ADHD therapy for adults — online across India and in-person in Gurgaon
Yes — therapy can genuinely help adult ADHD. It works on focus, procrastination, time-blindness, and emotional regulation, and on the layer most people forget: the shame that builds up after years of being called lazy, careless, or "so much potential, if only you'd apply yourself." Ruchi Makkar, a Counselling Psychologist (MA Psychology) with over 6 years' experience, offers ADHD therapy online across India and in-person in DLF Phase 4, Gurgaon. Sessions are ₹2,000 for 50 minutes. One honest note up front: a formal ADHD diagnosis and any medication are a psychiatrist's role — therapy complements that work, it doesn't replace it. Where medication is needed, the two go well together.
Forget the stereotype of a hyperactive little boy who can't sit still. Adult ADHD is often quiet, internal, and easy to miss — especially in people who are intelligent and have spent years building workarounds. Sound familiar? You're the one who's "smart but scattered." Brilliant in a crisis, lost in the admin. Capable of hyperfocusing for nine hours on something that grips you, and completely unable to start the email that takes four minutes.
A lot of Indian adults were never diagnosed as kids. Awareness was low, ADHD wasn't really talked about, and a restless, distractible, daydreaming child was simply labelled naughty, lazy, or "not serious about studies." So you learned to mask. You worked twice as hard to look half as on-top-of-it. You leaned on adrenaline, last-minute panic, and other people covering for you.
Then adult life piled on — a demanding job, bills, a household, maybe kids — and the workarounds stopped holding. The forgotten deadlines, the unopened messages, the half-finished projects, the guilt. ADHD doesn't suddenly appear in your thirties. It just finally outgrows the tricks that used to hide it. Coming to it late doesn't make it less real, and it doesn't mean you failed.
Generic productivity advice rarely fits an ADHD brain. Together you'll build systems that actually work with how you're wired — for starting tasks, breaking down the overwhelm, and managing time when time itself feels slippery.
ADHD isn't only about attention. The big feelings, the sting of perceived criticism, rejection-sensitive dysphoria — these are part of it too. Therapy gives you ways to ride those waves instead of being swept off by them.
Years of "you're not trying hard enough" leave a mark. A big part of the work is separating who you are from a brain that processes differently — and quietly dismantling the belief that you're the problem.
ADHD shows up differently in everyone, and you don't need a formal diagnosis or a neat label to reach out. These are some of the presentations Ruchi works with:
There's no magic reset button — anyone who promises one is worth being sceptical of. Here's an honest sense of how the work tends to unfold:
No forms to fill out perfectly, no need to have it all figured out. You talk about what's actually getting in the way; Ruchi listens and asks questions. You leave with a clearer picture of what's going on — and a sense of whether working together feels right.
Where does your time really go? What tasks reliably stall you, and why? What's the emotional weight underneath the to-do list? You'll start trying small, practical systems and noticing which ones fit — while the deeper work of easing the shame quietly begins.
The aim isn't to turn you into someone you're not. It's to build routines that survive a chaotic week, to handle the emotional swings with more steadiness, and to stop treating every slip as proof you're failing. You keep what works and let go of the rest.
Let's be clear about who does what. A formal ADHD diagnosis and any decision about medication belong to a psychiatrist, not a therapist. Ruchi is a Counselling Psychologist — she offers therapy, and she can guide you toward a proper assessment if that would help. She can't diagnose you or prescribe.
So when should you also see a psychiatrist? If your day-to-day is seriously disrupted, if you want a formal diagnosis, or if you're curious whether medication might help, a psychiatric assessment is the right next step. For many adults, medication and therapy work best together — medication can turn the volume down on the noise, and therapy builds the systems, the emotional skills, and the self-compassion that medication alone can't.
For context: adult ADHD affects roughly 2.5% of adults globally (Simon et al., 2009, British Journal of Psychiatry), with childhood estimates around 5–7%. And India has a wide treatment gap — the NIMHANS National Mental Health Survey (2015–16) estimated that 70–92% of people with mental-health conditions don't get the care they need. If you've struggled quietly for years, you're far from alone, and reaching out is not an overreaction.
Sessions are 50 minutes. No hidden fees, no intake charges.
Sliding scale fees available. Contact us if cost is a barrier — no one who genuinely needs support should be turned away.
Yes. Therapy won't replace medication where a psychiatrist has decided it's needed, but it does real work on its own — building systems for focus and time, easing the overwhelm and procrastination, working with rejection sensitivity and emotional regulation, and unlearning the shame that builds up after years of being called lazy or careless. Many adults use therapy alone; others combine it with medication their psychiatrist has prescribed. Both paths are valid, and Ruchi will help you think through what fits you.
Absolutely. Many Indian adults grew up when ADHD awareness was low, so a lot of bright, capable people were simply called "scattered" or "not trying hard enough" and never assessed. ADHD doesn't appear in adulthood — but it often gets noticed in adulthood, when life's demands outgrow the coping tricks that used to hold things together. Coming to it late doesn't make it any less real, and it's never too late to get support.
No — a formal ADHD diagnosis and any decision about medication are a psychiatrist's role, not a therapist's. Ruchi is a Counselling Psychologist, so she provides therapy, not diagnosis or prescriptions. If a formal assessment would help, she can point you toward the right kind of clinician. And you don't need a diagnosis to start therapy — many people begin working on focus, overwhelm, and shame long before any label.
Yes. Ruchi works with clients across India and internationally via secure video sessions, and ADHD-focused work translates well online. Building systems, reviewing what's actually happening in your week, and working with emotional regulation all happen just as effectively over video. Many clients find that meeting from their own desk — the place they actually struggle to focus — makes the work more concrete.
Sessions with Ruchi are ₹2,000 for 50 minutes, with a monthly package of four sessions at ₹7,000. Sliding-scale fees are available if cost is a barrier. There are no intake charges or hidden fees — you can start with a single conversation and decide from there.
A first conversation costs nothing and commits you to nothing. Send Ruchi a WhatsApp message and she'll reply within a day.
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