ADHD in Adults
ADHD doesn’t end in childhood. Millions of adults live with ADHD — many without realizing it. Adult ADHD can look very different from the hyperactive child most people picture. It often shows up as chronic disorganization, difficulty completing tasks, trouble with time management, emotional dysregulation, and challenges maintaining focus in conversations or at work.
At MindMED, we take adult ADHD seriously. A thorough evaluation is the first step toward understanding how ADHD affects your specific life — and building a treatment plan that actually works for you.
How We Evaluate ADHD
Dr. Fredes conducts comprehensive ADHD evaluations during a 60–90 minute initial appointment. This includes:
- Detailed developmental and symptom history
- Assessment of current functional impairment across life domains
- Screening for commonly co-occurring conditions (anxiety, depression, sleep disorders)
- Review of prior evaluations, school records, or testing if available
- Medical history review and lab work when indicated
- Standardized rating scales and clinical interview
Important — ADHD Medication Policy: Per Texas regulations and clinical best practice, stimulant medications (such as Adderall, Vyvanse, Ritalin, and Concerta) require in-person visits and cannot be prescribed via telehealth. If you are seeking stimulant treatment for ADHD, your evaluation and ongoing management must occur at our Southlake office. Non-stimulant options may be managed via telehealth in some cases.
Treatment Options for Adult ADHD
Medication Management
- Stimulant medications (Adderall, Vyvanse, Concerta, etc.) — in-person only
- Non-stimulant options (Strattera, Wellbutrin, Qelbree, etc.)
- Careful titration with regular follow-up
- Monitoring for cardiovascular health, weight, and sleep
- Combination approaches when ADHD co-occurs with anxiety or depression
Integrative Strategies
- Sleep optimization (ADHD and poor sleep often go together)
- Exercise recommendations that support ADHD management
- Nutritional factors and supplement guidance
- Strategies for building structure and routines
- Referrals to ADHD-specialized therapists and coaches
Insurance & Pricing
We accept major insurance plans for ADHD evaluation and treatment:
✓ Aetna
✓ BCBSTX
✓ Cigna
✓ Oscar Health
✓ United Healthcare
Self-pay options and superbills for out-of-network plans are also available. View full pricing details →
Signs of ADHD in Adults
Adult ADHD often presents differently than in children. Common signs include:
- Chronic difficulty with time management and meeting deadlines
- Frequently losing things, forgetting appointments, or missing details
- Starting many projects but struggling to finish them
- Difficulty sitting still in meetings or maintaining focus during conversations
- Emotional reactivity — quick to frustration, rejection sensitivity
- A lifetime of underperforming relative to your potential
If this sounds familiar, a comprehensive evaluation can provide clarity and a path forward.