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 wondering:
Why does everyday life seem so much harder for me than it does 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?
Even if I understand why I struggle, how do I make life work better for me?
You may be looking for an assessment to better understand how your brain works, therapy to help you navigate life with that understanding, or both.
Many of the adults I work with were missed, misdiagnosed, or learned to mask so well that their needs went unnoticed for years. Recognizing yourself later in life can bring clarity and relief, but also grief, anger, or uncertainty. Assessment can help you make sense of the patterns. Therapy can help you decide what to do with that understanding.
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
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.
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.