Attention-Deficit/Hyperactivity Disorder (ADHD)

When Focus and Impulse Control Feel Out of Reach

Attention-Deficit/Hyperactivity Disorder (ADHD) is more than occasional forgetfulness or restlessness. It is a neurodevelopmental condition that affects attention, impulse control, organization, and emotional regulation. ADHD can make everyday tasks challenging, impact work performance, strain relationships, and cause frustration or self-criticism.

ADHD is not a matter of laziness, poor parenting, or low intelligence. Adults and children with ADHD often have high potential and creativity—they just process and prioritize information differently. With tailored treatment, strategies, and support, individuals with ADHD can thrive in personal and professional life.

Understanding ADHD

ADHD is diagnosed when symptoms of inattention, hyperactivity, or impulsivity are persistent, interfere with functioning, and appear in multiple settings. Symptoms can vary widely:

• Inattention: difficulty sustaining focus, frequent forgetfulness, losing track of tasks, or struggling to organize work

• Hyperactivity: excessive movement, restlessness, difficulty sitting still, or feeling internally restless

• Impulsivity: acting without thinking, interrupting others, or making hasty decisions

ADHD can present differently in adults compared to children. Adults may have subtler hyperactivity but experience significant challenges with organization, time management, and prioritization.

Common Symptoms of ADHD

Symptoms often include:

• Difficulty focusing on work or conversations

• Frequently losing items or forgetting deadlines

• Poor time management and procrastination

• Restlessness or fidgeting

• Difficulty regulating emotions or stress

• Impulsivity in decision-making or spending

• Trouble completing tasks or sustaining motivation

Many adults with ADHD develop coping strategies that mask some symptoms, which can delay diagnosis.

Causes and Risk Factors

ADHD develops due to a combination of biological, genetic, and environmental factors. Contributing factors may include:

• Genetic predisposition or family history

• Differences in brain structure and neurotransmitter function

• Exposure to early-life stress or toxins

• Co-occurring conditions such as anxiety, depression, or learning disorders

Understanding these factors helps guide individualized treatment plans.

How ADHD Is Diagnosed

ADHD is diagnosed through a thorough evaluation by a qualified psychiatric provider. At Valiant Mental Health, evaluation includes:

• Comprehensive clinical interviews with patients and, when applicable, family members

• Review of symptoms across multiple settings (home, school, work)

• Screening for co-occurring mental health conditions such as anxiety or depression

• Assessment of functional impairment and daily challenges

Accurate diagnosis is critical, as ADHD can be mistaken for anxiety, depression, or executive-function deficits.

Therapy and Behavioral Strategies

Behavioral therapy and coaching can support skill-building in organization, time management, and emotional regulation. Therapy helps you:

• Identify distractions and improve focus

• Develop routines and organizational systems

• Address emotional regulation and stress management

• Support long-term habit formation and coping strategies

Medication and therapy together often produce the best outcomes. For therapy, click here. 

Telepsychiatry for ADHD

ADHD can make attending in-person appointments challenging due to scheduling or attention barriers. Telepsychiatry offers convenient access to consistent care.

Telehealth appointments are effective for:

• Initial ADHD evaluations

• Ongoing medication management

• Coaching and therapy integration

Learn more about telehealth care at Telepsychiatry.

How Valiant Mental Health Helps Treat ADHD

If you’re struggling with ADHD, you don’t have to figure out the next steps on your own. At Valiant Mental Health, we take a practical, evidence-based approach to care—focused on helping you feel better and function better over time.

Your care plan is individualized and may include one or more of the following:

Medication Management
When appropriate, medication can play an important role in treating ADHD. We focus on careful evaluation, thoughtful medication selection, and ongoing monitoring to balance symptom relief with side effects. Medication decisions are collaborative and adjusted based on how you respond—not a one-size-fits-all approach.
👉 Learn more about our Medication Management

Therapy
Many people benefit from therapy alongside or instead of medication. Evidence-based therapies—such as cognitive behavioral therapy (CBT) and related approaches—can help you develop skills to manage symptoms, reduce distress, and improve daily functioning. We work with you to determine whether therapy, medication, or a combination is the best fit.
👉 Learn more about our Therapy Services

Telepsychiatry
Care should be accessible. We offer secure telepsychiatry appointments so you can receive high-quality psychiatric care from the comfort of your home. Telepsychiatry allows for flexible scheduling and continuity of care without sacrificing clinical quality.
👉 Learn more about Telepsychiatry

Whether you’re newly seeking help or looking for a better treatment approach, our goal is to support you with clear guidance, professional expertise, and compassionate care—every step of the way.

Ready to Begin?

👉 Request an Appointment »
👉 Learn More About Medication Management »
👉 Explore How Telehealth Works »

You don’t have to leave home to start feeling better. Let’s take that first step together.

This page is intended for educational purposes and does not replace a professional psychiatric evaluation.

What Our Patients Are Saying

Valiant Mental Health is rated 5.0 stars on Google based on patient reviews.

 
 
 
 
 
 
 
  
 
 
 
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 Kyleigh Farrell 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
I was able to get in the same day and he was very kind, I would absolutely recommend! :)

Owner's reply
Thank you so much for your kind words! We’re glad you had a positive experience. While we can’t always accommodate same-day appointments, we always do our best to get patients scheduled as quickly as possible. We appreciate your recommendation!
  
