Dr. Selena Sanchez,LAC, ICAADC, LAADC, SAP

B. ADHD Coaching - 15 Session Intensive Package

USD 2,855.78

Dr. Selena Sanchez,LAC, ICAADC, LAADC, SAP

Schedule your free ADHD Consultation and Sessions

50 Minutes
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Additional Information

Pre-Coaching Commitment & Appropriateness Form
Please read all questions carefully and answer them thoroughly. 

* Your privacy is very important to me, and everything we discuss is kept confidential. The only exceptions are situations where there is a concern about safety, such as risk of harm to yourself or others, or as otherwise required by law. In those cases, I am required to take appropriate steps to ensure safety and support. 

 The coach will seek to understand the client’s presenting concerns prior to the initial session and throughout the coaching process. Although coaching is not therapeutic in nature, the coach’s clinical background requires ongoing consideration of the appropriateness of coaching services and, when necessary, the recommendation of therapy or other supports. 
How committed are you to attending all the sessions you purchased
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A full refund will be issued if you cancel 48 hours ahead of your first appointment. A partial refund of the full amount of the package minus $185 will be issued if cancelled 24 hours in advance. No other refunds are issued. Please type "I agree" in the comment section.
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I understand that full completion of all required questionnaires, assessments, and assigned action steps is mandatory throughout the duration of my coaching plan.

I agree to complete all required materials by assigned deadlines, unless a barrier is communicated to my coach in advance.

I agree to consistently apply coaching strategies between sessions, not only during coaching sessions.

I agree to track progress, patterns, and outcomes as directed as part of my coaching plan.

I understand that failure to meet participation requirements may result in modification or pause of coaching services.
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Have you been diagnosed with ADHD specifically by a qualified licensed mental health/health care professions? (they must be licensed, please do not include someone in graduate school who is required to diagnose as an assignment)
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What is your understanding of what ADHD is?
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Substance Use * it is important to be honest about frequency, quantity, duration of any substances including alcohol (which includes beer) and marijuana as it is a drug

Do you currently use any of the following: alcohol, cannabis, nicotine, prescription medication as prescribed, prescription medication not as prescribed, cocaine, amphetamines, methamphetamine, PCP, Ketamine, Psilocybin etc...
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Quantity: On a typical day or occasion, how much do you use the substances indicated above?
Frequency: How often do you use each substance (i.e., daily, 1 to 2x a week, 4 to 6x a week, weekends only, occasionally, situationally, rarely, never)
Duration: How long as this been part of your routine (i.e., less than 6 months, 6-12 months, 1-3 years, 3-5 years, 5+years)?
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Why do you use the specific substances you identified: (i.e., focus or productivity, energy or motivation, stress or anxiety, shutting your brain off or reducing racing thoughts, boredom or under stimulation, social situations, habit or routine, not sure, or other)?
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To what degree do you engage in any of the following: scrolling/phone use, food or sugar intake, overworking, gaming, shopping/spending, exercise, caffeine stacking, other)?
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Other symptoms experienced

What is the level of severity you experience anxiety?
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Have you ever been diagnosed by a mental health professional with any form of an anxiety disorder (please provide diagnoses)
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What is the level of severity you experience depression?
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Have you ever been diagnosed with any form of a depressive disorder
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Do you have any thoughts, ideations, or plans to harm or kill yourself or anyone else?
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Have you attempted suicide in the last year?
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Do you have a history of trauma that has not been addressed in a therapeutic setting (please do not describe the trauma)
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Please explain your understanding of the difference between coaching and counseling and why you believe coaching is a more appropriate method for you as opposed to counseling
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ADHD types/symptoms

For the following questions please identify all that apply to you in each section and to what degree.
Attention & Focus Regulation

  1. I struggle to stay focused on tasks that are boring, repetitive, or paperwork-heavy.

  2. I lose focus even when I want to pay attention.

  3. I hyperfocus on certain tasks and lose track of time.

  4. I start tasks but get distracted before finishing them.

  5. I need urgency (deadlines, pressure) to focus.
Please enter your response.
Task Initiation & Follow-Through

  1. I delay starting tasks even when I know they are important.

  2. I feel mentally “stuck” when trying to begin something.

  3. I underestimate how long tasks will take.

  4. I have many unfinished projects.

  5. I rely on last-minute effort to complete tasks.
Please enter your response.
Organization & Time Management

  1. I struggle to keep systems organized (calendar, email, workspace).

  2. I forget appointments, deadlines, or commitments.

  3. I feel overwhelmed when planning or prioritizing tasks.

  4. I have difficulty breaking big goals into steps.

  5. I often feel behind, no matter how hard I work.
Please enter your response.
Emotional Regulation & Stress Response

  1. I experience intense emotional reactions to stress or criticism.

  2. I feel easily overwhelmed or mentally overloaded.

  3. Small problems feel bigger than they “should.”

  4. I struggle to recover emotionally after setbacks.

  5. My motivation fluctuates based on mood or interest.
Please enter your response.
History & Context (Yes / No)

  1. I had similar struggles as a child or teenager.

  2. Others have commented on my distractibility or forgetfulness.

  3. These challenges occur across multiple areas of my life (work, home, relationships).

  4. These challenges persist even when my life is relatively stable.

  5. I have tried “typical” productivity tools without long-term success.
Please enter your response.
Rule-Out & Differentiation Questions

  1. My challenges began after a major life stressor or trauma.

  2. My difficulties improve significantly when stress is reduced.

  3. Anxiety or perfectionism is my main barrier to action.

  4. Depression or low mood significantly impacts my motivation.

  5. Sleep, medical, or substance-related issues explain most of my struggles.
Please enter your response.
Hyperactivity (Internal & External)

Note: Hyperactivity in adults often shows up as internal restlessness, not “running around.”

  1. I feel internally restless even when sitting still.

  2. I have difficulty relaxing or “shutting my brain off.”

  3. I feel driven to stay busy, even when tired.

  4. I fidget, tap, shift positions, or play with objects.

  5. I feel uncomfortable during long meetings or sedentary tasks.

  6. My mind feels like it is always “on.”

  7. I talk more when I’m excited, stressed, or stimulated.

  8. I feel impatient when things move slowly.

  9. I feel agitated when forced to wait.

  10. I struggle with boredom more than most people.
Please enter your response.
Impulsivity (Behavioral, Cognitive, Emotional)

  1. I interrupt others or finish their sentences.

  2. I speak before fully thinking things through.

  3. I make quick decisions and think about consequences later.

  4. I act on urges (spending, texting, changing plans) in the moment.

  5. I have difficulty pausing before responding emotionally.

  6. I struggle with impatience in conversations or processes.

  7. I feel a strong urge to “fix,” respond, or act immediately.

  8. I say yes to things I later regret.

  9. I change directions quickly when something new grabs my attention.

  10. I struggle with delaying gratification.
Please enter your response.
Emotional Impulsivity (Often Missed)
  1. My emotional reactions feel stronger than the situation warrants.

  2. I have difficulty containing frustration or irritation.

  3. I react quickly to perceived criticism or rejection.

  4. My mood can shift rapidly.

  5. I regret emotional reactions after they happen.

  6. I feel emotionally flooded under pressure.

  7. I struggle to “pause” before reacting.

  8. I have difficulty letting things go.

  9. I experience rejection or failure very intensely.

  10. My emotions sometimes drive my decisions.
Please enter your response.
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