Our Services

Your first visit is a comprehensive psychiatric evaluation, typically about 60 minutes by secure video. We'll talk through what brings you in, your current symptoms, your psychiatric and medical history, past treatment and medications, substance use, family history, and the goals you have for care. We may also use brief standardized questionnaires to measure symptoms like anxiety or depression.

By the end of the visit, you'll have a clear understanding of what we're seeing and a recommended plan. That may include a diagnosis, medication options, therapy or other referrals, lab work, or coordination with your other providers. Please have your current medication list and any relevant records ready.

Important Information

• An evaluation is an assessment, not a guarantee of treatment. It does not obligate either you or the practice to ongoing care, and it does not guarantee that medication will be prescribed.

• Ongoing treatment begins only when we agree on a plan together and you complete the practice's new-patient paperwork and consents.

• Evaluations are provided for clinical care only. We do not provide forensic, disability, custody, employment, or other legal evaluations or related documentation.

• This service is not for emergencies. If you are in crisis or having thoughts of harming yourself, call or text 988 or go to your nearest emergency room.

• Telehealth visits require that you be physically located in Maine or Connecticut at the time of your appointment.

Ongoing medication management is for patients who have completed an evaluation and are working with us toward their treatment goals. Follow-up visits are typically 20 to 30 minutes by secure video. We'll review how you're feeling, how your medications are working, and any side effects or concerns. We may also use brief questionnaires to track your symptoms over time, so we can see whether treatment is helping and adjust it when needed.

Your plan is built around you. Depending on your needs, we may start, adjust, or stop a medication, discuss alternatives, or recommend therapy or other supports alongside medication. How often we meet depends on your needs, and visits are usually more frequent when starting or changing a medication, then spaced out as you stabilize. Where it helps your care, we also coordinate with your therapist, primary care provider, and pharmacy.

Important Information

• Visits and Refills: Prescriptions are issued as part of scheduled visits. Please request refills at least 3 business days before you run out, and keep your follow-up appointments, since we may be unable to continue prescribing if you've been out of care for an extended period.

• Controlled Substances: Some medications, including stimulants and benzodiazepines, are subject to additional federal and state regulations. Prescribing them is at the provider's clinical discretion and may require more frequent visits, prescription monitoring program checks, agreements, or other safeguards. Medications are not guaranteed.

• Coordination of Care: To prescribe safely, we may need to communicate with your other treating providers and pharmacy, and we may ask you to consent to this.

• Not for Emergencies: We cannot respond to urgent needs in real time. If you are in crisis or having thoughts of harming yourself, call or text 988 or go to your nearest emergency room. Please call 911 for medical emergencies.

• Location: Telehealth visits require that you be physically located in Maine or Connecticut at the time of your appointment.

• Cancellations and No-Shows: Your appointment time is reserved for you, and a late cancellation or missed visit means another patient can't be seen. Please cancel or reschedule at least 24 hours before your appointment through the Spruce App.

  Appointments cancelled with less than 24 hours' notice, and appointments missed without notice, will be charged a $50 fee. This fee is not covered by insurance and is your responsibility. We do not bill your insurance for missed appointments.

Many people go years without realizing that ADHD is behind trouble with focus, follow-through, organization, or feeling constantly overwhelmed. We provide thorough ADHD evaluations and ongoing treatment, with a plan built around your goals and tracked with clear measures so you can see what's working.

Your first visit is a comprehensive psychiatric evaluation of about 60 minutes. We'll review your symptoms, how they show up at work, at home, and in relationships, and when they began, since ADHD traces back to childhood even when it went unrecognized. We'll also look at other things that can look like or overlap with ADHD, such as anxiety, depression, sleep problems, substance use, and medical conditions. You'll complete standardized questionnaires, such as an adult ADHD symptom scale, and where possible we'll use school records, past evaluations, or input from someone who knows you well.

By the end of the evaluation, you'll have a clear picture of what we're seeing and a recommended plan. A diagnosis is made only when the full picture supports it, and ADHD medication is never guaranteed.

If medication is appropriate, we'll talk through your options, including stimulant and non-stimulant medications, and start at a thoughtful pace. Stimulants are controlled substances, so treatment includes regular follow-up, review of the state prescription monitoring program, and monitoring of blood pressure, sleep, appetite, and mood. We also address what medication can't: routines, sleep, caffeine, anxiety, and when helpful, coaching or therapy referrals.

We track your symptoms and day-to-day functioning with brief questionnaires, usually completed in the patient portal before visits. Seeing your scores over time helps us decide when to adjust a dose, change course, or stay put, and many patients find it encouraging to see improvement on paper. Questionnaires support our clinical judgment but never replace it, and your responses stay in your confidential record.

Important Information

• We provide evaluations for clinical care only, not for legal, disability, or forensic purposes. Requests for workplace or school accommodation documentation are considered individually and aren't guaranteed.

• Coverage and costs for ADHD medications vary by plan. Some require prior authorization, and availability can change. We'll work with you on options but can't guarantee a specific medication or price.

• This service is not for emergencies. If you are in crisis, call or text 988 or go to your nearest emergency room.

• Telehealth visits require that you be physically located in Maine or Connecticut at the time of your appointment.