ADHD is more than just distractibility or fidgetiness. ADHD can affect all aspects of living, including relationships, and achievement at school or work, and lead to poor self-esteem.

Accurate assessment and expert treatment of ADHD is essential for developing critical skills that can help you harness your brain’s optimal functioning.

• • Review available medical records.
  • Comprehensive ADHD assessment: Clinical interview, cognitive testing, and therapeutic feedback (one 5-hour session).
  • Cognitive training: After an evaluation, complete an evidence-based program to foster maximal functioning in attention, learning and memory, organization, prioritization, and other foundational skills (7-8 sessions).
  • Optional maintenance sessions: Follow-up sessions to maintain skill development and pursuit of goals (one session every 2-6 months as needed).

Attention-Deficit/Hyperactivity Disorder (ADHD; formerly known as ADD) is a neurodevelopmental condition characterized by persistent attentional difficulties, impulsivity, hyperactivity, and other features. In essence, it modifies executive functioning, which describes a collection of goal-oriented processes. Executive functions guide the brain’s attentional priorities, organization, planning, emotional regulation, and behavioral expression (including body movements), among other functions.

There are several factors that predispose someone to develop ADHD. There is high genetic heritability (over 70%), so a direct family history of ADHD is a significant predictor. Other developmental variables include premature birth or very low birth weight, male biological sex, and exposure to substances in utero (e.g., smoking). Environmental factors like visual/hearing problems, metabolic abnormalities, and nutritional deficiencies can also influence the development and course of ADHD.

Since ADHD is a product of neurodevelopment, the signs and symptoms of ADHD emerge in early childhood (i.e., usually before age 12). The existence of adult-onset ADHD is controversial because symptoms emerging after age 13 are more likely explained by another mental health concern or secondary effects of substance use. However, symptoms can begin in childhood, remain undiagnosed (despite potential functional impact), and then persist into adulthood. It is also possible for symptoms to become milder as one matures, even to the point where one no longer meets the clinical criteria for ADHD.

There are three identified subtypes of ADHD: Predominantly inattentive, predominantly hyperactive, or a combined presentation. This distinction helps to identify the primary features, though they all overlap with clinical criteria.

Broadly, symptoms can include trouble maintaining/sustaining attention, distractibility, scattered thinking, forgetfulness, frequent misplacement of items, disorganization, poor planning, fidgetiness, restlessness, impatience, impulsiveness, and trouble with emotional regulation. These experiences can negatively impact one’s educational and academic achievement, work efficiency/productivity, and quality of relationships.

There is no single test to diagnose ADHD. A comprehensive assessment is necessary to establish a diagnosis and rule-out other potential causes. This includes a thorough history of academic, social, and emotional functioning. Neurocognitive testing and standardized questionnaires can also help to identify thinking patterns and convergent clinical features of ADHD.

After collecting all of the data, Dr. Stewart will then determine whether someone meets criteria for ADHD.

Yes! While ADHD is relatively common, alternative medical diagnoses (e.g., thyroid dysfunction, sleep disorders), other neurodevelopmental conditions (e.g., Autism), mental health concerns (e.g., anxiety disorders, PTSD, depression), or secondary effects of substance use can also be the root cause of someone’s experience. It also frequently co-occurs with these related diagnoses.

A comprehensive evaluation can help to determine the presence of ADHD, as well as possible coexisting conditions that can mimic, or exacerbate, symptoms.

No. A full learning disorder evaluation is beyond what we currently provide at the clinic.

• An ADHD evaluation is the essential first step. If you meet criteria for ADHD, a combination of cognitive training and medications is the gold standard of treatment.
• Dr. Brandon Stewart offers evidence-based cognitive training that fosters skill development and behavioral strategies in the areas of behavioral management, planning, organization, prioritization, attention, memory, executive functioning, healthy lifestyle habits, and other important aspects that ADHD can impact.

We do! The initial ADHD evaluation and cognitive training services that follow an ADHD evaluation are all available via telehealth. Due to licensing laws, you must be physically located in the State of Idaho at the time of your appointment to participate. Our telehealth service uses Zoom, which is HIPAA-compliant and secure.

The five-hour comprehensive ADHD evaluation is $1,500. This fixed-fee covers your thorough clinical interview, ADHD testing, and an integrated feedback session by Dr. Stewart, a licensed clinical neuropsychologist. This evaluation also includes a comprehensive written report.

Follow-up cognitive training appointments (50-minutes) are $225 each.

Our services are private-pay; however, depending on your insurance benefits, you might be eligible to use your out-of-network benefits. We can provide you with a SuperBill to submit to your insurance company on request. 

*Note: Medicare does NOT allow for any out-of-network reimbursement.

We do not currently have a sliding fee scale available.