Janelle DuFresne (she/her)

ADHD is more than distractibility or difficulty sitting still. We can explore executive functioning, emotional regulation, motivation, sensory needs, relationships, and the frustrating gap between knowing what you want to do and being able to do it. My approach is neurodiversity-affirming: the goal isn't to make your brain behave more “normally,” but to understand how it works and build strategies that actually fit.

I use ERP primarily in my work with OCD and anxiety. Together, we identify the cycle of intrusive thoughts, uncertainty, avoidance, reassurance, and compulsions, then gradually practice responding differently. Exposure is collaborative and intentional—not about forcing you to “just face your fears,” but learning that discomfort and uncertainty don't have to make your decisions.

OCD can make uncertainty feel intolerable and turn reassurance, checking, avoidance, rumination, or other compulsions into convincing solutions that ultimately keep the cycle going. We’ll learn to recognize that cycle, understand what reinforces it, and practice responding differently—building your ability to tolerate uncertainty without letting OCD make every decision.

My experience with eating disorders includes outpatient treatment and clinical research in binge eating. I approach food and body concerns without shame, moralizing, or reducing recovery to weight. We can explore the patterns, emotions, beliefs, and experiences surrounding eating while building flexibility, self-understanding, and a life with more room for things beyond food and body concerns.

I use trauma-focused cognitive behavioral strategies to help children and adolescents understand how experiences can affect thoughts, emotions, behaviors, and the body. Treatment is structured while remaining flexible to the individual, with an emphasis on building skills, making meaning of experiences, and strengthening a sense of safety and confidence without defining someone by what happened to them.

I draw from RO-DBT when rigidity, perfectionism, emotional inhibition, or an intense need for control gets in the way of connection and flexibility. We explore openness, social signaling, self-inquiry, and ways to respond more flexibly when your brain really, really wants there to be one correct answer.