NYC ADHD  Psychiatrist (ADHD = Attention Deficit Hyperactivity Disorder formerly called ADD)

Updated by Natan Schleider, M.D. on January 10th, 2021

NYC ADHD Psychiatrists may prescribe Ritalin for therapy. Thisold advertisement is a bit odd but tells us how Ritalin and other ADHD medicines have changed in their uses over the years.

NYC ADHD Psychiatrist specialize in evaluation and treatment of ADHD in 2022.

So how do our NYC ADHD Psychiatrists diagnose ADHD in 2022?

1. Childhood history of suspect or diagnosed ADHD

2. Ensuring that no organic or physical ailment like a thyroid condition or a metabolic issue us causing mental health issue (which is why general practice doctors see all our psychiatry patients)

3. Symptoms present in two settings (for example work and school)

To further confuse the things, ADHD is divided into THREE subtypes.

ADHD INATTENTIVE SUBTYPE OR ADHD-I REQUIRES:

The best NYC ADHD Psychiatrist will not only diagnose ADHD but determine its subtype. For example ADHD-I subtype is characterized by the following:

• Be easily distracted, miss details, forget things, and frequently switch from one activity to another
• Have difficulty maintaining focus on one task
• Become bored with a task after only a few minutes, unless doing something they find enjoyable
• Have difficulty focusing attention on organizing or completing a task
• Have trouble completing or turning in homework assignments, often losing things (e.g., pencils, toys, assignments) needed to complete tasks or activities
• Appear not to be listening when spoken to
• Daydream, become easily confused, and move slowly
• Have difficulty processing information as quickly and accurately as others
• Struggle to follow instructions
• Have trouble understanding details; overlooks details

ADHD HYPERACTIVE-IMPULSIVE SUBTYPE OR ADHD-HI REQUIRES:

Most or all of the following symptoms, excluding situations where these symptoms are better explained by another psychiatric or medical condition which out NYC ADHD Psychiatrists look out for:

• Fidget or squirm a great deal;
• Talk nonstop;
• Dash around, touching or playing with anything and everything in sight;
• Have trouble sitting still during dinner, school, and while doing homework;
• Be constantly in motion;
• Have difficulty performing quiet tasks or activities;
• Be impatient;
• Blurt out inappropriate comments, show their emotions without restraint, and act without regard for consequences;
• Have difficulty waiting for things they want or waiting their turn in games;
• Often interrupt conversations or others’ activities;

ADHD COMBINED SUBTYPE OR ADHD-C REQUIRES A MIX OF ADHD-I AND ADHD-HI

SPECIAL POINT: MANY ADHD PATIENTS SUFFER FROM REACTIVE ATTACHMENT DISORDER AND MAY SUFFER LEARNING AND MOOD DISORDERS.

HOW DO THE BEST NYC ADHD PSYCHIATRISTS DIAGNOSE ADHD?

To be clear, there is no simple diagnostic test is available for ADHD diagnosis. There is NO blood test, NO brain scan, NO spinal tap, NO genetic test. Below are some ways NYC ADHD Psychiatrists can diagnose ADHD:

1. Firstly, The FDA has approved Quantitative Electroencephelograms (QEEG) for diagnosis. These are performed by neuropsychologists (rarely covered by insurance).
2. Secondly, there are written diagnostics tests like Conners.
3. Third is a Test of Variable Attention or TOVA The Test of Variables of Attention (T.O.V.A.®) (tovatest.com)
4. Fourth (AND MY FAVORITE) is the Adult Attention Deficit Disorder Self Report Scale ot ASRS Version 1.1.
5. Finally there is The Vanderbilt ADHD Diagnostic Rating Scale (VADRS) is another.

Some recent studies show that certain markers in blood and urine are different in patients with ADHD:

• platelet monoamine oxidase expression,

• urinary norepinephrine,

• urinary MHPG,

• urinary phenethylamine levels,

• blood plasma phenethylamine concentrations (are lower in ADHD individuals relative to controls (and the two most commonly prescribed drugs for ADHD, amphetamine and methylphenidate, increase phenethylamine biosynthesis in treatment-responsive individuals with ADHD).

WHAT ARE NYC BEST ADHD PSYCHIATRISTS USING FOR ADHD TREATMENTS IN 2022

Behavioral and talk therapies show no LESS evidence in helping Adult ADHD compared to medicine.  (they do help Childhood ADHD).

Exercise seems to help Adult ADHD slightly.

‘TALK THERAPY IS LESS EFFECTIVE FOR MOST ADULT ADHD PATIENTS COMPARED TO MEDICINE BUT IT MAY HELP SOME [Source: Neuropsychiatric Disease Treatment 2008 Treatment of adults with attenti

SOME ADHD MEDICINE TREATMENT OPTIONS 2022:

• mixed amphetamine-dextroamphetamine also call mixed ampetamine salts also called d-amphetiame (Adderall)
• methylphenidate (Ritalin)
• Vyvanse
• dexmethylphendiate (Focalin)
• Concerta
• methamphetamine.

