Online ADHD therapy for teens, college students, and adults across Texas and Colorado.
I'm Chris Marullo, LPC, and an ADHD-Certified Clinical Services Provider based in Houston. I am an online ADHD therapist that helps neurodivergent adults turn time blindness, task paralysis, and rejection sensitive dysphoria (RSD) into systems they can work with. I offer individual therapy to help you stop missing deadlines and start building routines your brain will follow.

You're smart. So why does everything feel so hard?
You know what needs to get done. You may even care deeply about it. But somehow the assignment or everyday task doesn’t happen until the pressure becomes unbearable. Maybe you procrastinate, feel overwhelmed, struggle to keep up, have trouble finishing what you start, or feel exhausted from trying to stay afloat.
That's often executive dysfunction. ADHD affects the brain's ability to start, prioritize, and follow through, no matter how intelligent or hardworking you are.
Many adults with ADHD spend years believing they are lazy, careless, or "bad at life." In reality, they may be the hardest-working people in the room. They often carry a lot of stress, shame, and mental effort to do things that seem easy for other people.
ADHD is a difference in how the brain handles regulation, prioritization, follow-through, and executive functioning. It has nothing to do with intelligence or potential. And when you've spent years feeling misunderstood by teachers, employers, family members, or even yourself, it can affect every part of your life.
Helping you move through chronic procrastination and executive dysfunction
What others say about Chris
"He has a laid back sense of self that immediately puts you at ease. I sought him out to help me through my continuing anxiety and depression, and he has provided sound advice while truly listening to my concerns. I will continue to seek him out as I navigate through the waves of my mental health."
-Anon.
"He is very knowledgeable about mental health, is professional and is empathetic—qualities necessary for an effective therapist. I would not hesitate to recommend him."
- U.K.
"Chris is an expert clinician in supporting young adults to manage ADHD and associated anxiety and depression symptoms. He has such a wealth of experience that I frequently invite him to guest lecture in courses about diagnosis and treatment. We often refer clients to his practice because he accepts insurance and maintains a professional, client-centered practice."
- Steven Parks, Licensed Clinical Social Worker and Board Approved Supervisor and Professor, University of Houston Graduate College of Social Work
"Chris is an expert at treating anxiety and ADHD. He is my go to referral when someone is looking for a true expert in ADHD and all of the things that come along with it. He is warm, fun, and cares deeply about his work."
- Leigh Muths, Licensed Professional Counselor-Supervisor
Clear Lake Psychotherapy has served the Houston area since 1984. Sessions with Chris are fully online, so teens, college students, and adults anywhere in Texas or Colorado can work with an ADHD specialist without adding a commute to their week.
Nuerodiversity-affirming ADHD counseling for every stage of life
I provide counseling tailored to you, whether you are dealing with a late ADHD diagnosis, executive dysfunction, burnout, anxiety, masking, or relationship challenges.
Adult ADHD Support & Coping Strategies
Many adults with ADHD weren't diagnosed until adulthood or were diagnosed as kids and never got support that really fit. It often shows up as disorganization, missed deadlines, financial impulsivity, or feeling like you're one step behind. I help adults build systems that work with their brain, not against it.
ADHD Therapy for College Students
College is often when undiagnosed ADHD becomes impossible to ignore because there is no longer built-in structure or parents managing deadlines. I provide telehealth ADHD therapy and executive functioning support for students at universities throughout Texas, including the University of Texas and Texas A&M, so support is accessible from a dorm, apartment, or anywhere on campus.
ADHD Counseling for Teens
Teen ADHD often looks like missed homework, emotional outbursts, or being labeled "lazy" or "unmotivated" by people who don't understand what's actually going on. I provide a judgment-free space with care that's developmentally appropriate and never condescending. I also help families prepare for the jump from high school to college, when the structure you've been providing at home isn't there anymore.
Therapy for ADHD and Anxiety Together
Almost nobody comes in dealing with just one thing. Research shows that up to 50% of adults with ADHD also experience an anxiety disorder (Frontiers in Psychiatry, 2025), and treating only one limits how much progress is possible. ADHD can also show up alongside depression or trauma. I provide integrated care that looks at how these challenges interact instead of treating them in isolation.
Evidence-based methods, beyond "just focus harder"
As an ADHD-Certified Clinical Services Provider, my therapeutic approach is rooted in research. I train extensively and consistently in the latest ADHD education to maintain my certification.
Executive Functioning Coaching
Build real systems for planning, prioritizing, and following through, not generic advice like "just use a planner," but strategies designed for how ADHD brains manage time, tasks, and attention.
Acceptance & Commitment Therapy
Learn to relate differently to self-criticism and "I'm lazy" stories. We'll practice noticing those thoughts without getting stuck in them and move toward a life guided by what matters to you.
Mindfulness-Based Approaches
Build present-moment awareness and impulse regulation, reducing the mental noise so ADHD no longer hijacks your focus without warning.
Cognitive Behavioral Therapy for ADHD
Understanding what's happening in your ADHD brain can reduce shame and create more room for change. We will focus on coping strategies and systems that actually work.
Online ADHD therapist in Texas who takes insurance
I believe mental healthcare should be accessible. Online therapy makes it easier to get support without adding another stressful commute or scheduling headache to your week.
I'm also in network with 13 major insurance companies, including Blue Cross Blue Shield, Aetna, UnitedHealthcare and GEHA. I also accept self-pay.
While I am based in Houston, services are available in Dallas, Austin, College Station, San Antonio, El Paso and everywhere else in Texas with an internet connection.
HIPAA-secure video sessions · Same exceptional care as in-office
Questions about ADHD.
Don't see your question? Our team is happy to help.
