ADHD Treatment in Palm Beach
Comprehensive evaluation, diagnosis, and medication management for adults and adolescents
What Is ADHD?
Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by persistent patterns of inattention, hyperactivity, and impulsivity that impair functioning across settings. ADHD affects an estimated 4–5% of adults — many of whom were never properly diagnosed in childhood. It is one of the most treatable psychiatric conditions, with evidence-based medication and behavioral strategies producing significant improvements in quality of life.
Dr. Agresti conducts thorough ADHD evaluations to confirm diagnosis, rule out mimics (anxiety, sleep disorders, mood disorders), and design individualized treatment plans — including access to all FDA-approved stimulant and non-stimulant medications.
ADHD Presentations
Predominantly Inattentive
Difficulty sustaining attention, frequent careless mistakes, forgetfulness, losing items, easily distracted. Often missed — especially in women and girls.
Predominantly Hyperactive-Impulsive
Fidgeting, inability to stay seated, excessive talking, interrupting, difficulty waiting. More often recognized in childhood.
Combined Presentation
Features of both inattentive and hyperactive-impulsive subtypes. The most common presentation in adults seeking treatment.
Signs & Symptoms in Adults
- Chronic difficulty starting or completing tasks (executive dysfunction)
- Poor time management and chronic lateness
- Hyperfocus on preferred activities, inability to shift attention when needed
- Emotional dysregulation — low frustration tolerance, mood fluctuations
- Disorganization — cluttered workspace, missed deadlines, lost items
- Impulsive decisions — financial, relational, occupational consequences
- Sleep disturbances, including difficulty falling asleep and waking
Medication Options
Stimulant Medications
- Adderall XR — mixed amphetamine salts, extended release
- Vyvanse — lisdexamfetamine, smoother onset, lower abuse potential
- Ritalin / Concerta — methylphenidate, short and long-acting options
- Focalin XR — dexmethylphenidate, refined methylphenidate
Non-Stimulant Medications
- Strattera (atomoxetine) — SNRI, no abuse potential
- Wellbutrin (bupropion) — off-label, effective for inattentive type
- Intuniv / Kapvay — guanfacine/clonidine, useful for hyperactivity
- Qelbree (viloxazine) — newer SNRI option for ADHD
Why Concierge Psychiatry for ADHD?
ADHD management often requires medication titration over weeks — adjusting dose, timing, and formulation. With Dr. Agresti's concierge model, you have his direct cell number to report how a medication is working, request dose adjustments, or get refills without waiting for the next scheduled appointment. This responsiveness is exactly what ADHD treatment needs.
Frequently Asked Questions
Vyvanse typically begins working within 1-2 hours of the first dose, with effects lasting 10-14 hours. However, finding the optimal dose usually takes 2-4 weeks of careful titration. With Dr. Agresti's concierge model, you can text him directly to report how each dose adjustment feels rather than waiting weeks for a follow-up appointment.
Yes, approximately 50% of adults with ADHD also have a co-occurring anxiety disorder. The two conditions share overlapping symptoms like difficulty concentrating and restlessness, which is why a thorough diagnostic evaluation is critical. Dr. Agresti evaluates for both conditions simultaneously and designs a treatment plan that addresses each without worsening the other.
When prescribed and monitored by a board-certified psychiatrist, stimulant medications like Adderall can be taken safely for years. Regular monitoring of blood pressure, heart rate, and weight is standard practice. Dr. Agresti's extended, unhurried sessions allow for comprehensive medication reviews that go beyond a typical 15-minute med check.
Non-stimulant options include Strattera (atomoxetine), Wellbutrin (bupropion), Qelbree (viloxazine), and alpha-2 agonists like guanfacine. These medications have no abuse potential and can be effective for inattentive-type ADHD. Dr. Agresti has over 30 years of experience matching patients with the right medication class based on their symptom profile and tolerability.
Absolutely. Many adults, particularly women, are not diagnosed until their 30s, 40s, or later because their symptoms were masked by coping strategies or misattributed to anxiety or depression. A comprehensive psychiatric evaluation can distinguish ADHD from conditions that mimic it and determine whether treatment is warranted.