Darby
Integrative
Counseling
In-Person - Silver Spring, MD 
Virtual - DC, MD, VA, FL, CA

ADD & ADHD Comprehensive Care

We help ambitious & overwhelmed professionals, students, parents manage ADHD so it stops quietly sabotaging careers, academics, and relationships. Struggling to stay organized, focused, or keep your emotions in check impact your successes? Whether it’s missed deadlines, test anxiety, perfectionism, or daily chaos at home, our expert therapists offer tailored, evidence-based support to help you…

Adobestock 206335314 Preview

How Darby Integrative Counseling Works With ADD & ADHD Comprehensive Care

Elevate Focus & Success with ADHD Therapy & Coaching

Struggling to keep up with your career or family life? 

Is Imposter Syndrome looming in your mind?

Is your law, medical, or MBA program being impacted?

Are you a high-level executive or entrepreneur whose ADHD is chipping away at productivity, deadlines, or even the bottom line?
Is your home life unraveling — clutter, forgetfulness, emotional outbursts making relationships tense and unpredictable?  Are you having difficulty managing education workload or University requirements? Are you a Visionary who is having trouble turning ideas into action?

WE GET IT!  Our specialized therapists have both lived experience with learning to manage and OVERCOME ADHD and have expert training in a variety of ways to teach you how to manage ADHD!  No cookie-cutter advice ever.  After an assessment, we will come up with tailored solutions combining what works, for you.

At Darby Integrative Counseling, we understand ADHD is far more than a lack of focus. It can quietly impact every area of your life, threatening long-term success and straining the very relationships meant to support you. Our seasoned team specializes in working with ambitious, driven clients — helping them reclaim their time, relationships, and well-being.

How ADHD Shows Up for Our Clients

Many clients come to us feeling like they’re failing in areas that matter most, despite working twice as hard as peers. Do any of these sound familiar?

✅ In your career:

  • You have brilliant ideas — but struggle to execute them.

  • You’re chronically late, missing key meetings, or forgetting vital follow-ups.

  • Paper piles, unread emails, and scattered tasks leave you overwhelmed.

  • You fear burnout, or worse — losing a promotion, clients, or your job.

✅ In rigorous academic programs:

  • Law students battling test anxiety, paralyzed by perfectionism.

  • Med or PA students cramming last minute, missing vital sleep, terrified they’ll slip up on exams or rotations.

  • Accountants or engineers drowning under dense reading or multi-step problems.

✅ In relationships:

  • Your partner complains you’re inattentive, irritable, or can’t finish simple chores.

  • Friends pull back because of missed plans or one-sided conversations.

  • You feel guilty, defensive, or ashamed — wondering why it’s so hard to just “be normal.”

✅ As a parent:

  • Parenting with ADHD is another level of chaos.

  • You forget permission slips, lose track of appointments, or can’t stay patient with your kids.

  • Household systems collapse, leaving you and your partner resentful or exhausted.

  • You’re terrified your kids are “picking up on it” or will struggle too.

✅ Specialized in ADHD therapy for professionals, adult ADHD coaching, and emotional regulation strategies. Serving clients across Washington DC, Bethesda, Chevy Chase, Arlington, Alexandria, Fairfax, McLean, Miami, and surrounding communities — with both in-person and secure online sessions throughout Maryland, Virginia, DC, and Florida.

How We Help — Without Medication or Alongside It

At Darby Integrative Counseling, we offer comprehensive ADHD therapy that’s about far more than coping — it’s about actually building a life that works for how your brain is wired.

Non-Medication Approaches

  • CBT (Cognitive Behavioral Therapy): Custom strategies to tackle disorganization, procrastination, perfectionism, and self-sabotage.

  • DBT (Dialectical Behavior Therapy): Tools to regulate intense emotions, improve patience, and stay grounded under stress.

  • Mindfulness & body-based techniques: Helping you slow down racing thoughts and regain focus.

  • Practical skills training: Learn to prioritize, break tasks into manageable steps, and follow through.

Many clients tell us they want to avoid or minimize medication, or simply feel their ADHD was never fully addressed by medication alone. We specialize in therapy approaches that stand alone — or that can enhance the benefits of medication if you’re already working with a doctor.

Coordinating Care If Medication Is Needed

Not sure if medication might help? Our experienced therapists can help you sort out if additional support is warranted, and connect you with trusted psychiatrists or primary care doctors in your area who can evaluate for prescriptions — so your care is truly integrated.

Imagine ADHD Therapy that Actually Changes Your Life

Picture yourself:

✅ Feeling calm, clear, and organized at work or school.
✅ Following through on big projects — no more missed deadlines or embarrassment.
✅ Showing up with more patience and joy at home.
✅ Building self-trust and confidence again.
✅ Finally enjoying your evenings and weekends without guilt or a backlog of to-dos.

