Occupational Therapy for Adult ADHD

You know what you
need to do.
Starting it is the problem.

Or you start, lose focus, and somehow it is two hours later and you have been scrolling without knowing when that happened. Then something small goes wrong and you snap at someone you care about. You go to bed with the same things undone as yesterday, with that familiar feeling that you should have done better.

That guilt, that exhaustion, that gap between who you are and how your days actually go. That is not a character flaw. That is ADHD. Something different is possible.

Book a free consultation Learn about CogFun

The reality of adult ADHD

More than just difficulty focusing

Adult ADHD does not look like a child who cannot sit still. It looks like a capable, intelligent person who knows exactly what to do and still does not do it. Who works twice as hard as everyone else and still feels behind.

"That gap between who you are and how your days actually go. That is not a character flaw."

Medication helps many people, and so do other therapies. CogFun works on a different layer entirely, the practical, daily life layer that other treatments do not directly address. It works alongside whatever you are already doing.

Newly diagnosed Long-diagnosed On medication In therapy Still struggling

Task initiation

Starting things, even things you want to do, feels like pushing through concrete

Time blindness

Two hours disappear. Deadlines appear out of nowhere. The future does not feel real

Inconsistency

You can do it perfectly once, then cannot replicate it. Others see this as laziness

Emotional dysregulation

Small things hit hard. You snap. You shut down. The reaction always feels too big

The guilt spiral

End of every day: the same things undone, the same feeling of falling short

The gap

You know what you are capable of. Getting there consistently is the problem

The protocol

What is CogFun?

CogFun is a structured, 25-session occupational therapy intervention developed specifically for adults with ADHD, one of the only protocols of its kind with published research behind it.

It is not coaching. It is not generic therapy. It is a structured, collaborative protocol designed around how ADHD actually works, starting with your specific life, your specific patterns, and the strategies you are already using.

How the four units work

Shared learning

Understanding how ADHD has shaped your daily life. Building awareness of your personal ADHD profile, its biological basis, and how it shows up across your life roles. Shifting from self-blame to accurate self-knowledge.

Strategy acquisition

Examining real daily situations and experiences. Looking at the strategies you already use, identifying which ones are actually working and which are draining you, and beginning to build on what works.

General strategy development

Expanding toward strategies that work across many situations and over time. Developing a sustainable way of functioning that fits who you actually are, including self-compassion, self-advocacy, and connecting to what genuinely matters to you.

Integration and self-management

Consolidating everything learned. Reassessment, planning for the future, and building the self-management foundation that lasts beyond the end of therapy.

People who complete CogFun come away differently.

They come away with a clearer understanding of how their ADHD works and a set of strategies that are genuinely theirs, built around their life, not borrowed from a generic list. They know when to use them, how to adapt them, and why they work for them specifically.

Published research

CogFun for adults is supported by peer-reviewed studies published in the American Journal of Occupational Therapy and other journals, with a controlled trial currently underway.

Kastner, Velder-Shukrun, Maeir et al. · AJOT 2022 → Budman, Maeir, Velder-Shukrun & Zaguri-Vittenberg · AJOT 2025 → Simchon, Maeir et al. · Cog-Fun RG Feasibility Study →

Dr. Addie Segal

OTD, OTR/L · NJ & NY Licensed

About

About me

I am a doctoral-level occupational therapist with nine years of experience in adult neurological rehabilitation. My entire clinical focus is the intersection of cognition, function, and daily life, the gap between what people know they can do and what they can actually make happen consistently.

I trained in CogFun under the clinician who developed the protocol and am a member of the research lab where it was created. I currently offer CogFun therapy in private practice via telehealth and through a pro bono clinic at Kean University.

Clinical Doctorate (OTD) · Boston University

9 years adult neuro OT, specializing in cognition and function

CogFun Certified · trained under the protocol's original developer

Member, Cognitive Functional Lab · Hebrew University of Jerusalem

Adjunct Faculty · Kean University, NJ

Licensed · New Jersey & New York

Work with me

How we can work together

One focus: helping adults with ADHD build the functional skills their daily life actually requires.

Private CogFun Therapy

One-on-one telehealth sessions following the full 25-session CogFun protocol. Personalized to your life, your goals, and your specific ADHD profile.

25 sessions Telehealth NJ + NY $150 per session Superbill provided

Book free consultation →

Free Clinic at Kean University

Through Kean University's pro bono clinic, adults with ADHD can receive the full CogFun protocol at no cost, as part of an ongoing research program.

No cost Any adult with ADHD Research program NJ & NY

Apply for free therapy →

Research Collaboration

We are actively partnering with ADHD centers and academic practices to expand the US evidence base for CogFun, in collaboration with Hebrew University.

ADHD centers Academic practices Co-authorship

Start a conversation →

Common questions

Quick answers

Short, direct answers for people who do not have time to read through paragraphs.

QIs this different from ADHD coaching?

Yes, significantly. CogFun is a clinical intervention delivered by a doctoral-level OT, grounded in published research. Coaching is not evidence-based or manualized. CogFun is.

QDo I need a formal ADHD diagnosis?

Yes. A prior diagnosis from a qualified provider is required for private sessions. For the Kean pro bono clinic, any adult with a confirmed ADHD diagnosis is eligible.

QDoes insurance cover this?

I am out-of-network. I provide superbills for all sessions which you submit to your insurance for potential reimbursement. Many PPO plans reimburse 40 to 70% of OT fees. Call your insurer and ask about your out-of-network OT benefits before your first session.

QHow is telehealth CogFun delivered?

Sessions are via secure HIPAA-compliant video. The protocol is fully adapted for telehealth, all 25 sessions, all outcomes, fully online.

QWhat states do you serve?

New Jersey and New York via telehealth.

QI am already on medication and in therapy. Is this for me?

CogFun is designed to work alongside medication and other therapies, not instead of them. It addresses the functional layer that other treatments do not directly target.

Get in touch

Start the conversation

Whether you are wondering if CogFun is right for you, have questions about the process, or want to explore the free clinic at Kean University, reach out and I will get back to you within one business day.

adisegalotd@gmail.com (919) 260-5644 Telehealth · New Jersey & New York

Send a message

Thank you for reaching out. I will be in touch within one business day.

You know what youneed to do.Starting it is the problem.