Will The Things I Discuss In Therapy Be Kept Private?

Mindful Healing_Affordable Help for Depression in Portland

Seeking help in the first place is a bold first step when addressing depression or anxiety. After making the decision to seek help, there may be concerns about own privacy during therapy. Therapists understand that you need to feel comfortable talking about private and revealing information. You need a safe place to talk about anything you want without fear of that information leaving the room. Here are a few reasons why your privacy is safe with Mindful Healing.

First, Privacy is the Law

The Health Insurance Portability and Accountability Act (HIPAA) contains a privacy rule that creates national standards for protecting an individual’s medical records and personal health information, including information about psychotherapy and mental health services.

Second, We Have a Code of Ethics

Psychologists and other mental health professionals believe confidentiality is a major principle in our code of ethics.

We also have five guiding principles:

  • we strive to prioritize the benefits for those we work with,
  • we establish relationships with trust,
  • we promote integrity with accuracy and honesty,
  • we recognize that fairness and justice is entitled to all persons, and
  • we respect everyone’s right to dignity.

What Will My Employer Know?

Even if your employer provides your health insurance, they do not receive information about your health services. There are employers that specifically offer employee assistance programs (EAP’s) which may include mental health programs, but the employer does not receive information about how the employee uses it.

How Much Gets Shared with My Parents?

If you are under 18, there is usually an initial meeting with the child and the parents to establish ground rules, so everyone knows what to expect. The intent is to create a safe space for the child so he or she feels comfortable sharing feelings and information. In some cases, the parents may only want to be informed if the child is engaging in risky activities. If you are over 18, but use your parent’s insurance, they may get a statement of Explanation of Benefits, but they will not have access to what you have discussed with your therapist.

What Can I Share About My Therapy?

This is up to you and your comfort level. Sharing with your friends and family that you are seeing a therapist or counselor is your right as a patient. How much information you decide to share is up to you.

Is Counseling Just for Depression and Anxiety?

The short answer is no. Getting help for depression and getting help for anxiety are the primary reasons why people seek counseling, but specifically, you may need help with PTSD, grieving, pain management, ADHD, or generally feeling lost and needing help with direction in life. We view therapy as a collaborative process with the goal of healing physical pain, fostering insight, developing personal empowerment, and creating inner harmony so you can live as your authentic self.


If you live in Portland or the Portland area and want information or help with a therapist or counselor,



Can Adults Have ADHD?

Young boy holds ADHD text written on sheet of paper

There is a lot of confusing data and information about Attention-Deficit/Hyperactivity Disorder (ADHD). ADHD is a neurodevelopmental disorder which presents itself in people by age 12. The information suggests that as people age, many grow out of it while others do not. According to the National Institute of Mental Health (NIMH), about 8.7% of adolescents have ADHD, with nearly 3 times as many males (13.0%) as females diagnosed (4.2%). Meanwhile, the data suggest that 4.4% of adults experience ADHD with the gender gap narrowing significantly (5.4% for adult males versus 3.3% for adult females). About 14 million adults experience Attention Deficit/Hyperactivity Disorder (ADHD) in the United States, and only 20 percent (3 million) of them seek help for it. Many consider ADHD a diagnosis for children and they are correct that the symptoms are present in childhood; however, there are many adults that were never diagnosed as children and continue to face the challenges of ADHD as adults.


There do tend to be some differences. For one, the overall adult rate of ADHD is about half the rate of childhood ADHD, indicating many grow out of it or learn to adapt in such a way that the disorder no longer impairs their functioning and quality of life. The severity of ADHD tends to decline with age, which may indicate that people learn to adapt on their own as they age, though for some, their responses to ADHD are maladaptive and they tend to display more antisocial behavior as an adult. Hyperactivity also tends to decline with age; where many children tend to wander, climb, squirm, and move around at inappropriate times, most adults with ADHD don’t act on these behaviors and tend to display more fidgetiness, inner feelings of restlessness, or impatience instead. Difficulties with inattention, poor planning, impulsivity, and restlessness tend to persist into adulthood.

