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Launch HN: Shimmer (YC S21) – ADHD coaching for adults

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Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#1
Hi, I’m Chris, one of the co-founders of Shimmer (https://shimmer.care). We offer one-to-one ADHD Coaching for adults. It was born out of my own roller coaster of a journey navigating my ADHD diagnosis.

Getting diagnosed with ADHD as an adult is complicated—equally heartbreaking and liberating. You literally need to rewrite your whole life narrative in light of this new realization. The process currently is super confusing and expensive (medications, therapy, coaching, tools, apps, etc.) and I just wished someone would guide me through it. Someone to personalize things for me, ask me good questions, and encourage me when I was feeling down.

My experience was the basis for what Shimmer is today. We’re creating an ADHD coaching service that is actually affordable (5-10X cheaper than traditional ADHD coaching, in fact!), personalized to your life (because what works for me may not work for you), and focused on action instead of theory (because we’re not short of knowledge—we just aren’t doing it!).

Our service is fit for ADHD brains. We merge the best worlds of telehealth (e.g. therapy/coaching sessions) and asynchronous apps (e.g. Headspace, Noom) to create a solid combo of human accountability and app-based support. You get matched with an ADHD-specialized coach, meet weekly in focused video/audio sessions where you set weekly goals, and over time, bit-by-bit start building a new day-to-day that supports your goals: new routines, systems, and skills.

Our program is rooted in science-backed methodologies including Health & Wellness Coaching, Cognitive Behavioral Coaching (CBC/CBT), Acceptance Commitment Training (ACT), positive psychology, and solution-focused coaching. The way we deliver it, however, is less rigid and more experimental. In each 15-min session and in the asynchronous portions, you’ll draw on collective ADHD community knowledge to work with one thing a week in your life that you’d like to improve on. Your coach will support you via text access (in-app) and by seeing and reacting to your weekly “Actions”.

In terms of the app itself, there are 3 main components: (1) a daily/weekly simple check-list where you track your coaching tasks, checking them off (automatically pings your coach) and reflecting on your progress in-app, (2) a resource hub where you’ll find short, bite-sized content in service of your coaching journey, not standalone education to just “read up on”, and (3) your personalized chat with your coach where they’ll guide you through the journey—checking in on your completed/in-completed tasks, giving you feedback, and sending you resources.

On the back end, our coaches have web and mobile apps that are designed to save them time and cognitive effort, so that they can focus on coaching. Simple things like “scheduled sends” and a prioritized message list are included to help them manage a large case load with less effort.

It’s $99/mo. for 15-min weekly “bite-sized” sessions, or $349/mo. for 45-min “similar-to-traditional” coaching sessions. Traditional coaching can run $400-700+/mo. (up to the thousands depending on the coach). We also reserve a portion of our memberships for those with financial need, on a case by case basis.

If you have ADHD (or think you do), we’d love for you to check out our platform and give us critical feedback (or positive reinforcement!). It’s a super streamlined and ADHD-friendly signup process and in honor of our launch and celebration of October being ADHD Awareness Month, the first month is 40% off (offer until Nov 12).

I invite the greater Hacker News community to share any experiences you have with ADHD & navigating care, and am always open to scheduling a 1:1 call to learn more!

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#2
Why do you describe your product as "coaching", and not "therapy"? Is this a marketing decision because of a perceived stigma around the term "therapy"? (The re-branding of CBT/ACT to "coaching" and "training" instead of "therapy" strikes me as odd, I don't understand the emphasis on avoiding the term.)

Will your company be accepting medical insurance? $350/mo (~$90/session) is roughly half of what billed-to-insurance therapy costs have looked like for me ($150-200 per weekly session), which could make this a competitive option for people who are uninsured. However, with insurance I've usually paid $25-40/session out of pocket.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#3
Congrats and good luck on the launch!

