WEST PALM BEACH, FL · ADULT ADHD CARE
ADHD Treatment in West Palm Beach
Adult ADHD Diagnosis, Medication & TOVA Testing
Adult ADHD care at Mental Health West Palm Beach – Trustpsychiatry — DSM-5-TR · ASRS-v1.1 · FL E-FORCSE monitored prescribing, with stimulant working dose typically reached in 2–4 weeks.
- ✓Stimulants (Schedule II, FL E-FORCSE PMP monitored)
- ✓Non-stimulants (Strattera, Wellbutrin off-label, Qelbree)
- ✓TOVA cognitive testing for adult diagnosis
- ✓Co-occurring anxiety, depression, and SUD in the same chart
Serving West Palm Beach · Lake Worth · Wellington · Palm Beach · Greenacres · Riviera Beach · Statewide Florida telepsychiatry
ACCESS & AVAILABILITY
✓Same-day when available · ✓Evening hours · ✓Weekend by appointment · ✓Telepsych across Florida (DEA continuity rule)
Insurance benefits verified before your first visit at Mental Health West Palm Beach – Trustpsychiatry.
WHAT TO EXPECT
What an adult ADHD intake actually looks like at Mental Health West Palm Beach – Trustpsychiatry.
Four anchors define the first visit and the months that follow. Schedule II stimulants are tightly governed — the predictability is the point, and the structure earns its keep.
| Anchor | Duration | Detail |
|---|---|---|
| Initial evaluation | 60–90 Min | DSM-5-TR adult ADHD assessment, ASRS-v1.1 self-report, collateral history when available, optional TOVA cognitive test, cardiovascular and bipolar screen. |
| Titration cadence | 20–30 Min | Weekly check-ins for the first 4 weeks, then every 2–4 weeks until at a working dose; monthly maintenance once stable. |
| Response window | 2–4 weeks | Stimulants typically reach working dose in 2–4 weeks; non-stimulants (atomoxetine, viloxazine) need 4–6 weeks for full response. |
| CS monitoring | Every visit | FL E-FORCSE PMP queried before each controlled-substance prescription, controlled-substance agreement signed at intake. |
WHAT WE DELIVER
Adult ADHD care across stimulants, non-stimulants, testing, and co-occurring conditions.
Adult ADHD care here is built around six clinical anchors. DSM-5-TR and ASRS-v1.1 drive the diagnosis; FL APRN plus DEA authority drives the prescribing. Medication and supportive psychotherapy work in the same chart so the plan stays coherent.
Stimulants (Schedule II)
Methylphenidate (Ritalin, Concerta, Focalin) and amphetamine (Adderall, Vyvanse). Extended-release versus immediate-release strategy matched to schedule and workload, monitored under FL E-FORCSE at every prescribing event.
Non-stimulants
Atomoxetine (Strattera), viloxazine (Qelbree), guanfacine ER (Intuniv), and bupropion (off-label adult ADHD). First-line when cardiovascular history, co-occurring SUD, or patient preference rules out stimulants.
TOVA cognitive testing
Objective continuous-performance test for attention and inhibition. Available when documentation matters — school accommodations, professional licensing, or diagnostic clarification beyond ASRS-v1.1.
Co-occurring care
Anxiety, depression, and substance use co-travel with adult ADHD. All managed in the same chart, by the same prescriber — the plans talk to each other instead of around each other.
Med management plus supportive psychotherapy
45–60 minute combined visits when the case calls for it — executive-function coaching alongside the prescription, in the same hour with the same prescriber.
Documentation for school & work
Diagnostic letters and supporting documentation for 504 plans, ADA workplace accommodations, and university disability services — written from the clinical record, not boilerplate.
WHO WE SERVE
When adult outpatient ADHD care is the right fit for the person in your chair.
Adult ADHD treatment lands when the diagnosis is clinical, the cardiovascular picture is clean, and one prescriber can carry the chart from intake to maintenance. The people for whom that combination fits are not a single archetype.
| Archetype | Why adult ADHD care fits |
|---|---|
| The adult late-diagnosed | Symptoms have been there since childhood; the diagnostic conversation never happened until now. |
| The college student needing accommodations | Disability services want a current evaluation plus diagnostic letter for the 504 file. |
| The professional whose prescriber moved or retired | Existing stimulant regimen; needs continuity, FL E-FORCSE compliance, and an established prescriber to keep the script in place. |
| The patient who failed first-line stimulant | Methylphenidate or amphetamine did not land — needs a second look at dose, formulation, or non-stimulant strategy. |
| The co-occurring case | Anxiety, depression, or SUD sits alongside the ADHD; the plans need to talk to each other in one chart. |
| The patient who wants TOVA documentation | Objective attention and inhibition data for licensing, accommodations, or diagnostic confirmation. |
OUR PROCESS
How adult ADHD care unfolds at Trust Psychiatry.
