ADHD Evaluation & Medication Management in Alaska

Comprehensive ADHD evaluation for adolescents and adults throughout Alaska via secure telehealth. QbCheck objective testing available. Alaska Medicaid accepted. Appointments typically available within 1–2 days.

Book an ADHD Evaluation →
Understanding ADHD
More Than a Focus Problem

ADHD — Attention-Deficit/Hyperactivity Disorder — is a neurodevelopmental condition that affects how the brain regulates attention, impulse control, and executive function. It is one of the most well-researched conditions in psychiatry, and it is frequently underdiagnosed in adults.

Many adults with ADHD were not identified as children. Without the hyperactive presentation that teachers notice in grade school, inattentive-type ADHD in particular can go unrecognized for decades. Instead, people develop compensatory strategies — working longer hours, relying on caffeine, building elaborate reminder systems, or leaning on a partner or colleague to keep things on track. These strategies can work for years until circumstances change: a promotion with more responsibility, a new baby, a move, a job loss, a divorce. When the structure that held everything together shifts, the underlying difficulties with attention, organization, and follow-through become much harder to manage.

In adults, ADHD often presents as chronic difficulty with time management, prioritization, and completing tasks. Missed deadlines, forgotten appointments, half-finished projects, and a persistent feeling that things take more effort than they should. Many adults describe it as "I know what I need to do — I just can't make myself do it." Emotional dysregulation — quick frustration, impatience, sensitivity to criticism — is common and often overlooked as part of the ADHD picture.

ADHD is also frequently missed in women and girls, who are more likely to present with the inattentive subtype rather than the hyperactive-impulsive subtype. Women with undiagnosed ADHD often develop anxiety or depression as secondary conditions — and may be treated for those without the underlying ADHD ever being identified.

In adolescents, the transition from structured school environments to more independent settings (college, first jobs, living away from home) can unmask ADHD that was previously managed by external structure. Academic performance, social functioning, and self-esteem can all be affected.

Who This Is For
Patients Who Come to Us for ADHD

People reach us at different points. These are some of the most common.

Never Been Evaluated
You've suspected ADHD for years — maybe after reading about it, recognizing yourself in a description, or watching your own child get diagnosed. You've never had a formal evaluation and aren't sure where to start.
PCP Can No Longer Manage
Your primary care provider has been managing your ADHD medication but has asked you to transition to a psychiatric provider for ongoing care. You need someone who can continue management without a gap in treatment.
Previously Diagnosed, New to Alaska
You have an existing ADHD diagnosis and were being treated elsewhere. You've moved to Alaska — or are stationed here — and need a local provider who can review your records and continue care.
Prior Treatment Didn't Work
You were treated for ADHD before but the medication wasn't right, the dose wasn't right, or the provider wasn't a good fit. You want a fresh evaluation from someone who will take the time to understand your situation.
Treated for Anxiety or Depression — But It's Not Improving
You've been treated for anxiety or depression for months or years, but something still isn't clicking. Undiagnosed ADHD is frequently present alongside these conditions and can undermine treatment if it isn't addressed.
Rural Alaska — Limited Local Options
You live in a community with limited or no access to psychiatric providers. Telehealth makes it possible to get a thorough evaluation from your home, regardless of where you are in the state.
Recognizing the Signs
Common Signs of ADHD in Adolescents and Adults

If several of these are familiar, a psychiatric evaluation may help clarify what's going on.

✓ Difficulty sustaining attention on tasks that aren't inherently interesting
✓ Losing things frequently — keys, phone, wallet, documents
✓ Starting many projects but struggling to finish them
✓ Hyperfocusing on some tasks while losing track of others
✓ Chronic lateness or difficulty estimating how long things take
✓ Impulsive decisions — purchases, statements, interruptions in conversation
✓ Emotional reactions that flare quickly and feel disproportionate
✓ Difficulty following multi-step instructions or procedures
✓ Feeling restless or unable to relax even when you want to
✓ A long history of underperforming relative to your ability
✓ Relying heavily on caffeine, lists, alarms, or other external systems to function
✓ Avoiding tasks that require sustained mental effort (bills, paperwork, emails)
What to Expect
The Evaluation Process

A structured process from first appointment through ongoing care.