Ok so in general I'd chalk this up to being disinterested, but I think this is relevant for a product meant for people with ADHD:

After a couple pages of choices, I was met with a screen with options A through K, and I instantly closed the tab. I didn't even read what it was asking. I realised that this may literally be ADHD like behaviour, so I opened it back up again, but it was still quite overwhelming and it took conscious effort to read through the form. I think this is just because I'm used to just entering my email and password, or using social logins, so filling the form seemed to be a substantial point of friction (even though I realise how it could be useful)

I'm unsure if I have ADHD, and it's never been a problem for me, but I sure do have a short attention span haha

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#5
I like the site but it seems overpriced - a good therapist is cheaper and can do the same thing. A psychologist and psychiatrist can both clinically diagnose you and give you pharmaceuticals if needed at prices similar to the ones mentioned if you have insurance.

Personally I would argue from working with some kids who have adhd in the past that more gamification and reasons to use their phone will exacerbate some of the worst symptoms of their adhd.

I don’t see the niche this fills. In any case, good luck.

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#6
> It’s $99/mo.

Person with severe adhd and disposable income here: Nope. This is too much. Especially if you're not offering psychiatric services (e.g., no meds).

> in honor of our launch and celebration of October being ADHD Awareness Month, the first month is 40% off (offer until Nov 12).

I can appreciate celebrating october being adhd awareness month in november.

I also want to call out that there's no regulation around adhd coaching. More or less anyone can do it with out qualifications. You'll notice that there's no mention of insurance being accepted. I say this because it's a ripe area for taking advantage of people. In the absence of regulation, extra scrutiny is warranted.

The faq states:

> All of our Shimmer ADHD Coaches are licensed or certified mental health professionals or have extensive experience with ADHD & undergo our Shimmer Coach Training program developed alongside our clinical advisors Dr. Amin Azzam (MD, MA), Dr. Anil Chacko (PhD), and our Head ADHD Coaching Psychologist Xenia Angevin.

> All of our Shimmer ADHD Coaches are licensed or certified mental health professionals or have extensive experience with ADHD

That's a sneaky 'or' there -- What're the statistics around the coaches qualifications?

> have extensive experience with ADHD & undergo our Shimmer Coach Training program

So not mental health professionals

> our clinical advisors Dr. Amin Azzam (MD, MA), Dr. Anil Chacko (PhD), and our Head ADHD Coaching Psychologist Xenia Angevin.

No linkage to their qualifications

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#7
I have severe ADHD, but I have paid THOUSANDS to therapists and honestly - I NEVER got any benefit from it other than more stress from having to pay so much money for something out-of-pocket.

My ADHD has cost me a lot more than money, but what specifically, or HOW specifically is your therapy different than the therapists I have already spent $$$$ on?

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#8
post #2

Why do you describe your product as "coaching", and not "therapy"? Is this a marketing decision because of a perceived stigma around the term "therapy"? (The re-branding of CBT/ACT to "coaching" and "training" instead of "therapy" strikes me as odd, I don't understand the emphasis on avoiding the term.) Will your company be accepting medical insurance? $350/mo (~$90/session) is roughly half of what billed-to-insuranc…

The closest sister discipline our coaches practice is Health & Wellness coaching, but we also draw on the foundations of positive psychology, CBT, etc. depending on the member's situation. The practices of coaching & therapy, although they have some overlap, are largely different in both practice and outcomes. For example, in the context of ADHD, coaching is very focused on future-oriented outcomes and tactic-oriented skills, whereas therapy is often focused on disentangling thoughts, unpacking trauma, etc. Also, coaching is aimed at taking a person upwards to their goals, and you don't necessarily need a diagnosis of any sort to be here. I may have rambled a bit, but the bottom line is, we don't practice therapy on our platform.

Right now coaching is not covered under most insurance plans, unfortunately. Some members have been able to work with their employer benefits to get Shimmer covered but it's definitely a case by case basis right now. However, we try our best to work with our members (we have a needs-based financial aid package and have something in the works that's a bit bigger than this!) where we can!

Re: Launch HN: Shimmer (YC S21) – ADHD coaching for adults

#9
"ADHD" needs a rebranding... move away from clinical diagnosis from medical professionals which can be "heartbreaking" or "liberating" to coaches/advisors running community groups which build frameworks for these like minded, like personality individuals (and their associated family/friends) to operate in (like a 'club') and to help educate others (advocacy).

People with "ADHD" are already covered by the Big Five Personality Traits https://en.wikipedia.org/wiki/Big_Five_personality_traits like every other person is.

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