Therapy with Tisha

Therapy with Tisha Contact information, map and directions, contact form, opening hours, services, ratings, photos, videos and announcements from Therapy with Tisha, Therapist, Vienna, VA.

06/03/2026

What’s a notes app without notes that make little to no sense because the context is missing or quotes without the author…the list goes on.
Laughing at the chaos that sometimes occurs as a result of ADHD is a terrific partner to self-compassion.
There’s no reason to bully ourselves along with all the other ableism and judgment of “too much” etc.
toodles
Tisha

05/19/2026

Play therapy can look like emotional regulation, attachment work, and relational safety. It can also look like being informed you’re the villain in a highly specific family of dragons.

05/14/2026

Still true. Still relevant.
Parents can really be the champions for progress 💕

05/11/2026

For some folks, self compassion feels less natural than self criticism at first.

05/07/2026

Safe doesn’t always feel the way you think it will.
After urgency, intensity, proving, masking, bracing; calm can feel suspicious. 🤨
Too quiet. Like something is missing or about to go wrong.
Nothing is wrong. That’s just what it feels like when you don’t have to brace anymore.
For the ADHDers. The PDA’ers. The autistic folks. Anyone in a gender journey. The boundary builders. Anyone who learned that connection is supposed to be exhausting.
It’s not. Maybe you just haven’t had much of the other kind yet.​​​​​​​​​​​​​​​​

05/04/2026

It’s not about being lazy, scattered, or too much.

It’s about inconsistent access.

Working with people who understand ADHD, executive functioning, and how much is actually impacted changes the support entirely.

04/27/2026

Not everyone accesses feelings through body sensations first.

For some people, especially many neurodivergent people, emotions may show up as thoughts, problem-solving, irritability, shutdown, sensory overload, delayed processing, or “I know I feel something, but I can’t locate it.”

That does not mean therapy is failing.
It means the therapist needs to stop treating one pathway as the only pathway.

A better question is not:
“Where do you feel that in your body?”

It might be:
“How do you know something shifted?”
“What tells you this matters?”
“What happens after the feeling passes?”
“Do you notice it more in your thoughts, energy, urges, behavior, or body?”

Therapy should help you understand your nervous system, not make you perform someone else’s version of emotional awareness.

04/23/2026

Support should match needs and leverage strengths.

Needs should reflect the full constellation of a learner’s profile.

That goes beyond visible struggles. It includes how they process information, what supports understanding, how they integrate new material, when things feel most accessible, and what increases cognitive load.

It’s in the details of their day-to-day, what they share, and in a well-written, affirming psychological report.

Translating that information is advocacy.

04/21/2026

Being available all the time isn’t the goal.
Being intentional is.

Showing up requires boundaries.
Not constant access.

Showing up in ways that matter.
Purposefully. Thoughtfully. Boundaried.

With clients. In supervision. With peers and family.

“When it counts” isn’t decided by urgency alone.

Worth isn’t defined by helping.

Knowing when it counts includes knowing when it doesn’t.

Boundaries and overfunctioning can be complex with ADHD, especially when shaped by shame and unrealistic expectations.

Support that understands ADHD helps shift those patterns.

Toward a more boundaried self, where showing up is aligned, not tied to worth.

Toodles
Tisha

04/20/2026

Understanding ADHD is complex. It’s not about being scattered or lazy. Understanding the mechanisms and drivers means finding the right strategies and supports. Including validation. We also don’t want to pathologize being human.

These questions can help you figure out if a therapist is the right fit for you or your ADHDer:

• Can you tell me how you understand ADHD in kids and teens?
• What kind of ADHD-specific training have you done?
• How does your understanding of ADHD change how you work with kids?
• What do sessions usually look like?
• How do you decide what to focus on in therapy?
• What are some ways ADHD can show up that people often miss?
• How do you know if therapy is helping?
• How do you work with parents when a child has ADHD?
• If something isn’t working, how do you figure out what to change?
• What kinds of ADHD clients do you feel most confident working with?

You’re not looking for perfect answers.
You’re listening for clarity, depth, and real understanding.

Because when ADHD isn’t understood, therapy can miss the mark - even with good intentions.

🌈 💫

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Vienna, VA
22180-22183, 22185

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