Adult ADHD Therapy · Indianapolis, IN

Smart, Capable, and Somehow Always Behind?

ADHD therapy for adults who've heard "you have so much potential" their whole life — and are tired of feeling like they're falling short of it. There's a real reason it feels this way.

IFS & ACT trained · In-person in Brownsburg (west Indy metro) + telehealth statewide

A sunlit creative desk with an open journal, coffee, and a small plant by a window
Embrace your weirdness & uniqueness
Guilt has an expiration date
Licensed in Indiana In-Person (Brownsburg) + Telehealth IN IFS Trained · ACT Trained Anthem, Blue Cross Blue Shield & UnitedHealthcare/UMR

★★★★★

It's not laziness. It's not a character flaw.

You've read every productivity article. Downloaded every planner app.

You set the reminder, made the list, color-coded the calendar — then stared at all of it and did absolutely nothing. When you've spent your whole life being told how capable you are and still miss deadlines, lose your keys, and spin out on a single email for three hours, it starts to feel like maybe the problem actually is you. In bright, creative, sensitive adults, ADHD can look like:

A mile-long to-do list

…and paralysis every single time you open it.

Five projects, zero finished

You start everything at once and complete none of it.

Big, fast emotions

Reactions that feel bigger and faster than you can control.

Best work at 11:30pm

And a quiet panic that adrenaline and deadlines are the only way you function.

Always almost okay

Always behind, always catching up, always nearly on top of it.

The world wasn't designed for brains like yours.

And that's genuinely not your fault. It does mean generic advice — "just focus," "make a schedule," "try harder" — was never going to get you where you want to go.

The workarounds you built to stay functioning start to cost more than they're worth. You run on adrenaline. Anxiety shows up right alongside the ADHD — and somewhere in there you start believing you're unreliable, that everyone else got a secret memo you missed. The guilt piles up, for things you meant to do, people you meant to call. Here's what I know: guilt has an expiration date. There's another way to go about this.

My approach

Not about acting like someone you're not. About understanding how your brain actually works.

ACT — stop fighting your own mind

Instead of treating every distracted or anxious moment as a failure to overcome, we look at what's actually driving those moments and what matters most to you underneath all the noise.

IFS goes a layer deeper. That inner critic who sounds like every teacher who ever told you to pay attention? That's a part — and it's usually trying to protect you, even when it doesn't help. We work with those parts rather than against them.

CBT, woven in where it's useful

Practical tools for managing attention, building structure that actually sticks, and catching thought-spirals before they take the whole afternoon. But I don't hand you a worksheet and call it a day.

Overhead view of a creative desk with a notebook, colorful pens, glasses and coffee

The goal isn't to fix you. You don't need fixing. It's to help you understand yourself clearly enough that you can stop working so hard against your own grain — and start using what's genuinely remarkable about the way your brain works.

Tiffanie Desmangles, LCSW
I get itfamiliar with it myself
Meet your guide

I'm Tiffanie — I can help you embrace your weirdness and appreciate your uniqueness for what it is — a super power.

I'm a Licensed Clinical Social Worker with over 25 years in mental health and four years running my own practice at Innisfree Counseling. I'm trained in both IFS and ACT — two approaches especially well-suited to the ADHD mind, which tends to respond better to exploration and self-understanding than to rigid rules.

I'll be honest: ADHD and anxiety are things I'm all too familiar with myself. I'm not saying that to check a relatability box — I'm saying it because it matters in the room. When you describe the way your brain zigzags, when you apologize for a tangent, when you say "I know this sounds weird but…" — I genuinely get it. Not just as a concept I read about.

My MSW is from Indiana University and my MFA in Creative Writing is from Warren Wilson College. That combination makes a lot of sense for the people I work with: creative minds, intellectual thinkers, people who feel things deeply. The weirdness — the part that doesn't fit the standard mold — is often the most interesting and capable part of you. I help you figure out what it's telling you.

IFS · Trained ACT · Trained CBT Intentionally small caseload MFA, Creative Writing
What to expect

The first session is mostly me listening.

First session
I want to understand how ADHD has shown up in your life — not just the symptoms, but the story around it. When did you first realize you were wired differently? What's worked, even a little? No intake checklist we race through. A real conversation.
Early on
Sessions run 50–60 minutes, once a week. We build a clear picture of what's actually going on — what's ADHD, what's anxiety (they travel together more often than not), and what's been mislabeled as ADHD but is something else. That clarity matters. A lot.
Over time
The work shifts toward genuine self-trust — less bracing for the next thing you'll forget, more understanding of how to set yourself up to succeed in ways that account for who you are. Progress isn't linear, but it's real, and it doesn't require you to become a different person.

To be clear: I do therapy, not ADHD testing or diagnosis. If you're looking to get assessed, I can point you toward the right resources — but what happens here is the work that comes after.

How to begin

Three steps, no paperwork pile

Reach out and we'll talk

Send a message through the site and I'll be in touch to set up a brief call. No commitment, no pressure — just a chance to see if this feels like the right fit.

We dig into what's actually going on

In early sessions we build a real picture of how your brain works and what matters most to you underneath it. This part takes honest conversation — and curiosity, which you probably have plenty of.

You stop fighting yourself so hard

You come to understand yourself in a way that makes life feel less like a constant battle. Not perfection or a magically organized life — just showing up as yourself, with the tools and self-compassion to actually do it.

Questions, answered honestly

Frequently asked

I've never been officially diagnosed with ADHD. Can I still work with you? +

Yes. A lot of adults I see have never been formally diagnosed — especially women, who are frequently missed or misdiagnosed. If ADHD resonates with you and the way your brain works feels like what we're describing here, that's enough to start a conversation. I don't diagnose, but I work with you wherever you are in understanding yourself.

Do you do ADHD testing or assessments? +

No — I do therapy, not testing or formal assessment. If you're looking to get formally evaluated, I'm happy to point you toward providers who do that. The work I do comes after (or alongside) that kind of process. It's about understanding yourself and building a life that actually works for your brain.

My ADHD also comes with a lot of anxiety. Can you help with both? +

Absolutely — and honestly, they almost always come together. Anxiety is a predictable companion when your brain is constantly trying to manage, compensate, or catch up. I work with both at once rather than treating them as separate issues. They're usually not.

I've tried therapy before and it didn't help much. Why would this be different? +

Worth talking about — and I'd want to know what didn't work. Sometimes it's the fit: the approach wasn't right for how your brain processes things. Purely reflective talk therapy can feel frustrating for ADHD minds that need more structure or engagement. IFS and ACT tend to feel more active, more exploratory, and more relevant to day-to-day life. No promises — but the approach matters, and this one is chosen intentionally.

How long does ADHD therapy typically take? +

It depends on what you're bringing in and what you're hoping to get out of it. Some people feel meaningfully different after a few months; others find it helpful to keep going because the work keeps deepening. I don't put people on a timeline — we check in regularly about what's working and where you are. You're part of that conversation.

I feel like I should be able to handle this on my own. Why can't I just figure it out? +

Because ADHD isn't a discipline problem or a motivation problem — it's how your brain is wired. The strategies that work for most people often genuinely don't work for ADHD brains, and that's not a personal failing. The problem is the problem. You're not the problem. Getting support isn't giving up — it's one of the smarter things you can do.

Your brain is not broken. It's just ready for some different support.

If any of this sounds like you, I'd love to connect. Reach out through the site and I'll follow up to set up a time to talk — no paperwork, no pressure, just a real conversation about where you are and whether working together makes sense.

Book a Free Consultation