 
  
 
 
 
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 A L 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
I've been seeing Randy for probably a year now. His style of counseling is right up my alley: No bs and no coddling. I can speak directly and openly with no judgement (and sometimes I even get a laugh out of him.)

Anyone who thinks he's dismissive or claims he said he can't help them obviously needs to do some introspection. If he said he can't help, I guarantee the entire statement was "I can't help you if you're unwilling to help yourself." Therapy is about wanting to be there and wanting to improve mental health. Anyone unwilling to face the ugly in their lives won't be successful in therapy, *regardless* of the therapist.

Owner's reply
Thank you for taking the time to share this thoughtful review. I truly appreciate your perspective and your encouragement of personal accountability in the therapeutic process. Therapy works best when individuals are willing to engage honestly with themselves, and your insight into that is powerful. I’m grateful for your support and wish you continued growth and success on your journey.
  
 
  
 
 
 
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 Jackson McAllister 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Took to long to write this,, i have never had a problem with randy, he is understanding and encouraging and i am happy to be under his care.

Owner's reply
Thank you so much for taking the time to leave this review. I’m truly grateful for your kind words. I’m glad to hear you’ve felt supported and encouraged during our work together. It’s an honor to be part of your care, and I’m here whenever you need anything.
  
 
  
 
 
 
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 Grace Van Etten 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Randy was very patient, addressing all my concerns, and he listens extremely well, clarifying misunderstandings instead of jumping to conclusions. He was also very clear about medications and the negative and positive side effects of each type, and how they interact with my medical history personally.  He is a *very* good psychiatrist.

Most of all,  I appreciate the flexibility he offers in scheduling appointments at nighttimeor daytime, weekdays or weekends, and in person or online. This is incredibly helpful for shift work and unpredictable schedules.

I have had bad experiences with psychiatrists in the past,  and I recommend him as one of the best options around.

Owner's reply
Thank you so much for taking the time to share this thoughtful review. I’m truly glad to hear that you felt heard, supported, and informed during your visits. Clear communication and collaborative decision-making are very important to me, and I’m happy the medication discussions were helpful for you. I also understand how challenging shift work and unpredictable schedules can be, so I’m grateful to know that the flexible appointment options have made things easier. I’m sorry to hear you’ve had difficult experiences in the past, but I appreciate your trust in me and Valiant Mental Health. It means a lot that you would recommend my care to others. Please don’t hesitate to reach out anytime you need support.
  
 
  
 
 
 
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 Ruth Morgan 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Randy is very detail oriented and he’ll pay attention to all your concerns. He cares abt his pts and is constantly there for them anytime day or night!

Owner's reply
Thank you so much for your kind words! I truly appreciate you taking the time to share your experience. I’m glad to hear you’ve felt supported and heard—that’s always my goal. Your feedback means a lot, and I’m grateful for the opportunity to be part of your care. If you ever need anything, don’t hesitate to reach out.
  
 
  
 
 
 
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 TransientSapien 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Randy is an expert in his field and he walked me through a critical time in my life and helped me quit alcohol use. He goes out of his way to ensure his patients well being

Owner's reply
Thank you so much for sharing this. I’m truly glad to hear you’re doing well and making progress. It takes real strength to step forward during a difficult time, and I’m grateful you trusted me to support you through it. If you ever need anything in the future—whether it’s maintaining progress, managing stress, or navigating new challenges—we're here to help.
  
 
  
 
 
 
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 Natalia T 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Absolutely love coming here!  My past experiences with other providers has been so-so, but Mr. Goleman actually cares and Im sincerely grateful. look forward to working with him. I appreciate the easy check in and everything else. Thank you for understanding and working with me. I look forward to better days!

Owner's reply
Thank you for your kind words. We are happy to help where we can.
  
 
  
 
 
 
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 Brandon Andrus 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
I cannot recommend Valiant Mental Health enough! Randy truly cares about his patients and has his heart fully in this field. He is extremely prompt with communication and always gets back to you quickly when you need something. His professionalism, consistency, and compassion stand out, and he is very good at what he does. I highly recommend Randy and Valiant Mental Health to anyone seeking quality mental health care.

Owner's reply
Thank you so much for sharing this thoughtful review! I’m honored to hear that my communication and care have made a difference for you. At Valiant Mental Health, we strive to provide compassionate, consistent, and responsive support for every patient, and it’s wonderful to know that has been your experience. Your recommendation means a great deal — we truly appreciate your trust.
  
 
  
 
 
 
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 Claire Hanson 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Randy Goleman is the best in the area. He is timely and professional, and it is evident how much of a passion he has for helping others and providing the best possible care.

Owner's reply
Thank you so much for your kind words! It truly means a lot to hear that my passion for helping others shows through in the care I provide. I’m grateful for the opportunity to support you and the community, and I’ll continue striving to offer the best possible care for every patient I serve.
  
 
  
 
 
 
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 Laura Flannery 
 
 
 
 Trustindex verifies that the original source of the review is Google. 
Randy at Valiant Mental Health is outstanding. He communicates clearly, is reliable and consistent, and truly cares about his clients. He’s even gone out of his way to fit someone in during a medication emergency, which speaks volumes about his dedication. Highly recommend!

Owner's reply
Valiant Mental Health appreciates your kind words! Randy is dedicated to providing compassionate, reliable care, and we’re grateful for the opportunity to support you and your team.
  
 
  
 
 
 
 
  
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