Therapy for Athletes & Coaches | Breakthrough Counseling | Ohio Telehealth LPCC
Clinical Therapy · Ohio Telehealth · Private Pay

Therapy built
for how athletes
actually think.

Private clinical therapy for professional and collegiate athletes, coaches, and sports professionals. Specializing in relationship counselling, career transitions, and ADHD. No insurance. No record. Available wherever your season takes you.

Ohio LPCC Licensed 100% Private Pay No Insurance Trail Telehealth Statewide
100%
Private Pay
OH
Telehealth Statewide
LPCC
Licensed Counselor
02
The reality

Most therapy
wasn’t built
for you.

You’ve spent your career in environments where directness is normal. Where feedback is specific. Where wasted time has a real cost. Where the expectation is that you show up, do the work, and move.

Most clinical therapy doesn’t feel like that. It feels slow, passive, and disconnected from the way high performers actually think and operate. That mismatch isn’t a flaw in you — it’s a design problem.

This practice is designed differently.

  • ADHD is overrepresented in elite athletesThe hyperfocus, risk tolerance, and in-the-moment awareness that make great athletes are the same neurological traits associated with ADHD. Sport provides a container. When sport is absent, the container disappears.
  • Relationship strain is endemic in professional sportsTravel, public scrutiny, financial imbalance, identity entanglement with performance. Most couples therapists have no framework for what athletic relationships actually face. This practice does.
  • Retirement and injury hit differently than anyone prepares forThe identity loss, the structure disappearing overnight, the ADHD that athletic routine was containing. These transitions require a therapist who understands what sport actually provides psychologically.
  • Privacy matters more for athletes than almost anyoneA therapy record is not just personal — it can be professional. Private pay means no insurance trail, no third-party record, no organizational access to your care.
  • Telehealth removes the biggest logistics barrierRoad trips, training camp, away games. You can maintain consistent clinical work regardless of where your season takes you.
Who this is for

Athletes at every
stage of the career arc.

01
Active professional athletes

NFL, MLB, NBA, NHL, MLS, and Pro Volleyball – Ohio’s teams and beyond. Relationship strain from travel and public pressure. Managing ADHD during a career. Telehealth from wherever your season takes you, even when you and your partner are in separate locations.

02
Collegiate athletes

OSU, UC, Cleveland State, and programs across Ohio. Relationship issues. Performance anxiety with a clinical component. ADHD in high-demand academic and athletic environments. Private, discreet, telehealth from campus or home.

03
Athlete couples

Two athletes, or one athlete and one partner navigating a professional sports relationship. Travel, identity, financial dynamics, public pressure — Imago + Gottman applied to what athletic relationships actually face. Intensives available.

04
Athletes in transition

Retirement. Injury. Trade. The end of the thing that defined everything. The identity loss is real, the adjustment is significant, and most therapists underestimate both. This is a specific clinical specialty here.

05
Coaches & sports professionals

Coaching carries the same high-performance pressure as playing — without most of the support. Front office professionals, trainers, and sports staff navigating leadership stress, burnout, and relationship strain under the radar.

06
Athletes with ADHD at any level

Diagnosed, suspected, or late-diagnosed. ADHD in athletes has specific clinical features that general ADHD therapy misses. Solution-Focused, strengths-based, built around how the ADHD-athletic brain actually functions.

ADHD + elite sport

The trait that
made you exceptional
has a shadow side.

ADHD is dramatically overrepresented in elite athletes. The same neurological traits that generate extraordinary performance — hyperfocus, risk tolerance, rapid pattern recognition, high stimulation threshold — are the core features of ADHD. Sport provides a natural container for them.

When sport is absent — off-season, injury, retirement — the container disappears. What was an asset in competition becomes dysregulation in the living room. The relationship absorbs it. The identity starts to fracture.

I specialize in ADHD therapy for athletes using a Solution-Focused approach that builds on your existing strengths rather than treating them as liabilities to be managed.

Schedule a free consult →
Athletes who have spoken publicly about ADHD
  • Simone Biles Most decorated American gymnast in history
  • Michael Phelps 23× Olympic gold medalist
  • Noah Lyles 100m world champion, 2024 Olympic medalist
  • Erin Jackson 2026 Olympic gold medalist, figure skating
  • Justin Verlander 3× Cy Young Award winner, MLB
  • Charly Arnolt ESPN anchor, former competitive bodybuilder

ADHD is not a disqualification. For many athletes it is the neurological foundation of their exceptional performance. The work is learning to carry it across the whole of your life — not just the parts sport structures for you.

