ADHD Treatment

At UO NP in Psychiatry, my focus is on treating depression and anxiety—but I also understand that sometimes, those diagnoses don’t fully explain what you’re going through. You might feel constantly overwhelmed, struggling to keep up with everyday tasks no matter how hard you try. Deadlines sneak up on you, conversations blur together, and no amount of to-do lists seem to help you stay on track. You may have been told it’s just stress, anxiety, or even a lack of discipline—but deep down, you know it’s something more.

I want to make sure I’m taking care of all of you, not just the symptoms that seem most obvious on the surface. While subjective tools like self-report questionnaires are useful, I don’t believe they’re enough to confidently diagnose ADHD. With increased awareness, ADHD diagnoses have skyrocketed—but so has the risk of overdiagnosis or misdiagnosis. Anxiety, depression, trauma, and even sleep disorders can mimic ADHD symptoms, which is why a deeper, more objective assessment is so important.

That’s why I’ve incorporated QbCheck, an FDA-cleared ADHD test that provides measurable data on attention, impulse control, and activity level. This test isn’t just about labeling a diagnosis—it’s about understanding your brain so we can create the best treatment plan for you. If you’ve been struggling and wondering why life feels harder than it should, let’s take the next step together. You deserve clarity, and I’m here to help.

What is QbCheck?

At UO NP in Psychiatry, we use QbCheck, an FDA-cleared, computer-based test that helps assess symptoms of ADHD. This test objectively measures your attention, impulsivity, and activity level—all from the comfort of your home.

How does it work?

  1. Receive Your Test Code – I will provide you with a unique voucher code to access the QbCheck test online.

  2. Take the Test at Home – You’ll complete the test using a computer with a webcam. The test is designed to be simple and takes about 15-20 minutes.

  3. Get Accurate Results – Once you finish, the results are instantly available to me. I will review them alongside other clinical information to determine the next steps.

Why use QbCheck?

Why Use QbCheck?

  • Objective Data – Unlike traditional ADHD assessments that rely only on questionnaires, QbCheck provides measurable data on your focus and impulse control.

  • Remote & Convenient – You can complete it at home, eliminating the need for in-person testing.

  • Supports Better Treatment – If ADHD is diagnosed, these results help track progress and tailor treatment to your needs.

  • Note: QbCheck is not a standalone diagnostic tool, but it’s an important part of our comprehensive ADHD evaluation. After reviewing your test results, we will discuss treatment options if ADHD is confirmed.

  • Investment: $80 Deposit before the test voucher is released

What’s next?

After a thorough evaluation, if ADHD is determined to be the appropriate diagnosis, we’ll work together to figure out the next steps. However, a diagnosis does not automatically mean medication is the only or best solution. At UO NP in Psychiatry, my goal is to provide comprehensive, individualized care, considering all available treatment options.

Non-Medication Approaches for ADHD

There are many behavioral strategies and lifestyle changes that can help manage ADHD symptoms, including:

☑️ Cognitive Behavioral Therapy (CBT) – Helps with time management, emotional regulation, and organization.
☑️ Mindfulness & Meditation – Can improve focus, impulse control, and stress management.
☑️ Exercise & Movement – Regular physical activity has been shown to boost dopamine and improve attention.
☑️ Diet & Nutrition – A balanced diet with enough protein, omega-3s, and complex carbs can support brain function.
☑️ Sleep Hygiene – Prioritizing rest is crucial, as ADHD can worsen with poor sleep.
☑️ Structured Routines – Creating predictable daily habits helps with organization and productivity.
☑️ Assistive Technology – Apps, timers, planners, and digital reminders can make tasks more manageable.
☑️Coaching & Support Groups – Working with an ADHD coach or joining a support community can provide accountability and strategies for success.

If you’re looking for quick, five-minute medication refill appointments, then I may not be the right provider for you—and that’s okay! My approach goes beyond just writing prescriptions; I want to make sure you have the right tools, knowledge, and support to manage ADHD in a way that truly benefits you.

That said, sometimes medication is warranted, and if that’s the best course of action, we’ll discuss it thoroughly to find what works best for you. Whether it’s behavioral changes, therapy, or medication, my goal is to help you feel more in control, confident, and capable in your daily life.

There are two classes of ADHD medications: non-stimulants and stimulants.

Common non-stimulants are:

Atomoxetine (Strattera) Bupropion (Wellbutrin)

Guanfacine XR (Intuniv) Clonidine XR (Kapvay)

Qelbree*: Newer to the market, so will most likely require a Prior Authorization

Benefits:

  • Does not require an in-person appointment to start

  • Readily available in pharmacies

  • Not a controlled medication - can receive refills when stable on dose

  • Lower risk of abuse

  • Longer duration of action—provides consistent symptom management throughout the day

  • Less likely to cause appetite suppression or weight loss

  • Lower risk of cardiovascular side effects compared to stimulants

  • Can be used in individuals with a history of substance use disorder more safely

Disadvantages:

  • Needs to be taken daily

  • May not be as effective as stimulants

  • Takes weeks to reach full effectiveness

  • Can cause sedation or fatigue, especially at the beginning

  • May cause mood-related side effects, such as irritability or depression in some people

  • Not as flexible—cannot be taken on an as-needed basis

Most people are familiar with stimulants:

Mixed Amphetamine Salts (Adderall) Dextroamphetamine (Dexedrine)

Lisdexamfetamine (Vyvanse) Methylphenidate (Ritalin)

Methylphenidate ER (Ritalin LA) Methylphenidate HCL (Concerta)

Dexmethylphenidate (Focalin)

Benefits:

  • Known to be more effective than non-stimulants

  • Not a daily medication - can be taken only when needed

  • Fast-acting—symptom relief often within 30–60 minutes

  • Multiple formulation options (short-acting, long-acting) to tailor to individual needs

  • Can improve focus and attention dramatically, sometimes within the first dose

Disadvantages:

  • Urine Drug Screen required before starting

  • Required to be seen in person periodically defined by the time according to the Ryan Haight Act

  • Widespread shortage which may require calling pharmacies to locate the correct medication and dose

  • Required monthly sessions for refills

  • Higher risk of abuse

  • Potential for tolerance, requiring dosage adjustments over time

  • More likely to cause side effects like increased heart rate, blood pressure, and anxiety

  • Can interfere with sleep, especially if taken too late in the day

  • May cause appetite suppression and weight loss

  • Not suitable for individuals with certain heart conditions or a history of stimulant misuse