By We Level Up WA | Author Alex Evans, PharmD, MBA | Editorial Policy | Research Policy
Attention-deficit/hyperactivity disorder (ADHD) is a complex neurodevelopmental condition that affects how people focus, manage impulses, and regulate their behavior. Living with untreated ADHD can significantly impact daily functioning, relationships, academic performance, and career success.
The good news? With proper diagnosis and treatment, people living with ADHD can thrive and leverage their unique strengths.
Understanding ADHD
ADHD is characterized by persistent patterns of inattention, hyperactivity, and impulsivity that interfere with functioning and development. These symptoms often appear differently across age groups and individuals.
For children, ADHD might look like constant motion, difficulty following instructions, or struggling to wait their turn. Adults might experience internal restlessness, difficulty with time management, or challenges maintaining focus during conversations or meetings.
The condition is typically categorized into three presentations:
- Predominantly Inattentive Presentation: Difficulty sustaining attention, following through on tasks, and organizing activities
- Predominantly Hyperactive-Impulsive Presentation: Excessive fidgeting, talking, and interrupting; feeling constantly “on the go”
- Combined Presentation: Symptoms of both inattention and hyperactivity-impulsivity
Diagnosing ADHD
ADHD symptoms can vary widely between individuals and may change throughout life. Symptoms are divided into inattentive symptoms and hyperactivity-impulsivity symptoms.
Here are the diagnostic criteria for ADHD, according to the Diagnostic and Statistical Manual, 5th edition (DSM-5):
- Six or more symptoms of inattention and/or hyperactivity-impulsivity for children up to age 16 years, OR
- Five or more symptoms of inattention and/or hyperactivity-impulsivity for adolescents ages 17 years and older and adults.
ADHD Symptom Checklist (per CDC)
| Inattentive Symptoms | Hyperactivity & Impulsivity Symptoms |
|---|---|
| Often fails to give close attention to details or makes careless mistakes in schoolwork or other activities | Often fidgets with or taps hands or feet, or squirms in seat |
| Often has trouble holding attention on tasks or play activities | Often leaves seat in situations where remaining seated is expected |
| Often does not seem to listen when spoken to directly | Often runs about or climbs in inappropriate situations (in adolescents or adults, may be limited to feeling restless) |
| Often does not follow through on instructions and fails to finish schoolwork or chores | Often unable to play or take part in activities quietly |
| Often has trouble organizing tasks and activities | Is often “on the go” acting as if “driven by a motor” |
| Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time | Often talks excessively |
| Often loses things necessary for tasks and activities (e.g., school materials, pencils, books, tools) | Often blurts out an answer before a question has been completed |
| Is easily distracted | Often has trouble waiting their turn |
| Is often forgetful in daily activities | Often interrupts or intrudes on others (e.g., butts into conversations or games) |
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Causes and Risk Factors
It’s important to understand that ADHD isn’t a result of laziness or lack of discipline. ADHD develops through a complex interplay of genetic, neurological, and environmental factors. While research continues to evolve, several key contributors have been identified:
Genetic Factors
ADHD has a strong hereditary component, with studies suggesting heritability rates of around 80%. Children with a parent or sibling who has ADHD are at significantly higher risk of developing the condition themselves.
Neurological Differences
Research shows that ADHD stems from differences in brain structure, function, and neurotransmitter activity, particularly in areas responsible for executive functioning and self-regulation.
Environmental Influences
Several environmental factors may increase ADHD risk, including:
- Prenatal exposure to tobacco, alcohol, or certain medications
- Premature birth or low birth weight
- Lead exposure, particularly during early development
- Certain nutritional deficiencies
Evaluation for Co-occurring Conditions
Up to 80% of people living with ADHD have at least one co-occurring condition. We screen for common companions to ADHD, such as anxiety, depression, learning disorders, and substance use issues, ensuring that treatment addresses the full clinical picture.
This multi-faceted approach allows us to develop a clear understanding of each individual’s unique presentation and needs, forming the foundation for personalized treatment planning.
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Treatment Options for ADHD
Effective ADHD management typically involves a multimodal approach combining several evidence-based interventions. At We Level Up WA, we tailor treatment plans to address each person’s specific symptoms, strengths, challenges, and preferences.
Medication Management
Medication is often a cornerstone of ADHD treatment, helping to regulate neurotransmitter activity and improve core symptoms. Options include:
- Methylphenidate-based medications (Ritalin, Concerta, Daytrana)
- Amphetamine-based medications (Adderall, Vyvanse, Dexedrine)
These medications work by increasing dopamine and norepinephrine levels in the brain, improving attention, focus, and impulse control. Stimulants are first-choice medications for ADHD. As many as 70-80% of people get some benefit from stimulants.
- Atomoxetine (Strattera)
- Alpha-2 adrenergic agonists (Intuniv, clonidine)
- Certain antidepressants (Wellbutrin)
These alternatives may be recommended for those who don’t respond well to stimulants or have certain contraindications.
Our psychiatrists work closely with patients to find the optimal medication, dosage, and timing, with regular follow-ups to monitor effectiveness and manage any side effects.
