ADHD Treatment in Palm Beach, FL

Attention-deficit/hyperactivity disorder (ADHD) is one of the most commonly misunderstood conditions in psychiatry. Whether you were diagnosed as a child or are seeking answers for the first time as an adult, Dr. Mark G. Agresti, M.D. provides thorough ADHD evaluation and highly individualized treatment at his Palm Beach practice.

What Is ADHD?

ADHD is a neurodevelopmental disorder characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning across multiple domains of life. It is not a matter of intelligence or effort — ADHD reflects genuine differences in brain structure and chemistry, particularly in dopamine and norepinephrine regulation.

ADHD presents in three primary subtypes:

• Predominantly Inattentive Type — difficulty sustaining focus, frequent forgetfulness, disorganization, and losing track of tasks
• Predominantly Hyperactive-Impulsive Type — excessive movement, fidgeting, talking, and difficulty waiting or taking turns
• Combined Type — significant symptoms of both inattention and hyperactivity/impulsivity

ADHD in Adults: A Frequently Missed Diagnosis

While ADHD is often identified in childhood, many adults reach their 20s, 30s, 40s, or beyond without ever receiving a proper diagnosis. Adult ADHD frequently presents differently than the childhood stereotype. Common presentations in adults include:

• Chronic difficulty with organization, time management, and follow-through
• Starting projects enthusiastically but rarely finishing them
• Frequent job changes or relationship difficulties due to impulsivity
• Chronic lateness and missed deadlines despite best intentions
• Emotional dysregulation — frustration, mood swings, low frustration tolerance
• Difficulty reading, writing, or completing cognitively demanding tasks
• Feelings of underachievement despite high intelligence or ability

If this pattern describes your experience, a proper psychiatric evaluation with Dr. Agresti can provide clarity, diagnosis, and an effective path forward.

Comprehensive ADHD Evaluation

Accurate ADHD diagnosis requires more than a brief questionnaire. Dr. Agresti conducts a thorough psychiatric evaluation that includes:

• Detailed symptom history and developmental background
• Assessment of symptom onset, duration, and functional impairment across settings
• Evaluation for co-occurring conditions (anxiety, depression, learning disabilities, sleep disorders)
• Review of prior testing, school records, or previous evaluations when available

This careful process ensures an accurate diagnosis and rules out other conditions that can mimic ADHD.

ADHD Treatment Options

Medication Management

Medication remains the most evidence-based treatment for ADHD and can produce dramatic improvements in focus, impulse control, and daily functioning for many patients. Dr. Agresti specializes in finding the right medication and dose for each individual — a process that requires expertise and patience.

ADHD medication categories include:

• Stimulant medications (amphetamine salts, methylphenidate) — first-line treatments with a strong evidence base, available in immediate-release and extended-release formulations
• Non-stimulant medications (atomoxetine, viloxazine, guanfacine, clonidine) — effective alternatives for patients who cannot tolerate stimulants, have substance use histories, or prefer non-controlled options
• Antidepressants with ADHD efficacy (bupropion) — particularly useful when ADHD co-occurs with depression

Dr. Agresti carefully monitors medication response, adjusts dosing as needed, and manages any co-occurring conditions that may affect ADHD treatment outcomes.

Behavioral and Organizational Strategies

Medication works best alongside structure, routine, and compensatory strategies. Dr. Agresti provides guidance on organizational tools, time management approaches, and environmental modifications that can significantly enhance the effectiveness of medical treatment.

ADHD and Co-Occurring Conditions

ADHD rarely occurs in isolation. Dr. Agresti has extensive experience treating ADHD alongside commonly co-occurring conditions including anxiety disorders, depression, sleep disorders, and substance use disorders. Treating all conditions simultaneously — rather than sequentially — typically produces the best outcomes.

Telehealth ADHD Care Across Florida

Dr. Agresti offers telehealth psychiatric appointments for ADHD patients throughout Florida. Telehealth is convenient, effective for medication management and follow-up, and can be especially helpful for patients whose ADHD makes it difficult to attend in-person appointments consistently.

Why Choose Dr. Mark Agresti for ADHD Treatment

• Board-certified psychiatrist with deep expertise in adult and late-diagnosed ADHD
• Expert in complex psychopharmacology — including difficult cases with multiple co-occurring conditions
• Thorough, evidence-based evaluation — not just a checklist
• Palm Beach office location with statewide telehealth coverage
• Compassionate, non-judgmental care for patients who have struggled for years without answers

Get the Answers You Deserve

ADHD is highly treatable. With proper diagnosis and the right treatment plan, patients regularly experience transformative improvements in focus, productivity, relationships, and self-confidence. Dr. Agresti is here to help.

Dr. Mark G. Agresti, M.D.
44 Cocoanut Row, Suite m-202
Palm Beach, FL 33480

Call to schedule: 561-760-4107
Psychiatric emergencies: 561-386-7743

Telehealth appointments available for patients throughout Florida.