I CAN ONLY PRESCRIBE STIMULANTS IN WASHINGTON STATE AT THIS TIME.

ADHD

ADHD is a relatively common condition making up an estimated 10% of the children population and 5% of adults. It is extremely heritable, but additionally it is believed there is a strong environmental piece such as in-utero tobacco exposure, maternal stress, premature delivery, poverty and low birth weight. Most cases begin in childhood with the adult onset of ADHD symptoms predominately being linked to substance use or another mental health disorder. However, adult-onset symptoms of ADHD don’t exclude a diagnosis of ADHD. Instead, there is the possibility of someone with chronically untreated ADHD or a high functioning individual that only recently have had their symptoms expressed from specific stimuli exposure. A true diagnosis comes with an in-depth and detailed interview about each individuals lived experience.

You may have Inattentiveness in ADHD if you have challenges with:

  • Easily distracted

  • Task avoidant

  • Difficulty sustaining attention

  • Poor organization

  • Forgetful

  • Fail to finish tasks

You may have Hyperactivity in ADHD if you have challenges with:

  • Hyperactive

  • Energetic

  • Frequently interrupts others

  • Difficulty sitting still/restless

  • Often talks excessively

  • Frequently fidgets or taps hands or feet

Mental Health Disorders that Present Similarly to ADHD

  • Addiction

  • Anxiety

  • Mania

  • OCD

  • PTSD

  • Personality Disorders

  • Depression

  • Malnutrition

The Science Part…

Like many mental health disorders the mechanisms of ADHD is unknown, but it is thought that the hyperactivity and inattentiveness associated with ADHD is linked to abnormal signal processing in the central nervous system. Studies have shown that neurons in these individuals are far more likely to generate signals when not exposed to stimuli which results in commonly described “background noise”. As a result, this alters neurons ability to transmit actual stimuli to the brain making it challenging for them to focus on appropriate stimuli. Those with higher levels of “noise” are thought to have more severe forms of ADHD. To reduce this “noise” effective treatments have been to boost dopamine levels in the brain which is a hallmark effect of stimulant medications.

The Treatment Part…

When left untreated, ADHD can significantly impact daily functioning, contributing to anxiety, depression, and challenges in both professional and social life. Many individuals struggle not because of a lack of ability, but because their brain processes attention, motivation, and organization differently.

Treatment is highly individualized and may include psychotherapy, medication, or a combination of both. Stimulant medications are considered first-line treatment for many people. They work by increasing dopamine and norepinephrine activity in the brain, which can improve focus, impulse control, and hyperactivity. While stimulants are often highly effective, they may also carry potential side effects such as appetite suppression, sleep disturbance, cardiovascular considerations, and, in children and adolescents, possible growth effects.

Not everyone requires medication. Many individuals thrive with non-pharmacological approaches such as Cognitive Behavioral Therapy (CBT), skills training, behavioral strategies, and lifestyle interventions. Others benefit most from a combined approach.

Your treatment plan is tailored to your lived experience, symptom profile, and the level of impact ADHD is having on your life. The goal is not simply symptom reduction — it’s helping you function confidently and effectively in a way that aligns with your strengths and values.

Medication Options:

  • Stimulants

  • Non-Stimulants

Alternative and Complimentary Options:

  • Micronutrient Examination

  • Diet/Exercise/Sleep Evaluation

  • Environmental Considerations

  • CBT

  • ADHD Coaching

  • Executive Function Skills Training

  • Mindfulness