Three steps from first call to ongoing care. Stimulants are federally controlled (DEA Schedule II) and monitored through Florida E-FORCSE. The structure is not a hurdle — it is what keeps the prescribing tight and the chart defensible.
Evaluation (60–90 Min)
DSM-5-TR adult ADHD assessment, ASRS-v1.1 self-report, collateral history when available, cardiovascular and bipolar screen, and an optional TOVA cognitive test add-on for objective attention and inhibition data.
Treatment Plan (45–60 Min)
Medication selection (stimulant or non-stimulant), titration cadence, controlled-substance agreement signed, FL E-FORCSE PMP query on file, and supportive psychotherapy framing for the executive-function side of the case.
Ongoing Care — measurement-based
Weekly 20–30 minute titration check-ins for the first 4 weeks, then every 2–4 weeks, then monthly once stable. ASRS and side-effect screen tracked at each visit. Telepsych follow-ups across Florida under the 2023 DEA continuity-of-care rule.
WHAT THE EVIDENCE SAYS
Three things worth knowing about adult ADHD care.
The APA, CDC, and NIMH converge on the same picture: stimulants are first-line for adult ADHD when not medically contraindicated, objective testing supports the clinical interview, and medication paired with supportive psychotherapy outperforms either alone for the right patient.
“Stimulants are recommended as first-line pharmacotherapy for adult ADHD by APA and CDC guidelines, with extended-release formulations preferred for full-day coverage and adherence.”
Mechanism: methylphenidate and amphetamine increase synaptic dopamine and norepinephrine in prefrontal circuits, improving attention regulation, working memory, and inhibitory control.
“The TOVA is a continuous-performance test designed as an objective adjunct to the clinical adult ADHD diagnosis — useful when documentation matters for accommodations, licensing, or atypical presentations.”
Mechanism: the TOVA measures response time variability, omissions, and commissions across a sustained vigilance task, normed against age-matched controls.
“Medication combined with supportive psychotherapy outperforms either treatment alone for adult ADHD — particularly for executive-function and emotional-regulation outcomes that pharmacotherapy does not fully cover.”
Mechanism: pharmacotherapy improves the neurocognitive substrate; supportive psychotherapy builds the scaffolding (planning, prioritization, follow-through) that turns improved attention into functional gains.
Ready to put the evidence to work? Schedule an ADHD evaluation →
SCOPE — STRAIGHT
What Trust Psychiatry delivers for adult ADHD — and what falls outside outpatient scope.
Trust Psychiatry delivers adult outpatient ADHD care for patients 18 and over — DSM-5-TR diagnosis with ASRS-v1.1, optional TOVA cognitive testing, stimulant and non-stimulant medication management under FL APRN plus DEA authority, and co-occurring anxiety, depression, and SUD managed in the same chart. FL E-FORCSE PMP queried at every controlled-substance prescribing event. Pediatric ADHD (under 18) is not in scope. Neurodevelopmental and autism-spectrum evaluations sit with specialty teams elsewhere. Inpatient psychiatric care and primary SUD intensive treatment also fall outside outpatient scope.
The flip side matters too — adult ADHD care here means a single prescriber carrying the diagnosis, the medication regimen, and any co-occurring psychiatric meds in the same chart, with same-prescriber refill cadence and FL E-FORCSE compliance built into every visit. Leaving an evaluation without a stimulant prescription is a valid outcome. The job is to match the case to the right medication strategy — or to no medication at all when the evidence points that way.
Other Services at Trust Psychiatry
More services at Mental Health West Palm Beach – Trustpsychiatry
Medication Management · Psychiatric Evaluation · Telepsychiatry Florida · Prescription Refills · TOVA Cognitive Testing · Supportive Psychotherapy · MAT/Suboxone
YOUR PRESCRIBER
Who you’ll see for adult ADHD care.
Josie Desmarais, PMHNP-BC, ANCC board-certified, sole prescriber at Mental Health West Palm Beach – Trustpsychiatry. 16+ years at Bay Pines VA Healthcare System (2007–2023) where adult ADHD with co-occurring anxiety, depression, and SUD was a daily caseload. Full FL APRN authority with DEA registration for Schedule II prescribing, FL E-FORCSE monitored, same prescriber every refill — no rotation.
Read Josie’s full bio →OUR LOCATION
Visit us in Haverhill, West Palm Beach.
