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Thorough evaluation, honest diagnosis, and medication management for adult ADHD — via telehealth throughout Maine.
ADHD in adults often looks nothing like the hyperactive child stereotype. Many adults with ADHD are quiet, introspective, and high-achieving — while privately struggling with time blindness, task paralysis, chronic disorganization, emotional dysregulation, and a persistent sense that they are not reaching their potential.
Adult ADHD is frequently underdiagnosed, especially in women and individuals who learned to compensate through intelligence or effort alone. If you've always felt like you have to work significantly harder than others to produce the same output — and no amount of willpower or planning systems seems to stick — ADHD may be part of the picture.
ADHD evaluation at Northwest Psychiatry is thorough — not a checklist on a 15-minute call. Nicholas takes a careful history, reviews symptom patterns across multiple life domains, and considers alternative explanations before arriving at a diagnosis. If ADHD is present, medication management is evidence-based and closely monitored.
A 60–75 minute evaluation covering your history, current struggles, and what you're hoping to change. Nicholas may ask about childhood school experience, work performance, and relationships.
If ADHD is confirmed, you'll receive a clear diagnostic impression and a treatment rationale. If medication is appropriate, a starting prescription will be initiated at a low dose.
Finding the right dose takes time. Regular check-ins during the first 4–8 weeks to assess response, adjust as needed, and address any side effects.
Once stable, quarterly follow-ups are typical. Controlled substances require regular monitoring — Nicholas will explain what that looks like.
New patients are welcomed through Headway — scheduling takes minutes, and most major insurance plans are accepted.
Yes. Maine permits ADHD evaluation and controlled substance prescribing via telehealth under current regulations. Northwest Psychiatry is fully compliant with all state and federal requirements.
Nicholas will review your prior history and current symptom status. Existing diagnoses are taken seriously — you won't have to start from scratch unnecessarily.
Not necessarily. A thorough clinical interview is the gold standard for ADHD diagnosis. Neuropsychological testing can be helpful in complex cases, and Nicholas will let you know if it would add value.
That concern is valid — it happens. Nicholas approaches ADHD evaluations without a predetermined outcome. He's looking to understand your experience accurately, not to confirm or deny a diagnosis based on how you present.
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