Adult ADHD: It’s Not Just “Laziness”
For high-performing adults, ADHD doesn’t look like hyperactivity. It looks like burnout, procrastination loops, and exhaustion. Here is how we diagnose and treat the real root cause.
The High-Functioning Profile
Executive Dysfunction
You can run a company but can’t do laundry. You wait until the “panic monster” sets in before starting a task. It’s not laziness; it’s a dopamine regulation failure.
RSD (Sensitivity)
Rejection Sensitive Dysphoria. An intense, almost physical pain when you perceive rejection or criticism. You might over-prepare or people-please to avoid it.
Time Blindness
“Is that task going to take 5 minutes or 5 hours?” You genuinely don’t know. You live in a world of “Now” and “Not Now.”
Do these sound like you?
Take the clinical gold-standard screener (ASRS v1.1) in less than 2 minutes. It’s free and instant.
Start Assessment →Current Medication Alerts (2025)
We are actively tracking recalls for generic Vyvanse and Adderall XR. If your medication feels “ineffective,” check our Live Shortage & Quality Tracker before assuming your tolerance has changed.
How We Treat It (The PIM Method)
1. Precision Meds
- Stimulant & Non-Stimulant options.
- Genetic consideration for metabolism.
- Managing the “Crash” window.
2. Executive Coaching
- Building external brains (Systems).
- Accountability structures.
- Workflow optimization.
3. Comorbidity
- Treating the Anxiety caused by ADHD.
- Fixing sleep architecture.
- Screening for ASD overlap (AuDHD).
Common Questions
Do I need a referral to get tested?
No. You can book an initial evaluation directly with us. We handle the diagnosis, testing, and treatment plan in-house.
Do you prescribe stimulants via Telehealth?
Yes, provided it is clinically appropriate and you are located in NY or MA. We adhere to all Ryan Haight Act regulations and state laws regarding controlled substances.
Can I use insurance?
Yes. We are In-Network with Aetna. For other carriers, we provide Superbills for reimbursement. We also offer CareCredit.
Get the diagnosis, the plan, and the clarity you deserve.