Off I-95 at Belvedere Rd · 7 minutes from Palm Beach International Airport (PBI) · In Haverhill, West Palm Beach FL 33415
Adults across Lake Worth · Wellington · Palm Beach · Greenacres · Riviera Beach · statewide Florida via secure telepsychiatry.
Trust Psychiatry & Wellness
4500 Belvedere Rd, Suite D
West Palm Beach, FL 33415
Hours
Mon–Fri: 9:00 AM – 5:00 PM
Sat: By appointment
Sun: Closed
Related Conditions
Conditions we treat alongside adult ADHD
Depression Treatment · Anxiety Treatment · PTSD Treatment · OCD Treatment · Bipolar Disorder Treatment · Mood Disorder Treatment · Insomnia Treatment · Substance Use Disorder Treatment · CBT Therapy · DBT Therapy · ACT Therapy · Mindfulness Therapy
FREQUENTLY ASKED
Common questions about adult ADHD care.
How is adult ADHD diagnosed? ▸
The diagnostic conversation uses DSM-5-TR criteria, the ASRS-v1.1 self-report scale, collateral history when available (a partner, parent, sibling), and an optional TOVA continuous-performance test for objective attention and inhibition data. The 60–90 minute initial evaluation holds the full assessment and the treatment-plan framing.
What is the difference between stimulants and non-stimulants? ▸
Stimulants (methylphenidate, amphetamine, lisdexamfetamine) are first-line per APA and CDC guidelines — faster onset, 2–4 weeks to working dose, Schedule II controlled. Non-stimulants (atomoxetine, viloxazine, guanfacine ER, bupropion off-label) take 4–6 weeks for full response and are first-line when cardiovascular history, co-occurring SUD, or patient preference rules out stimulants.
Will I need TOVA testing? ▸
Not always. The TOVA is an objective continuous-performance test useful when documentation matters (school 504 plans, ADA workplace accommodations, professional licensing) or when the clinical picture is atypical and the ASRS-v1.1 plus clinical interview leave open questions. It is an add-on to the evaluation, not a requirement.
How long until I notice the medication working? ▸
Stimulants typically reach a working dose in 2–4 weeks through weekly titration check-ins. Non-stimulants (atomoxetine, viloxazine) need 4–6 weeks for full response. Once at a working dose, maintenance cadence drops to monthly visits, with adjustments made as life demands (job changes, sleep changes, comorbid treatment changes).
What about the CS monitoring, PMP, and controlled-substance agreement? ▸
Schedule II stimulants are federally controlled. Florida E-FORCSE (the state Prescription Drug Monitoring Program) is queried at every controlled-substance prescribing event. A controlled-substance agreement is signed at intake covering refill cadence, single-prescriber expectation, single-pharmacy expectation, and lost-script policy. The structure protects the chart and the prescribing relationship.
Can I get a Schedule II stimulant prescription via telehealth? ▸
Yes, within the 2023 DEA Continuity-of-Care Telemedicine Rule. An established prescriber-patient relationship permits ongoing Schedule II prescribing by video for Florida residents. CS2 prescriptions cannot be called in or faxed — they are issued as paper or e-prescribed with DEA-compliant electronic signature. The intake call confirms the right format for the initial visit.
What if I have anxiety or depression too? ▸
Anxiety, depression, and SUD frequently co-travel with adult ADHD. At a single-modality ADHD clinic those typically route to a separate prescriber whose plan does not talk to the ADHD plan. At Trust Psychiatry, both live in the same chart and the same prescriber adjusts them in concert — medication interactions, sequencing, and response checks all sit in one place.
Is ADHD medication forever? ▸
Not necessarily. Some adults stay on medication long-term because the functional gains hold up across years; others use medication during high-demand life stages (career launch, graduate school, parenting young children) and step down later. Tapering is patient-driven, reviewed at each maintenance visit, and paused if symptoms return.
What insurance is accepted? ▸
Mental Health West Palm Beach – Trustpsychiatry is in-network with Aetna, Cigna, UnitedHealthcare, Optum, Florida Medicaid, AvMed, Evernorth, TRICARE, M-Care, Cuare, HP, and Paramount — twelve confirmed payers. ADHD visits are billed under standard E/M codes (99204/99214); patient responsibility is disclosed before each visit. BCBS Florida and Humana are credentialing in progress — the Grow Therapy bridge covers those plans until in-network status is confirmed.
READY WHEN YOU ARE
Start adult ADHD treatment with one evaluation.
In-network with twelve major Florida plans. DSM-5-TR adult ADHD evaluation, ASRS-v1.1, optional TOVA cognitive testing, stimulant and non-stimulant management under FL APRN plus DEA authority, same prescriber every refill, FL E-FORCSE monitored.
If you are in crisis call 988 or 911.