Alexa Smith

Executive Coach - Letchworth

I'm Dr Alexa Smith, a neurodiversity and ADHD coach. I work with adults who are ADHD, autistic, AuDHD or dyslexic — and with people who think differently but don't have, or want, a diagnosis. Many of my clients are professionals, executives and leaders who have spent years holding everything together in workplaces that weren't designed with them in mind.

I'm neurodivergent myself, from a neurodivergent family. I know the effort it takes to mask and adapt, and I also know the insight and strength that can come with being wired differently. That lived experience shapes how I coach: with respect, curiosity and no judgement, whether you were diagnosed decades ago or are still working out what fits.

How I work
My approach is person-centred and transformational. Coaching with me is a partnership: I won't hand you a standard toolkit, because one-size-fits-all rarely works for neurodivergent people. Instead, we explore how your particular brain works — your patterns, your energy, your environment — and build strategies that actually stick. Clients tell me they leave sessions with both new understanding of themselves and practical steps they can use straight away.
Common themes include managing overwhelm and executive function, navigating a late diagnosis, working out what to disclose at work and how, leadership and career decisions, and rebuilding confidence after years of feeling like the problem was you.

My background
I'm a Professional Certified Coach (PCC) with the International Coaching Federation, with over 1,000 hours of coaching experience. Before coaching, I spent 25 years in senior leadership roles across the pharmaceutical industry, academia and the charity sector, including AstraZeneca, Cancer Research UK and UCL Business. I also hold a PhD in Developmental Neurobiology from UCL. I'm not a neurodiversity researcher — but my scientific training means I'm rigorous about evidence, careful with claims, and comfortable helping clients make sense of what the research does and doesn't say.
Alongside my own practice, I work as a Senior Associate with neurobox, delivering workplace coaching (including Access to Work-funded support), line manager training and neurodiversity consultancy. That gives me a working view of both sides: what individuals experience, and what organisations can realistically change.

What to expect
We start with a free 45-minute discovery call — a chance to talk about what you want from coaching, ask questions, and see whether we're a good fit. There's no obligation and no pressure; the right coaching relationship matters more than a quick yes.
If you're curious, sceptical, or somewhere in between, you're welcome to get in touch.