Why Choose Us

At Darby Integrative Counseling, we work with:
✔ Executives & entrepreneurs juggling massive responsibilities.
✔ University students in competitive programs who fear ADHD could sabotage hard-won dreams.
✔ Busy parents needing structure that fits real life — not cookie-cutter advice.
✔ Anyone tired of feeling like they’re always “falling behind.”

We’re here to validate your struggles, equip you with tailored strategies, and help you transform your challenges into strengths — so ADHD stops running your life.

✅ Proudly serving professionals, grad students, and busy families across Washington DC, Bethesda, Chevy Chase, Potomac, Rockville, Silver Spring, Arlington, Alexandria, McLean, Fairfax, Miami, and beyond. Offering in-person and secure virtual ADHD therapy, adult ADHD treatment, and executive function coaching throughout DC, MD, VA, and FL.

Ready to Unlock Your Potential?

Don’t let untreated ADHD erode your career, relationships, or self-worth. With the right tools and expert guidance, you can live up to your ambitions — and enjoy your life along the way.

👉 Book a consultation today and discover how ADHD therapy at Darby Integrative Counseling can help you thrive.

✅ Supporting high-performing professionals, university & grad students, and parents in DC, Bethesda, Potomac, Rockville, Silver Spring, Arlington, McLean, Fairfax, Miami, and beyond. Offering expert therapy for ADHD symptoms, executive dysfunction, impulsivity, and perfectionism — both in-person and virtually across DC, MD, VA, and FL.

Transform Your Life Today – Begin Your Healing Journey

Book your FREE, no-obligation consultation with an Expert Therapist, today. Experience the proven, transformative, and integrative care that combines modern science and medicine with ancient wisdom and compassion. Thousands of clients have found healing with us, and we’re ready to help you, too.
Book Your Free Consultation

More Information on ADD & ADHD Comprehensive Care

At Darby Integrative Counseling, we understand that ADHD can significantly impact your career, education, relationships, and daily life!

Our experienced team recognizes the core symptoms of inattention, hyperactivity, and impulsivity that characterize this condition.

We’re committed to helping you navigate the challenges ADHD presents in various settings, whether at work, school, or in personal relationships.

Our integrative approach addresses not only symptom management but also builds on your strengths to improve overall functioning and quality of life.

If you’re struggling with ADHD, we’re here to provide the support and strategies you need to thrive.

Types of ADHD

At Darby Integrative Counseling, we recognize that ADHD presents differently in each individual.

If you’re experiencing symptoms of inattentive ADHD, we can help you develop strategies to improve focus, enhance organization skills, and increase task completion.

For those struggling with hyperactive/impulsive ADHD, our team offers tailored approaches to manage restlessness, control impulsivity, and improve patience in various situations.

We’re committed to providing personalized care that addresses your specific ADHD type and its impact on your daily life.

Inattentive Type

What does it mean to have the inattentive type of ADHD?

If you’re diagnosed with inattentive ADHD, you’ll often struggle to focus, complete tasks, and stay organized. This type is common in adults with ADHD.

Cognitive behavioral therapy can help you manage symptoms by teaching strategies to improve attention and organization.

Unlike the hyperactive type, you’re less likely to be disruptive but may appear distracted or forgetful.

Hyperactive/Impulsive Type

While inattentive ADHD often flies under the radar, the hyperactive/impulsive type is more noticeable.

If you’re dealing with childhood ADHD of this type, you’ll likely observe:

  • Excessive movement and fidgeting
  • Difficulty waiting for turns
  • Frequent interruptions or blurting out answers

ADHD therapy for hyperactivity and impulsivity focuses on managing these symptoms.

You’ll work with specialists to develop strategies that help control impulsive behaviors and channel excess energy productively.

Causes

Despite years of research, the exact causes of ADHD remain elusive. Scientists believe that a combination of factors contributes to the development of this disorder. Genetics play a significant role, as ADHD tends to run in families. If you have a close relative with ADHD, you’re more likely to develop it yourself.

Brain structure and function also appear to be involved. Studies have shown that children with ADHD may have differences in certain brain regions compared to those without the disorder. These anatomical variations could affect attention, impulse control, and hyperactivity.

Environmental factors might contribute as well. If you were exposed to toxins during pregnancy, such as alcohol or tobacco smoke, your risk of developing ADHD may increase. Low birth weight and maternal stress during pregnancy have also been linked to a higher likelihood of ADHD.

It’s important to note that while these factors are associated with ADHD, they don’t necessarily cause it. The disorder likely results from a complex interplay of genetic, neurological, and environmental influences.

Understanding these potential causes can help guide research into more effective treatments and interventions for those affected by ADHD.

Symptoms

How can you recognize ADHD? Attention-Deficit/Hyperactivity Disorder manifests through persistent patterns of inattention, hyperactivity, and impulsivity that interfere with daily functioning and development.

These symptoms must be more severe than expected for a child’s age and cause significant impairment in multiple settings, such as home, school, or social environments.

