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Attention Deficit Hyperactivity Disorder (ADHD)

What is ADHD?

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Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by a persistent pattern of inattention and/or hyperactivity-impulsivity. These behaviors are more frequent and severe than is typically observed in individuals at a comparable level of development. This pattern often begins in childhood and can persist into adulthood, frequently interfering with functioning or development in academic, social, or occupational settings.

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Symptoms are typically grouped into two categories (inattention and hyperactivity/impulsivity). An individual may have one or both.

  • Inattention:

    • Often fails to give close attention to details or makes careless mistakes.

    • Difficulty sustaining attention in tasks or conversations.

    • Often seems not to listen when spoken to directly.

    • Difficulty with organization, time management, and follow-through on tasks.

    • Often loses things necessary for tasks (e.g., keys, wallet, phone, paperwork).

    • Easily distracted by external stimuli or unrelated thoughts.

  • Hyperactivity-Impulsivity:

    • Often fidgets with or taps hands/feet, or squirms in seat.

    • Feeling of inner restlessness (especially common in adults).

    • Often talks excessively.

    • Difficulty waiting for one's turn.

    • Often interrupts or intrudes on others (e.g., blurting out answers, finishing people's sentences).

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Medication Management

 

Medication is a highly effective first-line treatment for managing the core symptoms of ADHD.

  • Stimulant Medications: These are the most commonly prescribed and often most effective medications. They work by increasing the availability of key brain neurotransmitters (dopamine and norepinephrine) involved in focus, attention, and impulse control.

  • Non-Stimulant Medications: These are often considered if stimulants are ineffective, cause problematic side effects, or are not preferred. These include medications like atomoxetine (an SNRI) or alpha-2 agonists (like guanfacine or clonidine).

Non-Pharmacological Strategies

 

Therapy and skills training are essential for developing long-term coping mechanisms.

  • Cognitive Behavioral Therapy (CBT) for ADHD: This therapy is specifically adapted to help individuals develop practical skills. It focuses on challenging negative thought patterns and building strategies for organization, planning, time management, and emotional regulation.

  • Skills Training & Coaching: This can involve executive function coaching to learn practical ways to manage daily tasks, as well as social skills training.

  • Lifestyle & Environmental Modifications: Creating structure and routine, minimizing distractions, ensuring adequate sleep, getting regular physical exercise, and good nutrition are all crucial supportive strategies.

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Our Approach: Your Partner in Your Mental Wellness Journey

 

As a PMHNP-BC, my practice is built on a foundation of respect and collaboration.

  • Shared Decision-Making: You are the expert on your own life and experiences. My role is to provide the expert knowledge on diagnoses and treatments. Together, we will review all the options—medication, therapy, lifestyle changes—and decide on a path forward that feels right for you.

  • Medication as a Tool, Not a Crutch: Medication can be an incredibly effective tool to "turn down the volume" on your symptoms, allowing you to engage more fully in therapy and daily life. My goal is always to find the lowest effective dose for the shortest necessary time.

  • A Holistic View: My focus is not only on pills. We may also discuss sleep, nutrition, exercise, and other stress-reduction techniques. These non-pharmacological strategies can be essential for long-term, sustainable wellness.

Take the First Step Toward Relief

 

You don't have to manage your symptoms alone. If you're ready to explore a comprehensive, collaborative approach to mental wellness, I invite you to schedule online below.

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Schedule an Appointment

Or call (727) 308-3338

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