You did everything right. Then your brain stopped cooperating.
Late ADHD diagnosis. Perimenopause. Estrogen crashing through the floor and taking your dopamine with it. This is where we figure out what's actually happening and what to do about it.
Why this practice exists.
I'm Mandi. Licensed Professional Counselor, EMDR-trained, ADHD Executive Function Coach, member of The Menopause Society and ISSWSH. I built this work because I kept watching women fall apart in their forties for reasons no one could name. The reason has a name. It's the intersection of late ADHD diagnosis and perimenopause, and almost no one is trained to work there. So I trained. And here we are.
1:1 Coaching
For women who can't think straight, can't finish anything, and can't figure out who they are anymore. We work on what's in front of you. Symptom mapping. Executive function. The stuff your therapist isn't trained for and your doctor doesn't have time for.
Connection Call
Free · 15 minutes
A short call to see if we're a fit.
No pitch. Bring one question.
Single Session
$250 · 60 minutes
For when you need a focused conversation and don't want to commit to ongoing work yet. One session, one issue, full attention.
Monthly Coaching
$475/month
Two 60-minute sessions a month. Texting access between sessions for the moments your brain falls off a cliff on a Tuesday afternoon. Auto-renews monthly.
Quarterly Coaching
$1,275 · prepaid 3 months
Same structure as monthly. Three months locked in. Saves you $150 and removes the executive function tax of remembering to renew.
Provider Prep Intensive
You have a doctor's appointment in two weeks. You have a list of symptoms that evaporate the second you sit on the paper-covered table. You walk out without HRT, without an ADHD evaluation, without anything you came for. The real question hits you on the drive home.
Ninety minutes with me. We map your symptoms, organize the research that applies to you, and build your script. You leave with a one-page summary you can hand to your provider.
$325 · One-time · 90 minutes
Case Consultation for Clinicians
For licensed therapists, counselors, and coaches who keep seeing the same pattern in their female clients in their forties and don't have the framework yet. Bring your case. We talk it through.
Single Hour
$275 · 60 minutes
One hour, as needed.. Bring a case, bring a question, bring whatever you're stuck on.
4-Hour Consultation Pack
$1,000 · used within 4 months
Four 60-minute consults for clinicians building a steady caseload at the ADHD–perimenopause intersection. Saves $100 over single-session pricing.
What to expect.
Sessions happen over secure video. You'll get a short intake form before your first session and a calendar link. I send notes after each session if you want them. Cancellations need 24 hours. No-shows still get billed.
This is coaching. It is not therapy and it does not replace medical care. We work on present-day strategy, symptom navigation, and decision-making. If you need trauma processing or a diagnosis, I'll help you find the right person. If you're in Texas and want therapy, I'll send you that link.
Questions
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No. Coaching is cash-pay. I can provide a receipt for HSA or FSA reimbursement if your plan allows.
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No. I'm a counselor and coach, not a prescriber. Provider Prep is built to help you walk into a prescriber's office prepared.
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Therapy treats mental health conditions and processes trauma. Coaching works on present-day function, strategy, and skills. If you need both, you need both. I'll help you tell which is which.
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No. As a licensed counselor, I can't hold two professional roles with the same client. Therapy and coaching have different scopes, different ethics, and different documentation. They can't run side by side, and they can't be swapped. This protects you. Therapy clients deserve a clinician whose full attention is on treatment. Coaching clients deserve someone whose full attention is on present-day strategy. If you're not sure which one you need, the Connection Call is a good place to figure it out, and I'll refer you out if therapy is the better fit.
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Yes. We adjust at the start of any new month or new quarter.
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24 hours notice. Less than 24 hours is billed at full session rate. Monthly retainers can be paused once per year for up to four weeks.
You don't have to figure this out alone.
Start with a free Connection Call. Fifteen minutes. No pressure.