Chronic Pain Therapy, Adult ADHD Therapy & ADHD Assessments
Nervous-system–informed therapy and assessment for adults living with chronic pain or ADHD. I work with people seeking relief from persistent pain, support for adult ADHD, or clarity through thoughtful ADHD assessment—especially after approaches that never fit how their brain and body actually work.
Melissa Ellsworth, Ph.D.
Licensed Clinical Psychologist
How I Can Help
Chronic Pain Therapy
Support for adults living with chronic pain or persistent physical symptoms shaped by stress, trauma, or nervous-system sensitization. Therapy focuses on helping the brain and body feel safer and less reactive, so pain no longer has to dominate daily life.
Adult ADHD Therapy
Therapy for adults with ADHD navigating overwhelm, emotional intensity, burnout, and follow-through challenges. This work is designed for people who feel exhausted by traditional productivity approaches and want support that fits how their nervous system actually works.
ADHD/Autism Assessments for Adults
Comprehensive, affirming ADHD and autism evaluations for adults seeking diagnostic clarity. Assessments are collaborative and grounded in real-world functioning, with autism evaluations available when clinically indicated due to diagnostic overlap.
Hi, I’m Melissa.
I’m a licensed clinical psychologist in Washington and Oregon with over a decade of experience working at the intersection of neuroscience, chronic pain, and neurodevelopment.
My work focuses on how nervous systems adapt under long-term stress — whether that shows up as persistent pain, burnout, sensory overload, emotional suppression, or years of masking and compensating. I specialize in three closely related areas: neuroscience-informed therapy for chronic pain, therapy for adults with ADHD and adult ADHD and autism evaluations for late-identified, high-masking adults.
In both roles, I work with adults who are insightful, capable, and often exhausted by years of trying to “figure themselves out” within systems that never quite fit. Many are high-functioning, high-masking or living with symptoms that don’t map neatly onto structural findings or traditional diagnostic boxes.
Much of what I do involves translating complex science into clear, usable understanding. This includes therapy for chronic pain and mind–body conditions, comprehensive ADHD and autism evaluations for adults seeking diagnostic clarity or accommodations, and consultation and supervision for clinicians working with complex nervous-system presentations.
In addition to my clinical training, I bring a lived experience with chronic pain and ADHD, which informs my respect for pacing, autonomy, and the realities of real bodies and real lives. I don’t view therapy or assessment as a process of fixing what’s broken. I see it as helping a nervous system make sense of its own history and supporting meaningful change, clarity, and self-trust.
Schedule a Initial Consultation
During our 20-minute consult, I’d love to hear more about what you’re looking for in therapy and/or an evaluation. I’ll also share more about my approach and areas of expertise and answer any questions you may have. We can decide together if we’re a good fit and if not, I’m happy to offer referrals to other providers who may be a better match.
A few important details before we meet:
I am not in-network with any insurance companies. My fee for therapy is $225 per 50-min session. For evaluation fee options, please see the Autism/ADHD Assessment page here.
I partner with Thrizer, a service that helps streamline out-of-network billing and can submit claims on your behalf.
Please indicate if you are interested in therapy and/or an assessment. If you have questions or need additional consultation availability, please fill out the contact form here or e-mail me directly at: melissa@realignpsych.com.