Notes from the practice.
Short, evidence-anchored writing about the medicine we use, how we use it, and what the evidence actually says.
How to get ADHD medication in Oregon and Idaho: the 2026 telehealth rules
DEA extended telehealth prescribing of Schedule II controlled substances through December 31, 2026. Here is what that means if you live in Oregon or Idaho and want ADHD medication managed over video.
Adult ADHD you missed until your 30s or 40s: 12 quiet signs
More than half of adults with ADHD were first diagnosed as adults. The signs are quieter than the childhood stereotype — and they compound with age. A field-tested list from a psychiatric clinician in Idaho and Oregon.
Should I add an SSRI to my ADHD stimulant? What actually helps
Roughly half of adults with ADHD also have anxiety or depression. Combining a stimulant with an SSRI is common, evidence-supported, and often necessary. Here is what the recent literature shows and how we approach the decision.
Objective ADHD testing: when CNS Vital Signs is worth the $50
A short, honest read on objective ADHD testing — what CNS Vital Signs measures, when it adds real value, and when it doesn't.
Should you take ADHD medication?
A direct, evidence-anchored framework for deciding whether ADHD medication makes sense for you — without the marketing, the fear-mongering, or the wishful thinking.
Burnout vs depression: how to tell them apart
They look the same on the outside. They're not the same on the inside. A clinical framework for telling them apart, and why the distinction matters for treatment.
Telehealth psychiatry in Idaho, Washington, Oregon, Nevada, and Arizona: how it actually works
A direct, state-by-state look at what telehealth psychiatry covers in ID, WA, OR, NV, and AZ — including ADHD medication prescribing, insurance vs cash pay, and when telehealth is not the right fit.
What to expect at your first ADHD telehealth visit
A walkthrough of the first 60 minutes — what we cover, what we won't decide on day one, and how follow-up actually works.
Stimulant vs non-stimulant ADHD medication: how to think about the choice
A clear, clinician-written guide to the trade-offs between stimulant and non-stimulant ADHD medications — and how the choice actually gets made.
Why we built Embrace Psychiatry the way we did
A veteran-owned psychiatric telehealth practice built for working professionals who want plans that actually work — not refill clinics.