Jessica Smouse

(she/her)

LCSW, 6 years of experience
Authentic
Solution oriented
Warm
VirtualAvailable

You've tried the planners, the apps, the systems everyone swears by. You've downloaded the productivity apps, bought the color-coded notebooks, set seventeen alarms. And you're still here, exhausted, wondering why nothing sticks the way it's supposed to.I'm Jess — a Licensed Clinical Social Worker and someone who also has ADHD. I didn't learn about this diagnosis from a textbook and then practice applying it to other people. I live it. I know what it feels like to have a brilliant idea at 11pm and absolutely no ability to execute it at 9am. I know the shame spiral that follows a missed deadline, a forgotten commitment, or another abandoned system. And I know that the problem was never effort or intelligence — it was always the mismatch between your brain and the world's expectations of it.I specialize in working with adults with ADHD who are ready to stop white-knuckling their way through life and start building something that actually fits. My approach is direct, practical, neurodivergent-affirming, and grounded in evidence-based methods — adapted specifically for how ADHD brains actually work, not how they're supposed to. No fluff. No vague advice. Just real work, built around your real brain.

Get to know me

In our first session together, here's what you can expect

Most people come into a first therapy session braced for an intake process — a lot of forms, a lot of history-taking, a lot of clinical language that makes them feel like a case file instead of a person. That's not how I work. Our first session is a conversation, not an assessment checklist. I want to know what's actually not working — in your words, not mine. What systems have you tried? Where did they fall apart? What does a hard week look like for you, and what does a good one look like? What have other people told you about yourself that never quite felt right — and what do you secretly suspect they missed? I'll also be honest with you early. If I notice a pattern in what you're describing, I'm going to name it directly instead of waiting several sessions to bring it up. That's not because I'm rushing the process — it's because your time matters and clarity is useful. By the end of our first session, you'll have a clear sense of what we're working on together, why it matters, and what direction we're heading. You won't leave with just a follow-up appointment — you'll leave with a real starting point.

The biggest strengths that I bring into our sessions

There are a lot of therapists who treat ADHD. Fewer of them have it. And fewer still have spent years working not just clinically but as an executive functioning coach with high-performing adults who also have ADHD — people who look completely fine on the outside and are running on fumes on the inside. That combination is what I bring to this work. I have 7+ years of clinical experience, a background in coaching adults with ADHD in demanding professional environments, and lived experience of navigating this diagnosis in my own life. That means I can move fast. I track patterns quickly, I recognize the difference between a strategy that sounds reasonable and one that will actually hold up under real ADHD conditions, and I know how to build systems that account for the hard days — not just the motivated ones. My clinical approach is grounded in evidence-based methods including ADHD-adapted Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and executive functioning frameworks — all adapted for brains that don't respond well to rigid structures or one-size-fits-all homework. Research consistently shows that standard therapeutic approaches need meaningful modification to be effective with ADHD adults, and that's exactly what I do. I'm also direct in a way that a lot of therapists aren't. I'm not going to spend six sessions slowly circling something I noticed in session one. If I see something, I'll say it — respectfully, but clearly. Most of my clients tell me that's exactly what they needed and couldn't find anywhere else. If you've tried therapy before and left feeling like you were doing it wrong, you probably weren't. The approach was just wrong for your brain. This one is built differently.

The clients I'm best positioned to serve

Adults with ADHD and/or Autism — diagnosed recently or decades ago — who are done white-knuckling their way through neurotypical systems and are ready to build something sustainable. Especially those who: Have tried therapy before and felt like the strategies didn't fit Are high-achieving but quietly overwhelmed Struggle with follow-through, time blindness, or emotional dysregulation Are processing a late or recent ADHD diagnosis and what it means Want a therapist who won't ask them to "just make a to-do list"

Specialties

Top specialties

ADHD

Anxiety

Other specialties

Depression

I identify as

Serves ages

Teenagers (13 to 17)

Licensed in

Location

Virtual

My treatment methods

Acceptance and commitment (ACT)

ACT helps you stop fighting your brain and start working with it. It's especially useful for the shame spiral that often comes with ADHD — we build psychological flexibility so you can take action even when things feel hard.

Cognitive Behavioral (CBT)

ADHD-Adapted CBT is one of the most researched interventions for ADHD in adults. We use it to identify thought patterns that keep you stuck and replace them with ones that actually help — adapted for brains that don't always cooperate with traditional homework structures.

Solution Focused Brief Treatment

Most therapy spends a lot of time looking backward. Solution-Focused Therapy spends most of its time looking forward — identifying what's already working in your life, what your strengths actually are, and building practical pathways toward the specific changes you want to make. For ADHD brains that get stuck in shame spirals about the past, this approach is a meaningful shift. We focus on where you're going, what small steps are realistic for your brain, and how to build momentum that doesn't collapse the moment life gets unpredictable.

Strength-Based

ADHD is not a deficit to fix. It's a brain style that needs the right environment and tools. We spend as much time building on what works as we do addressing what doesn't.

, 15 ratings

4 ratings with written reviews

November 10, 2025

Jessica is so easy to talk to. After just our first session I truly felt heard and gained insights about myself that have really helped me to start to heal and move forward. I've been meeting with Jessica for weeks now and I genuinely look forward to our sessions. I couldn't be more grateful to have found her.

Verified client, age 45-54
Review shared after session 5 with Jessica

August 15, 2025

So far every session has felt fulfilling. We can appreciate her unbiased perspective when it comes to couples therapy. She has created a safe space to discuss unresolved issues within the relationship and does a fantastic job at offering highly effective coping strategies.

Verified client, age 25-34
Review shared after session 5 with Jessica

August 15, 2025

Jessica is very direct, knowledgeable and personable.

Verified client, age 45-54
Review shared after session 1 with Jessica