What is ADHD?
ADHD is a neurodevelopmental condition that affects executive function -- the brain systems responsible for planning, prioritizing, and self-regulation. It is not a focus problem in the conventional sense. About 10% of children and 4-5% of adults in the US meet diagnostic criteria. Many high-functioning adults in the Research Triangle -- researchers, engineers, healthcare professionals -- have compensated for years without knowing ADHD was the underlying issue.
ADHD presents across a spectrum. Hyperactive-impulsive symptoms get the most attention, but inattentive ADHD is far more common in adults and is frequently misdiagnosed as anxiety or depression. Women are disproportionately underdiagnosed because their presentation tends toward inattention, emotional dysregulation, and internalized symptoms rather than outward hyperactivity.
How We Treat ADHD
We conduct a structured clinical evaluation -- not a brief screening. Your provider will assess symptom history, functional impairment, and differential diagnoses to ensure accuracy. For pediatric patients, we incorporate collateral information from parents and can coordinate with schools.
First-line pharmacotherapy includes stimulant medications: Adderall, Vyvanse, Concerta, and Ritalin. For patients who cannot tolerate stimulants or have contraindications, non-stimulant options include Strattera, Wellbutrin, Qelbree, and guanfacine. When prior medication trials have failed, GeneSight pharmacogenomic testing can inform selection.
What to Expect at Your First Visit
Initial evaluations are approximately 60 minutes. We review symptom presentation, onset, duration, and impact on occupational, academic, and interpersonal functioning. Standardized assessment tools supplement the clinical interview. If the diagnosis is clear, treatment can begin the same day.
Insurance and Payment
We accept Blue Cross NC, Aetna, Cigna, UnitedHealthcare, and NC Medicaid plans (Healthy Blue, WellCare, AmeriHealth Caritas). Cash pay options are available.
When to Get Evaluated
If you consistently underperform relative to your ability. If you rely on deadline pressure to function. If you have 15 things on your to-do list and cannot start any of them. If you have been told you are 'so smart but so disorganized' your entire life -- those patterns warrant evaluation. ADHD is highly treatable. Most patients report meaningful improvement within weeks of starting appropriate medication.