Adult ADHD & Anxiety Counseling in Columbus, GA

You’re capable. You’re smart. You’ve built systems, made lists, pushed through. And somehow, you’re still perpetually behind, quietly overwhelmed, and running on a low-grade hum of anxiety that never fully turns off.

For many adults, ADHD isn’t the scattered, hyperactive version they’ve seen portrayed on TV. It’s the version that looks like competence from the outside and feels like chaos from the inside. It’s anxiety that’s actually ADHD in disguise — or ADHD and anxiety running in tandem, each one feeding the other.

At ADAPT Network, we specialize in untangling that picture — and building a real, personalized path forward.

Ready to get started? Contact Erin Harkey at 706.610.0332 or ErinHarkey@adaptcounseling.com to schedule a consultation.

Meet Erin Harkey, LMSW

Erin Harkey is ADAPT Network’s specialist for adult ADHD and anxiety — and her approach goes well beyond symptom checklists and coping tips.

Erin looks at the whole picture: how your mind and body interact, what environments and habits are working for you (and which aren’t), how your nervous system responds to stress, and how to build practical strategies that fit your actual life — not a textbook version of it.

Her clinical toolkit for ADHD and anxiety includes:

  • Holistic ADHD management — understanding your ADHD pattern, building structure that actually works, and reducing shame around how your brain operates
  • Anxiety treatment — identifying the patterns that have become automatic and building the skills to interrupt and shift them
  • Gottman Method — for couples where ADHD or anxiety is affecting the relationship dynamic
  • Sport performance counseling — for athletes where anxiety or focus challenges are affecting performance

Erin sees clients in person at ADAPT Network’s Columbus, GA office, via telehealth throughout Georgia, and through walk/talk therapy sessions outdoors.

Adult ADHD: What It Actually Looks Like

ADHD in adults — especially women — is widely misunderstood and underdiagnosed. Most people picture a hyperactive child. The adult reality is often quieter and more complex:

  • Chronic procrastination despite genuine intention to start
  • Starting many things, finishing few
  • Difficulty with time — consistently underestimating how long things take
  • Emotional dysregulation — intense reactions that feel disproportionate and hard to control
  • Hyperfocus on things that interest you, complete inability to engage with things that don’t
  • Mental exhaustion from the effort of appearing organized and on top of things
  • A long history of being told you’re not living up to your potential
  • Anxiety that may actually be ADHD — the nervous system’s response to chronic disorganization and perceived failure

Many adults don’t receive an ADHD diagnosis until their 30s, 40s, or later — often after a child is diagnosed and they recognize themselves in the description. Wherever you are in that process, Erin can help you understand what’s actually going on and what to do about it.

Anxiety: Beyond Worry

Anxiety is more than worrying too much. It’s a nervous system response — a pattern of activation that can become chronic, automatic, and deeply woven into how you move through the world. For many people, anxiety shows up as:

  • Racing thoughts that won’t quiet, especially at night
  • Physical tension, restlessness, or a sense of dread with no clear cause
  • Avoidance of situations, conversations, or decisions
  • People-pleasing and difficulty saying no
  • Perfectionism as a protective strategy
  • Irritability, difficulty concentrating, or feeling constantly on edge
  • Panic attacks or sudden waves of intense fear

Erin’s approach to anxiety goes beyond management techniques. She works with you to understand where your anxiety comes from, what it’s protecting, and how to address it at a level that creates lasting change — not just temporary relief.

Walk/Talk Therapy — A Different Kind of Session

For clients who feel cooped up, restless, or find that sitting face-to-face across a desk isn’t their thing — Erin offers walk/talk therapy: sessions conducted outdoors while walking.

Movement helps. Fresh air helps. And for many people — especially those with ADHD — the combination of motion and conversation unlocks things that sitting still never could. The side-by-side dynamic of walking together also shifts the relational experience of therapy in ways many clients find more natural and less pressured.

Walk/talk sessions are available weather-permitting for clients in the Columbus area. Ask Erin about this option when you schedule.

