I'm a therapist for women with ADHD, childhood trauma and burnout, and I've done my own trauma therapy and ADHD work. Andrea Lynn Piazza, MA, LPCC, LMHC, NCC.
I grew up in a tense house, and as the oldest daughter I learned to manage everyone's feelings before I knew what my own were.
Reading the room became a survival skill. So did keeping the peace, anticipating what people needed, and being the steady one. Those skills made me good at a lot of things, and they made it very hard to notice when I wasn't okay.
School was uneven. When I didn't care about something, I checked out completely. When I did, I could outwork anyone. Psychology was the first subject that held my attention, and one teacher saw that and gave me a reason to try. That pattern, struggling until something clicks and then going all in, shaped most of my life. It shows up in a lot of the women I work with.
I built a career quickly, partly out of real interest and partly because achievement was the way I knew how to feel safe. I went to therapy for my own trauma along the way. It took me longer to accept the ADHD.
I went to the doctor for depression. I came out being told I had ADHD, and I thought that was ridiculous. I'd always done well.
Looking back, I'd done well by compensating. I taught myself at night what I'd missed during the day, overprepared for everything, and worked in bursts: a huge amount at once, then nothing for weeks. I started hobbies and dropped them. From the outside it looked like ambition. From the inside it was exhausting, and a lot of it ran on being hard on myself. That's a common way ADHD shows up in women, and it's easy to miss when the only picture you've seen is a hyperactive boy.
I learned to ride my waves instead of using self-loathing as fuel.
Once I understood my patterns, I could work with them. I built skills I'd never been taught, got a lot kinder to myself, and accepted that some things will always work differently for me. Medication helps when I can get it, and I've learned to manage when I can't. That's the work I do with clients: less forcing, more understanding how you actually operate.
I've been Director of Virtual Programming at Discovery Behavioral Health, where I designed telehealth programs for mental health, eating disorder and addiction treatment across the country. I have an MBA from UCLA Anderson. If you're building a career or running a business, I understand the pressure from the inside, and I won't treat ambition as a symptom.
I'm also working on a PhD in health policy at the University of Toronto. In practice that means I read the research, I know which parts of it are solid, and I'll explain the reasoning behind anything we try.
My practice is neurodivergent-affirming and LGBTQ+ affirming. You don't need to share my background, my politics or my sense of humor to work with me.
All full, unrestricted licenses. You need to be located in one of these states during each session.
Featured in PR Newswire, SD Voyager, Orlando Magazine and Fit for Joy. Host of the podcast What Does My Therapist Really Think?
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