Comprehensive Integrative Psychiatric located in Hingham and Duxbury, MA


About ADHD

PivotCare Precision Evaluation for ADHD

Did you know that ADHD/ADD cannot be diagnosed accurately from just a brief medical psychiatric evaluation ? 

Are you aware that there are other symptoms that may mimic ADHD symptoms ?

ADHD/ADD really requires  a thorough comprehensive evaluation  to make  an informed diagnostic decision and to guide partients to the right medication, if it is needed.


PivotCare Integrated ADHD Services

PivotCare board certified Nurse Practitioners utilize Pivotcare ' s innovative protocols that are considered essential tools as part of  a comprehensive evaluation.

         Our  Integrative Approach to ADHD

There are 3 main treatment options once you are diagnosed with ADHD. The PivotCare team will work together to determine which is most effective for you . This may include 

Medication - Stimulants or non-stimulants can help manage focus and attention by blocking out distractions. 

Behavior therapy - Time-management and organization techniques for children, parents, and individuals. 

Lifestyle and diet changes - Functional therapies to treat ADHD naturally, or to maximize the effectiveness of medication.


ADHD supplements

While it’s tempting to label one approach as the best way to treat ADHD, remember that each individual’s behavioral issues are unique, and the goal is to find the most effective approach—or combination of approaches—that works best to support them.

Our ADHD/ADD evaluation may include:

  • Comprehensive  diagnostic evaluation  including a detailed history of past and current functioning
  • A comprehensive developmental, medical, academic, work, social, family assessment 
  • ADHD/ADD symptom checklists
  • Standardized behavior rating scales for ADHD/ADD
  • Testing that evaluates memory and cognitive functioning
  • Computerized diagnostic tools that measure shifts in attention state and reports quantitative data related to the core symptom domains of ADHD: Hyperactivity, Impulsivity and Inattention
  • Screening for the presence of other comorbid conditions and much more

* Our providers have strict rules regarding the prescription of controlled medications with virtual visits. We additionally follow all state and federal regulations. If you are not having face-to-face psychiatric appointments at our in-office locations, be sure to discuss our policies in detail with our administrators when scheduling an appointment.

** Additional Disclaimer

  1. We take the prescription of controlled medications very seriously.
  2. There should never be an expectation that a provider will write a patient for a controlled medication, even if the patient has previously taken a specific medication, or previously been given a diagnosis (like ADHD, Anxiety or Insomnia) by another provider.
  3. If a patient has neuropsychological testing, medical records from another provider, or pharmacy records showing that they previously had a specific diagnosis or previously took a specific medication, we recommend that they bring that information to their first visit for their provider to review.
  4. Even when our providers deem that a controlled medication may be appropriate, they often will wait until a patient’s second visit, to write it, so that they have time to call the patient’s previous pharmacies, review federal prescription databases, review records, and get additional information (like scales) completed by a patient (and often by family or significant others as well).
  5. If a patient feels that they “need” a controlled medication urgently prescribed, we are not the right practice for them to schedule with.
  • Implementation of Online Assessment Tools:
  • Integration with Clinical Evaluation:

2. Parent and Caregiver Support Groups:

  • Establishment of Support Groups:
  • Online and Offline Formats:

3. Coping Skills Training and Practical Tools:

  • Development of a Coping Skills Curriculum:
  • Tools for Self-Management:

4. Continuous Monitoring and Adaptation:

  • Regular Follow-ups and Adjustments:

5. Educational Resources and Psychoeducation:

  • Creation of Educational Material:
  • Psychoeducational Sessions:

6. Integration with Other Treatment Modalities:

  • Comprehensive Care Approach:

7. Feedback and Continuous Improvement:

  • Regular Collection of Feedback: