Currently accepting new clients for therapy and assessments!

Autism and ADHD Assessments and Therapy for Adults in Washington State

If you’ve spent years feeling like things are harder than they should be, you’re not alone.

You may have learned to push through, compensate, or explain it away. From the outside, things might look fine. Internally, it can feel exhausting—like you’re constantly trying to make something work that never quite does.

If you’re here, you might be asking:

Why does everything feel so much harder than it seems to for other people?

How did no one notice this earlier?
Is it ADHD, Autism, both—or something else?
Am I just bad at being an adult?
What if I’m “not ADHD or Autistic enough” to count?

Many of the adults I work with were missed, misdiagnosed, or learned to mask so well that their needs went unnoticed for years. Realizing this later in life can bring both relief and grief. Both responses make sense.

A woman with long, wavy brown hair and blue eyes wearing a black top and a gold necklace sitting in a living room with framed botanical artwork on the wall behind her.

Sam McCann, LMHC, C-NDAAP

“Oh, that’s why” is the moment when the pieces finally connect.

It’s realizing you weren’t broken, lazy, or failing—you were navigating the world with a brain and nervous system that were never properly understood.

I specialize in working with late-identified and self-identified Autistic and ADHD adults, using a neurodiversity-affirming approach rather than a deficit-based model.

Adult ADHD and Autism Assessments

The assessment process is transparent, respectful, and paced to reduce stress. You’ll receive clear feedback, written documentation, and space to process what the results mean for you.

You do not have to prove your struggles to be taken seriously.

I provide assessments for adults who:

  • suspect they may be neurodivergent

  • are self-identified and seeking clarity

  • were previously dismissed or told they “didn’t qualify”

  • want answers for personal understanding, work, or accommodations

Learn about the assessment process, step by step!

Therapy for late-identified ADHD and Autistic adults

Therapy can be helpful if you’re navigating:

  • burnout and chronic exhaustion

  • emotional regulation and overwhelm

  • executive functioning challenges

  • identity shifts after self-identification or diagnosis

  • shame from years of feeling “behind” or “too much”

  • unmasking and learning what actually works for you

Sessions are collaborative, flexible, and adapted to neurodivergent needs—because therapy should not require masking to be effective.

Therapy for ADHD Adults

Therapy for Autistic Adults

What neurodiversity-affirming means here

Neurodiversity-affirming care means we don’t approach neurodivergence as a problem to fix.

Instead, we will:

  • recognize neurodivergence as a natural form of human variation

  • explore how systems, expectations, and chronic masking contribute to distress

  • support skills and accommodations without pathologizing who you are

  • center self-understanding, self-compassion, and agency

We might be a good fit if…

  • you’re an adult exploring ADHD, autism, or both

  • you were diagnosed late—or not at all

  • you’ve spent years masking or compensating

  • you want care that doesn’t treat you like a problem

  • you value being understood as a whole person

If you’re unsure whether therapy or an assessment is right for you, that’s okay. Many people start without a clear answer—and we figure it out together.

Taking the next step

Reaching out can feel like a lot—especially if past experiences weren’t the greatest.

When you contact me, you can expect:

  • consistently clear information about next steps

  • a predictable, transparent process

  • space to ask questions

  • no pressure to decide everything at once

You deserve support that makes sense to your brain.