There are several tools and assessments that healthcare providers may use to help diagnose ADHD. Some of these include:

1. ADHD Rating Scales: These are questionnaires that are completed by the patient, parents, teachers, or other caregivers to provide information on the individual's behavior and symptoms. Examples of ADHD rating scales include the Vanderbilt Assessment Scales, the Conners Rating Scales, and the ADHD Rating Scale-IV.
2. Clinical Interviews: These are face-to-face interviews between the healthcare provider and the individual being evaluated, as well as family members or caregivers. The provider will ask questions about the individual's behavior, symptoms, and medical history to help determine if ADHD may be present.
3. Computerized Tests: Qb Test is a test that evaluates an individual's cognitive abilities, such as attention, memory, and processing speed. It can help identify areas of difficulty and provide further information about the individual's symptoms.
4. Behavioral Observations: These involve observing the individual to assess their behavior and symptoms. This can provide valuable information about the individual's functioning and behavior.

It is important to note that a diagnosis of ADHD should only be made by a healthcare professional with expertise in the disorder. A thorough evaluation is necessary to rule out other possible causes of the individual's symptoms.

We treat clients between the ages of 6-60 years old. 

1. Medications can help manage ADHD symptoms: Medications are often used to treat ADHD and can help reduce symptoms such as impulsivity, hyperactivity, and inattention. There are two main types of medications used to treat ADHD: stimulants and non-stimulants.
2. Stimulant medications are commonly prescribed: Stimulant medications, such as Adderall and Ritalin, are often prescribed to treat ADHD. These medications work by increasing the levels of certain chemicals in the brain that help with attention and focus.
3. Non-stimulant medications are also available: Non-stimulant medications, such as Strattera and Intuniv, are also used to treat ADHD. These medications work differently than stimulants but can still help reduce symptoms.
4. Medications may not be effective for everyone: While medications can be helpful for many people with ADHD, they may not work for everyone. It is important to work closely with a healthcare provider to determine the best treatment approach.
5. Medications may have side effects: Like all medications, ADHD medications can have side effects. Common side effects of stimulant medications may include loss of appetite, difficulty sleeping, and irritability. Non-stimulant medications may have different side effects.
6. Medications should be taken as prescribed: It is important to take ADHD medications as prescribed by a healthcare provider. Taking too much medication or taking it too frequently can be dangerous.
7. Medications are not the only treatment option: While medications can be helpful for managing ADHD symptoms, they are not the only treatment option. Other treatments, such as therapy and lifestyle changes, can also be effective in managing symptoms.

It is important for patients to work closely with their healthcare provider to determine the best treatment approach for their individual needs.

Stimulant medications are considered the most effective treatment for ADHD and are the Gold Standard, as they have been proven to decrease symptoms of inattention, hyperactivity, and impulsivity in many individuals with ADHD. These medications work by increasing neurotransmitter levels like dopamine and norepinephrine in the brain, which helps enhance focus and attention.

Extensive studies have confirmed that stimulants are safe and effective when used as per healthcare provider's prescription. Guidelines by the American Academy of Pediatrics and the American Academy of Child and Adolescent Psychiatry suggest that stimulants should be the first-line treatment for ADHD.

However, stimulant medications may not be effective for everyone and may have side effects. People with ADHD should consult their healthcare provider to determine the most suitable treatment for their specific needs. Non-stimulant medications, therapy, and lifestyle modifications may also be effective in managing ADHD symptoms.

Our Self-Pay Policy:

1. Payment: Our practice operates on a cash-only basis. We do not accept insurance, Medicare or Medicaid. Payment for services is due at the time of service. We accept payment via cash, check, credit or debit cards, and online payment services.
2. Fees: Our fees are determined based on the type and duration of service provided. We require an initial consultation appointment to evaluate your symptoms, assess your needs, and develop a treatment plan. 
3. Cancellations and No-Show Policy: If you need to cancel or reschedule an appointment, please provide at least 24 hours' notice. Failure to provide adequate notice will result in a missed appointment fee which is the usual appointment fee in-full, as this time is valuable and may be needed by others.
4. Confidentiality and Privacy: We are committed to protecting your privacy and keeping your personal and health information confidential. We comply with all federal and state laws regarding the privacy of patient information, including the Health Insurance Portability and Accountability Act (HIPAA).
5. Treatment: We offer evidence-based treatments for ADHD, including extensive testing, medication management, education regarding ADHD, and referrals as necessary for therapy. Treatment will be tailored to your individual needs and preferences. We will work with you to develop a treatment plan that is effective, safe, and personalized.
6. Referrals: If you require services that are outside the scope of our practice, we will provide you with a referral to a qualified healthcare provider or specialist.
7. Limitations: Please note that our practice may have limitations regarding the types of services we provide, and the number of patients we can accept. We reserve the right to decline service to any individual for any reason.
8. Conflict Resolution: In the event of a dispute, we will make every effort to resolve the issue in a timely and professional manner. Please bring any concerns or complaints to our attention, and we will work with you to address them.
9. Emergency Services: If you require emergency services, please call 911 or go to your nearest emergency room. Our practice does not provide emergency services.

Please review this policy carefully, and let us know if you have any questions or concerns. By scheduling an appointment with us, you acknowledge that you have read and agree to the terms of this policy.

