What medication management includes
- An initial 60-minute evaluation before anything is prescribed
- A medication plan based on your history, health, and daily schedule
- 30-minute follow-ups, usually monthly, to check what's working and what isn't
- Dose and timing adjustments, or switching medications when needed
- Prescriptions sent electronically to your pharmacy
- Attention to side effects like sleep, appetite, heart rate, and mood
Stimulant and non-stimulant options
I prescribe both. Stimulants, which include methylphenidate-based and amphetamine-based medications, are the most commonly used ADHD treatment and work for many adults. They come in short-acting and long-acting forms, which matters a lot depending on your day.
Non-stimulant medications are an option when stimulants aren't a good fit, cause side effects, or you'd simply rather avoid them. Some people do best on a combination.
We choose together. The goal isn't the "strongest" medication. It's the one that helps with the specific things you're struggling with, at the times you need it, with side effects you can live with.
Controlled medications by telehealth
Stimulants are controlled substances. I prescribe them by telehealth when clinically appropriate and in line with current federal and New York State requirements, which include checking the state prescription monitoring program and sending prescriptions electronically.
When your current medication isn't working
Common reasons people switch to me:
- The medication wears off too early, or there's a rough "crash" in the afternoon
- Side effects like poor sleep, low appetite, irritability, or anxiety
- It helped at first but doesn't seem to anymore
- Visits feel rushed, or you see a different prescriber every time
These are usually solvable with a change in timing, dose, form, or medication.
Questions about ADHD medication
Do you prescribe stimulants like Adderall or Vyvanse?
Yes, when they're a good fit. I prescribe stimulant medications and other controlled medications, as well as non-stimulant options. The choice depends on your history, your health, and what you need medication to do for you. No medication is prescribed without an evaluation first.
Can ADHD medication be prescribed by telehealth?
Yes. I evaluate and treat patients by video and send prescriptions electronically to your pharmacy, following current federal and New York State rules for controlled medications.
How often are follow-up visits?
Most patients are seen monthly once treatment is underway. Early on, while we're finding the right medication and dose, we may check in more often.
What if my ADHD medication is out of stock?
Shortages of some ADHD medications still happen. If your pharmacy can't fill a prescription, let me know. We can try another pharmacy, a different form or dose of the same medication, or a reasonable alternative.
Can you take over my current ADHD prescription?
Often, yes. After an initial evaluation, and a review of your history and current treatment, I can take over prescribing if it's appropriate. Bring a list of your current medications and doses.