ADHD Treatment Services

ADHD is a common disorder, affecting between 6% and 10% of the American population. It is characterized by difficulties with attention, concentration, hyperactivity, and impulsivity. These symptoms often start in childhood and persist into adulthood. If you are experiencing any of these symptoms, RCBM can assist you in obtaining an accurate diagnosis. RCBM focuses significantly on identifying and treating attention deficit hyperactivity disorder (ADHD) at all stages of life. While it used to be known as ADD, it is now referred to as ADHD, which includes the hyperactivity component. ADHD is classified into three types: 

• ADHD combined type
• ADHD predominantly inattentive type 
• ADHD predominantly hyperactive-impulsive type

According to the National Institute of Mental Health, they include:

• Genetics (having a family member with the condition)
• Cigarette smoking, alcohol use, or drug use during pregnancy
• Exposure to environmental toxins during pregnancy
• Exposure to environmental toxins, such as high levels of lead, at a young age
• Low birth weight
• Brain injuries

Everyone should be carefully evaluated. Our patients obtain a full diagnostic interview where we can understand the entire history and current concerns. In addition, psychological testing allows us to precisely diagnose the specific type of ADHD (ADHD combined type, ADHD predominantly inattentive type, ADHD predominantly hyperactive-impulsive type). Furthermore, we can diagnose other conditions that commonly co-occur with ADHD, which may include depression, anxiety, post-traumatic stress disorder (PTSD), panic disorder, learning disabilities, sleep disorders, and substance use disorders.

Furthermore, it's worth noting that many cases of chronic fatigue syndrome (CFS) are thought to be related to childhood ADHD. It's believed that brain fog and fatigue may be caused by similar biological processes involving dysregulation of the brain's dopamine and norepinephrine modulation. Some researchers have found that the presence of ADHD, along with CFS and depression, can amplify the intensity of fatigue and lead to an earlier onset of CFS.hly diagnosing ADHD in children, adolescents, and adults with ADHD through our psychological screening process. 

Studies reveal that adults with ADHD have difficulty throughout their lives with their job, schooling, interpersonal relationships, and overall well-being.ADHD has a direct impact on individuals and their families. Students with ADHD often face challenges in school, both academically and socially. They have high rates of school failure and often struggle with other mental health conditions. The difficulties associated with ADHD do not disappear in adulthood. Adults with ADHD frequently experience problems with distractibility, attention, and impulsivity. They are much more likely than the general population to suffer from anxiety and depression. Many report difficulties with insomnia or oversleeping. Studies show that adults with ADHD struggle throughout their lives with their job, education, interpersonal relationships, and overall well-being.

Medication Management

Medication may also be part of the treatment plan for adults and children over 6. It can significantly improve focus. However, medication must not be skipped or missed, as symptoms may return.

Stimulants
Stimulants boost the brain chemicals dopamine and norepinephrine, which help you focus. Stimulants have been shown to improve symptoms in approximately 70 percent of adults with ADHD and 70 to 80 percent of children shortly after starting treatment.

Stimulants fall into three categories: short-acting (taken a few times a day), intermediate-acting (taken less often), and long-acting (taken once a day). Examples of stimulants include:

• Concerta, Ritalin, Daytrana, Jornay, Quillivant, Quillichew (methylphenidate)
• Adderall (amphetamine/dextroamphetamine)
• Evekeo (amphetamine sulfate)
• Vyvanse (lisdexamfetamine)

Non-stimulants also may be used but do not work as quickly as stimulants. However, they also help mitigate symptoms of ADHD by improving focus, attention, and impulsivity. Non-stimulants available for ADHD treatment include:

• Strattera (atomoxetine)
• Intuniv (guanfacine)
• Catapres (clonidine)

Antidepressants
Antidepressants may be used alone or in combination with stimulants to treat ADHD. They work similarly to stimulants, boosting the levels of dopamine and norepinephrine in the brain and improving both attention and impulsivity.

Psychotherapy

The American Academy of Pediatrics recommends behavior therapy for children six years old and under. This therapy teaches skills and strategies to help the child succeed at school, home, and in relationships. Behavior therapy for parents is also recommended for children of all ages.

It may also be recommended that children have a school treatment plan, including an Individualized Education Plan (or 504 plan) that describes the accommodations needed for the child, along with interventions and supports.

Accommodations may include:

• Receiving extra time on tests
• Receiving breaks or time to move
• Using technology to assist with tasks and additional help with organization

In recent years, cognitive-behavioral therapy (CBT) programs have been developed specifically for adults with ADHD. They can help overcome difficulties with executive functioning, improve time management and organization, and short-term and long-term planning.

Medical Nutrition Therapy
Diet is an integral part of ADHD management. Studies have shown that eating less processed food, sweets, and foods high in omega-3 fatty acids, such as fish, whole grains, fruits, vegetables, nuts, and seeds, can improve ADHD symptoms. In addition, certain foods may alleviate ADHD, while others may exacerbate it, so an individual nutrition plan is recommended.

Our registered dietitians will complete an assessment of your diet and develop a personalized nutrition plan to alleviate your symptoms. A thorough assessment paves the way for a successful nutrition counseling experience. At follow-up appointments, a review of food intake and behaviors, an evaluation of the meal plan, and further information are provided. 

RCBM has been actively involved in treating ADHD across the lifecycle for decades. The clinic has been involved in numerous clinical trials for ADHD medications. RCBM emphasizes diagnostic precision so that ADHD and co-existing conditions can be carefully understood and precise treatment applied. 

Dr. Young has authored books and many articles on ADHD, and our treatment is cutting-edge. 

ADHD Grown Up: A Guide to Adolescent and Adult ADHD
Contemporary Guide to Adult ADHD

Watch Dr. Young's interviews with local television stations:

ADHD in adults: Know the symptoms

What to know about national ADHD medication shortage

If you are a current patient at RCBM, don't hesitate to contact our office at (248) 608-8800. If you are new to RCBM, you can initiate the admission process by completing a new patient registration form. Once you submit the form, we will match you with one of our qualified prescribers and therapists specializing in ADHD treatment and one of our registered dietitians. Please note that individuals must be residents of Michigan and willing to visit the office if necessary. We are committed to helping you get the treatment you need and look forward to working with you.