ADHD Diagnosis and Treatment
- Dr. Tom Rogers
- Apr 22
- 4 min read
Welcome to another edition of the Doctor's Note where we talk about what's on our minds when it comes to your health.
This week I dove into a topic that’s close to home for many families - ADHD. Despite being identified more than a century ago, ADHD is still often misunderstood and overlooked, especially in adults and women. We now know it’s not a single disorder, but a collection of symptoms that can look different from person to person, ranging from the classic hyperactive behaviors seen commonly in boys to inattentiveness that often affects girls and adults. Although many tend to shy away from addressing ADHD, I find it one of the most rewarding conditions to treat in my practice, second only to hormone replacement.
During this episode I shared insights into the diagnosis, treatment options, and why paying attention to both children and adults with symptoms can be truly life changing. In terms of treatment, ADHD is highly manageable, but not something you can cure. The gold standard remains stimulant medications which, when used appropriately, can have profoundly positive effects. That said, I encourage a blend of traditional and holistic approaches, such as: nutritional support, behavioral therapy, lifestyle changes, and ruling out things like iron deficiency and sleep disorders. I also discussed some over-the-counter treatment options like L-tyrosine, Omega-3s, and even gut health strategies.
Managing ADHD successfully is a team effort - one that thrives on family support, consistent medical care, and open, honest communication. To learn more, check out the full podcast.
PODCAST NOTES
ADHD is not just a childhood condition, it’s often overlooked in adults and women, leading to years of unnecessary struggle. While over 11% of children in the U.S. are diagnosed with ADHD, only 4% of adults get the same diagnosis, though the true number is much higher. Inattentive symptoms, which are more common in females and adults, frequently go unrecognized, causing many to suffer into adulthood before receiving help.
There are three main types of ADHD, each presenting in unique ways and requiring individualized attention. Hyperactive type is seen mostly in boys and involves symptoms like constant fidgeting. Inattentive type often shows up in girls as distractibility or daydreaming. And the combined type includes elements of both. Recognizing these subtypes is crucial because they can look very different depending on a person’s age or gender.
Genetics and brain function significantly influence ADHD, debunking old myths about laziness or morality. ADHD is rooted in differences in how the brain works, especially in the prefrontal cortex, which governs executive functions like decision making and organization. It’s important to understand that these differences have nothing to do with intelligence or potential.
Untreated ADHD in adults is linked with serious consequences, ranging from emotional distress to physical and social risks. Adults with unmanaged ADHD face higher rates of anxiety, depression, substance abuse, relationship struggles, job instability, and even a higher risk of accidents and suicide. Addressing ADHD early can prevent these complications and improve quality of life.
Proper diagnosis is a comprehensive process involving not just questionnaires, but also conversations with patients and their families, and ruling out other potential causes. Using tools like the Connor’s Adult Rating Scale (see PDF at the end of this post), along with feedback from close relatives, offers a fuller picture. It’s essential to also screen for other health issues like sleep disorders, vitamin deficiencies, and coexisting mental health conditions to ensure an accurate diagnosis.
Treatment is multifaceted - stimulant medications are the most effective, but behavioral therapy, nutritional interventions, and lifestyle support are also vital. While medications such as Ritalin, Adderall, and Vyvanse are the primary choices, over-the-counter supplements, therapy, and practical support can all work together to help patients thrive. Cognitive Behavioral Therapy (CBT) is especially impactful when combined with medical treatment.
Because stimulant medications are controlled substances, they come with strict regulations and require honest patient-doctor communication. These prescriptions are tightly monitored through a national database, and practices such as monthly prescriptions, random drug screens, and encouragement of medication breaks are all in place to ensure safety and effectiveness.
Lifestyle, diet, and general health play an important role in managing ADHD. Nutritional choices can support or hinder brain function. While there is no specific “ADHD diet,” focusing on gut health, adequate protein, and healthy fats (like Omega-3s) is beneficial. Avoiding sugars and artificial food dyes is strongly recommended, since they can worsen symptoms and overall brain health.
If you or someone you care about struggles with focus, organization, or persistent brain fog, don’t chalk it up to laziness or simply being scattered. ADHD is a real and treatable condition that affects people across all ages. I encourage you to learn more, involve your family in conversations, and reach out to an experienced healthcare provider for assessment and support.
Recognizing ADHD and taking action can genuinely change lives. If you’re wondering whether you or a loved one might be affected, don’t hesitate to schedule a visit with us. We’re here and ready to help you on your journey to optimal health.
ADHD Questionnaire:
Stay educated. Stay healthy.
Till next week.
