ADHD in Adulthood

Adult ADHD often presents as chronic disorganization, time blindness, or emotional dysregulation—not hyperactivity. Since symptoms may overlap with anxiety, depression, or sleep disorders, we begin with detailed clinical interview covering childhood onset, developmental history, and current functional impairment. When possible, we gather collateral information from partners or family to validate early manifestations, as self-report alone can be unreliable due to anososia.

Stimulants remain first-line for most adults, but non-stimulants like atomoxetine, viloxazine, or guanfacine are valuable alternatives—especially if there’s anxiety, substance use history, or tachycardia. We start low and go slow, monitoring heart rate, blood pressure, appetite, and mood changes over time. Effectiveness isn’t just about focus—it’s about real-world function: meeting deadlines, managing routines, or sustaining relationships.

Treatment goals are co-created and tracked using validated symptom assessment tools. We revisit dosing and timing based on your daily rhythm—some need morning-only coverage; others benefit from extended-release formulations. If stimulants cause side effects, we explore micro-adjustments before switching classes. The aim is sustainable stability, not perfection.