Another major difference between child and adult ADHD is that adults have different responsibilities than children which can make navigating ADHD more challenging. Behaviors of inattention and hyperactivity have more severe consequences in adult relationships and the workplace than they do in childhood relationships and school. When we don’t pay attention in school and do poorly, the consequences of a poor grade are less likely to affect livelihood than missing important information at work and being dismissed. The inattentive as well as hyperactive/impulsive features of ADHD also increase the risk of being in a car crash, as well as the risk of developing issues with addiction. These are dangers that are not as prevalent to children.


There is no known cause of ADHD. The present information is unclear and new studies are working on trying to further understand ADHD every year. The strongest argument is genetics, but there are some links to possible environmental causes during development. Additionally, there are arguments that ADHD represents normal diversity in our brain chemistry, just as we humans have diversity in hair color, body-types, and athletic abilities. Others suggest that there are cultural factors at play, which is why so many more boys are diagnosed compared to girls and reasons to why the gender gap decreases significantly with age.


There can be a lot of reasons that a child growing up goes undiagnosed. One issue that comes up is awareness. The modern understanding and definition of ADHD is relatively new. Although documentation suggests that pediatricians had noticed symptoms of ADHD as early as the 1900s, it didn’t gain public awareness until the 1980s when it was called attention deficit disorder (ADD). Once a diagnosis was in the public health consciousness, diagnoses among kids began to climb as doctors, mental health professionals, teachers, and parents were now able to recognize the symptoms and diagnose the condition. Most of today’s adults did not have the opportunity that children have today regarding mental health.

Other barriers to diagnosis come with the difficulty of assessing normal developmental challenges for children versus ADHD. Is a disorganized child who refuses to do homework improperly motivated or struggling with a mental health issue? Is a spacey, wandering child just marching to the beat of their own drum, or dealing with something else? These are difficult questions to answer and given that half of children diagnosed with ADHD will grow out of it, sometimes it may feel like a better option to caretakers to let kids be and see what happens.


There are two main categories of symptoms, or characteristics in ADHD: inattention and hyperactivity/impulsivity. The characteristics of adults with ADHD tend to impair performance at work and in interpersonal relationships. People with ADHD tend to have challenges with work, sustaining energy for tasks at work, doing mundane tasks, applying for jobs, attendance, and have higher rates of unemployment compared to the rest of the population. Difficulties with sustaining attention, hyperactivity or impulsivity tend to make it difficult for people with ADHD to attentively listen in conversations, wait their turn, or plan out their actions.

Inattentive Symptoms

  • Difficulty with paying close attention to details; tends to make careless mistakes
  • Easily distracted, both by external stimuli and one’s own thoughts, often daydreaming
  • Poor follow-through; difficulty sustaining attention in tasks
  • Difficulty with organization; tends to be messy, miss deadlines, and has poor time management
  • Forgetfulness in daily activities; often loses things
  • Difficulty in listening to others
  • Avoidance, dislike, or reluctance to engage in tasks that require sustained mental effort; often leads to procrastination

Hyperactive/Impulsive Symptoms

  • Frequent fidgeting, tapping, or squirming while seated; extreme difficulty sitting still
  • Restlessness; acts as if being driven by a motor
  • Tends to be noisy; difficulty engaging in leisure activities quietly
  • Talks excessively, interrupts others, difficulty waiting their turn
  • Often leaves seat or place in situations where remaining still is expected
  • Acts without thinking of consequences; impulsive

Can Therapy Help with ADHD?

Yes, it can. Therapy can help in a variety of ways including using techniques to increase attention span and reduce impulsivity. Therapy can be helpful in learning skills that do not come naturally and identifying unhelpful reactions. Counseling can also be used to treat anxiety, depression, or substance use which many people with ADHD also experience. Nutritional counseling can also be important to help treat symptoms.

Do I Need Insurance for ADHD Therapy?

No. In fact, at Mindful Healing Portland, LLC, we accept clients on a sliding scale. We are currently accepting clients for our sliding scale rates.


