real life, not just in theory.
Ways to Work Together
An accelerated EMDR alternative for trauma, anxiety, and rejection sensitivity.
Resolve old experiences in 1–3 extended sessions.
Less talking. No reliving. Real relief.
For highly sensitive and neurodivergent adults navigating anxiety, shame, and rejection sensitive dysphoria (RSD).
Specializing in RSD therapy.
For caregivers of struggling tweens, teens, and young adults.
Move from walking on eggshells and blowing up to confidence, influence, and connection.
