Jeff O'Neill
Counselling Practice Website
Practice Information
Understanding ADHD
If you're reading this, there's a good chance you're exhausted. Not the kind of tired sleep fixes — the kind that comes from spending years fighting your own brain and losing more often than you'd like to admit. Maybe you have a diagnosis. Maybe you've suspected it for a decade and never had it confirmed. Maybe you're a woman who was told it was anxiety, or depression, or that you were "too sensitive," and ADHD never even came up until recently. Whatever your path here, I'd guess you're tired of half-working strategies, tired of starting over, and tired of feeling like everyone else got a manual you never received.
Let me say this plainly: ADHD is genuinely frustrating to live with. Not "quirky," not "just a different way of thinking" in some tidy, inspirational sense — frustrating, in the day-to-day, why-can't-I-just-do-the-thing way. That frustration is real, and it deserves to be named instead of smoothed over.
You are not lazy. You are not broken. You are not failing at things that come easily to everyone else — you're doing hard things with a brain that runs on a different operating system, often without the support that operating system actually needs.
How I Can Help
I hold an MA in Counselling Psychology, and I'm also an ADHD Certified Clinical Services Provider (ADHD-CCSP) and Clinical Coach — which means I work at the intersection of two things people with ADHD usually have to go find separately: real emotional support, and real skills training.
The counselling side is where we deal with the parts that therapy is built for — the shame that's built up over years of masking, the identity questions that come with a late or self-identified diagnosis, the impact on relationships and self-worth, the emotional weight of just being an ADHD brain in a world that wasn't built for it.
The coaching side is where we get practical. Insight alone doesn't get the laundry done or the report finished. As an executive function coach, I help build the actual scaffolding — systems for follow-through, structures that survive contact with a bad week, and strategies that account for how your brain actually works instead of how a productivity book assumes it should.
I work with adults anywhere on the ADHD spectrum of certainty — formally diagnosed, self-identified, or still figuring it out — including women navigating a late-in-life diagnosis and people who suspect ADHD but haven't pursued formal testing. And because I live with ADHD myself, this isn't purely clinical for me. I know the specific flavor of frustration that comes with a busy, creative, easily-overstimulated mind, because I navigate it too.
My Approach
Most people I work with already know what they want to do. The gap isn't motivation — it's the space between knowing and doing, and that gap is often more emotional than it looks. Rejection sensitive dysphoria (RSD) — that sharp, disproportionate sting of criticism or perceived failure — is one of the biggest hidden drivers of ADHD struggles, quietly shaping careers, relationships, and self-worth long before anyone connects it back to ADHD.
I draw on CBT, DBT, and ADHD-informed coaching to work both angles at once — the emotional regulation and distress tolerance side, and the concrete executive-function side. DBT skills in particular map unusually well onto ADHD life. Sessions are structured, but they flex: there's no judgment for showing up late, needing to move around, or not having a formal diagnosis in hand.
What We Can Work On
- RSD and emotional regulation — the sharp sting of perceived criticism and the mood shifts that come with it
- Executive dysfunction and procrastination — not a willpower problem, a wiring problem, and one we can actually build around
- ADHD burnout — the specific exhaustion of running on compensation and masking for too long
- Self-suspected or undiagnosed ADHD — you don't need a formal assessment to start making sense of your own brain
- ADHD in women — masking, late diagnosis, and the hormonal impact that most ADHD resources still leave out
- Perfectionism and shame — especially the kind that's been quietly accumulating since childhood
- Communication and relationship struggles — the ADHD patterns that show up with partners, friends, and family
- Workplace challenges — deadlines, follow-through, and functioning in systems that weren't built for your brain
- Major life transitions — the moments ADHD symptoms tend to spike hardest
- Living with ADHD, full stop — medicated or not, diagnosed or not, at any point in figuring it out
Virtual Therapy Across BC
My practice is fully virtual — no commute, no transition time, no extra executive function spent just getting through the door. Let's work with your ADHD brain instead of against it, wherever you feel most at ease.
If you're ready to build self-awareness, real-world skills, and confidence in your ADHD journey — whether or not you have a formal diagnosis — I'd be glad to walk alongside you.
Additional Areas of Expertise
While ADHD is my primary specialty, I also work with clients navigating addiction, anger management, and men's mental health issues.
Addiction: I help clients understand the patterns behind their challenging behaviors. Whether it be substances, pornography, gambling, or social media—I can help develop healthier coping strategies to build sustainable recovery. I also support caregivers, partners, and family members affected by a loved one's addiction, working through boundary-setting, managing worry and frustration, and taking care of your own wellbeing while supporting someone you care about.
Anger Management: We explore what's beneath the anger—frustration, shame, or feeling unheard—and develop tools for emotional regulation and communication that actually work in real life.
Men's Issues: I create judgment-free space for men to explore emotions, relationship challenges, identity, and personal growth. Whether you're dealing with stress, transitions, or feeling stuck, we'll work through it together.
Across all areas, my approach remains practical, collaborative, and grounded in compassion.
Client Fee (Individuals)
Availability
Latest Blog Post by Jeff O'Neill
The start of a new year often arrives with a quiet pressure. That pressure is around that the issues from the past year need to be resolved and this year is the year it finally happens! Even if you don’t consciously buy into the idea of New Year’s resolutions, it can still feel as though January brings an unspoken expectation to reset, improve, or finally “get it together.” For adults with ADHD, this time of year can stir up a complicated mix of hope and apprehension. There is the hope that this year might be different, paired with the familiar worry that it won’t be. Many people with ADHD…