Featured in Bustle: 7 Thoughts People With High Functioning Anxiety Have Regularly

"One difficulty for those experiencing high-functioning anxiety is the sheer amount of thoughts they may have during any given situation," therapist Carly Claney, Ph.D., tells Bustle. [...] While many people can channel this energy into high performance and perfectionistic tendencies, the exhaustion takes a toll on one's internal sense of rest or peace.”

Read the whole article on Bustle

Featured in Brit + Co: How to Talk to Your Partner About Family Issues

“One thing to consider when approaching difficult discussions about family situations with new significant others is where you are at in your process of metabolizing the situation,” licensed clinical psychologist Dr. Carly Claney says.

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Adult ADHD Testing

It is normal for children and adults to have trouble focusing at one time or another. However, how do you know when your difficulty with concentrating isn’t normal and is causing significant distress in your life or the lives of your loved ones? How do you deal with the fact that your struggles haven’t gone away even now that you’re in college or have started your career? Children with ADHD do not just grow out of their struggles. The symptoms often continue into adulthood and can cause difficulty at school, at work, or in relationships.

As a licensed psychologist, I help people like you understand your struggles and develop solutions. I approach testing from a holistic perspective, which means I’m not just looking to diagnose you based on a set of symptoms. Instead, I’m interested in how your emotions, relationships, behaviors, and culture interact to get the best understanding of you as an individual. I utilize objective tests to compare your functioning with normative data and I also utilize qualitative data collection through clinical interview and behavioral observations to get a balanced and robust clinical understanding of your concerns. My comprehensive approach is intended to capture your strengths, weaknesses, preferences, and patterns so that we can develop personalized recommendations for your treatment.

Have You Ever Thought…

  • “Why do I always leave my work to the last minute?”

  • “I wasn’t listening to any of that.”

  • “Teachers always thought I was dumb and lazy but I really just didn’t know what was going on.”

If this sounds familiar, it’s likely you’ve also wondered if you have Attention-Deficit/Hyperactivity Disorder (ADHD). Oftentimes, ADHD goes undiagnosed until adulthood because the individual is so used to invalidating the struggles they have. It can be tempting to assume that ADHD is a personality problem; however, it is a neurodevelopmental disorder: a medical diagnosis.

Common Signs and Symptoms

  • Daydream a lot

  • Forget or lose things a lot

  • Squirm or fidget excessively

  • Talk too much

  • Make careless mistakes or take unnecessary risks

  • Have a hard time resisting temptation

  • Have trouble taking turns

  • Have difficulty getting along with others

While ADHD may look different from person to person, it is important to consider these symptoms as a sign that you may be struggling with a clinically significant problem.

There are 3 different types of ADHD:

  1. Predominantly Inattentive Presentation: This used to be a separate diagnosis called Attention-Deficit Disorder (ADD) and includes those who are easily distractible, forgetful, and disorganized.

  2. Predominantly Hyperactive-Impulsive Presentation: These individuals may be restless, fidgety, and impulsive in their actions or behaviors.

  3. Combined Presentation: These individuals experience equal symptoms of inattentiveness and hyperactivity/impulsivity.

How Testing Can Help

It can be tempting to think that since you’ve made it this far with your attention struggles, it’s not worth the investment of formal testing. However, a comprehensive ADHD assessment provides more than just a “yes” or “no” regarding a diagnosis. The assessment process is designed to develop a holistic understanding of you as an individual and identify your functioning in many different areas, including cognitive, emotional, and social. While we will be able to determine if you do meet a diagnosis for ADHD, we will also see if there are other mental health struggles (e.g., anxiety, depression) that are contributing to how you experience every day life.

A comprehensive ADHD assessment results in a thorough conceptualization of your symptoms, your patterns of functioning, and how this relates to your life. It identifies your strengths and weaknesses in areas such as verbal comprehension, executive functioning, memory, and processing speed. I will integrate this information so that you learn specific ways to thrive in work or school settings. Whether or not you meet a diagnosis, you will receive specific recommendations for treatment and support on pursuing these suggestions.

How a diagnosis can help

Many people find it very grounding to know that the difficulties they experience can be identified by a specific term that is backed up by research within the medical community. Having a diagnosis can help you find direction in pursuing support. It can help you be an advocate for yourself with other medical professionals. It can help you gain access to necessary treatment, including therapy or medication. And, it can qualify you for accommodations in your school or work environment based on the Americans with Disabilities Act (ADA).

Why I specialize in adults

While most psychologists focus on testing ADHD in children, I specialize in working with college students and young professionals. Oftentimes, people come to me because they were able to “get by” in grade school or were overlooked because they didn’t appear to be “that bad” at focusing. However, as your environment changes, you may start to realize that your strategies for coasting aren’t working anymore and it’s harder for you to manage your current responsibilities. I have significant experience in helping people like this gain self-understanding and get the resources they need to succeed.


ADHD Evaluation Process

1

Clinical Interview

45 to 90 minutes | Assessment rate

Prior to your first appointment, you will be provided with a packet of background information to fill out. This must be completed before your first appointment, as I use this information to create a personalized interview to gather clinical information. In this first session, I will follow up on certain questions to get a comprehensive understanding of your concerns, your history, and your goals for testing. For example, is there a family history of ADHD behavior? Did you have any developmental struggles? In what settings do you experience your difficulties? What other mental health or physical health issues might you experience that interact with or look like symptoms of ADHD? I'll use all this information to determine which tests we will complete.