LENS Neurofeedback for ADHD and Anxiety

For clients whose ADHD or anxiety hasn’t responded fully to talk therapy — or who want to address the nervous system dimension of their symptoms more directly — LENS Neurofeedback is available at ADAPT Network.

LENS works by delivering a gentle, non-invasive signal to the brain that helps the nervous system recognize and shift its own patterns. For ADHD, this can improve focus, reduce emotional reactivity, and support the regulatory capacity that makes everything else — including therapy — more effective. For anxiety, LENS helps the nervous system down-regulate out of chronic activation.

ADAPT Network has two Ochs Labs-certified LENS providers — making integrated care genuinely accessible. Many clients work with Erin in therapy and add LENS sessions with Christy Hubbard or Katie Krieg, creating a layered approach that addresses both the behavioral and neurological dimensions of ADHD and anxiety.

Who We Work With

Erin works with adults experiencing ADHD and anxiety across a wide range of life circumstances, including:

  • Adults newly diagnosed with ADHD or exploring whether ADHD explains their experience
  • Women with ADHD that was missed or misdiagnosed for years
  • High achievers whose anxiety is tied to perfectionism and fear of failure
  • Military service members and veterans managing anxiety, hypervigilance, or difficulty transitioning
  • Athletes dealing with performance anxiety or focus challenges
  • Couples where ADHD or anxiety is affecting the relationship
  • Adults managing ADHD and anxiety alongside depression, burnout, or life transitions

Frequently Asked Questions

Do I need a formal ADHD diagnosis to work with Erin?

No. Many adults come to Erin without a formal diagnosis — either because they’ve never been evaluated, or because they recognize themselves in the description and want support regardless of a label. Erin can work with you whether or not you have a diagnosis. If you’re interested in formal evaluation, she can discuss referral options.

What’s the difference between ADHD and anxiety — and can I have both?

Yes, you can have both — and they’re extremely common together. ADHD can cause anxiety (the nervous system’s response to chronic disorganization and perceived failure), and anxiety can mimic ADHD (difficulty concentrating, restlessness, racing thoughts). Untangling which is which — and addressing both — is exactly what Erin specializes in.

Is medication the only option for adult ADHD?

No. Medication can be helpful for many people with ADHD, but it’s not the only option and it’s not right for everyone. Erin’s approach focuses on holistic management — building systems, habits, and coping strategies that work with your brain rather than against it. For clients interested in a non-medication approach or looking to complement medication with behavioral support, ADAPT Network also offers LENS Neurofeedback as an adjunct.

What is walk/talk therapy and how does it work?

Walk/talk therapy is exactly what it sounds like — a therapy session conducted while walking outdoors. Erin meets you outside and you walk and talk side by side, just as you would in a traditional session. Research supports the benefits of movement and nature on mood, anxiety, and cognitive function. For clients with ADHD or anxiety, the physical movement can make it easier to stay present and engaged in the session.

Can LENS Neurofeedback replace therapy for ADHD?

LENS is a powerful tool, but it works best as part of an integrated approach rather than a standalone replacement for therapy. At ADAPT Network, many clients do both — working with Erin on the behavioral and relational dimensions of ADHD and anxiety while using LENS to support nervous system regulation at a neurological level. The combination tends to produce better and more lasting results.

Do you work with military clients or veterans?

Yes. ADAPT Network serves clients from Fort Moore and the broader military community in Columbus, GA. Erin is experienced in working with service members and veterans navigating anxiety, hypervigilance, transition stress, and the ways military life can intersect with ADHD symptoms. Telehealth is available for clients who are geographically mobile.

Serving Columbus, GA and Surrounding Communities

ADAPT Network is located at 1443 2nd Avenue, Suite B, Columbus, GA 31906. Erin sees clients in person from Columbus, Phenix City AL, Fort Moore, Harris County, and surrounding communities. Telehealth sessions are available throughout Georgia. Walk/talk therapy is available for Columbus-area clients.

Ready to Stop Running on Empty?

Contact Erin Harkey, LMSW to schedule your first session. 
706.610.0332 or ErinHarkey@adaptcounseling.com

In-person • Telehealth • Walk/Talk Therapy