I provide ongoing treatment services to established patients with general behavioral health problems and/or ADHD; this includes assessment and monitoring of mental and physical health status, medication management, the opportunity to review concerns and questions, and collaboration with psychotherapists. I will also collaborate with a patient's PCP or medical Specialist to co-manage diagnosis and treatment of medical conditions and coordinate behavioral health treatment.
A diagnosis of ADHD poses additional requirements for ongoing treatment, as information about this Disorder continues to rapidly emerge as we understand the workings of the brain. Adults with ADHD are an underserved population, as most clinicians did not receive adequate training about it and few have taken the time to develop treatment expertise.
Education about self-care of ADHD is especially important for best outcomes. I liken ADHD care to that of diabetes; both are chronic and uncurable conditions that require the patient (and their loved ones) to understand their condition and optimally care for themselves. This education is integrated into ongoing treatment appointments and is tailored to the patients's specific needs and circumstances. Patients and families are also directed to self-help literature to become informed about general ADHD care.
Sometimes people with ADHD need psychotherapy to recover from co-occurring psychiatric conditions, to heal the individual and/or marital trauma of undiagnosed ADHD, or to improve coping skills. I am skilled in these areas to a certain extent, but I often refer my patients to colleagues who are expert in these areas and who have taken the time to learn about ADHD; sometimes these colleagues are in network with your health insurance, making such treatment cost-effective. (The current state of adult ADHD care is that most psychiatric clinicians are not sufficiently knowlegeable or interested in ADHD, thus making adults with ADHD are an underserved population.)
Sometimes students with ADHD need accomodations when ADHD medication alone does not solve their academic performance problems. Schools set the requirements for academic accomodations, and sometimes testing by a qualified psychologist is required. I can determine need for accomodations, can obtain accomodations myself in some cases, or make referrals to expert psychologists for the neuropsychological testing that the school requires.
Sometimes people with ADHD need occupational accomodations. While these are more difficult to obtain than academic accomodations, I have experience in these matters.
Sometimes people with ADHD need coaching to build their organizational and functional skills. This can be done by ADHD coaches trained and certified by coaching organizations that define Standards and Best Practices.