Behavioral Therapy
Behavioral interventions help develop practical skills for managing ADHD challenges:
- Behavior Management Training: For parents of children with ADHD, focusing on consistent discipline, positive reinforcement, and clear expectations
- Organizational Skills Training: Techniques for managing time, organizing tasks, and maintaining systems for daily responsibilities
- Social Skills Training: Structured practice for reading social cues, taking turns in conversation, and managing frustration in social settings
Cognitive-Behavioral Therapy (CBT)
Cognitive-Behavioral Therapy (CBT) helps individuals identify and change negative thought patterns that contribute to ADHD-related difficulties. This approach is particularly effective for adults with ADHD and focuses on:
- Developing strategies to improve attention and concentration
- Creating systems to enhance organization and time management
- Building skills to manage impulsivity and emotional regulation
- Addressing negative self-perceptions that may have developed from living with ADHD
Lifestyle Modifications
Certain lifestyle changes can significantly improve ADHD symptom management:
- Regular physical exercise, which has been shown to improve attention and reduce hyperactivity
- Consistent sleep routines to support cognitive function
- Nutritional strategies, including regular meal timing and balanced nutrition
- Mindfulness practices to enhance attention and self-regulation
Educational Interventions
For school-aged children, accommodations might include:
- Extended time for tests
- Preferential seating to minimize distractions
- Breaking assignments into smaller chunks
- Regular movement breaks
- Use of assistive technologies
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Benefits of ADHD Treatment
Effective ADHD treatment can transform lives, opening doors to success that may have previously seemed out of reach. Here are some of the benefits of ADHD treatment.
Academic and Professional Success
- Improved ability to complete assignments and meet deadlines
- Enhanced capacity to absorb and retain information
- Better performance evaluations and academic outcomes
- Reduced careless errors in work
- Greater career advancement opportunities
Enhanced Self-Regulation
- Better impulse control in social and financial decisions
- Improved emotional regulation during stressful situations
- Reduced risk-taking behaviors
- More thoughtful problem-solving approaches
- Decreased frustration and emotional outbursts
Stronger Relationships
- More attentive listening during conversations
- Reduced interrupting and improved turn-taking
- Better follow-through on commitments to others
- Increased patience in challenging interactions
- More positive family dynamics
Improved Self-Esteem and Mental Health
- Reduced feelings of shame or inadequacy
- Greater confidence in abilities
- Lower rates of anxiety and depression
- Improved sense of agency and control
- More positive self-perception
Better Quality of Life
- Improved sleep patterns
- Reduced stress from missed deadlines or obligations
- Greater life satisfaction
- More effective management of daily responsibilities
- Ability to pursue interests and hobbies more successfully
Getting Started with ADHD Treatment
Taking the first step toward ADHD treatment can feel overwhelming, but we’ve designed our intake process to be straightforward and supportive.
Initial Contact
Reaching out is simple. Call us at (509) 348-4077 or visit welevelupwa.com to schedule your initial consultation. Our friendly staff will gather basic information and answer any immediate questions you might have about our services.
Comprehensive Assessment
Your journey begins with a thorough evaluation to understand your specific symptoms, challenges, and goals. This typically includes:
- Clinical interviews
- Standardized assessments
- Review of relevant medical and educational history
- Input from family members or significant others (with your permission)
Collaborative Treatment Planning
Following the assessment, we’ll discuss findings and recommendations, working together to develop a treatment plan that aligns with your needs and preferences. We’ll clearly explain all options, potential benefits, and what to expect from the treatment process.
Beginning Treatment
Once your plan is established, you’ll be connected with the appropriate providers on our team. Treatment might include a combination of medication management, therapy, skills training, and other interventions based on your individual needs.
Ongoing Support
Throughout your treatment journey, we’ll regularly review progress, address any concerns, and adjust your plan as needed to ensure you’re receiving maximum benefit.
Don’t let ADHD symptoms continue to interfere with your potential. Contact We Level Up WA today to begin your path toward improved focus, better self-regulation, and greater success in all areas of life.
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FREE 24/7 Dual Diagnosis Mental Health Services HotlineConclusion
ADHD is a complex neurobiological condition that can present significant challenges, but with proper treatment, these challenges can be effectively managed. At We Level Up WA, we’re committed to providing evidence-based, compassionate care that helps individuals with ADHD harness their strengths while developing strategies to overcome obstacles.
Through our comprehensive approach combining medication management, therapeutic interventions, and practical skill development, we’ve helped countless individuals transform their relationship with ADHD from a source of frustration to a manageable aspect of their unique neurology.
Remember that seeking help for ADHD isn’t a sign of weakness but a step toward empowerment. With the right support, individuals with ADHD can thrive in school, work, relationships, and all aspects of life.
Contact We Level Up WA today at (509) 348-4077 to begin your journey toward more effective ADHD management and a more fulfilling life.
Frequently Asked Questions
Where in Spokane, Washington can you find attention-deficit-hyperactivity-disorder treatment?
We Level Up WA offers comprehensive ADHD treatment services in Spokane, Washington. Our multidisciplinary team provides evidence-based assessment and treatment for children, adolescents, and adults living with ADHD.
Where in Seattle, Washington can you find attention-deficit-hyperactivity-disorder treatment?
There are numerous providers in the Seattle area. We Level Up WA offers comprehensive ADHD treatment services in Spokane, Washington. Our multidisciplinary team provides evidence-based assessment and treatment for children, adolescents, and adults living with ADHD.
Where in Coeur d’Alene, Idaho can you find attention-deficit-hyperactivity-disorder treatment?
We Level Up WA offers comprehensive ADHD treatment services in nearby Spokane, Washington – just across the state line. Our multidisciplinary team provides evidence-based assessment and treatment for children, adolescents, and adults living with ADHD.
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