Online therapy for adults with ADHD or ASD · Texas & Vermont
Come as you are.
Leave more yourself.
Individual therapy with Samuel Isaiah Bisset, M.A., LPC.
A space to clarify what matters—and begin moving toward it, long before you feel ready. LGBTQ+ affirming.
How I work
Every Truth is true in its kind. It is substance in its own place, though it be but a shadow in another.
Isaac Penington, 1653
My therapeutic lens is Acceptance and Commitment Therapy (ACT). ACT looks at your thoughts and feelings in context — not as problems to eliminate, but as experiences that show up while you're trying to live your life. Rather than a one-protocol-fits-all method, I value taking a nuanced approach to each person, each skill, and each situation. Let's build your capacity to live fully alongside whatever noise shows up.
Values over Goals
Most people arrive knowing what they want to stop feeling. ACT invites a different lens. Rather than focusing on what you don't want to feel, let's clarify what you're moving toward — no matter what feelings tag along.
Committed Action
We don't spend sessions analyzing or wrestling with your thoughts. We take deliberate steps, test real-world behavior, and work directly with what arises.
Acceptance & Defusion
The goal isn't clearing out anxiety, grief, or doubt before your life can start. It's learning to unhook from those feelings, build space to carry them, and keep moving anyway.
Also offered
HeartMath biofeedback
I'm a HeartMath® Certified Practitioner. HeartMath is a heart-rate-variability (HRV) biofeedback method: real-time feedback while you practice breathing and heart-focused techniques, teaching your nervous system to settle in the moment. A concrete, practicable skill that sits alongside therapy rather than replacing it.
Sessions are delivered virtually. A small HRV sensor is all that's needed — one you may already own, or one the practice can provide. We'll sort out what makes sense on the consult call.
ADHD, specifically
How I work with ADHD
I offer online ACT therapy for adults with ADHD across Texas and by telehealth in Vermont. The work is practical: we untangle the shame spirals and all-or-nothing thinking that come with executive dysfunction, and build structure around what actually matters to you — not around how a neurotypical calendar says your week should look. Acceptance and Commitment Therapy fits ADHD well because it doesn't start with fixing you; it starts with noticing what's happening, loosening the grip of unhelpful thoughts, and taking small, values-driven steps you can repeat. LGBTQ+ affirming. Secure video sessions, early mornings, evenings, and weekends.
Do you diagnose ADHD?
Yes — assessment is my foundation, and I take diagnosis seriously. It's a separate process, not something folded into a regular session. Many clients arrive already diagnosed; others arrive with the question. Either starting point works, and we can talk about whether a full assessment makes sense for you.
Is this coaching or therapy?
Therapy. Coaching tends to aim at performance; this work aims at the whole person — the shame, the avoidance, the stuckness underneath the missed deadlines. The practical tools come along, but they're not the whole story.
What does a first session look like?
A conversation, not an interrogation. We'll talk about what's bringing you in, what you've already tried, and what a better week would actually look like. You'll leave with one small thing to try — and a sense of whether we're a fit.
ASD, specifically
How I work with ASD
I offer online Acceptance and Commitment Therapy (ACT) for adults with autism spectrum disorder (ASD) across Texas and by telehealth in Vermont.
Our work will focus on identifying what matters deeply to you, not just your goals — your values. We will build skills to notice what is present and loosen the grip of shame and self-criticism. With those tools in hand, we place our aim at building a life in which you consistently move toward what matters most to you.
ACT looks at what a behavior does for you. When you notice a behavior that moves you away from your values, we look at what it does for you in the moment, what it costs you over time, and whether there's another way to meet the same need — so you can keep realigning with your values.
My work with ASD is informed by specialized training and lived experience.
What we can work on
- Sensory overload and recovery
- Transitions and changes in routine
- Masking and the exhaustion that can follow it
- Extreme overwhelm
- Communication
- Relationships
- Executive functioning and everyday structure
- Internal signals, overwhelm, and needing time to process
- Anxiety, depression, or OCD alongside ASD
- Work, school, and asking for accommodations
Is the goal to help me act more neurotypical?