If you live in Portland or near the Portland area and want information or help with ADHD,



ADHD Help in Portland

Family talking with therapist about son's ADHD

If we apply the national average statistics to the city of Portland, we can estimate that about 26 thousand Portland adults have Attention-Deficit/Hyperactivity Disorder (ADHD). Therapy and counseling can help people manage ADHD. Before we get into the benefits of counseling and therapy, let’s define ADHD.

What Is ADHD?

In layman terms, ADHD is a condition which causes people to have persistent issues with inattention, or hyperactivity/impulsivity which interferes with functioning in multiple areas of life. ADHD is considered a neurodevelopmental disorder, which means it’s a challenge of mental, emotional, and/or behavioral development where the onset is observable by childhood. Brain imaging shows that people with ADHD experience differences in brain development which tend to impair impulse control, planning, decision making, stress management, and emotional regulation. As a result of these brain differences, people with ADHD tend to struggle with school, social relationships, and work. Additionally, people with ADHD have increased risk for substance abuse, behavioral addictions (like video games), depression, anxiety, and behavioral problems.

Multiple Types of ADHD

Some people are the inattentive type, others are the hyperactive/impulsive type, and some people have both. Inattentive types have short attention spans while hyperactive types have impulse control challenges. For a full list of symptoms for both types, click on our ADHD Symptoms page. Some theorize that ADHD is even more complex and there may be up to seven types of ADHD.

Inattention typically means challenges with behaviors of wandering off of tasks, lacking persistence or follow-through, have difficulty sustaining focus, and disorganization. People with Inattentive ADHD can often struggle with following through with jobs that require sustained focus, carelessness, active listening, forgetfulness, losing things, and organizing.

Hyperactivity indicates excessive body movement/motor activity, excessive fidgeting, tapping, or talkativeness.

Impulsivity refers to making actions without thinking them through, or difficulty with delaying gratification. People with Hyperactive/Impulsive type ADHD often struggle with being able to sit still or engage normally in conversation as they tend to have difficulty with interrupting others.

What Causes ADHD?

It is unclear what causes ADHD and the observable differences in brain development. In the search for an answer, new research is conducted every year. A study in the Journal of the American Academy of Child and Adolescent Psychiatry found that the total spending on ADHD research ranges from $143 billion to $266 billion a year. The following possible causes are currently being investigated: genetics (studies in twins), environment during development can also be a factor, and smoking or alcohol use during pregnancy may be a factor.

An alternative idea is that ADHD is not a disorder at all, but part of the diversity of our species which is not quite as adaptable to modern life (which would explain the genetic component). People with ADHD tend to be impatient, energetic, creative, spontaneous, break societal norms, and sometimes even have a unique ability for hyper-focus on tasks they find engaging. When harnessed, these can be the traits of artists, leaders, revolutionaries, and inventors. Often, the challenge is when the base traits of ADHD impair functioning in the focused tasks our modern society requires.

Is There a Cure for ADHD?

There is no cure for ADHD, and a “cure” suggests that ADHD is an illness, rather than a challenge of adapting. It is important to note that ADHD can be managed so that people who experience it can adapt and thrive in their lives. Research demonstrates that mindfulness and meditation practices have been shown to increase attention and reduce hyperactivity in people with ADHD compared to control groups. Other research demonstrates that nutritional changes, exercise, and psychotherapy are also helpful in reducing symptoms of inattention, hyperactivity, and impulsivity. Other research suggests that medication management and working with one’s support network are also helpful treatment options.

Can Therapy Help with ADHD?

Yes, therapy is an important tool for helping learn skills that may not come naturally, learning new behaviors, and finding new processes. Therapy has shown to help kids do better at school and adults do better at work. As stated above, it’s also been shown to be helpful with increasing attention and reducing hyperactivity and impulsivity. Therapy is also helpful for those diagnosed with ADHD to do better at home. At Mindful Healing Portland, we also specialize in providing meditation training and nutritional counseling.

Do I Need Insurance for ADHD Therapy?

No. In fact, at Mindful Healing Portland, LLC, we accept clients on a sliding scale. We are currently accepting clients for our sliding scale rates.


If you live in or near the Portland area and want information or help with ADHD,