1
Intake and Preparation
After booking, you'll receive intake paperwork covering your medical history, psychiatric history, current symptoms, prior treatments, and functional concerns. Completing this thoroughly before your appointment means your provider has already reviewed your background when the visit begins.
2
Clinical Interview
Your first appointment is approximately 60 minutes via secure video. It covers your symptom history across different settings (work, school, home, relationships), functional impacts, prior diagnoses and treatments, family history, medical history, and any co-occurring conditions such as anxiety, depression, or sleep disturbance.
3
QbCheck Objective Testing
When additional data would help clarify the clinical picture, we may recommend QbCheck — an FDA-cleared, computer-based test that measures attention, impulsivity, and motor activity. It provides objective data beyond self-report and can be completed from your own computer. QbCheck is not required for every patient — it is used when it adds clinical value.
4
Diagnosis and Treatment Planning
Based on the evaluation, we share clinical impressions and name a diagnosis when the picture is clear. We then discuss treatment options, which may include medication, referrals to therapy or coaching, behavioral strategies, or a combination. In some cases, more than one appointment is needed before a diagnosis is confirmed — this is part of a careful process, not a delay.
5
Medication Management
If medication is part of the treatment plan, follow-up appointments monitor treatment response, adjust dosing as needed, screen for side effects, and address any concerns. Visit frequency is based on clinical need — typically monthly during the initial stabilization period, then less frequently as things stabilize.
6
PCP Coordination
With your consent, we communicate with your primary care provider and any other clinicians involved in your care. For patients whose PCP referred them for evaluation and stabilization, we can return ongoing medication management to your PCP once treatment is stable.
Treatment Approach
How We Approach ADHD Treatment

Many patients come to us after experiences that have made them cautious — being dismissed, being told their symptoms aren't real, or feeling like they had to justify their own diagnosis. Others come after their PCP said they could no longer manage the medication and they need to find a psychiatric provider. Some have been managing on their own for years and have finally decided to get evaluated.

Wherever you are in that process, the approach here is the same: a thorough clinical evaluation comes first, and treatment decisions follow from what the evaluation shows. Every patient is assessed individually. There is no protocol that applies to everyone, and no treatment decision is made before the clinical picture is clear.

Both medication and non-medication approaches are part of ADHD treatment. Which approach — or combination of approaches — is appropriate depends on your specific presentation, medical history, co-occurring conditions, and prior treatment response. We discuss the rationale for any recommendation so you understand why a particular direction is being suggested.

We also recommend evidence-based supplements for adhd through our Fullscript dispensary. See what we recommend →
Objective Testing
QbCheck — FDA-Cleared ADHD Assessment

QbCheck is a computer-based test, cleared by the FDA, that measures three core domains relevant to ADHD: attention, impulsivity, and motor activity. The test takes approximately 15–20 minutes and can be completed from your own computer during a scheduled testing window.

QbCheck provides objective, quantitative data that supplements the clinical interview and self-report measures. It compares your results against age- and gender-matched normative data, producing a report that your provider reviews alongside the rest of your clinical information.

QbCheck is not a standalone diagnostic tool — no single test diagnoses ADHD. It is most useful when the clinical picture would benefit from additional objective data, when there is diagnostic uncertainty, or when tracking treatment response over time. Not every patient requires QbCheck, and your provider will discuss whether it's recommended in your case.

For more detail on QbCheck and how it fits into the evaluation, see our dedicated ADHD Testing (QbCheck) page.

