High-functioning.
Exhausted.
Stuck in patterns you can't logic
your way out of.
IFS-informed therapy for neurodivergent adults—ADHD, AuDHD, autistic traits— who are high-capacity on the outside but privately dealing with burnout, shame, and systems that were never built for how their brain works.
- WA Licensed LMHC
- IFS-Informed
- Neurodivergent-Affirming
- Certified NMMNG Therapist
- Telehealth · WA State
- Free 20-Min Pre-Consultation
- Verified by Psychology Today
You look fine on the outside?
High-functioning neurodivergent adults—ADHD, AuDHD, autistic traits— are often skilled at appearing put-together. But privately, things feel harder than they should: scattered attention, chronic overwhelm, burnout that doesn't respond to rest, and relationship patterns that keep repeating.
Matt tends to work particularly well with neurodivergent tech professionals, creatives, and entrepreneurs—people who are high-capacity in their domain but privately spinning in the parts of life that require emotional regulation, consistency, and self-direction.
A lot of Matt's clients are men who resonate with No More Mr. Nice Guy or Nice Gal patterns: conflict avoidance, covert contracts, resentment, approval-seeking, and difficulty asking directly for what they want.
If any of this sounds familiar, you're in the right place.
See How It Works
Most of my clients come in saying they've read all the books, done the journaling, know exactly what they should be doing— and it's still not working.
That's actually the perfect starting point.
— Matt Simpson, LMHC · Matthew Monroe Simpson Counseling
What brings people here
ADHD, Autism, & Executive Function Issues
Procrastination, time blindness, difficulty with follow-through, and the gap between knowing what to do and actually doing it.
Nice Guy & Nice Gal Syndrome
Approval-seeking, conflict avoidance, covert contracts, resentment, and difficulty asking directly for what you want.
Burnout
Chronic overwhelm, shame, overthinking, and avoidance cycles that don't respond to willpower or "just pushing through."
Relationship Patterns
Difficulty with emotional intimacy, passive communication, and relational patterns that keep repeating across relationships.
Behavioral Addiction
Behaviors that feel hard to stop—avoidance, scrolling, overworking, or other patterns the inner system uses to manage distress.
Emotional Literacy & Boundary Issues
Building the capacity to name what you feel, ask for what you need, and hold boundaries without guilt or over-explanation.
IFS-informed. Neurodivergent-affirming.
IFS (Internal Family Systems) is a gentle approach to mapping the inner system that's driving procrastination, people-pleasing, avoidance, and compulsive coping. Instead of fighting these patterns, we get curious about them—and that changes things.
Neurodivergent-affirming means therapy that meets your brain where it actually is—not where it "should" be. Executive function scaffolding that works in real life: habits, routines, follow-through, and boundaries that actually hold.
IFS & Parts Work
Map the inner system driving your patterns. Understand why you do what you do—and access the Self-energy that leads differently.
Executive Function Scaffolding
Build systems for habits, routines, follow-through, and boundaries designed around how your brain actually works—not how it "should."
Men's Work & NMMNG Integration
Certified No More Mr. Nice Guy therapist integrating behavioral pattern work with IFS to address the deeper parts underneath.
What to expect
If we're a fit, you can expect attuned listening, development of clear therapy goals, honest feedback, and weekly experiments that help translate insight into measurable change.
Sessions are via telehealth for Washington State residents. Matt is a Licensed Mental Health Counselor (LMHC), licensed in Washington State.
Free 20-Minute Pre-Consultation
Book a free pre-consultation through Alma. We'll clarify what's happening, what you want, and whether this approach matches what you're looking for.
Intake & Goal-Setting
First sessions focus on understanding your history, your patterns, and building clear, honest therapy goals that actually make sense for your life.
Ongoing Weekly Sessions
Weekly 60-minute sessions via telehealth. We track progress, adjust as needed, and keep translating insight into real-world change.
He's not approaching this from the outside.
Matt Simpson is a Licensed Mental Health Counselor in Washington State who has worked with neurodivergent adults since 2018—and has ADHD and autistic traits himself. His clinical work is IFS-informed, neurodivergent-affirming, and integrated with executive function scaffolding. He is a certified No More Mr. Nice Guy therapist who has studied and mentored with Dr. Robert Glover. He keeps a deliberately small client roster so the work gets the attention it deserves.
Executive Function Coaching
Beyond therapy, Matt runs High Signal Coaching—a global coaching practice for neurodivergent founders, tech professionals, and executives who need real-world execution support outside the clinical framework.
Coaching is available to anyone, anywhere. There's no clinical diagnosis, no therapy relationship, no geographic restriction. It's focused on systems, accountability, and building the external scaffolding that actually supports a neurodivergent brain in high-demand environments.
If you're outside Washington State, or if what you need is less about processing and more about execution—coaching may be the better fit.
Visit High Signal Coaching →Who coaching is for
- Neurodivergent founders & entrepreneurs
- Senior tech ICs and team leads
- Creatives managing complex output
- Anyone outside WA who needs EF support
- Those who want systems, not processing
What coaching focuses on
- Executive function scaffolding
- Habit and routine architecture
- Accountability structures
- Signal vs. noise — cutting what doesn't serve
- IFS as an operational framework (not therapy)
Therapy or Coaching — which is right for you?
Both draw on IFS and executive function frameworks. The difference is the clinical relationship, the geographic scope, and what you're optimizing for.
Track 1 Therapy
- Washington State residents only
- Licensed clinical mental health treatment
- Process-focused — explores underlying patterns, trauma, and relational dynamics
- Relationship-focused — the therapeutic relationship is part of the work
- Addresses mood, anxiety, grief, relational wounds, and identity
- Covered by out-of-network superbills (reimbursement possible)
- Suitable for significant distress, trauma history, or complex presentations
Track 2 Executive Function Coaching
- Available globally — anyone, anywhere
- Not clinical — no diagnosis, no treatment
- Results-focused — systems, accountability, execution
- Designed for high-capacity neurodivergent adults who need to perform
- Addresses ADHD execution gaps, habits, workflow, and decision-making
- IFS used as an operational lens — not as therapy
- No insurance / not reimbursable as medical care
Not sure which track fits?
Start with the free 20-minute pre-consultation. Matt will help you figure out whether therapy, coaching, or some combination makes the most sense for where you are right now.
What people ask before reaching out
Internal Family Systems (IFS) works with the different "parts" of you—the part that shuts down, procrastinates, or people-pleases—with curiosity instead of self-criticism. For adults with ADHD or neurodivergent traits, it addresses the shame underneath the patterns, not just the patterns themselves. Behavioral change without that inner work rarely sticks.
Yes — this is a telehealth-only practice. Sessions are conducted via Zoom, and you must be physically located in Washington State at the time of each session. A Zoom link is sent automatically when you book through Alma.
Yes. Matthew Simpson, LMHC is credentialed in-network with Aetna and Cigna. For clients with other insurers, superbills are automatically sent via Alma for out-of-network reimbursement. HSA and FSA cards are accepted in most cases.
Sessions go beyond tips and tools. The work combines IFS parts work to address shame and self-criticism, executive function scaffolding grounded in Barkley's research, and direct feedback on the patterns keeping you stuck. The goal is measurable change—not just better insight.
Book a free 20-minute pre-consultation through Alma. You'll pick a time, get an immediate confirmation with a Zoom link, and have a real conversation about what's going on and whether this approach is the right fit. No paperwork, no commitment.
Book via AlmaReady to figure out what's actually going on?
No intake forms. No commitment.
Just a 20-minute conversation to see if this is the right fit.