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George Goldston
About
If you've read a lot of therapy bios trying to find someone who actually gets it, you've probably noticed they all start to sound the same. I'll skip that part.I'm George. I'm a Licensed Marriage and Family Therapist based in Raleigh, North Carolina. I see clients in NC, SC, Oregon, and Washington. I work with late-diagnosed ADHD and autistic adults.Before I did this, I worked in media, in community mental health, and on crisis lines. I came to therapy the long way. I think that makes me harder to surprise.
I'm queer and neurodivergent myself. I have ADHD, diagnosed late enough to mess with my sense of myself.
So I know what it's like to spend years getting told you're too much, or not enough, or both. To finally get a name for the way your brain works and then realize the name doesn't fix anything on its own. It explains your past. It also kind of breaks your present.
Most of the people I see arrive in some version of that. They are tired from years of trying to look fine. They are sometimes angry. They are often confused about what's actually them and what was a coping strategy that ate their life.
I do this work because the kind of therapy I needed when I was figuring myself out was hard to find. I'd rather be the person you don't have to translate yourself to.
My approach is built around identity integration, not symptom management. Plain version: the goal isn't better time management or smoother executive function. The goal is a life that doesn't cost you yourself to maintain.
That usually means looking at how hard you've worked to fit into systems that were never built for you. Some of those coping strategies kept you alive. Some of them are now the thing that is exhausting you. Sorting which is which is part of what we do.
I work from a family systems background. When something is not landing in your life, I look first at what is around you: relationships, environments, the demands you are inside of. I look at those before I look at you. You are not usually the problem. You are usually responding to something.I will not hand you coping tips that just make masking easier. I will be honest when something I am doing isn't working. And I follow your lead on pace, language, and how much eye contact, video on, or small talk feels useful.
