Matthew RojoWalnut Creek Therapist

Adult ADHD

Therapy for adults with ADHD in Walnut Creek

If you've spent years feeling scattered and behind — whether that's restlessness and impulsivity you've never been able to switch off, or a quieter kind of overwhelm nobody else can see — it's exhausting. You're not lazy, and you're not broken, and there's real work that helps.

Book a free consultation Call (925) 315-8205

Now booking new clients — see regular weekly openings

Living with ADHD

I work with a lot of adults who already know, or strongly suspect, they have ADHD. My focus isn't testing for it — if you want a formal diagnosis, I'll refer you to someone who does that. My focus is everything around it: the constant background anxiety of feeling like you're always forgetting something, the overwhelm, the shame that piles up after years of falling short of your own intentions, and the strain it can put on the people closest to you.

So we work on the trauma and anxiety that build up from a lifetime of living with it, on practical ways to manage the day to day, and — if you have a partner — on helping the two of you work with it together instead of against each other. ADHD is one of the most common hidden drivers of the same fight on repeat, and naming it tends to change the whole conversation.

One thing worth naming: ADHD is missed in women constantly. It was defined around hyperactive boys, so in women it tends to get read as anxiety, or written off as being scattered or too sensitive, while the real thing goes unnamed for years — showing up more as internal overwhelm than visible hyperactivity. If that's you, it may be worth a real evaluation rather than a guess. More on ADHD in women →

A different way of seeing it

I do not personally believe ADHD is a disorder. I believe that it's an evolutionary adaptation that offers real advantages and real trade-offs. ADHD is associated with creativity. Many people with ADHD thrive in fast-moving, high-stakes work — as first responders, in crisis situations, and as entrepreneurs and leaders. In all of these examples, the ability to see everything all at once allows people with ADHD to make connections others miss. It allows them to see what to do in a crisis. The hyperfocus allows people with ADHD to be amazing at jobs they love.

Obviously, though, ADHD also has trade-offs, and they are real, but not the whole story.

Common questions

Frequently asked

I have ADHD — can therapy actually help?
Yes. We work on the constant low-grade anxiety of feeling like you're always forgetting something, the overwhelm, the shame that piles up, and the strain it puts on the people close to you — plus practical ways to manage day to day.
If I'm diagnosed, do I have to take medication?
No. Medication is considered a first-line, well-established treatment for ADHD, so part of doing right by you is making sure you've had a real conversation about it with a prescriber — but the decision is always yours, and I'll support whatever you choose. You know better than anyone what fits your life. If you're not sure, one option is to ask a prescriber about trying it in a low-stakes way to see how it feels for you; many people are surprised by what's possible to explore there. My job is to help you think it through clearly and make the call that's right for you — not to talk you into or out of anything.
How does ADHD affect relationships?
Often a lot. ADHD can leave one partner feeling unheard and the other feeling nagged or inadequate. Naming it changes the story from character flaw to something the two of you can actually work with — which is why this often pairs well with couples work.
Do you test for or diagnose ADHD?
No — I don't do formal ADHD assessment. If you want a diagnosis, I'll point you to someone who does the testing. What I do is the therapy around it: the anxiety, the overwhelm, the relationships, and the years of self-blame that tend to come with ADHD.
What does therapy cost?
Individual sessions are $275 per 50-minute hour. Private-pay and out-of-network, with a superbill available and HSA/FSA cards accepted.
Is this available online?
Yes — in person in downtown Walnut Creek, or by secure video anywhere in California.
How do I know I can trust you?
You don't have to force it. If part of you doesn't trust me, that's worth paying attention to rather than pushing past — closing the gap between us is my job, not yours, and it's genuinely okay if we turn out not to be the right fit. There's more on my About page, including why some wariness toward a therapist can be perfectly reasonable.

Explore

Couples therapy

Where unrecognized ADHD often shows up as the same recurring conflict.

Anxiety & Trauma

Help for racing thoughts, panic, worry, and the weight of past trauma.

Get started

Start with a free 30-minute consultation

Office
1535 North Main Street, Suite 250
Walnut Creek, CA 94596
Sessions
Couples therapy is only in person. Individual therapy is in person or by video.
Book a free consultation