Notes from the practice.
Clear, evidence-based guidance on adult mental health, psychiatric treatment, and what to expect from care.
Sleep hygiene for the ADHD brain: what actually works
ADHD and sleep are enemies. Generic sleep advice doesn't work for us — here's the version built for ADHD brains.
ADHD paralysis: when you can't start, and it's not laziness
ADHD paralysis isn't laziness. It's your brain's starter motor failing — and yelling at yourself doesn't fix a starter motor.
Concerta vs Adderall XR: the long-acting comparison
Concerta, Adderall XR, Vyvanse — they're all 'long-acting' but they release completely differently. That's why your experience differs.
Time blindness in ADHD: 'five more minutes' is never five
Time blindness isn't a character flaw — your brain literally doesn't feel time passing. Here's the fix that actually works: stop managing time internally and start managing it externally.
How to get diagnosed with ADHD as an adult online
Thinking about getting evaluated for ADHD online? Here's what a legitimate evaluation actually includes — and the red flags to run from.
Ritalin vs Adderall: methylphenidate vs amphetamine
Adderall and Ritalin aren't the same drug with different names. They're two different families, and a meaningful minority of people responds clearly better to one than the other.
Body doubling: the ADHD focus trick with a weird name
It's called body doubling, and it's the reason you can clean your whole kitchen when a friend is just sitting there. Nobody has to help. They just have to be there.
Rejection Sensitive Dysphoria: the Hidden ADHD Symptom
If one critical comment can ruin your entire week, there's a term for that. Rejection sensitive dysphoria isn't in the DSM — but I see it in my ADHD patients constantly. Here's the honest version.
Adderall vs Vyvanse for adults: which fits which life
Nobody can tell you whether Adderall or Vyvanse is "better" — but the three differences that actually matter will tell you which one fits your life.
ADHD medication shortages: a continuity plan for adults
ADHD medication shortages have improved but remain uneven. Here is how patients across ID, WA, OR, NV, and AZ can plan for continuity of care.
ADHD Medication Not Working? Why Adderall Stopped Working
The dose is not usually the first thing to change. Sleep, timing, adherence, food, workload, and comorbidity account for most cases of "my ADHD medication stopped working." Here is the checklist we run before adjusting.
Can You Get Adderall Prescribed Online in Oregon & Idaho?
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.
ADHD in Your 30s or 40s? 12 Quiet Signs You Missed
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.
Can You Take an SSRI and a Stimulant Together for ADHD?
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.
CNS Vital Signs ADHD Test: What Results Mean, When It Helps
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 five states: what to know
A clear, state-by-state look at telehealth psychiatry across ID, WA, OR, NV, and AZ—including access, prescribing, and when in-person care fits.
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 meds: how to choose
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.