Please contact DOCTOR IN THE FAMILY psychiatrists in NYC if you are seeking diagnosis, second opinion, and/or treatment options for ADHD / ADD by contact-us call or text 646-957-5444.

Here is a great article detailing the treatment medicine options of ADHD: 2021’s Best ADHD Medication Treatment for NYC Patients | Doctor In The Family

ABOUT NYC Psychiatry and Primary Care Physicians.

NYC primary care doctors in NYC AND primary medical care in NYC are provided under one roofLike an umbrella for two, we Got You Covered!

Updated by Natan Schleider, M.D. March 21st, 2021

Before we offered psychiatric care in NYC AND primary care in NYC we were average patients who lived in New York City.

We noticed some issues:

First of all  NYC psychiatrists ONLY dealt with anxiety, depression, and other common mental health  / psychiatric problems. So they couldn’t even evaluate us for strep throat? Why not, I mean, didn’t they go to medical school.

The second issue: NYC primary care physicians would treat most common medical conditions, but almost always sent us to a NYC psychiatrist for anything mental health care related. That made no sense. For example, if ‘flight related anxiety’ was our concern, NYC PCPS referred us for NYC Psychiatry care. They might sooner advise a few alcoholic drinks at the bar to relax than prescribed a handful of if needed non-controlled anti anxiety medicines? Again, that made no sense to ue.

Dr. Natan Schleider, M.D. recalls the following:

I travelled from Manhattan to Brooklyn, from uptown to downtown. Finding a psychiatrist who worked with my insurance and friendly and accessible was impossible.

After an hour in a crowded waiting room, I’m hustled into a tiny exam room.

The psychiatrist rushed in. ‘Your GP wouldn’t prescribe you Prozac 10 mg, the oldest safest SSRI there is, why?!’ she said.

Before I could shrug she was out the door. My prescription drifted down to the exam table like a feather. The thirty second consult was over.

On the way out, I payed my 20 dollar copay, a lot of money for a college student with six figures of student debt. I was ‘lucky’ according to the receptionist that a follow up appointment was available in exactly 30 days—exactly when I would have zero pills left.

Why did I have to see different doctors to treat my brain and my body?

The concept of one-stop shop is hardly new, it’s a cliché.

Believing that New York City patients benefit from NYC  psychiatrist care AND primary  care under one roof became out goal,

Dr. Natan Schleider, a primary care physician and addiction medicine doctor specializing in mental health, called his friend  Dr. Marc Epstein, a NYC Psychiatrist. They joined forces.

Now NYC Psychiatry and Primary Care Physicians  care for New York for our NYC office or via telemedicine, whichever is best for the patient.

Please ­contact us  by calling or texting 646-957-5444 with any questions or schedule an appointment

For more unique info check out our blog.

ABOUT NYC Psychiatry and Primary Care Physicians.

NYC primary care doctors in NYC AND primary medical care in NYC are provided under one roofLike an umbrella for two, we Got You Covered!

Updated by Natan Schleider, M.D. March 21st, 2021

Before we offered psychiatric care in NYC AND primary care in NYC we were average patients who lived in New York City.

We noticed some issues:

First of all  NYC psychiatrists ONLY dealt with anxiety, depression, and other common mental health  / psychiatric problems. So they couldn’t even evaluate us for strep throat? Why not, I mean, didn’t they go to medical school.

The second issue: NYC primary care physicians would treat most common medical conditions, but almost always sent us to a NYC psychiatrist for anything mental health care related. That made no sense. For example, if ‘flight related anxiety’ was our concern, NYC PCPS referred us for NYC Psychiatry care. They might sooner advise a few alcoholic drinks at the bar to relax than prescribed a handful of if needed non-controlled anti anxiety medicines? Again, that made no sense to ue.

Dr. Natan Schleider, M.D. recalls the following:

I travelled from Manhattan to Brooklyn, from uptown to downtown. Finding a psychiatrist who worked with my insurance and friendly and accessible was impossible.

After an hour in a crowded waiting room, I’m hustled into a tiny exam room.

The psychiatrist rushed in. ‘Your GP wouldn’t prescribe you Prozac 10 mg, the oldest safest SSRI there is, why?!’ she said.

Before I could shrug she was out the door. My prescription drifted down to the exam table like a feather. The thirty second consult was over.

On the way out, I payed my 20 dollar copay, a lot of money for a college student with six figures of student debt. I was ‘lucky’ according to the receptionist that a follow up appointment was available in exactly 30 days—exactly when I would have zero pills left.

Why did I have to see different doctors to treat my brain and my body?

The concept of one-stop shop is hardly new, it’s a cliché.

Believing that New York City patients benefit from NYC  psychiatrist care AND primary  care under one roof became out goal,

Dr. Natan Schleider, a primary care physician and addiction medicine doctor specializing in mental health, called his friend  Dr. Marc Epstein, a NYC Psychiatrist. They joined forces.

Now NYC Psychiatry and Primary Care Physicians  care for New York for our NYC office or via telemedicine, whichever is best for the patient.

Please ­contact us  by calling or texting 646-957-5444 with any questions or schedule an appointment

For more unique info check out our blog.