ADHD Therapy | Long Island & Virtual NYYou're not failing. Your brain just works differently.
It doesn't always look like the stereotypes. Sometimes it looks like 50 browser tabs open at once, a to-do list you can't start, and a lifetime of being told you just need to try harder. If you've been white-knuckling it for years and you're exhausted from the effort, you're in the right place.
Your needs matter too
•
Your needs matter too •
The three patterns we see most.
What We'll Work On TogetherThe "Open Tabs" Brain
Highly capable but stuck before you even start. You can hyper-focus for hours then freeze on a simple task. We help you work with your natural wiring to break through analysis paralysis and move from thinking to actually doing, without the shame spiral that follows.
The Invisible Load
You're the reliable one, but the effort it takes to stay on top of everything is exhausting in ways nobody around you can see. We help you build routines you actually trust and quiet the mental noise so you can finally be present for yourself and the people you love.
The Emotional Weight
Minor setbacks hit harder than they should and you've been managing everyone else's expectations for so long you've lost track of your own. We help you untie your worth from your productivity and give you real tools to regulate the overwhelm so you're leading your life instead of just surviving it.
We don't do one-size-fits-all therapy and we definitely don't hand you a to-do list and call it a session. Using CBT and DBT we help you dismantle the old coping mechanisms that are making you miserable and replace them with systems that actually work with your wiring. We focus on where your ADHD hits hardest, the burnout, the masking, the shame spiral, and the struggle to stay regulated, and we help you heal what's underneath instead of just managing the symptoms on the surface. The goal isn't to fix you. It's to help you stop white-knuckling it and start leading your life with actual clarity. This is the one hour a week you will actually look forward to.
We skip the generic advice and get straight to the friction.
How We WorkTherapist with this speciality -
![A smiling woman with long brown hair sitting by a window, wearing a navy blue dress with white wavy trim, inside a sunlit room with a plant in the background.]()
Alicia Italiano, LCSW
E. Setauket | Virtual NY
-
![A smiling woman with wavy brown hair, wearing a white t-shirt and blue jeans, sitting on a black chair near a large window. Behind her, there is a tall plant with green leaves and a brick wall.]()
Jamie Edwards, LCSW-R
E. Setauket | Virtual NY
-
![A young woman with long brown hair, glasses, and a tattoo on her upper arm, smiling while sitting on a wooden stool by a window with green plants in the background.]()
Samantha Alotta, LMSW
E. Setauket | Virtual NY
-
![A woman with wavy brown hair, glasses, a nose ring, wearing a green tank top, blue jeans, and gold jewelry, sitting indoors near a window with a plant in the background.]()
Johanna Schwartz, LCSW
Brooklyn | Virtual NY
-
![A smiling man with glasses and a beard, wearing a black short-sleeve button-up shirt, standing near a window with greenery in the background.]()
Rob Edwards, LMSW
E. Setauket | Virtual NY
-
![A woman with long dark hair smiling while holding a blue ceramic mug, sitting in front of a plant with green leaves indoors.]()
Maria Montelione, LCSW, PMH-C
E. Setauket | Virtual NY
The Work Pays OffImagine your brain finally working with you.
Because that version of you isn't gone. She's just been exhausted from fighting her own wiring.
The tabs finally close.
The racing thoughts quiet down enough that you can actually be present. In conversations, in your work, in your own life, without the constant background noise pulling you somewhere else.
Your ideas turn into execution.
Clear systems that work with your brain instead of against it. You start the thing, finish the project, and actually trust your own follow-through for once.
The shame stops running the show.
No more ADHD Tax. No more performing neurotypical so nobody sees the mess behind the scenes. Just you, finally okay with how your brain works.
However you show up, the work is the same.
IN-PERSON THERAPY
Hang at The Nest. Visit our East Setauket office, inside Revival Strength & Recovery Wellness Center or at our new Brooklyn office.
ONLINE THERAPY
The comfy pants option. Virtual sessions anywhere across New York State.
frequently asked questionsA few things people usually want to know.
-
Absolutely. In our early sessions we take a deep dive into your history to see if your struggles match the female presentation of ADHD. Even without a formal diagnosis the tools we use for focus, executive function, and emotional regulation are designed to bring real relief. Our priority is giving you practical strategies that actually work, with or without a label.
-
Yes, and more often than people realize. For many women perfectionism is actually a survival strategy developed to overcompensate for ADHD symptoms. You work twice as hard to make sure nobody sees the mess behind the scenes. In therapy we help you distinguish between high standards and the exhausting need to mask, so you can find a more sustainable way to succeed.
-
Yes. Rejection Sensitive Dysphoria is one of the most common and most ignored parts of the ADHD experience, that intense emotional sting from even minor criticism. Using DBT and CBT we help you regulate those big emotions so you can navigate your relationships and career without constantly feeling knocked off balance by the fear of being not enough.
-
Both work and both are fully supported at The Nest. In person gives you a dedicated space to show up and separate therapy from the rest of your life. Virtual gives you flexibility when your schedule, your brain, or your day has other plans. We'll figure out what makes the most sense for you on the vibe check call.
Still have questions? We have answers.
Stop white-knuckling it. Start actually living it.
One free vibe check call is all it takes to see if The Nest is the right fit. No commitment, no pressure, just a real conversation.