Jeff O'Neill

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.