How can I make my ADHD better?

Improvement usually comes from a combination of an accurate evaluation, appropriate medication if indicated, and daily structure — routines, reminders, and consistent sleep. There's no single fix; your provider works with you to build a plan suited to your symptoms and goals over time.

How do you treat ADHD insomnia?

Sleep difficulties in ADHD are addressed as part of your overall treatment plan, considering medication timing, sleep habits, and whether a co-occurring issue like anxiety is contributing. This is discussed individually with your provider rather than treated with a one-size-fits-all approach.

How do you treat ADHD in girls and women?

Evaluation accounts for how ADHD often presents differently in women — more inattentive symptoms and internal restlessness than obvious hyperactivity. Treatment planning still follows the same evaluation-first process, tailored to how your symptoms actually show up.

Can ADHD be diagnosed in adults through telehealth?

Yes. A live video evaluation allows your provider to review your symptom history, ask detailed questions, and reach a diagnosis using the same clinical standards used in person, for most adults located in New York, California, or Florida.

Will I automatically get stimulant medication?

No. Stimulant medications are controlled substances, and any prescription follows a complete evaluation, clinical judgment, and applicable regulations. Some patients are better suited to non-stimulant options or a non-medication approach, and that's determined together with your provider.

ADHD treatment

ADHD Treatment in New York — Online with a Board-Certified PMHNP

Adult ADHD is treatable, and getting an evaluation doesn't require an in-person visit. If focus, follow-through, or restlessness have been getting in the way of work, school, or daily life, a licensed evaluation is the next step toward understanding what's happening and what can help.

Board-certified PMHNP Astrude Charles provides ADHD treatment in New York entirely by secure telehealth — evaluation, medication management, and follow-up care for patients located in New York, California, or Florida, ages 12 and up.

Request a Consultation Call Now

Board-Certified PMHNP-BC
Telehealth psychiatric care
Ages 12+
Major insurance accepted

Understanding your care

What is ADHD treatment?

ADHD treatment through our practice centers on three connected pieces of care: a comprehensive psychiatric evaluation — a structured conversation about your history, symptoms, and how they show up across different areas of your life — medication management when clinically appropriate, and regular telehealth follow-up visits to adjust the plan as needed.

We do not offer standalone psychotherapy or counseling, and we don't issue prescriptions before an evaluation is complete. Every treatment decision follows a licensed clinical assessment, not a checklist. If ongoing talk therapy would benefit you, we're glad to coordinate with a therapist alongside your medication management here.

This distinction matters because ADHD care is sometimes marketed as faster or simpler than it really is. Responsible treatment takes a bit of time to get right: an evaluation to confirm what's actually going on, a plan built around your specific symptoms and health history, and follow-up visits to see how that plan works in practice. We'd rather be upfront about that process than promise a shortcut that isn't clinically sound.

All ADHD care is provided via secure telehealth for patients physically located in New York, California, or Florida. Our practice is based in Albany, NY.

You are not imagining it

Symptoms you may be experiencing

If any of these feel familiar, you are not alone — and you do not have to figure out next steps by yourself.

Trouble sustaining attention on tasks that aren't immediately engaging
Losing track of time, deadlines, or belongings
Restlessness that feels more internal than physical — a racing or "on" feeling
Difficulty starting, organizing, or finishing tasks (executive dysfunction)
Impulsive decisions, interrupting others, or trouble waiting
Frequent careless mistakes or missed details
Poor time management and chronic lateness
Emotional reactivity or difficulty regulating frustration

How it works

How treatment works

A clear path forward — so you always know what happens next.

01
Initial inquiry
You reach out to share a brief history and confirm you're located in New York, California, or Florida. We explain the ADHD evaluation process before anything is scheduled.
02
Comprehensive evaluation
A live telehealth psychiatric evaluation covering your symptom history across your lifespan, daily functioning, school and work history, and co-occurring conditions like anxiety or depression.
03
Treatment planning
Based on the evaluation, we discuss whether ADHD or another condition explains your symptoms and outline realistic treatment options together — never a default prescription.
04
Follow-up care
Ongoing medication management visits monitor progress, adjust dosing, and address side effects as they come up — with the same clinician throughout.

Who treats ADHD?

What kind of provider treats ADHD?

This is one of the most common questions people have, and it's a fair one — ADHD care involves a few different types of professionals with different roles.

Therapists and counselors provide talk therapy and skill-building but generally cannot diagnose ADHD or prescribe medication.
Psychiatrists are medical doctors who can evaluate, diagnose, and prescribe medication for ADHD.
Psychiatric Mental Health Nurse Practitioners (PMHNPs), like Astrude Charles, are board-certified advanced practice clinicians trained to evaluate, diagnose, and manage medication for ADHD and other psychiatric conditions, within their licensed scope of practice.

For most adults seeking evaluation and medication management, a PMHNP or psychiatrist is the right starting point, since both can assess symptoms and prescribe if appropriate — our full guide on what kind of doctor treats ADHD compares every provider type. Our practice focuses on evaluation, diagnosis, and medication management — so you're working directly with a prescriber from your first visit, rather than being referred elsewhere before treatment can begin.

Some adults benefit from a combination: medication management with a prescriber alongside skill-focused therapy with a separate counselor. If that's the right fit, we're happy to coordinate care while you continue seeing a therapist you already trust.

Treatment options

Medication and non-medication options

If your comprehensive psychiatric evaluation supports an ADHD diagnosis, treatment is a collaborative decision, not a default prescription. Options generally fall into two categories:

Stimulant medications are the most studied class of ADHD medication and work for many adults — but they're controlled substances, and prescribing follows a full clinical evaluation and applicable state and federal regulations. A stimulant prescription is never automatic or guaranteed.
Non-stimulant medications are an alternative or complement for adults who don't respond well to stimulants, have certain health conditions, or prefer to avoid controlled substances.

