ADHD Coaching for Executives and Business Owners
Leaders with ADHD usually know what needs to be done. The hard part is the unscripted work: strategy, difficult conversations and following up on decisions when nobody is checking. Good coaching for this group adds back the structure the role took away: a plan each morning, someone who expects the work and follow-through on what was agreed.
Why the top job can be harder with ADHD
As a business grows, a capable team takes over the scripted work. What is left for the person at the top is open-ended: setting strategy, deciding what to stop, making the call that could go badly. That work has no deadline set by anyone else and no instruction manual, which is exactly where ADHD makes starting and sticking with a task hardest (why starting is so hard). Many leaders notice they perform well in a meeting with a clear agenda and stall at their own desk.
Research on entrepreneurs with ADHD is early but fits this picture. A study of 14 entrepreneurs diagnosed with ADHD found the condition shaped both their decision to go into business and how they ran it, linked to risk-taking, passion and persistence. About a third had failed or had little success. It is a small qualitative study, not proof, but it matches what many business owners with ADHD describe.
What executives need from a coach
- Structure without micromanagement: a daily plan you set together, not a system imposed on you.
- Accountability for strategic work, the projects that never have a meeting attached.
- Follow-through on people: tracking what you agreed with your team and when to follow up.
- Discretion: coaching is between you and your coach, and your sessions are never shared outside Get Up and Flow.
- Availability during your actual workday, not only in a weekly slot (daily vs. weekly coaching).
What to ask any ADHD coach
ADHD coaching is largely unregulated. A 2026 national survey of 481 ADHD coaches found 85% held no professional license and 90.5% worked without formal clinical support. Ask about training, clinical oversight, confidentiality and who you will actually work with from week to week.
How Get Up and Flow works for leaders
Full Support gives you the same coach every weekday, 8am–5pm Eastern, with up to 75 minutes of live time a day: a 30-minute Jump Start to set the day’s priorities, including the strategic work that never has a deadline; a text before each commitment with the context you need; up to two 15-minute Bonus Time calls when you stall; and a short Retro late in the afternoon to adjust. Clinical oversight comes from our Chief Clinical Officer, Bruce Parsons, MD, PhD, a psychiatrist with 30 years in private practice. You can be in any time zone; coaching hours are 8am to 5pm Eastern.
Full Support is $750 a month. Cancel anytime, with a full refund in your first 7 days. Executive coaching often costs more: industry guides put executive ADHD coaching at $150–$300 a session, with retainers of $2,000–$5,000 a month.
Is it a fit?
Probably yes if you run a team or a business, know what needs doing and lose days to the open-ended work. Probably not if you need diagnosis, medication or therapy, or you mainly want a sounding board for business strategy. Book a free 15-minute call and bring one real workday.