What is Attention Deficit Hyperactivity Disorder (ADHD)

Attention Deficit Hyperactivity Disorder (ADHD) formerly known as Attention Deficit Disorder (ADD) is a neurochemical imbalance of dopamine and norepinephrine. Dopamine and norepinephrine are neurotransmitters that affect attention, concentration, emotions, and executive functioning.

ADHD is often treated with medications such as stimulants, antidepressants, and anxiolytics. My practice uses advanced pharmacogenomics testing (by cheek swab) to select the most effective medications based on your metabolic profile. This alleviates much of the trial and error traditionally associated with psychopharmacology.

• Do you find that you procrastinate on your assignments?
• Are you unable to complete or create your to-do list?
• Has it always been difficult to stay organized?
• Have people speculated that you might have ADHD?

If you answered yes to these questions you may have undiagnosed ADD. Another common trait in people with attention deficit hyperactivity disorder (ADHD) is feeling demoralized, anxious, or depressed about their school or work performance despite their best efforts. Untreated ADHD increases an individual’s risk for depression, anxiety, and substance abuse.  The stimulants used to treat ADHD are also commonly abused which makes it difficult for true sufferers to get the help they need.

It’s not so simple

Unfortunately, the symptoms of ADHD can overlap with other psychiatric conditions like major depression, generalized anxiety, PTSD, thyroid disorders, poor nutrition, or even insomnia. Failing to treat an underlying condition that is causing the symptoms often makes the symptoms harder to treat and further the feelings of frustration.  A comprehensive physical examination and psychiatric evaluation are essential in arriving at an accurate diagnosis. You may indeed have ADHD.

Addressing the symptoms of ADHD can have a significant impact on your performance, relationships, and quality of life in general. In addition to psychopharmacology, behavioral therapy can also be very effective in enhancing performance. Behavioral therapy will also alter brain chemistry to reduce your ADHD symptoms.

Should you decide to take a comprehensive approach to your ADHD that differs from the conventional treatment of the monthly refill you may be surprised at the outcome. I aim to use the least amount of most effective medication in combination with psychodynamic and education therapy only after a complete physical exam and psychiatric evaluation.

About Metro Medical Direct

Dr. Raymond Zakhari is the owner and operator of Metro Medical Direct and provides Telehealth and in-home visits. He also provides in-home alcohol and drug rehabilitation. Book an appointment here and check out the rest of this site for more information about concierge medicine.

Also, check out Dr. Ray’s Podcast The Psychology of it All here. Also available on Apple Podcasts.