“I'd braced for another hour of nodding. Instead we made a plan for the week, and I was told why each question was being asked. I felt taken seriously.”
Micah B.
Therapy that works with how your mind works.
One-to-one therapy for adults with ADHD, or who think they might have it. Sessions are structured, direct and paced to fit you, in San Francisco or by video.
What we work on.
Individual therapy for adults, built around the way your attention, time and energy actually behave.
Focus, time and follow-through
Starting, finishing and remembering are hard in a particular way. We look at where things break down and build routines that fit your week.
Overwhelm and worry
Racing thoughts, perfectionism and the feeling that you cannot switch your brain off. We practice tools for the moment it starts.
Late diagnosis and identity
Learning as an adult that your brain works differently changes the story. We make room for what comes up, and for who you are now.
Relationships and work
Missed plans, forgotten dates, a partner or manager who reads it as not caring. We work on telling people what is going on and asking for what helps.
Therapy, coaching or an evaluation?
They sound alike and do different jobs. Each leaves something out, so it helps to know which one you are asking for.
Therapy
What it is
Talk therapy with a licensed psychologist, one to one
What it does
Builds skills, and makes room for what living this way has been like
What it does not do
Include an evaluation, or prescribe medication
Offered here
YesIndividual therapy for adults
Coaching
What it is
Practical support with goals, routines and accountability
What it does
Helps you set up a system and keep it going
What it does not do
Treat a mental health condition or work through the past
Offered here
NoA coach works separately
Evaluation
What it is
A structured assessment by a qualified clinician, with a written report
What it does
Looks at your history and answers whether ADHD explains what you notice
What it does not do
Give you ongoing support or teach you new ways to cope
Offered here
NoA separate clinician does this
A therapist who gets it.
I'm Dr. Kiara Holley, a licensed psychologist in California. I see adults with ADHD, and adults who suspect they have it, one to one.
My approach is direct, warm and collaborative. I use cognitive behavioral therapy and acceptance and commitment therapy, and I explain each tool before we try it. We make a plan together and check it as we go.
Adults, one to one
In person in San Francisco
Video for clients who are in California
Dr. Kiara Holley
PsyD, Licensed Psychologist
How it works.
- 01
Send a message
Tell me how to reach you. I reply on weekdays, and we find a time for a first session.
- 02
Meet for a first session
Fifty minutes, in person or by video. We talk about what is hard and what you want from therapy, and I explain how I work and the limits of confidentiality.
- 03
Set the pace together
Most clients meet weekly at first. Your clinician sets the pace with you, and we check in on how it is going. How long therapy lasts is not set in advance.
Read about your first session
What clients say.
“The pace felt right from the first session. Nothing was rushed, and nobody made me feel behind.”
Rae D.
“I never had to explain myself twice. The sessions have structure, and there is still room to just talk.”
Elisa V.
“It is easy to be honest in that room. I left the first session feeling heard, not assessed.”
Vishal P.
“Appointments start on time, the reminders are clear and the office is calm. Small things, but they matter when your brain works like mine.”
Sean L.
Sample reviews.
Common questions.
Do you diagnose ADHD?
No. I do not do evaluations here. If you want one, I can tell you what to look for and work with the clinician who does it. Therapy and an evaluation answer different questions.
What happens in therapy?
I use cognitive behavioral therapy and acceptance and commitment therapy, and I explain each tool before we try it. Some clients want structure and homework, others need more room to talk. We decide together.
How long are sessions?
Sessions are 50 minutes. They are in person in San Francisco, or by video if you are in California when we meet.
How do fees work?
I am out of network with insurance plans, and I give you my fee in writing before your first session. I can send a monthly receipt for you to send to your plan, which decides whether to reimburse you. The page on how fees work explains the rest.
Do you prescribe medication?
No. I am a psychologist, not a psychiatrist. I can work alongside your prescriber, and I can help you look for one if you want to talk about medication.
What is your cancellation policy?
I ask for 24 hours' notice to cancel or move a session. A late cancellation or a missed session may be charged. If something comes up, tell me and we will work it out.
Let's talk.
Tell me how to reach you. I reply on weekdays.