Our Summer Support sessions are now available to book for new clients.
Discounted therapy and reflective practice sessions with Katie and Helen – two of our top therapists.
Feel like working on a particular issue over the summer? Fancy seeing what therapy and reflective practice is really like? Then why not get in touch and get some support!
Please contact us on support@carvalhotherapy.com for more information.
"I've got three court deadlines, sixty-seven unread emails marked as important, and I forgot to send the one document my client actually needed."
James laughed as he said it, but it wasn't funny.
"I know what needs doing," he continued. "I just... don't seem able to do it in the right order."
It wasn't the first time he'd said something similar in therapy.
T: Tell me what today has been like.
C: Chaos. Absolute chaos. I started writing a witness statement, then remembered I hadn't replied to a client from last week. While I was doing that, I noticed I'd forgotten to submit some expenses. Then someone called about another case and suddenly it was lunchtime and I'd achieved almost nothing.
T: Yet you've been busy all morning.
C: Exhausted, actually.
T: What's the hardest part?
C: Prioritising. Everything feels urgent until something else comes along that feels even more urgent. Deadlines sneak up on me. Admin piles up. My desk is a disaster. I spend half my day looking for things I've just had in my hand.
T: And how does that leave you feeling?
C: Like I'm crap at my job and when someone's going to realise that I'm just pretending I know what I'm doing.
He smiled again, but this time it looked more like an apology.
Lawyers are often expected to be organised, meticulous and calm under pressure.
James certainly looked that way from the outside.
Inside, he felt as though he was constantly firefighting.
T: Have you always found these things difficult?
James paused.
C: I don't know... I suppose work is just more demanding now.
T: Perhaps. But if you think back before university... before law school... was organisation something that came naturally?
He frowned.
C: Not really.
T: Tell me about school.
C: My reports always said the same thing.
T: Which was?
C: "Very capable... if only he applied himself."
He laughed.
C: My parents hated that sentence.
T: How did you hear it?
C: That I was lazy.
The room was quiet for a moment.
T: What did you find difficult?
C: Homework.
T: The work itself?
C: No... starting it.
T: What got in the way?
C: Everything.
I'd sit down, sharpen every pencil I owned, reorganise my bag, suddenly decide my room needed tidying. Then it would be nine o'clock and I'd panic.
T: Did deadlines help?
C: Only because the fear finally kicked in.
T: Anything else you remember?
C: I lost everything.
PE kit.
Letters from school.
Exercise books.
Permission slips.
My mum used to joke that if my head wasn't attached...
He stopped.
C: Actually... she didn't really joke.
T: Were lessons difficult?
C: Depends on the subject.
If I liked it, I was completely absorbed.
Teachers couldn't get my attention because I was so focused.
If I was bored...
Forget it.
My mind was somewhere else entirely.
T: Did people notice?
C: They noticed the messy desk.
The unfinished homework.
The talking.
The daydreaming.
Nobody seemed bothered that I got good grades, eventually.
I always scraped through somehow.
Something was beginning to shift.
Not because anyone had suggested a diagnosis.
Simply because, for the first time, James was looking backwards instead of only looking at today's problems.
T: Listening to yourself now, what stands out?
James was quiet for a long time.
C: I keep saying "I've always been like this."
I'd never really noticed that before.
I thought I became disorganised when I qualified.
But... I didn't.
I've spent my whole life trying to compensate.
Lists.
Reminders.
Working late.
Depending on adrenaline.
Pretending I've got everything under control.
T: And if this isn't a character flaw?
He looked up.
C: Then what is it?
That question isn't the end of the conversation.
It's often the beginning.
Many adults seek therapy because they're overwhelmed by work, relationships or burnout. As they begin exploring their history, they sometimes notice that the patterns they're describing didn't start in adulthood. They were there in childhood too - hidden behind intelligence, determination or years of masking.
Therapy isn't about assigning labels. It's about making sense of someone's experience. For some people, that process eventually leads to exploring whether ADHD might explain what they've lived with for decades.
For many, it's the first time the story changes from "What's wrong with me?" to "What if there has always been a reason?"