At Steadfast Psychiatry, Daniel Georges, MSN, PMHNP-BC, offers individualized psychiatric assessment and medication management through telehealth for eligible adults in New York. Your concerns, history, and preferences shape the care plan, with clear conversations about options and follow-up.
When to consider an ADHD evaluation
Adults with ADHD may describe chronic difficulties starting tasks, sustaining attention, keeping track of responsibilities, estimating time, or following through despite substantial effort. Similar experiences can occur with anxiety, depression, sleep disorders, trauma, or other causes, which is why a careful evaluation matters.
How ADHD is assessed
Assessment includes current symptoms, their impact in multiple settings, a developmental history, and available collateral information when appropriate. Standardized questionnaires can support the interview but do not establish a diagnosis by themselves. We also consider conditions that may explain or complicate attention problems.
Treatment options
When ADHD is diagnosed, a plan may include skills-based supports, practical routines, psychotherapy, and medication when clinically appropriate. Stimulant and nonstimulant options differ in duration, adverse effects, and monitoring needs. The goal is meaningful improvement in daily functioning, not a promise of perfect concentration.
What makes an adult ADHD assessment comprehensive
An ADHD evaluation considers evidence of persistent symptoms that began in childhood and cause impairment across life settings. Examples can include missed commitments, distractibility in meetings, difficulty prioritizing tasks, or restless behavior. The clinical interview also explores sleep, anxiety, depression, substance use, medication effects, and other explanations. Checklists can organize information but are not a stand-alone diagnostic test. Existing school reports or input from someone who knew you as a child may be helpful when available.
Choosing treatment and checking progress
If ADHD is diagnosed, treatment may combine medication, practical routines, organizational supports, and targeted psychotherapy or skills training. Medication selection is individualized, including potential effects on appetite, sleep, anxiety, blood pressure, and pulse. A treatment plan should identify meaningful goals—such as arriving on time, following through at work, or managing daily tasks—rather than promising effortless productivity. Ongoing review helps determine whether benefits outweigh adverse effects.
Frequently asked questions
Do you evaluate adults who were never diagnosed as children?
Yes. An adult evaluation includes attention to whether relevant symptoms were present earlier in life.
Is an ADHD screening quiz enough?
No. Screening can guide discussion, but diagnosis requires a broader clinical assessment.
Will I receive a stimulant?
Not automatically. Treatment is individualized, and any controlled-substance prescribing requires clinical assessment and monitoring.
Next steps
If these concerns sound familiar, a consultation can help clarify your options. Appointments are designed for collaborative, evidence-informed planning rather than a predetermined diagnosis or prescription.
View appointment availabilityInformation on this page is educational and is not a diagnosis or a substitute for individualized evaluation. Content prepared for Steadfast Psychiatry; clinical content should be reviewed periodically by Daniel Georges, PMHNP-BC.
Clinical reference materials
These resources inform general evidence-based care; treatment recommendations are individualized.
Editorial content updated October 21, 2026. Formal clinician review is pending; this information does not replace individual assessment.