Services & investment

What I offer.
What it costs.

Private pay only
Athlete ADHD Therapy

Individual ADHD therapy for athletes — active, transitioning, or retired. Solution-Focused, strengths-based, built around how the athletic-ADHD brain functions rather than against it.

$200/ session
01
Private pay only
Athlete Couples Counseling

Imago Therapy & Gottman Method for athletic couples. The specific stressors of a professional sports relationship require a therapist who has a clinical framework for them. This practice does.

$275/ session
02
Private pay only
Injury Recovery Psychology

The psychological component of physical rehabilitation — identity disruption, depression, anxiety, motivation, and the relationship strain that accompanies long-term injury. Available via telehealth during recovery.

$250/ session
03
Private pay only
Career Transition & Retirement

The identity, structure, and purpose that sport provided don’t transfer automatically to what comes next. This is significant work, and it is significantly underaddressed. Specialized focus here.

$250/ session
04
Private pay only
Half-Day Couples Intensive

3–4 hours of concentrated couples work via telehealth. For athlete couples who can’t commit to weekly sessions but can clear a Saturday. Concentrated, immersive, and outcomes-focused.

$1,200/ intensive
05
Private pay only
Full-Day Couples Intensive

A full day of immersive athlete couples work via telehealth. Equivalent in depth to several months of weekly sessions. Available in the off-season or around demanding schedules.

$2,500/ intensive
06

A note on scope: I am a Licensed Professional Clinical Counselor (LPCC), not a sport psychologist or mental performance coach. My work with athletes focuses on clinical issues — ADHD, relationship distress, depression, anxiety, identity, and career transitions — not performance enhancement or mental skills training. These are complementary, not competing. If performance psychology is what you need, I am happy to help connect you with the right provider.

How I work

Direct. Efficient.
No wasted reps.

“I call balls and strikes — and I invite you to do the same.
— Lisa Clodfelter, LPCC · Ohio

You already know what direct coaching feedback feels like. You know the difference between a coach who tells you the truth and one who protects your feelings at the expense of your performance. Therapy with me works the same way — I will name what I see, push on what seems important, and tell you honestly when something is or isn’t working. And I invite you to do exactly the same with me.

Present, not passive

I’m in the room. I’ll name the pattern when I see it and ask the uncomfortable question when it matters. If something I say misses the mark — tell me directly. I won’t be defensive.

Efficient by design

Sessions have direction. We’re not going to spend the first twenty minutes deciding what to talk about. Your time has real value and I treat it exactly that way.

Outcomes you can measure

We set specific goals at the start and return to them. You should be able to articulate what has changed — not just feel vaguely better. That’s not a higher bar. It’s the only bar worth setting.

Available wherever you are

Hotel rooms. Training facilities. Home during the off-season. Wherever you are in Ohio — or any state where I hold licensure via the Counseling Compact. Away games don’t have to mean missed sessions.

Confidentiality

Your care is
entirely yours.

No insurance record

Private pay means no diagnosis required for billing, no third-party access to your sessions, and no insurance trail. For athletes with public profiles, media coverage, or team relationships — this is not a billing preference. It is a genuine access decision.

No team or org access

Your therapy is protected by HIPAA and professional ethical standards. No coach, GM, agent, team staff, or organization has access to what happens in your sessions. Payment comes directly from you — not through any organizational channel.

Encrypted telehealth · Ohio statewide

All sessions via fully encrypted, HIPAA-compliant video. Not recorded. Available anywhere in Ohio and additional Counseling Compact states. Road trips, away games, and training camp don’t mean missed sessions.

Ready to do the
actual work?

A free consultation. No forms, no insurance information. A direct conversation to see if this is the right fit — and if it’s not, I’ll tell you that too.

Book Your Free Consult

Responding within one business day · Telehealth statewide across Ohio · All services private pay

Lisa Clodfelter, LPCC · Breakthrough Counseling · Ohio LPCC #E. 2505435 · Phone: 618-302-1466
Cincinnati · Columbus · Cleveland · Find Your Breakthrough