Functional and Integrative ADHD

Attention-Deficit/Hyperactivity Disorder (ADHD) is far more complex than a simple inability to focus. While the conventional model often focuses on managing symptoms with stimulant medications alone, a functional psychiatric approach seeks to answer a deeper question: What is driving these symptoms?

The functional model views ADHD not as an isolated deficit of attention, but as a manifestation of underlying physiological variances that affect brain function, energy regulation, and neural connectivity. By investigating the root causes, a more comprehensive and personalized treatment plan that addresses the whole person, not just the diagnosis can be developed.

Root Causes to Investigate

Functional psychiatry recognizes that ADHD symptoms can be influenced or exacerbated by a variety of biological factors. Through comprehensive assessment and targeted laboratory testing, the approach evaluates for:

• Neurotransmitter Imbalances: Assessing levels of dopamine, norepinephrine, and serotonin, which are critical for focus, motivation, and mood regulation.
• Micronutrient Deficiencies: Identifying low levels of specific vitamins and minerals essential for cognitive function, such as iron, zinc, magnesium, and vitamin D.
• Blood Sugar Dysregulation: Evaluating how fluctuations in glucose levels can impact energy, concentration, and emotional stability throughout the day.
• Gut-Brain Axis Health: Utilizing comprehensive stool analysis to assess the gut microbiome, which plays a crucial role in neurotransmitter production and systemic inflammation.
• Genetic Variants: Reviewing genetic markers (such as MTHFR, COMT, and DRD4) that can influence methylation, dopamine metabolism, and medication response.
• Food Sensitivities and Allergies: Identifying inflammatory responses to certain foods that may contribute to brain fog and cognitive dysfunction.
• Hormonal Imbalances: Evaluating thyroid function and adrenal health (cortisol patterns), as these can significantly impact energy, focus, and stress resilience.

A Personalized Treatment Plan

Once the underlying contributors are identified, an individualized treatment plan can be developed that may integrate:

• Targeted Nutritional Support: Personalized supplementation protocols to correct specific deficiencies and support optimal neurotransmitter function.
• Lifestyle Modifications: Sleep optimization, exercise prescriptions tailored to support dopamine regulation, and stress management techniques to improve resilience.
• Strategic Medication Management: When medication is appropriate, the goal is to use the lowest effective dose, often in combination with foundational physiological support to enhance efficacy and minimize side effects.

The goal of functional psychiatric care for ADHD is not simply to mask symptoms, but to correct the underlying imbalances that impede focus, organization, and emotional regulation. By restoring physiological balance, we aim to help you achieve lasting clarity, improved executive function, and a greater sense of control over your daily life.

Free Initial Informational Session: Interested in starting care sooner rather than later? You can receive a free 15-minute initial informational session to determine if the White Hart PMH outpatient care model is an appropriate fit. This will help you and the provider decide prior to any charges. An initial evaluation can then be scheduled with some weekend and evening hours available. 

Service Type

Initial Evaluation $325 (up to 90 mins)

Comprehensive/Extended Initial $450 (120 minutes)

Standard Follow-Up $225 (up to 55 min)

Brief Follow-Up $175 (up to 30 min)

Extended Follow-Up-$250.00 (60 + minutes)

ADHD Assessment (Requires an additional appointment following the initial evaluation and costs is included in the Extended Initial fee above). 

Laboratory Testing: Functional lab tests are billed separately from consultation fees. When clinically indicated, routine blood work may be ordered through in-network labs such as Aetna, UnitedHealthcare, and Cigna; however, coverage for specialized functional testing varies by plan and is often not reimbursed. To support transparency, clients have access to specialized lab services that provide cost estimates prior to testing. Annual laboratory expenses typically range from $300-$800 or more, depending on the panels ordered. 

Estimated First Year Investment $1,500-$4,000 (including initial visits, follow-ups, and typical lab testing)

Functional psychiatry services, including comprehensive consultations and specialized laboratory testing, are typically not covered by insurance plans and are provided on a private-pay basis.