Common Questions
ADHD Evaluation FAQ
No. You can book an evaluation whether you have a prior ADHD diagnosis or have never been formally assessed. A prior diagnosis is useful clinical history, but it does not predetermine the outcome of your evaluation here.
The initial evaluation appointment is approximately 60 minutes. In some cases, more than one appointment may be needed before a diagnosis is confirmed. If QbCheck testing is recommended, that is scheduled separately and takes about 15–20 minutes.
We evaluate and treat both adolescents and adults for ADHD. If you have questions about whether our practice is a good fit for your child or teen, contact us to discuss.
That history is important and directly informs your treatment plan. We review what was tried, at what doses, for how long, why it was discontinued, and what the response was — and use that information to guide what comes next.
Yes. You must be physically located in Alaska at the time of your telehealth appointment. This is a regulatory requirement for prescribing.
Yes. We are in-network with Alaska Medicaid, Premera Blue Cross Blue Shield, Aetna, TRICARE/TriWest, Optum/UnitedHealthcare, Cigna, and MultiPlan. Contact us if you have a plan not listed — we may still be able to help.
Yes. All appointments are conducted via secure video telehealth. You need a reliable internet connection and a private space for your appointment. We serve patients statewide — Anchorage, Fairbanks, Juneau, Mat-Su, the Kenai Peninsula, Southeast, Interior, and rural communities.
A Psychiatric Mental Health Nurse Practitioner (PMHNP) is an advanced practice registered nurse with specialized graduate education in psychiatric evaluation and medication management. In Alaska, PMHNPs practice independently and can evaluate, diagnose, and prescribe psychiatric medications, including controlled substances. Both of our providers are dual board-certified in psychiatric mental health and family medicine.
Yes. With your written consent, we communicate with your PCP, therapist, or any other provider involved in your care. We also offer a PCP titration handoff — we evaluate and stabilize, then return ongoing management to your primary care provider when appropriate.
Follow-up frequency depends on your treatment plan and clinical needs. During the initial stabilization period, monthly visits are typical. Once treatment is stable, visits may be less frequent. Your provider will discuss the recommended schedule with you.
From Our Fullscript Dispensary
Supplements We Recommend for ADHD

The evidence for ADHD supplements is more limited than for anxiety or depression — and we'll be straight with you about that. These three have the best current evidence and are worth considering alongside medication or when medication isn't the right fit. Available through our Fullscript dispensary — professional-grade, third-party tested.

High-EPA Omega-3
1–2 g EPA/day · Attention and cognitive support
The most consistently evidenced supplement for ADHD. Adults with ADHD often have lower omega-3 levels, and multiple studies show modest but real improvements in attention when baseline levels are low. Very safe, broadly beneficial, and a reasonable first step for almost any patient.
Zinc Picolinate
15–30 mg/day · Dopamine pathway support
Zinc is directly involved in dopamine synthesis — the core neurotransmitter in ADHD. Lower zinc levels are consistently found in ADHD populations, and RCT evidence supports symptom improvement, particularly for hyperactivity and impulsivity. Most benefit seen when baseline zinc is low.
Broad-Spectrum Micronutrient Formula
Per protocol · Multi-pathway support
This formula addresses multiple nutrient gaps — magnesium, zinc, B6, vitamin D, and others — that are implicated in ADHD neurobiology simultaneously. Unlike generic multivitamins, this specific formulation has been tested in ADHD-specific RCTs. Best suited as an adjunct or for patients exploring alternatives to medication.
Before You Start
  • Zinc: check serum zinc before starting. Do not exceed 40 mg/day long-term without copper co-supplementation.
  • Medication and behavioral therapy have far stronger evidence for ADHD than supplements.
  • These supplements are best used as adjuncts or when deficiency has been identified.
Browse Our Full Dispensary →
Professional-grade supplements — third-party tested, shipped directly to you.
These products are available through our Fullscript dispensary. Wellness Alaska may receive compensation on purchases. Supplements are not FDA-evaluated for the diagnosis or treatment of any condition and are not a substitute for clinical care. Consult your provider before starting any supplement if you take prescription medications.
Statewide Alaska Telehealth
Secure HIPAA-compliant video appointments from wherever you are in Alaska. You must be physically located in Alaska at the time of your appointment.
Appointments Within 1–2 Days
New patient appointments are typically available within 1–2 days of booking. No referral required.
Insurance Accepted
Alaska Medicaid, Premera BCBS, Aetna, TRICARE/TriWest, Optum/UHC, Cigna, MultiPlan. See fee schedule →

Ready to Schedule an ADHD Evaluation?

New patient appointments available within 1–2 days. No referral required. Alaska Medicaid accepted. Statewide telehealth.

Book ADHD Evaluation → Call (907) 600-5227