Understand what’s happening. Find what works.

ADHD-focused therapy and evaluations for children, teens, and adults

Warm, practical support for ADHD and executive-functioning challenges, anxiety, depression, emotional regulation, burnout, self-esteem, relationships, and major life changes.

Midtown St. Louis Telehealth throughout Missouri LGBTQ+ affirming Foundations for Change, LLC
Professional headshot This placeholder will be replaced with your portrait.
Choose a starting point

Find the path that fits what you need today

You do not need to know your diagnosis or arrive with a perfect explanation. Start with the option that feels closest.

I’m looking for support for myself

You may understand what you are supposed to do but still struggle to begin, organize, follow through, or keep up. Therapy can help you understand the patterns beneath the struggle and develop approaches that fit your life.

Explore adult therapy

I’m looking for support for my child

Your child may be bright, caring, and capable while struggling with big emotions, anxiety, sadness, school demands, motivation, routines, or confidence.

Explore child and teen therapy

I’m looking for an evaluation or screening

I provide clinical ADHD evaluations for youth and adults and preliminary autism screening for children and teens ages 8–17.

Explore evaluations and screening
A more accurate explanation

Struggling does not mean that you are lazy, difficult, or failing.

Many of the people I work with have spent years being told—or quietly telling themselves—that they should be trying harder.

They may be intelligent and insightful but unable to consistently translate intentions into action. They may hold themselves together in one area of life and feel overwhelmed in another. Children may be seen as oppositional when they are overloaded, anxious, discouraged, or missing skills they have not yet learned.

Therapy can help make sense of what is happening without reducing you or your child to a diagnosis. Together, we can identify strengths, understand patterns, and find strategies that are realistic for your life.

Areas of support

Help with the challenges underneath the surface

ADHD is a central specialty, but it is rarely the only thing affecting a person’s daily life.

ADHD & executive functioning

Planning, organization, time awareness, task initiation, motivation, memory, emotional regulation, relationships, and self-esteem.

Anxiety & depression

Overthinking, panic, avoidance, persistent sadness, low motivation, disconnection, and the overlap between mood and attention.

Emotional regulation & self-esteem

Noticing emotions earlier, communicating needs, recovering after hard moments, and reducing shame and negative self-talk.

Relationships, stress & life changes

Family and work relationships, grief, identity, sexuality, school or career transitions, parenting, burnout, and difficult decisions.

What sessions can include
  • Understanding recurring emotional or behavioral patterns
  • Learning about ADHD and executive functioning
  • Developing routines and practical systems
  • Strengthening emotional awareness and coping skills
  • Improving communication and relationships
  • Building self-understanding and self-advocacy
  • Identifying realistic, manageable next steps
My approach

Understanding and action. Acceptance and change.

My style is warm, calm, curious, and encouraging. I want therapy to be a place where you feel understood, but I also want our conversations to lead somewhere useful.

Sessions are usually open-ended enough to make room for what matters that day. When a structured or skills-based approach would help, we can use practical strategies, worksheets, exercises, or between-session experiments.

These are always collaborative and optional. Sometimes change is the goal. At other times, greater acceptance, self-understanding, or kindness may be more useful. You have the right to decide what you want to change and what deserves to be approached differently.

Learn more about my approach
About John

Warm, curious, and practical—with room for honest challenge.

I am a Licensed Clinical Social Worker and therapist with Foundations for Change, LLC. I work with children, teens, and adults, with a particular focus on ADHD, executive functioning, anxiety, depression, emotional regulation, and the effects of stress and major life changes.

ADHD is both professionally and personally meaningful to me. As someone with ADHD, I understand some of the challenges that can come with trying to function in systems that were not designed with ADHD in mind—and how quickly those challenges can become associated with shame.

As a member of the LGBTQ+ community, I also value working with LGBTQ+ clients as they navigate identity, relationships, sexuality, family, work, or concerns that have nothing to do with being LGBTQ+.

More about John

“You bring knowledge of your own life. I bring clinical experience, curiosity, and tools. Therapy works best when those forms of knowledge are used together.”

Getting started

A clear, low-pressure first step

A complimentary consultation call is available when you would like to talk briefly before scheduling.

1

Reach out

Use the brief inquiry form and share only the general reason you are seeking support.

2

Schedule

We will determine whether therapy, parent consultation, an ADHD evaluation, or autism screening is the best starting point.

3

Complete paperwork

Intake paperwork is sent through the SimplePractice client portal and must be completed before your appointment.

4

Meet and plan

We will discuss what is happening, what you hope will change, and what next steps make sense.

Practical details

Care in Midtown St. Louis and across Missouri

Location3701 Grandel Square
St. Louis, MO 63108
AppointmentsMonday–Friday
Start times from 9 a.m. through 4 p.m.
FormatsIn-person care in Midtown
Online therapy throughout Missouri
Private-pay fee$150 per therapy or evaluation appointment
Insurance and sliding scale may apply
Begin where you are

You do not have to know exactly what you need before reaching out.

You may know that something is not working without knowing whether it is ADHD, anxiety, depression, burnout, stress, a life transition, or a combination of factors. The first step is simply an opportunity to talk about what is happening.