Medication is often paired with structure-building strategies — routines, reminders, task-breakdown systems, and sleep habits — that support attention and executive function day to day. Medication can make it easier to put those strategies into practice, but it isn't usually the whole solution on its own. You can read more about how ADHD medications work; possible side effects and how a given medication fits your health history are always something to discuss with your provider directly.

Not sure if it's the right time? Read our guide on when to get an ADHD evaluation, or request a confidential consultation to begin.

Often missed

ADHD in women and high-masking adults

ADHD is significantly underdiagnosed in women and in adults who've become skilled at compensating for their symptoms. Inattentive-type ADHD, which is more common in women, often looks like quiet overwhelm, chronic disorganization, or exhaustion from over-effort rather than visible hyperactivity — so it gets missed or mistaken for anxiety.

Evaluation reviews lifelong patterns: many adults had symptoms in childhood that were never recognized, and developed workarounds long before anyone suggested ADHD as an explanation. It's also common for ADHD to occur alongside anxiety or depression, which can make symptoms harder to untangle without a proper evaluation.

If you've spent years wondering why tasks that seem easy for others feel disproportionately hard for you — or a past provider dismissed your concerns because you didn't fit the classic hyperactive profile — that's exactly the kind of history worth bringing into an evaluation. You can also read about the signs of ADHD in adults or explore ADHD symptoms, causes, and diagnosis.

Where we serve

ADHD care in Albany, New York — and online across NY, CA & FL

Mindful Healing Mental Health Services is based in Albany, New York, at 418 Broadway, Suite R. Because every visit is conducted through secure video, patients throughout Albany, Troy, the Capital Region, and anywhere else in New York can access evaluation and medication management without traveling to an office.

The same telehealth model extends to patients located in California and Florida. Learn more about our psychiatric care in Albany, NY, or reach out if you're located elsewhere in one of our licensed states.

Costs

Insurance, self-pay, and costs

We work with major commercial insurance plans, and our team can help verify your benefits before your first visit — see the insurance plans we accept.

If you're paying out of pocket, we provide transparent self-pay pricing and Good Faith Estimates before you begin care. A Good Faith Estimate outlines expected costs for your evaluation and follow-up visits in writing, before you're asked to commit to anything — especially useful if you're comparing providers or budgeting for care without insurance coverage.

Why treatment helps

Benefits of ADHD treatment

Improved focus and task completion when treatment is effective
Clear diagnosis and explanation — not vague advice to try harder
Medication options tailored to your health history and goals
Telehealth convenience without commute or waiting rooms
Same clinician for evaluation and follow-up
Support for co-occurring anxiety or depression when present

Is this right for you?

Who is this for?

Adults who suspect ADHD but were never formally evaluated
Professionals struggling with focus, organization, or procrastination
Women and high-masking adults whose symptoms were missed or mislabeled
People previously told they had anxiety when ADHD may be the root cause
Patients in NY, CA, or FL seeking telehealth ADHD care from a PMHNP
Those needing ongoing medication management for established ADHD

Learn more about adhd →

Before you worry

What to expect during your appointment

Evaluations typically take a full session to complete properly — ADHD is not diagnosed from a single bad week.
ADHD diagnosis by telehealth is well supported for most adults, though some situations may call for additional records or collateral information, such as school records or input from someone who's known you a long time.
If medication is recommended, your PMHNP explains how it works, what to watch for, and follow-up timing.
Treatment is collaborative — your goals for work, relationships, and daily life guide the plan.

Is telehealth available?

Yes — Every treatment plan at Mindful Healing is delivered through secure, HIPAA-conscious telehealth video visits — no in-office appointments.

Private video sessions with Astrude Charles, PMHNP-BC
Available to patients physically located in NY, CA, or FL at visit time
Works on phone, tablet, or computer with camera and microphone
Same clinician for evaluation, follow-up, and medication management
Instructions sent before your first session so you know exactly what to expect

Insurance information

Many major insurance plans are accepted, and transparent self-pay options are available. We verify your coverage before your first visit is scheduled — so cost surprises don't add to your stress.

In-network and out-of-network options depending on your plan
Telehealth psychiatric visits billed per your plan's telehealth benefits
Superbills available for out-of-network reimbursement when applicable
Self-pay rates discussed clearly before you commit
Good Faith Estimates available under the No Surprises Act

Verify Insurance →

Frequently asked questions

A psychiatrist or a board-certified PMHNP can evaluate, diagnose, and prescribe medication for ADHD, while therapists typically support treatment through counseling but can't prescribe. Our practice offers evaluation and medication management directly with a PMHNP, so you don't need a separate referral to start.

Insurance accepted

Many major plans cover telehealth psychiatric care. We verify your benefits before your first visit — and offer transparent self-pay options when needed.

Verify Insurance

Patient experiences

What patients say about our care

“I was nervous before my first appointment, but it felt easy to open up once we started. Everything was explained clearly and I never felt judged or rushed.”
Jessica M. · New York, NY

“What stood out was how much attention was given to what I was actually saying. It felt like someone genuinely trying to understand what I'm going through.”
Daniel R. · Los Angeles, CA

When you're ready

Ready to start with ADHD treatment?

Request a confidential consultation with a PMHNP in Albany, NY. We will answer your questions and guide you through what happens next — with no pressure.

Confidential inquiry
No office visit needed
Clear next steps

NYCAFL

Your next step

Request a Consultation Verify Insurance

Rather talk it through first?

(844) 660-4738

← All psychiatric services · Conditions we treat · Contact the practice

Related care