Starting and prioritizing
Break through the friction around beginning, deciding what matters first, and approaching tasks that feel vague or overwhelming.
Alireza Ehteshami, Ph.D.
Adult ADHD and executive functioning · Atlanta
Therapy for the daily work of starting, organizing, and following through.
ADHD-informed therapy can address executive-functioning difficulties alongside the emotions, expectations, and recurring patterns that shape daily life.
The initial consultation is free and typically lasts 15 minutes. I will respond within 24 hours.
Pre-Licensed Professional in Clinical Psychology · Services provided under licensed supervision
Your clinician
Alireza Ehteshami, Ph.D.
I earned my Ph.D. in Clinical Psychology from Emory University and practice at Perimeter Mood & Anxiety Program in Atlanta.
I am a Pre-Licensed Professional in Clinical Psychology, practicing under the supervision of Craig Kerley, Psy.D., Georgia license PSY002840.
The practical details
A clear first step, without a commitment.
The initial consultation is free and typically lasts 15 minutes. I will respond within 24 hours.
We can discuss what you are looking for and whether my approach may be a good fit.
Request a free consultation- In person
- Atlanta, Georgia
- Telehealth
- For clients located in Georgia
- Payment
- Private pay · Insurance not accepted
Where therapy can begin
Knowing what to do is different from being able to make it happen consistently.
Executive-functioning difficulties can appear as delayed starts, lost time, unfinished tasks, inconsistent routines, or a constant need to recover from the last urgent deadline. Advice that assumes the problem is simply effort may add shame without making action easier.
Therapy can help us look closely at where a task breaks down and what happens emotionally around it. We can develop practical supports while also addressing perfectionism, discouragement, avoidance, or beliefs about yourself that have accumulated through repeated difficulty.
How therapy may help
What executive-functioning concerns can affect
The challenge may not be a lack of knowledge. Often it is the gap between intention and action—and the emotional cost of repeatedly encountering that gap.
Time and follow-through
Build more visible, realistic ways to plan, transition, remember, and complete what you intended to do.
Motivation and self-trust
Address all-or-nothing expectations, cycles of avoidance and urgency, and the self-criticism that follows inconsistency.
My approach
Practical and psychologically informed
A system is only useful if it accounts for the person who has to live inside it.
We can examine specific points of friction in daily life, test practical supports, and understand the emotional patterns that influence whether a strategy is usable. The goal is not a perfect routine; it is a more dependable and compassionate way of working with your attention and energy.
Make the difficulty specific
Instead of treating procrastination or disorganization as one problem, we identify where the sequence actually becomes difficult.
Design for real conditions
Strategies should account for variable attention, competing demands, transitions, and the environments in which tasks occur.
Separate difficulty from character
We can work directly on functioning without turning inconsistency into evidence that you are lazy, careless, or incapable.
Training & supervision
Clinical depth, applied with care.
I earned my Ph.D. in Clinical Psychology from Emory University and completed an APA-accredited predoctoral internship through Emory University School of Medicine’s Child, Adolescent & Young Adult Psychiatry program.
I am completing a postdoctoral fellowship at Perimeter Mood & Anxiety Program. I draw from evidence-based treatments including CBT, ACT, and DBT, selecting methods according to each person’s needs rather than applying a single formula.
I am a Pre-Licensed Professional in Clinical Psychology. I provide clinical services under the supervision of Craig Kerley, Psy.D., a licensed psychologist in Georgia, license number PSY002840.
More about my background Before getting in touch
Common questions
A little more clarity before you reach out.
Is this therapy or ADHD coaching?
This page describes individual psychotherapy. Practical work around planning or follow-through can be included, while also attending to emotions, relationships, self-criticism, and other psychological concerns that affect daily functioning.
Do I need to have everything organized before the first session?
No. You can begin with examples of what has been difficult, even if the pattern feels inconsistent or hard to explain. Part of the work is making the problem more specific and identifying where support may be useful.
Can we work on both practical difficulties and emotional concerns?
Yes. Executive functioning often interacts with anxiety, mood, perfectionism, frustration, and self-trust. Therapy can attend to practical obstacles without separating them from the emotional life around them.
Request a consultation
Begin with a brief conversation.
The initial consultation is free and typically lasts 15 minutes. I will respond within 24 hours.
Share a few scheduling details below to request an initial consultation. This form intentionally does not ask for clinical or medical information.