TREATMENT IS D E E P
DIAGNOSIS
The initial comprehensive evaluation reviews the presenting symptoms of the patient, inquires about other symptoms which might suggest alternative diagnoses, seeks information from a parent or significant other, looks for family psychiatric histories, obtains medical and social/developmental history. Neuropsychological testing helps to define specific impairments of the patient's in-attention and impulsivity.
EDUCATION
It is important that the patient have a thorough understanding about ADD. With this knowledge, the patient is best able to adapt to the world and increase feelings of self-worth. With this understanding, the patient is able to explain his/her limitations to others. This may encouragecooperative accommodations by family, employers and schools.
ENVIRONMENTAL CHANGES
Teaching practical organization skills is an essential component of treatment. We help patients focus on time management, setting priorities, decision making and long-term planning. These skills help reduce chaos, improve productivity and enhance self esteem.
PHARMACOTHERAPY/PSYCHOTHERAPY
There are a number of medications currently available to improve many symptoms of ADD. Some of the medications are helpful for improving the cognitive symptoms. Other medications may be better at addressing the impulsivity and emotional reactivity. These medications work by correcting a chemical imbalance of neurotransmitters thought to be responsible for ADD symptoms. People respond differently to these medications. As a result, it is often necessary to try several of the medications in order to decided which one works best for the patient. Individual therapy helps provide ongoing "coaching" to promote organizational skills and address issues of poor self esteem which have evolved over many years. Self-esteem is enhanced by one’s ability to help others. Involvement of family members is encouraged so that better methods of resolving conflicts is established.
OUR SERVICES
- Initial comprehensive psychiatric evaluation by a psychiatrist. The evaluation highlights current symptoms and reviews child development, family history, academic/social/occupational/marital history, past and present medical illnesses,previous psychiatric treatment, substance use history.
- Neuropsychological testing specifically designed for the critical cognitive features of ADD. We administer both paper-pencil tests and computerized tests. An IQ test is also included.
- Individual psychotherapy addressing issues specific to each patient.
- Family and couples psychotherapy focuses on improving communication, conflict resolution and organizational planning, thereby enhancing intimacy.
- Medication trials specifically designed for the patient. It is often difficult to decide which medication works best. Therefore, medication trials may determine the best agent for a given individual. The medication’s potential benefits and side effects are reviewed in detail with each patient.