Adults can absolutely have ADHD without realizing it. Many adults with ADHD don’t recognize it until later in life. Some were high-achieving, quiet, or academically successful as children, so their symptoms were easy to miss. ADHD often becomes more noticeable during major life transitions like college, a new job, or parenthood, when external structure drops away. Some adults first recognize their own ADHD after a child is diagnosed. With more than 12 years of clinical experience, I work with adults across Texas who are discovering ADHD and finally finding language for lifelong patterns.
No, you do not need a formal ADHD diagnosis to begin therapy and benefit from it. Many clients come to me suspecting ADHD but not formally diagnosed, and we can start meaningful work right away. We can start addressing the patterns that are getting in your way, like procrastination, overwhelm, trouble following through, or emotional dysregulation. If a diagnosis would be helpful for academic accommodations, medication, or clarity, I can refer you to a qualified evaluator in Texas.
The cost of ADHD therapy depends on whether you're using insurance or paying out of pocket. Because exact costs depend on your specific plan and deductible, our admin team can verify your benefits and give you an exact number before your first session. See our Pricing and Plans page for full details. Self-pay rates range from $135-$175 and are also available for clients without in-network coverage or who prefer not to use insurance.
Yes. I'm in network with Aetna (PPO/POS II), Allied, Blue Cross Blue Shield (PPO and TRS), Curative, First Health, GEHA, Meritain, Oxford, PHCS/MultiPlan, Philadelphia American Life, Shared Services, UnitedHealthcare/Optum, and UMR. I'm not able to accept Medicaid or Tricare.
ADHD in college students is not just about academic probation or dropping out. It often shows up as overwhelm, procrastination, missed deadlines, inconsistent motivation, trouble prioritizing, burnout, or difficulty managing structure and routines. They often pull all-nighters after waiting until the last minute to study or finish a paper. Executive functioning challenges make initiation and follow-through genuinely difficult. Therapy can help build the practical systems and self-awareness needed to close that gap.
I work with teens starting around age 13, along with college students and adults of any age. For younger children, I'm happy to refer you to another provider who specializes in early childhood ADHD support.
ADHD often presents differently in women and girls, which is one reason so many go undiagnosed until adulthood. Women are often diagnosed with ADHD later than men. One 2025 study found an average 5-year gap in diagnosis age, despite symptoms appearing at the same age in both sexes (Psychiatric Times). While the hyperactive-impulsive presentation is more visible and commonly diagnosed in boys, girls often exhibit inattentive symptoms such as daydreaming, disorganization, emotional sensitivity, and internalized anxiety that are easier to overlook or misattribute to personality. Women are also often misdiagnosed with anxiety or depression first. Recognizing ADHD in women requires a clinician who understands these patterns beyond the textbook version.
Virtual ADHD therapy is effective. For busy students and working adults, online therapy often makes support easier to access and stick with because it removes commute time and scheduling barriers.
I do not prescribe medication. I provide therapy, executive functioning coaching, and psychoeducation. Many clients pair ADHD therapy with medication management through a psychiatrist or prescribing physician, and I'm glad to coordinate care with your prescriber or provide a referral if you'd like to explore medication.
ADHD, anxiety and burnout often travel together. Studies suggest that up to 50% of adults with ADHD also experience a co-occurring anxiety disorder. The connection makes sense: the brain struggles to manage time, meet expectations, and follow through, leading to burnout. Over time, the effort required to compensate for ADHD symptoms through perfectionism, overworking, or constant self-monitoring can become exhausting. Treating ADHD and anxiety together often leads to better results than addressing either one alone.
An ADHD-Certified Clinical Services Provider (ADHD-CCSP) has specialized training in how the ADHD brain works and which evidence-based interventions tend to help the most. General therapy training doesn’t always cover ADHD in enough depth, especially in adults. As a Licensed Professional Counselor and ADHD-CCSP with more than 12 years of experience, I bring focused ADHD expertise to each session.
ADHD therapy and ADHD coaching are related but meaningfully different in scope and depth. Coaching focuses primarily on practical skill-building, accountability, and day-to-day goal-setting. Therapy goes deeper, exploring the emotional, relational, and psychological impact of living with ADHD: the shame, anxiety, low self-esteem, and relationship strain.
ADHD Coaching
ADHD Therapy
Focus
Orientation
Addresses mental health concerns
Best fit for
At Clear Lake Psychotherapy
Your first ADHD therapy session will be a relaxed, judgment-free conversation about your history, challenges, and goals. We’ll talk about what has been getting in your way, what you’ve already tried, and what you want to change.
Rejection sensitive dysphoria, or RSD, is a strong emotional response to perceived criticism, failure, or rejection that many people with ADHD experience. It can feel like a wave of shame, anger, or pain that seems much bigger than the situation. A mildly critical comment from a boss or a friend not texting back right away can trigger hours of spiraling. In therapy, we work on recognizing the pattern and responding to it in healthier ways.
Time-blindness is a common ADHD symptom where the brain struggles to accurately sense how much time has passed or how long a task will take. It's why someone might plan to work for "just a few minutes" and look up two hours later. In therapy, we work on building structures that don't rely on an internal sense of time that works differently than for neurotypical brains.
Yes, I provide virtual ADHD therapy to adults, college students, and teens throughout Texas, including Houston, Austin, Dallas, San Antonio, College Station, and surrounding areas. All sessions are conducted online, so clients anywhere in Texas can access ADHD support without commuting. I am also licensed in Colorado and currently accepting new clients. If you live outside of these states, I'm not able to provide services, but I'm happy to help point you toward resources in your area.
If you are looking for an ADHD therapist in Texas or Colorado who specializes in executive functioning, procrastination, burnout, and life transitions, I welcome you to reach out and schedule an appointment.
You can feel better. Start your new path today.
Reach out and our admin team will help you find the right therapist and verify your benefits.


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