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Preschool Children
Services for preschool children include assessment either by our developmental/behavioral pediatrician (DP) or by our neuropsychologist that has a specialization in assessing preschoolers. Our DP often serves as case manager helping parents access and coordinate care among various providers and helping them to find the right preschool setting for their child.
Elementary School Children
As children become more independent in elementary school, our focus is on helping parents create an ADHD-friendly home environment, but also to communicate with your child’s teacher to foster understanding and support at school. Social groups and sports or other activities need to be carefully chosen during elementary school years to continue to build your child’s confidence and social skills. For example, some children with ADHD will excel in a one-on-one martial arts training program, but may encounter difficulty participating in a team sport that requires greater attentional control and self-control.
Middle and High School Students
In middle and high school, we continue to bring parents actively into the process to help families develop collaborative problem-solving techniques at home – our ongoing focus on building an ADHD-friendly home environment. We also begin to teach your teen what he or she needs to know about ADHD-friendly environments and how to make good choices about the environments in which they put themselves – choosing friends and activities that will support their growth and confidence. We focus on executive functioning skills, self-esteem, peer and family relationships and burgeoning independence.
College Students
The primary environment for college students is within the school that they have chosen. Many college students come to us because they are struggling to feel and function well in the college that they have chosen. An important part of our work with them is to enter into a dialogue with the student to better understand what would improve their social/academic environment – a change of roommates? A change of living situation? Improved daily sleep and nutrition habits? A reduced course load to reduce stress levels? A transfer to a college close to home? We work with college students that are either living at home or away at college to help them manage sleep problems, time management challenges, planning and follow-through, and life management skills to prepare for independence.
Young Adults
Many young adults struggling with attention, learning, memory and/or social issues are delayed in becoming fully independent. Living at home, or returning home after a failed effort in college, this group is often called the “failure to launch” group. We help parents to find the balance between appropriately supporting and enabling their young adult, while helping young adults build self-esteem, self-reliance, and the executive functioning skills to lead a successful, independent life.
Many adults come to us having received a late diagnosis and therefore didn’t take ADHD into account in their career choice. We work with them to either cultivate the skills to function better in their chosen path, or to identify a career direction that is a better match for their unique skills, needs and interests – in other words, understanding and finding an ADHD-friendly work environment – whether it involves a change of jobs, a change of career, a change of job duties with the same employer.

Adults, even those that function well at work, may find that they struggle with the relentless demands of daily life. We help adults to streamline, simplify, reduce stress and make realistic choices so that their daily lives become more manageable. And, of course, we help adults address co-existing disorders including anxiety and mood disorders.

Couples and Families
Many adults that have managed well prior to family  find that the onset of the demands of children and household management surpass their ability to function comfortably in their daily life. We help adults to cultivate skills and coping mechanisms that reduce their feelings of overwhelm and to  help them gain a sense of control. We work with couples to help the spouse better understand the particular challenges of their partner and how best to work with their partner to reduce the stress this causes in the relationship and in the family. We also often work with parents and children to help them to problem-solve together and work on becoming a more ADD-friendly family.
ADHD in women is often overlooked or misdiagnosed as anxiety or depression. ADHD in women is one of our specialities. ADHD often presents later and is strongly impacted by hormonal changes and the greater responsibility for parenting and household management often experienced by women. We help women to feel and function better and to develop more realistic expectations.
Adults with ADHD entering retirement years often experience some of the same challenges experienced by young adults leaving home – less social support and less daily structure as they leave the workplace. We help older adults to develop healthier sleeping and eating patterns as well as to develop connections in their community that add much-needed structure and stimulation to their lives.