Many adults with ADHD were missed in childhood, or diagnosed and then lost care in the shuffle of college, moves, and insurance changes. We pick up where that thread dropped.
A structured conversation covering current symptoms, school and work history, sleep, mood, and substance use.
The Adult ADHD Self-Report Scale and Wender Utah Rating Scale, plus screens for anxiety, depression, bipolar disorder, and trauma.
Inattention can look like many things. We rule out conditions that mimic ADHD, including sleep apnea, thyroid disease, anemia, and depression, before committing to treatment.
ADHD is a developmental diagnosis, which means the history matters as much as how you feel today. With your permission, we often request collateral information as part of the evaluation: prior treatment records, old school reports or report cards, and sometimes input from a partner or family member who knew you earlier. This is a routine part of a careful assessment rather than a sign that anything is in doubt.
Please note that an evaluation is a clinical assessment for treatment purposes. We cannot promise a written report, a disability determination, or documentation for legal, academic, or employment purposes. If you need paperwork of that kind, tell us before you schedule so we can be honest about whether we are able to help.
There is no single best ADHD medication. The right one depends on your other health conditions, your daily schedule, and what you have already tried.
First-line treatment, with a clear effect within days. We monitor blood pressure and heart rate, and we check the state prescription monitoring program.
Good options for patients with anxiety, tics, a substance-use history, or cardiac concerns. Slower to take effect, and often worth the wait.
ADHD-informed therapy, coaching, workplace accommodations, and sleep-first interventions. Often as important as the prescription.
Video evaluations across Oregon and Washington, usually within a few days.
Most of the work happens after the evaluation. Follow-ups run by video, prescriptions go electronically to your pharmacy, and portal messaging covers the questions in between.
Your first follow-up is about a week after the initial visit. While a dose is being adjusted we meet every two weeks, then monthly once you are stable. Schedule II stimulants require a new prescription each month rather than a refill, so that rhythm is built into the follow-up schedule instead of leaving you to chase it.
Because our clinicians hold licenses in both states, this is available anywhere in Oregon or Washington, including Portland, Salem, Eugene, Bend, Vancouver, Seattle, Tacoma, and Spokane. Care in the Puget Sound area is telehealth only, with identical coverage and availability.
Serving Salem, Keizer, Independence, Monmouth, Silverton, Dallas, and Woodburn.
View Salem page →Serving Newberg, Dundee, Dayton, McMinnville, Sherwood, Tigard, and King City.
View Newberg page →Serving Vancouver, Camas, Washougal, Battle Ground, Ridgefield, and North Portland commuters.
View Vancouver page →Yes. Adult ADHD evaluations are completed by secure video in Oregon and Washington. You need to be physically located in one of those states during the appointment. Federal rules currently permit controlled-substance prescribing by telemedicine under specific conditions, and we will review whether telehealth-only care fits your situation.
When clinically appropriate, yes. Stimulant prescribing is a normal part of responsible adult ADHD care. We review your full medical history first, and stimulants are not the right call for every patient.
Only with your permission. We frequently request collateral information such as prior records, school reports, or input from a partner or family member, because outside history improves diagnostic accuracy in adults. You decide what we may request and from whom.
An evaluation is a clinical assessment for treatment purposes. We cannot promise a written report, a disability determination, or documentation for legal, academic, or employment purposes. Raise it before scheduling and we will tell you honestly whether we can help.
Yes. Bring your prior records if you have them. We review, confirm the diagnosis, and continue or adjust treatment based on how things are going.
Telehealth evaluations are usually available within a few days. In-person availability at our Salem, Newberg, and Vancouver offices is limited, so call (503) 395-4064 to discuss it.
Most people who have wondered about ADHD for years feel relief simply getting a real answer, either way. That begins with one appointment.