Schedule a consultation

2

Psychological Testing

5 to 15 hours | Assessment Rate

In the second step of the assessment process, I obtain objective and qualitative data about you, your behavior, and your functioning. I will also request to speak with one person who knows you well (i.e., your informant) to get another perspective on some of your concerns. The objective data compares your behavior to other people your age with and without ADHD to determine if the symptom criteria and behavioral functioning style of ADHD are met. It also assesses your cognitive strengths/weaknesses and your personality functioning so we get a comprehensive understanding of you as an individual. This typically includes several testing sessions to evaluate cognitive ability (i.e., IQ testing), performance in ADHD-related areas of neuropsychological functioning (i.e., attention, memory, and impulsivity), and personality functioning. If indicated, this step may also include academic testing.

Learn more about Psychological Assessment

3

Data Analysis

3 to 12 hours | Assessment Rate

During the third step, I evaluate all assessment and testing data to develop a profile for you that highlights your functioning in the following areas: mood, cognition, and interpersonal. This will help determine if your profile is consistent with an ADHD profile and/or if it is consistent with another profile and you may meet criteria for another disorder (i.e. depression, anxiety, learning disability). While developing your profile, I review all testing data gathered from the clinical interview, behavioral observation, objective and performance data gathered from you, and the objective data from your informant. The information gathered will be developed into an written report of assessment findings along with diagnostic and treatment recommendations.

4

Results and Recommendations Session

45 minutes | Assessment Rate

Upon finalizing your profile and report, I will meet with you to deliver a written report of findings and explain your testing results. You will have time to ask questions and gain insight into my conceptualization of your results. I will provide you with several recommendations and point you to resources to gain specialized support. Recommendations may include pursuing individual or group therapy, getting an ADHD coach, meeting with a psychiatrist to determine suitability for medication services, and employing healthy lifestyle behaviors. We can also discuss how to seek support from your school or employer, and how to discuss what you learned about yourself with friends and family. This feedback session is typically 45 minutes and you receive a hard copy of the report.


Details

A psychological assessment is individualized per client based on the presenting concerns. See current fee schedule. Fees may be reimbursed by insurance and payment is expected at each session.

You're a complex person. You have real concerns and it’s time to find out what’s going on. I have confidence that a psychological assessment can help you find peace and purpose. Schedule a free 15-minute consultation appointment with me to ask your questions and begin the process of getting help.

 
 

Young Adult Therapy

Attending therapy when you are a young adult is one of the best investments you can make in your future. This is a time of great change, confusion, frustration, excitement, and growth. Having a focused time during the week where you are able to slow down and process these things with someone who will listen can help you achieve clarity and thrive.

 

Unique challenges for those in their 20’s and 30’s

Education and career stuff:

  • Still not knowing what you want to be when you grow up

  • Making career decisions

  • Completing school

  • Life-work balance

You stuff:

  • Unacknowledged anxiety

  • Depression or struggle adjusting to transition

  • Perfectionism

  • Changes in beliefs, morals, or spirituality

Relationship stuff:

  • Changing relationships with parents, siblings, or old friends

  • Loneliness, especially in the transition after college

  • Singleness, Dating, or Marriage

  • Family planning

Life stuff:

  • Self care

  • Social media

  • Substance use


My office in the Queen Anne neighborhood of Seattle is focused on serving Millennials, Gen Z, college students, young professionals, new parents, and those young at heart. As a therapist for young adults, I offer something different than your friends or family members. We will reflect on who you are and give you space to explore who you want to be.

 
 

Psychodynamic Psychotherapy

It is important to understand that every therapist has a set of theories that informs the work they do. These theories represent how each therapist understands people, symptoms, the therapeutic process, and the process of change. While there is significant overlap among the different orientations and modalities, it is also important to choose a therapist whose orientation somewhat fits the type of work you want to do.

An Evidenced-Based Approach

While I have been trained in many evidenced-based treatment models (e.g., DBT, EFT, & CBT), I primarily utilize psychodynamic/psychoanalytic theories and interventions because this approach has facilitated the greatest and longest-lasting change in my experiences as a therapist. Psychodynamic and psychoanalytic theories are considered depth-oriented approaches to treatment because they approach psychological symptoms as indicators of deeper issues, needs, or conflicts that are being unacknowledged and uncared for. Suffering can be an opening to greater understanding one’s internal world and the unconscious emotional or relational patterns that have led us to our current dynamics or symptoms.

Psychodynamic psychotherapy is an evidenced-based treatment approach that focuses on experiencing emotions, being known in relationships, and developing insight of past experiences. While a result of psychodynamic psychotherapy can be symptom reduction, the work prioritizes increased self-understanding, emotional capacity, satisfaction in relationships, integrated sense of self, and psychological strengths.

Key Aspects of Psychodynamic Psychotherapy

  • Saying whatever comes to mind

  • Developing, exploring, and utilizing the therapeutic relationship created between the client and the therapist

  • Exploring past experiences and attachment relationships

  • Tolerating ambiguity

  • Having a corrective emotional experience

Learn more about psychodynamic and psychoanalytic theory:


Do you want to work with me?

I am a licensed clinical psychologist in Seattle, WA with offices in Queen Anne and Bellevue.

 
 

Featured in Bustle: 9 Seemingly Awkward Questions To Ask Your Partner Before Committing To Them

"Sometimes uncomfortable questions are difficult because we aren't even willing to be that vulnerable with ourselves about our own feelings or desires," licensed clinical psychologist Dr. Carly Claney, tells Bustle. "Facilitating conversation about difficult, awkward, or uncomfortable topics allows you to practice discussing things in a vulnerable way. This can lead to being authentic with yourself within the relationship and facilitates a satisfying relationship." You may gain more insight into the long-term potential of your relationship, and also gain valuable communication tools that can help you two have a healthier relationship if you do commit.

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