ADHD & Anxiety Therapy in Portland and Oregon

When focus and fear get tangled together.

ADHD and Anxiety can overlap in ways that make it hard to know what you need. We can help you understand the patterns beneath what feels stuck, then build support around you.

Accepting New ClientsAdults & Adolescents
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ADHD
Anxiety
How the Overlap Can Feel

You may recognize the pattern before you know what to call it.

Select a theme to read more. These experiences can have more than one function, and understanding that function helps us choose a more useful response.

Getting started
You know what needs to happen but cannot seem to begin. The task may feel under-stimulating, unclear, too large, or loaded with fear of doing it incorrectly.
Overthinking decisions
Many options strain working memory while Anxiety asks you to find the choice that guarantees the best outcome. Even small decisions can become exhausting.
Perfectionism and urgency
Pressure, deadlines, and self-criticism may create enough activation to perform, while also strengthening the belief that you cannot function without stress.
Emotional overwhelm
Strong emotion can arrive quickly, linger, or make it difficult to access what you know. Worry about the reaction itself may add another layer of distress.
Social self-monitoring
You may track your attention, timing, expression, or words while also anticipating judgment. The effort to appear composed can make connection feel less natural.
Burnout and shutdown
Sustained masking, compensating, overpreparing, and recovering from last-minute pushes can leave little capacity for the next demand.
Same Surface, Different Barrier

What looks similar from the outside may need a different kind of support.

“I keep putting it off.”ADHD may make activation, sequencing, or sustained effort difficult.
Fear may also be involved.Anxiety may make the task feel evaluative, uncertain, or dangerous to do imperfectly.
“I prepare for everything.”Structure may genuinely support memory, time awareness, and follow-through.
Preparation can become protection.Anxiety may turn planning into an attempt to prevent every mistake or uncomfortable feeling.
“I cannot slow my mind down.”Attention may seek stimulation, novelty, movement, or multiple lines of thought.
The mind may be scanning for threat.Worry tries to anticipate what could go wrong and keep the problem mentally available.
“I do well, then crash.”Urgency can temporarily organize attention and mobilize energy.
Pressure has a cost.Anxiety-driven performance may look effective while leaving you depleted and less trusting of yourself.
Changing the Pattern

How Mindful Kinetics can help.

Our specialty is understanding the intersection rather than asking you to decide whether a struggle is “really” ADHD or “really” Anxiety before therapy can begin.

Understand what is happening in the moment

We slow the pattern down and look at attention, working memory, motivation, uncertainty, feared outcomes, sensory load, and the context around the struggle.

Keep supports that genuinely help

External structure, reminders, scripts, and planning can be useful. We distinguish support that expands your life from strategies used only to prevent discomfort.

Reduce shame as a source of motivation

Self-criticism may create short bursts of movement, but it often makes avoidance and exhaustion worse. We build more sustainable ways to begin, adjust, and return.

Practice a response matched to the barrier

ADHD may call for clearer cues, reduced friction, or a different system. Anxiety may call for willingness, behavioral experiments, or exposure. Often, care coordinates both.

Build flexible self-trust

The goal is not flawless consistency. It is a more accurate understanding of your needs and greater confidence in how you respond when plans, energy, or emotions change.

Related Care
ADHD TherapyOCD TherapyPanic TherapyPhobia TherapySocial Anxiety Therapy

You do not have to untangle the pattern alone.

A free 15-minute consultation is a place to share what you are noticing, ask questions, and explore whether specialized ADHD and Anxiety therapy feels like the right fit.

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ADHD
OCD
Panic
Phobia
Social Anxiety
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Mindful Kinetics
Our Team
Our Approach
What to Expect
FAQs
ADHD
OCD
Panic
Phobia
Social Anxiety
Rates
Contact
Existing Client Portal
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Our Team
Our Approach
What to Expect
FAQs
Folder: Services
Back
ADHD
OCD
Panic
Phobia
Social Anxiety
Rates
Contact
Existing Client Portal
Mindful Kinetics

Focused Therapy for a Focused You

(503) 454-6481
scheduling@mindfulkinetics.com

Nathan Becker, LPC · Sessy De La Cruz, CSWA

Specialized, individualized therapy for adults and adolescents navigating ADHD, OCD, and Anxiety, including Panic, Phobias, and Social Anxiety. Meet with us in our Portland office or online across Oregon.

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