
01
In sessions
Coaching inside the hour it happens — start the work, switch the task, recover from the spike. CBT for the story (“I’m lazy”). Medication evaluation when it belongs.
Starting, switching, finishing — and the emotion that spikes when a task will not move.
What this is
ADHD in a teen is often not fidgeting. It is the assignment that never leaves the bag, the fight that starts when a task will not move, the shame after another unfinished week. Weekly coaching has usually been tried. We treat the day as the clinic — structure, pause, follow-through — and the emotion that rides along.
What families usually notice
Lost work, missed steps, a planner that lasts three days. Effort is not the missing piece. A starting system is.
Frustration that outruns the pause. Rejection that feels like an attack. The emotion is part of the ADHD, not a separate teen.
Failing grades that do not match the mind. Suspensions. A teacher who is done. Homework as the nightly war.
The text, the exit, the risk. Insight arrives after the mess. They are not choosing chaos on purpose.
Late, rushed, or lost in a thing that was supposed to take ten minutes. The clock is not a feeling they have.
Parents nag, remind, sit beside the desk. The house runs on your executive function. It is exhausting and it is not working.
What treatment looks like
Hover a room. Sessions, the family table, and the house itself — the same skills, practiced in three places.

01
Coaching inside the hour it happens — start the work, switch the task, recover from the spike. CBT for the story (“I’m lazy”). Medication evaluation when it belongs.

02
Parents learn how to coach without becoming the nag. Limits that are short. A plan for the first weekend home — when the desk and the phone come back.

03
A day that externalizes the clock: wake, blocks, transitions that are staffed. The house is the scaffold. Skills are practiced where distraction actually lives.
The work
Chosen for this teen — not a stack of every method we know. Each piece is in the mix for a reason. None of them is the whole plan.
Start, switch, finish — coached in real time. A planner that is used, not laminated. The schedule is the intervention.
The story that they are lazy, the avoidance that follows shame. Name it, test it, take a step small enough to start.
Emotion that outruns the pause. Distress tolerance for the minute a task will not move.
Work from their district, in a room that can hold a restless body. We do not pull them out of a year to teach them how to do a year.
Medication helps some teens. Skills help all of them. We decide with you. We do not lead with a prescription.
Your part
ADHD rearranges the house around reminders. Treatment here includes you — not as a visitor, as the person who has to stop doing the starting for them.
Nag until it is done.
Sitting beside the desk forever teaches them they cannot start alone. We teach the prompt, the wait, and the natural next.
Hand them over and wait.
Family coaching, not a lecture about trying harder. You are not waiting in the parking lot. The work is on the dance at the desk.
Figure out Sunday later.
A written plan for homework, the phone, Sunday dread. We practice the weekend before discharge — not after a cliff.
Academics
The desk already took the year. Treatment here does not take the rest of it.
Their curriculum
On-site accredited school. Work from the home district — not a generic packet — so the seat and the credits stay theirs.
Small by design
Tutoring sits beside the clinical day. No teen sits a semester out to get well.
Back to campus
We practice the return before the last day here — the hallway, the bell, the first class.
Send the transcript, the current schedule, and any IEP or 504.
Length of stay
30
days in residence, by progress
Most stays land between one and three months. We do not pick a discharge date before the work is ready.
90
Most ADHD belongs in school supports and weekly coaching. When the day has collapsed — failing year, nightly war, emotion that home cannot hold — a stay of one to three months gives the schedule a floor. Aftercare includes the next coach, not a handshake.
When to call
If ADHD is costing the year, the night, or the family’s peace — and coaching has already been tried — call. We will be honest if this house is too much, or not enough.
Often arrives with