✦ ADHDer & AuDHDer Affirming 🌲 Raleigh NC + Online Late-Identified Neurodivergent Adults

You weren't broken.
You were misread
your whole life.

Late-identified ADHDers and AuDHDers arrive carrying decades of masking, shame, and the particular exhaustion of performing yourself for a world that wasn't built for your brain. This is not productivity coaching. This is identity integration.

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Now seeing clients
Hiking sessions at Umstead State Park & online in OR, WA, SC & NC.
George Goldston, LMFT — ADHDer therapist for late-identified neurodivergent adults in Raleigh NC and online
LMFT · 9 yrs ADHDer Queer / Gay Man LGBTQ+ Affirming Neurodivergent-Led
Hi, I'm George

I'm not observing this
from the outside.
I'm in it too.

I'm an ADHDer and an LMFT. I know what it's like to be a high-masking person who is privately exhausted. I know the ADHD tax, the RSD spirals, the hyperfocus highs and the shutdown crashes. I know what a late identification stirs up — and how disorienting it is to suddenly reinterpret your entire history through a new lens.

I'm also a gay man, and I've built a practice that centers the people most often failed by mainstream therapy: queer and neurodivergent adults who are done being misread.

My approach isn't about fixing you. It's about helping you understand how your brain actually works — and building a life that fits it, without requiring you to constantly override your nervous system just to be acceptable.

Degree
M.S. Marriage, Couple & Family Therapy — Lewis & Clark College
Licensed In
North Carolina · Oregon · Washington · South Carolina
Training
Ecopsychology · CBT · IFS · Gottman L1&2 · Intercultural Communication
Approach
ACT · Somatic · Humanistic · Feminist · Neurodivergent Integration
Book a Free Consultation Read FAQ
Who this work is for

You've been high-performing
and quietly falling apart.

These aren't character flaws. They're what happens when a neurodivergent brain spends decades in a world built for someone else entirely.

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The performance is exhausting.

You've been masking so long you're not sure where the performance ends and you begin. Allistic people see someone capable. Internally you're working three times as hard just to appear fine — and paying the ADHD tax on top of it.

🧩

The identification explained everything — and nothing.

A late identification gives you language. But it also destabilizes every story you've told about yourself. Reinterpreting your entire history is disorienting. It's also the beginning of real clarity.

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You weren't lazy. You were unsupported.

Scattered, dramatic, too sensitive, too much — you internalized these labels. You built elaborate systems to compensate. You succeeded despite everything. And you're done with the cost of that.

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Nothing is technically wrong. And yet.

Externally successful, internally unresolved. Like you're finally holding the answer to a question — but you're not sure what to do with it yet. That's exactly where this work begins.

A diagnosis gives you language.
Therapy gives you integration.

There's a real difference between understanding your brain intellectually and learning to actually live in it — sustainably, without erasing yourself in the process.

Start the Conversation
Ideal clients

Specialized work for
specific people.

My practice is intentionally small. I'm particular about fit — because specialized therapy only works when the match is right, and I do my best work with a very specific kind of person.

  • Late-identified ADHDers and AuDHDers — at any age
  • High-masking professionals navigating burnout, RSD, and identity
  • Queer and LGBTQ+ adults — especially queer neurodivergent folks
  • People ready for depth, not dopamine hacks or executive function checklists
  • ADHDers done with being told to try harder, download an app, or make a list

The goal is not better time management. It is sustainable functioning without self-erasure.

Not the right fit if you're looking for:

  • Short-term coping strategies or skills coaching
  • Insurance-based care
  • General anxiety or depression treatment without neurodivergence as a lens
  • Productivity systems or executive function training
How we work together

Two ways into the work.

Whether you're in Raleigh or across the Pacific Northwest, the work is the same. The format adapts to your brain and your life.

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Hiking Therapy
Raleigh, NC

Walk-and-talk sessions at Company Mill Trail, Umstead State Park. Movement, nature, no forced eye contact — a genuinely different therapeutic environment for ADHDers and AuDHDers.

Umstead State Park · Weekday mornings Learn about hiking therapy →
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Online Therapy
OR · WA · SC · NC

Telehealth for late-identified ADHDers and AuDHDers across Oregon, Washington, South Carolina, and North Carolina. The same focused, neurodivergent-affirming work — from wherever you are.

Licensed in OR · WA · SC · NC Inquire about online sessions →
Common questions

Things people ask
before reaching out.

What is your fee per session?+

$250 per session. This is a private-pay practice — I do not accept insurance. Superbills are available for out-of-network reimbursement, and I'm happy to help you verify OON benefits before we start. Many clients recover a meaningful portion of costs this way.

Do you accept insurance?+

No — private-pay only. Superbills available for potential out-of-network reimbursement. Need lower-cost options? Open Path Collective and graduate counseling centers are good resources.

Where are you located, and who can you see?+

I'm based in Raleigh, North Carolina and offer hiking sessions at Company Mill Trail, Umstead State Park. I'm licensed for telehealth in North Carolina, Oregon, Washington, and South Carolina. Adults 18+ only.

Do I need a formal ADHD or AuDHD diagnosis?+

No. Many ADHDers and AuDHDers I work with are in the process of seeking evaluation, or have a strong sense that ADHD or AuDHD fits without official paperwork. The experience is real before the label is official — and the work doesn't have to wait.

What actually happens in sessions?+

We start with 2–3 intake sessions exploring your background, masking patterns, nervous system, and what's bringing you here. From there we do identity work, shame and RSD processing, nervous system regulation, and building a more integrated understanding of how your brain operates. Most clients notice a meaningful shift around 12 sessions — though this varies.

What is hiking therapy? Do I have to be athletic?+

Walk-and-talk therapy happens at Company Mill Trail — a maintained, accessible path along Crabtree Creek. No athleticism required at all. For ADHDers and AuDHDers specifically: movement supports dopamine regulation and focus, side-by-side walking removes the demand for sustained eye contact, and the forest genuinely doesn't care how you present yourself.

What therapy approaches do you use?+

My work is grounded in Humanistic and Feminist therapy within a Neurodivergent Integration Framework — your brain is different, not deficient. Depending on what's useful, I also draw on ACT, Somatic approaches, IFS, CBT, and Ecotherapy.

What is your cancellation policy?+

Cancellations with less than 48 hours notice are charged the full session fee. Exceptions for illness and genuine emergencies.

How do I get started?+

Use the contact form below or call/text (919) 551-3748. I'll reach out within 2 business days to schedule a free 15-minute consultation — a low-pressure call where we both get a sense of fit before committing to anything.

Do you offer LMFTA supervision?+

Yes — individual supervision for LMFTAs in North Carolina working toward full licensure, particularly those working with neurodivergent and LGBTQ+ populations. Reach out via the form below to inquire.

Get Started

Ready to stop
performing yourself?

Send a message and I'll reach out within 2 business days to schedule a free 15-minute consultation. No pressure, just a conversation about fit.

Hiking sessions at Umstead State Park, Raleigh NC. Online sessions in Oregon, Washington, South Carolina, and North Carolina.

📞 (919) 551-3748

✉️ [email protected]

Private Pay Practice
$250/ session

No insurance accepted. Superbills available for out-of-network reimbursement.

If you're in crisis, please contact 988 (Suicide & Crisis Lifeline) or emergency services.