No — not at all. We will develop specific treatment goals together. My overall aim is to walk with you as you build a life you value. There is nothing about neurodiversity that prevents meaningful engagement in life as fully as anyone else.
What if talking is hard during a session?
Tell me what helps. We can write instead of talk, pause for a break, adjust camera use, and take the time you need to process. Sessions have predictable openings and closings, so you know what to expect.
Do you diagnose ASD?
Yes — assessment is my foundation, and I take diagnosis seriously. An ASD assessment is a separate process, not something folded into a regular therapy session. We can talk about what the process involves and whether it makes sense for you.
Do I need a formal diagnosis to begin therapy?
No. You do not need a formal ASD diagnosis to engage therapy. If you are questioning whether you have ASD, we can talk about what you are noticing and whether a separate assessment would be useful. Insurance may have its own requirements; we can sort that out together.
When the direction itself isn't clear
Some people come to therapy knowing what they want out of life but they are unsure how to get there. Others arrive less sure — unclear what they actually value, versus what they were taught they were supposed to do to achieve a good life.
Both are a fine place to start. In fact, clarifying what matters is often the work itself.
Along the way, familiar things can make life harder: overwhelm that makes an ordinary day feel heavy, shame that follows a missed deadline, the tiredness of masking all day to meet expectations that don't fit, avoidance that helps briefly and costs more later, and tasks that feel harder than they should.
If any of that sounds familiar, you're in the right place.
Steady and alive are not opposites.
Samuel Isaiah Bisset, LPC
I'm a Licensed Professional Counselor in Texas. Vermont's Office of Professional Regulation has also approved my Interim Telehealth Registration for clinical mental health counseling, so I can meet with clients located in Vermont by telehealth. My work is grounded in Acceptance and Commitment Therapy — I've trained in other models and draw on them where they fit, but I don't mix approaches that pull in opposite directions. Coherent care matters.
Ahari (ah-HAH-ree) is a word from Belize, my family's amazing home. The practice is named for them.
Independently benchmarked for culturally competent care by Violet, across BIPOC, LGBTQ+, and gender-diverse (TGNC) communities.
What working together looks like
- We clarify what matters to you — separating what you value from what you were taught to value.
- We understand the patterns that keep getting in the way.
- We practice skills that fit your actual life, not a generic plan.
- We review what works and adjust when it doesn't.
No rigid program. Structure you can feel, without therapy feeling procedural.
The practical parts
I see clients by video anywhere in Texas and, under my Vermont Interim Telehealth Registration, clients located in Vermont. Everything here is straightforward on purpose — if something doesn't work for you, say so on the consult call and we'll figure out whether I'm the right fit.
Private pay
$135 per 50-minute session. No diagnosis required to start, no insurer deciding how long we work together, and nothing about our sessions shared beyond what's needed for billing and what the law requires.
Insurance
For Texas clients, in-network through Alma with Aetna, Cigna, Carelon, and Providence Health Plan — private pay also available. Vermont telehealth is currently private pay. Insurance billing and Texas video sessions are on Alma.
Cost depends on your plan. See your plan and book on Alma →
Good to know
- Video sessions. All sessions are held by secure video. Texas sessions are held on Alma's telehealth platform.
- Vermont telehealth. Vermont's Office of Professional Regulation has approved my Licensed Clinical Mental Health Counselor — Interim Telehealth Registration. Vermont care is telehealth only; no in-person services are offered in Vermont. Vermont clients are currently private pay — please email or call to arrange a free consult.
- Hours. Scheduling bends around your life — most sessions land in the early morning, evening, or on weekends.
- First appointment. Initial intakes usually need a few days' lead time. If you need something substantially sooner, that can be a sign a different level of care is the better fit — I'm glad to help you think that through.
- Getting in touch. Email or phone works. I reply within one business day.
- The free consult. An optional 15-minute call for your questions before anything else. It's not an intake and not a referral session — just a chance to see whether we're a fit.
A free 15-minute call, first
We talk briefly about what brings you in and whether working together makes sense. If it doesn't, I'll point you toward someone better suited. Please don't include clinical detail when you book — we'll cover that on the call.
Prefer email or phone? admin@projectahari.com · (512) 814-8072