1. Respectful behavior: Patients and their caregivers are expected to behave respectfully towards all staff and other patients in the office. This includes refraining from yelling, using abusive language, or making derogatory comments.
2. Timeliness: Patients are expected to arrive on time for their scheduled appointments. If a patient is running late, they should contact the office to let us know. If a patient arrives more than 10 minutes late for their appointment, they may be asked to reschedule. If this occurs with a pattern, the client may not be rescheduled.
3. Quiet and calm environment: Patients are expected to maintain a quiet and calm environment in the waiting area and during their appointment. This includes refraining from loud conversations, running or jumping, or other disruptive behaviors, as there may be active testing taking place.
4. Compliance with treatment plan: Patients and their caregivers are expected to comply with the treatment plan recommended by the healthcare provider. This includes taking medications as prescribed, attending scheduled appointments, and following any behavioral or lifestyle recommendations.
5. Cooperation: Patients and their caregivers are expected to cooperate with staff during their appointment. This includes following instructions and providing necessary information to assist in the patient's care.
6. Safety: Patients and their caregivers are expected to prioritize safety at all times. This includes using caution when walking in the office and notifying staff of any potential hazards or concerns.
7. Hygiene: Patients and their caregivers are expected to practice good hygiene, including covering their mouth when coughing or sneezing, washing hands frequently, and wearing a mask if required.
8. Privacy: Patients and their caregivers are expected to respect the privacy of other patients and maintain confidentiality of their own medical information.
9. Compliance with office policies: Patients and their caregivers are expected to comply with all office policies, to ensure a great experience for all clients!

Purpose: The purpose of this patient drug testing policy is to ensure the safe and effective use of medications for the treatment of attention-deficit/hyperactivity disorder (ADHD). This policy applies to all patients receiving ADHD medications from our healthcare organization.

Drug Testing: Patients receiving ADHD medications are subject to drug testing prior to medications being initially ordered, and at any time during the course of treatment. The healthcare provider will determine the appropriate drug testing frequency based on the patient's medical history, current medications, and other relevant factors.

Types of Tests: The following types of drug tests may be used:

• Urine drug testing
• Blood drug testing

Informed Consent: Patients will be informed of the drug testing policy and are required to provide written consent before any testing is conducted. Patients who refuse drug testing will not be prescribed ADHD medications.

Confidentiality: All drug testing results will be kept confidential and stored securely. Only authorized healthcare providers will have access to the results.

Positive Results: If a patient's drug test results are positive for drugs other than the prescribed ADHD medication (including benzodiazepines, opiates, alcohol, or THC etc.), the healthcare provider will not continue to prescribe stimulants due to safety reasons. This may include medication adjustments, referral to a specialist, or addiction treatment. If a patient's drug test results are negative for the prescribed ADHD medication, the healthcare provider will discuss the results with the patient and may adjust the medication regimen as needed.

Discharge Policy: Patients who refuse drug testing or have positive drug test results for non-prescribed drugs or hallucinogens will be subject to discharge from the healthcare organization for safety reasons.

Conclusion: This patient drug testing policy for ADHD medications is designed to ensure patient safety and prevent prescription drug abuse. Patients who have questions or concerns about this policy should speak with their healthcare provider.

In our state, only a limited number of clinicians utilize evidence-based testing, such as the QbTest, in addition to several other metrics. There are some practices that offer drug-free approaches to treating ADHD at a high cost to the individual. Some individuals receive a diagnosis through lengthy psychoeducational testing, which can often cost upwards of $3000 and does not include medications. 

By comparison, we offer our quality services at a much more affordable price point, making our expertise accessible to a wider range of clients.

Services and Pricing

Regrettably, insurance regulations limit the amount of time providers can spend with their clients. By not accepting insurance payments, it allows us to devote the time necessary to accurately diagnose and manage ADHD. We believe that the time we spend listening to our clients is critical to their care. 

Our top priority is delivering outstanding patient care, which we achieve by dedicating ample time to listening to each individual. This approach enables us to gain a thorough understanding of each client's concerns and develop a customized treatment plan to meet their needs.

We are unable to accept clients with Medicaid or Medicare without exception.

At the start of a patient's treatment plan, they typically have follow-up appointments every 2 to 4 weeks. After the medication starts to take effect and symptoms are well-controlled, patients are only required to come in for appointments every 3 months. If a medication adjustment is later required, we may need to see you sooner to reassess the medication's effectiveness.

Yes, as previous testing may have been completed with a less accurate or outdated method. We require that you be thoroughly tested using the Qb Test, as it can provide 

different information to better inform your provider in making clinical decisions.

It is important to note that symptoms of ADHD can change over time, and a previous diagnosis may no longer be accurate. In some cases, it may be helpful to undergo re-evaluation to determine whether the diagnosis is still valid, particularly if you have noticed changes in your symptoms or if you are seeking new treatment.

Additionally, some individuals may seek a second opinion to confirm their diagnosis or to explore alternative explanations for their symptoms. 

There is no requirement for referrals. 

Unfortunately, no. You will need to contact our office so we can electronically send it to the new pharmacy.

Currently, clients may struggle to find pharmacies who have their medications in stock. This is happening nationwide and is occurring with most controlled stimulant medications. If you experience this, please contact other local pharmacies to locate your script; you may have better luck with smaller or family-owned places. If you are able to find it in stock, please call our office to have it electronically transferred. 

We may have to work to find alternative doses, strengths, or medications to meet your needs in the interim.

No, in North Carolina we are required to send in stimulant medications in 30-day increments. We must see you a minimum of every three months during your treatment here once stable on your dose, but sooner if titrating (adjusting dose).