For therapists, psychiatrists & physicians
You lead the treatment.
I help it stick in real life.
ADHD coaching for your adult clients who understand what's going on but still struggle to follow through. Together we build executive function skills, emotional regulation and routines that hold up between appointments. Your client keeps working with you, and we stay in touch with their consent.
treatment + coaching, together
Referrals go both ways
Coaching is the day-to-day piece of care
Send a client to me when
- →They know what to do but can't get started, stay on track or finish
- →Medication is helping focus, but routines and systems haven't caught up
- →They feel overwhelmed, ashamed or burned out trying to get day-to-day things done
- →They want structure and accountability alongside therapy
- →They're newly diagnosed (or self-identified) and want to understand how their brain works
I'll send clients to you when
- ←A client needs an ADHD evaluation or diagnosis
- ←Medication may help, or a current prescription needs review
- ←Anxiety, depression or trauma needs clinical treatment
- ←A concern goes beyond the scope of coaching
What I add to the care team
Support that fills the space between appointments
Therapy and medication change what's possible. Coaching helps clients practice it on an ordinary Tuesday, when the to-do list is long and their motivation keeps pulling them toward something else.
Executive function
Planning, prioritizing, task initiation, working memory and follow-through
Emotional regulation
Nervous system tools to use in the moment, and to recover faster after dysregulation
Systems & routines
Habits built for ADHD brains: mornings, sleep, work, home and parenting
Accountability between sessions
Unlimited text and email support, plus a private portal for reminders and habit tracking
Body doubling
Guided focus sessions to get started and finish real tasks
Lived experience
Diagnosed at 40, I get it, so clients never have to explain why "simple" things are hard
Clear on scope
What coaching is, and what it isn't
Coaching is
- Present- and future-focused: skills, action and momentum
- Structured support with gentle accountability
- Practical problem-solving for work, relationships and home
- Collaborative with the client's clinical care team
Coaching isn't
- Therapy, diagnosis or medication advice
- Treatment for trauma, depression or anxiety disorders
- Crisis support
- A replacement for anything you provide
How referrals work
Simple for you and your client
Send the referral
Email me, or share my booking link so your client can schedule a free 30-minute consultation.
Your client meets with me
A free 30-minute consultation, just your client and me, to talk about goals and fit. It's not a sales call.
We stay in touch
With your client's written consent, you and I stay in touch when it makes sense.
Referrals go back to you
When a client needs clinical care, an evaluation or a medication review, I send them to you or another trusted provider.
Who I work with
Adults with ADHD, diagnosed or self-identified
Virtual, worldwide
Secure video sessions anywhere in the world, Monday to Friday, 10 am to 5 pm ET.
Sessions
60 minutes, weekly or bi-weekly, with text and email support in between.

Meet Hilary
Hilary Andreini, PCC
I'm a former HR leader who was diagnosed with ADHD at 40, after my child's teacher noticed signs of ADHD in them. Therapy helped me breathe again; coaching gave me power. Since 2018 I've coached adults with ADHD using a blend of coaching psychology, neuroscience and real-life experience, always trauma-informed and shame-free.
- Professional Certified Coach (PCC), International Coaching Federation
- Certified Professional Coach (CPC), iPEC
- JST Coaching graduate, Student & ADHD Coaching
- Trauma Resource Institute training
- Positive Intelligence trained coach
- ACO Coaching Enrichment Committee member
- Member of CHADD and ADDA
Join my referral list
Tell me about your practice. I’ll add you to the list I use when clients need therapy, an ADHD evaluation or medication support, and send you a referral flyer for your office.
Prefer to talk first? Email hilary.andreini@hilarylifecoaching.com
Coaching is not therapy or medical care. If a client is in crisis, call or text 988.