There are three main types of ADHD:

  • Inattentive type
  • Hyperactive/impulsive type
  • Combined type

For a diagnosis, symptoms must persist for at least six months and begin before age 12. Inattentive symptoms include difficulty focusing on details, maintaining attention, and organizing tasks.

You might notice your child often losing important items or appearing easily distracted. Hyperactive/impulsive symptoms involve excessive movement, fidgeting, and talking.

Your child may struggle to play quietly or wait their turn.

It’s essential to understand that ADHD symptoms aren’t attributed to defiance or lack of understanding. They’re consistent across different environments and can’t be explained by other mental disorders.

If you suspect ADHD, consult a healthcare professional for a thorough evaluation, as symptoms can overlap with other conditions.

Adult ADHD

Many adults with ADHD continue to experience symptoms that can greatly impact their daily lives. If you’re an adult with ADHD, you might struggle with organization, time management, and maintaining focus on tasks. These challenges can affect your work performance, relationships, and overall quality of life.

To address adult ADHD, you’ll need a thorough evaluation that includes a review of your symptoms and medical history. Treatment options typically involve a combination of medication and psychotherapy. Behavioral management strategies can help you reduce distractions and improve organization in your daily routines.

It’s important to know that ADHD is recognized as a protected disability under the ADA and Rehabilitation Act. This means you may be eligible for accommodations in the workplace or educational settings.

✅ Helping lawyers, doctors, executives, parents, and ambitious adult students in Washington DC, Bethesda, Rockville, Arlington, Alexandria, McLean, and Miami overcome focus issues, procrastination, and ADHD symptoms with tailored therapy and coaching. Serving all of MD, VA, DC & FL.

ADHD in Children

ADHD frequently affects children, with approximately 8.4% of kids diagnosed with this condition. It’s characterized by symptoms of inattention, hyperactivity, and impulsivity that can greatly impact a child’s academic and social functioning.

If you’re a parent or caregiver, it’s important to understand that ADHD symptoms must be more severe than expected for the child’s age and cause impairment in multiple settings.

There are three main types of ADHD in children:

  • Inattentive type
  • Hyperactive/impulsive type
  • Combined presentation

For a diagnosis, symptoms must persist for at least six months and onset before age 12. Children with ADHD may struggle with paying attention to details, maintaining focus, and completing tasks.

They might also exhibit excessive movement, fidgeting, and difficulty playing quietly. It’s vital to seek a thorough evaluation to differentiate ADHD from other conditions.

Treatments typically combine behavioral strategies and medication, especially for preschool-aged children.

Therapies for ADHD

At Darby Integrative Counseling, we offer a range of effective therapies for individuals seeking ADHD treatment.

Our skilled therapists are experienced in Cognitive Behavioral Therapy (CBT), which can help you develop personalized strategies to manage your ADHD symptoms and improve daily functioning.

We also provide Dialectical Behavior Therapy (DBT), an approach that teaches valuable mindfulness skills and emotional regulation techniques to better cope with ADHD-related challenges.

Our goal is to work closely with you to find the most suitable therapeutic approach for your unique needs and help you achieve lasting positive changes in your life.

Cognitive Behavioral Therapy for ADHD

Cognitive Behavioral Therapy (CBT) stands out as an essential non-pharmacological treatment for ADHD. This therapy helps you develop strategies to manage your symptoms and improve your daily functioning. CBT focuses on identifying negative thought patterns and behaviors associated with ADHD, then replacing them with more positive and productive ones.

During CBT sessions, you’ll work with a therapist to:

  • Develop time management and organizational skills
  • Learn techniques to reduce distractibility and improve focus
  • Create strategies for controlling impulsive behaviors

This therapy can help you build self-esteem, improve relationships, and enhance your overall quality of life.

CBT for ADHD is typically short-term, lasting between 10 to 20 sessions. However, the skills you’ll acquire during therapy can be applied long after your sessions end, providing ongoing benefits in managing your ADHD symptoms.

Dialectical Behavior Therapy for ADHD

Along with cognitive behavioral therapy, dialectical behavior therapy (DBT) has emerged as another effective treatment for ADHD. Originally developed for borderline personality disorder, DBT has been adapted to address the unique challenges faced by individuals with ADHD.

DBT focuses on four key areas: mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness. These skills can help you manage ADHD symptoms more effectively. Mindfulness teaches you to stay present and focused, counteracting inattention. Distress tolerance helps you cope with overwhelming emotions and impulsivity. Emotion regulation techniques allow you to better understand and manage your feelings, which can be particularly volatile with ADHD. Interpersonal effectiveness improves your communication and relationship skills, often impacted by ADHD symptoms.

In DBT sessions, you’ll learn practical strategies to apply these skills in your daily life. You might practice mindfulness exercises, role-play social situations, or develop personalized coping strategies for difficult emotions.

Therapists Who Specialize in ADD & ADHD Comprehensive Care

At Darby Integrative Counseling, therapists specialize in many concentrations, age groups, and modalities. Here's who specializes in ADD & ADHD Comprehensive Care.