Conditions we treat
ADHD treatment
Evaluation and medication management for ADHD. Treatment starts with understanding what you're experiencing, how it's affecting daily life, and what else may be contributing before deciding what treatment makes sense.
First visit: 60 minutes, $400. Telehealth from anywhere in Oregon. No referral needed.
Book a first visitMeredith personally reviews every appointment request and confirms within one business day.
If this sounds familiar
Attention, organization, impulsivity, or restlessness may be affecting school, work, relationships, routines, or daily life. Maybe ADHD has already been diagnosed, maybe it has only been suspected, or maybe a past screening left more questions than answers.
Meredith starts with a careful look at the symptoms, their history, and how they show up across daily life.
Common ways ADHD shows up
A few of the patterns we see most, not a complete list and not a checklist you need to match.
Inattentive type
Difficulty sustaining focus, losing track of tasks and conversations, missing details, struggling with organization. Often diagnosed later in life, especially in women, because it doesn't look like the hyperactive stereotype.
Hyperactive-impulsive type
Restlessness, difficulty sitting still, talking over others, acting on impulse, making decisions you regret later. This can show up as visible, can't-sit-still energy or as a quieter, internal restlessness that's harder to see.
Combined type
Both inattentive and hyperactive-impulsive symptoms. One of the most common presentations. If you feel like your brain is simultaneously running too fast and not fast enough, you're describing this.
ADHD with co-occurring conditions
ADHD can occur alongside many other mental health concerns, medical conditions, or life circumstances. Sometimes those concerns contribute to attention or focus difficulties, and sometimes they exist alongside ADHD.
How we approach ADHD treatment
Your first visit is 60 minutes. That's enough time for a thorough evaluation. Meredith will ask about your history, current symptoms, what you've tried, and what's going on around the ADHD: sleep, mood, anxiety, work, relationships.
If medication is appropriate, you'll understand the reasoning: why this one, what to expect, how it's monitored. Different ADHD medications may be appropriate depending on your history, symptoms, and goals. Meredith will explain the options and why one may fit better than another. Whether to start medication at all is decided together.
Follow-up visits are 30 minutes. Some ADHD medications require closer follow-up. Meredith explains what monitoring is recommended and reviews how treatment is working at each visit.
Pricing and logistics
First visit: 60 minutes, $400
Follow-up: 30 minutes, $250
Extended follow-up: 60 minutes, $375 (when you want more time)
Insurance: We are out-of-network with all insurance plans. Superbills are provided (upon request) for possible out-of-network reimbursement on commercial plans. We are not able to see Medicare or Medicaid (Oregon Health Plan, or OHP) members, and we screen for this at intake so eligibility is clear before care begins.
Format: Visits are by video, from anywhere in Oregon. In certain circumstances a face-to-face visit may be necessary.
No referral needed. Book directly.
Questions about ADHD treatment
Can you diagnose ADHD via telehealth?
How do you approach ADHD medication?
What is ADHD care like here?
I was diagnosed as a child but stopped treatment. Can I restart?
What if I'm not sure it's ADHD?
Your provider
Meredith Galvin is a board-certified psychiatric nurse practitioner (PMHNP-BC). She came to prescribing after thirteen years in social work and ten years in psychiatric nursing, including work as a charge nurse, conducting emergency psychiatric assessments at Duke Regional Hospital, and providing home health care. That background is why she takes time to understand how attention, focus, mood, sleep, and daily life fit together before deciding what treatment makes sense.
A full evaluation, and a plan built with you.
If you want a thorough evaluation before any medication decision, we'd like to meet you.
Meredith personally reviews every appointment request and confirms within one business day.