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Understanding Neurodiversity in Adult ADHD Treatment and Diagnosis

  • Writer: Mary Rawson Foreman, PhD
    Mary Rawson Foreman, PhD
  • Oct 1
  • 3 min read

Updated: Nov 22

As our understanding of mental health evolves, so does the language we use to describe it. The idea of neurodiversity reminds us that brains come in many variations. ADHD, autism, dyslexia, and other patterns of thinking are part of human diversity, and difference does not automatically mean disorder.


Many adults first come to me for adult ADHD testing in Kirkland, WA after years of struggling with focus, overwhelm, or burnout without knowing why. For many people, the neurodiversity perspective feels like a long breath of relief. Instead of viewing ADHD as a flaw, we begin to see it as a different way of processing information, one that includes challenge and strength.


As a psychologist in Kirkland who specializes in adult ADHD diagnosis and treatment, I work from a neurodiversity-informed lens across therapy, assessment, and integrative approaches. This post shares how that perspective shapes my work and how newer approaches, including ketamine assisted psychotherapy, may support growth and healing.


Why Neurodiversity Matters in ADHD Treatment


The neurodiversity movement questions the old idea that there is one normal brain we should all aim to have. Many adults with ADHD are imaginative problem solvers and intuitive thinkers.


I have met people whose minds move quickly. Some describe their thoughts as popcorn, a race car, or a wandering path that often leads to creative insights others might not see. Research suggests that adults with ADHD often excel in creative fields.


When we work from a neurodiversity-informed perspective, ADHD therapy is not about correction. It is about understanding how your mind functions best and shaping environments, relationships, and daily practices that support you. This perspective guides much of my adult ADHD treatment work in Kirkland and throughout Washington State.


The Complex Journey of Adult ADHD Diagnosis


Receiving an ADHD diagnosis as an adult can bring clarity and emotion. Many people arrive after years of feeling lazy, messy, or not enough. In reality, they have been living with a mind that seeks curiosity and stimulation.


Adults often develop ways of compensating that hide the underlying pattern. ADHD can overlap with anxiety, depression, trauma, and burnout, which makes it harder to see clearly.


A thorough ADHD evaluation often includes an in-depth interview, standardized measures, and sometimes feedback from partners or family. In my work as a psychologist in Kirkland, I provide adult ADHD assessments that aim to understand how your mind works in daily life, not only how it looks on paper.


The goal is clarity and self-understanding.


Why Good Assessment Matters

Testing helps translate lived experience into understanding. A careful ADHD assessment for adults looks at symptoms, work patterns, relationships, emotional responses, and strengths. This creates a roadmap that can guide meaningful change.


When we understand how your mind processes information and emotion, we can design a plan that fits you. That might include approaches for time management, emotional regulation, or executive functioning that match your natural way of being.


It is a lot to manage, and you do not have to do it alone.


It is a lot to manage.
It is a lot to manage.

Treatment Options for Adults with ADHD


There is no single path that works for everyone. The most effective adult ADHD treatment usually includes several layers of support.


Medication


Stimulant medications such as methylphenidate or amphetamines can improve focus for many adults. Others prefer non stimulant or integrative options depending on their needs and comfort.



Psychotherapy


Therapy helps connect attention, emotion, and self-worth. In my practice, ADHD therapy for adults often blends cognitive tools with relational work that explores shame, perfectionism, and past experiences that shape identity.


Lifestyle and Mind-Body Practices


Movement, rest, and mindful awareness help many people with ADHD. Exercise, sleep, time in nature, and grounding practices offer steady support. These tend to help the mind work with more ease.


Ketamine and Psychedelic-Assisted Psychotherapy: A New Frontier

Interest in psychedelic informed therapies continues to grow. Ketamine therapy shows promise for supporting depression, trauma, and emotional dysregulation. These experiences are common among adults with ADHD.


In my work providing ketamine assisted psychotherapy in Washington State, I offer a structured and relational approach. Some clients describe ketamine sessions as a reset that brings new clarity and compassion toward long standing patterns.


Even without medicine, preparation and integration sessions that follow this model support reflection, insight, and change


The Future of ADHD Treatment


As our understanding of neurodiversity grows, treatment becomes less about correction and more about alignment. The most helpful care is collaborative and grounded in respect for each person’s natural wiring and values.


Whether through neurodiversity informed therapy, lifestyle practices, traditional psychotherapy, ADHD testing, or newer approaches like ketamine assisted psychotherapy, the aim is the same. We work toward a life that feels genuine and supported.


If you are exploring adult ADHD testing, adult ADHD treatment, or autism therapy for adults, I offer neurodiversity affirming assessment and therapy in Kirkland and across Washington State.




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