Lance OldhamLicensed Clinical Mental Health Counselor

When challenges overlap

When the unfinished task becomes another worry.

For some adults, trouble getting started and worry about falling behind feed into each other. Therapy can help you look at the whole pattern rather than one piece at a time.

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Understanding your particular pattern

ADHD-related difficulties and anxiety can overlap, but not everyone with ADHD has anxiety. Your experience may involve worry about deadlines, avoiding a task that feels overwhelming, or feeling increasingly stressed as responsibilities pile up.

You and Lance can explore whether distraction, uncertainty, self-criticism, organization difficulties, or emotional reactions are contributing to a problem. The aim is to understand your situation rather than assume every difficulty has the same cause.

Work on both the task and the feelings around it

A practical plan may need to address more than the to-do list. CBT can help examine beliefs about mistakes or falling behind. Mindfulness can support noticing worry or frustration before reacting. Planning strategies can make the next step clearer and more realistic.

  • Notice the cycle of worry, avoidance, and unfinished tasks
  • Separate a manageable next action from the entire project
  • Explore flexible responses to self-critical thinking
  • Practice pausing during emotionally intense moments
  • Adjust routines around real demands and available energy

Individualized virtual therapy

Sessions are a place to bring real examples, discuss your priorities, and review what you try between appointments. Lance uses an integrative approach based on your goals and preferences.

Adult individual therapy is available virtually in North Carolina. Formal ADHD testing, psychological assessments, and medication management are not offered.

A few common questions

Things you might be wondering.

Does ADHD always include anxiety?

No. Some people experience both, while others do not. Therapy begins with your experience and needs.

Do we have to choose one concern to work on?

You can discuss multiple concerns and agree on priorities together. Work can include practical difficulties and the worry or emotions around them.

A small step forward

You don’t have to do this on your own.

Let’s find a starting point that makes sense for you.

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Virtual · Adults 18+ · North Carolina