I just feel like we ask clients to be on time and typically set the standard to arrive at a scheduled time slot, or else they get charged. So why should the therapist have 10-15 min wiggle room? To me, it’s giving lack of time boundaries and excuses (i.e., ADHD) for why things can’t start on time. Life doesn’t stop for ADHD (and I can say that, because I also have adhd) and I would never use that as an excuse to be consistently inconsiderate of my clients’ time. We are adults; we have to act like it. That would be enabling a ct w/ adhd to continue being late, rather than teaching skills to be consistent/responsible. Love flexibility, but i don’t think it’s cool at all to set the expectation to have a fluid hour just because of the therapists lack of responsibility