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​ The Marshmallow Test, "Willpower" and ADHD The most puzzling feature of ADHD is that it is situationally specific. Virtually all children and adults with ADHD have at least a few specific activities in which they are able to focus their attention very well for long periods of time, are able to keep several different things in mind simultaneously, are able to sustain their efforts for challenging tasks, and can prevent themselves from acting too impulsively—all this even though they have great difficulty in demonstrating those same skills for many other tasks that they recognize as important. READ MORE INVESTMENTS STOCKS & BONDS Keep your clients up to date with what's happening. To make this content your own, just add your images, text and links, or connect to data from your collection. VIEW MORE REAL ESTATE Keep your clients up to date with what's happening. To make this content your own, just add your images, text and links, or connect to data from your collection. VIEW MORE Technology Keep your clients up to date with what's happening. To make this content your own, just add your images, text and links, or connect to data from your collection. VIEW MORE

Careful Diagnosis A Careful Diagnosis: Expert Guidelines for Getting an Accurate ADHD Evaluation Do you suspect that your child or another family member is showing signs of attention deficit? BEFORE you make great financial investments in an assessment, it is important to select the right professional who understands ADHD -- and what it is not, the method of the evaluation, and understand the information that should be considered in an evaluation for proper diagnosis. This will save you both money and time! Many professionals insist that an accurate ADHD diagnosis requires a full battery tests including neuropsychological testing, brain imaging, and computerized tests to measure attention. Dr. Thomas Brown , an esteemed ADHD expert with four decades’ experience, disagrees and in this webinar will share which tests are valuable in assessing symptoms of ADHD, and which aren’t. In this webinar, you will learn: ​ the most qualified professionals to evaluate a child or an adult for ADHD the most effective approach for evaluating adults and children for ADHD why a clinician should always assess an adult or child for comorbid conditions why exploring a person’s physical health, sleep habits, nutritional regimen, and potential substance abuse problems can lead to a more accurate diagnosis the importance of parents participating in a child’s evaluation the key to having a partner or close friend present when evaluating an adult why adults and children should undergo an age-appropriate, normed rating scale for ADHD-related problems over the past six months

Behavior Intervention Services and Social Skills Training Applied Behavior analysis (ABA ) can be very helpful in identifying problematic behaviors in school and/or family and to develop individualized strategies or systems to improve school, individual and family functioning. Consultation with families and schools can be provided to develop behavior intervention plans in the school setting and/or to collaborate in the IEP or 504 process. ​ For children in middle or high school who struggle with social difficulties, we offer social skills training using the PEERS model for teaching how to make and keep friends and how to deal with social conflicts. ​ Peers Program >

Top ADHD Questions Answered Thomas E. Brown, PhD.

Our Services Our clinic proudly offers a wide range of services for individuals and their families with ADHD and related disorders beginning with the completion of our initial evaluation. All new patients to our clinic are required to complete our 3-hour initial assessment, regardless or prior assessments and/or diagnosis. L earn more about our initial evaluation and follow-up services click here . Please note, our clinic does not accept insurance but are happy to provide super bills for insurance purposes. 1 Initial Evaluation All new patients begin with our required 3-hour evaluation, regardless or prior evaluations, diagnosis, or treatment for ADHD. Our evaluation process includes a clinical interview, the administration of objective assessment measures such as the Brown Attention/Executive Function Rating Scales, the assessment of short-term working memory, and screenings for possible related or co-occurring disorders. ​ Initial Evaluations are currently offered in-person or via telehealth by Dr. Brown to both local and out of state patients and are offered by Dr. Kennedy for California residents only. To learn more about our initial evaluation click here . 2 Therapy After our initial evaluation, established patients may schedule follow-ups for individual psychotherapy, cognitive behavioral therapy, and family/parent sessions. Appointments are scheduled for 50 minutes and available for in-person or via telehealth with Dr. Brown or Dr. Kennedy. 3 Medication Management Following our initial evaluation, patients have the option to bring treatment recommendations from our clinic to their own primary prescriber if they are able and willing to provide appropriate medications. Often, our patients prefer to start and continue treatment with Dr. Kennedy who is a specialist in the field & is committed to individualized treatments and fine-tuning for each patient. Medication management follow-ups are available with Dr. Kennedy, our specialist doctoral family nurse practitioner and CA licensed prescriber. If you wish to have your established care provider prescribe your medication, contact us for Dr. Kennedy's availability to collaborate on pharmacological care. 4 Psychological Testing for Accommodations After completing our 3-hour initial evaluation, students seeking assessments to determine eligibility for accommodations at schools, colleges or universities, or for standardized testing are usually required by the authorities to have a comprehensive psycho-educational evaluation. This requires clinical interviews, review of school records, IQ and cognitive ability testing, and standardized achievement testing. ​ After the completion of each test, Dr. Brown will review your test results and provide accommodation recommendations based on those results. You will also receive a copy of your test results to take home. If you are required to provide a more analytical analysis and written report, this can be provided as an additional service. Let's Work Together Our process for scheduling as a new patient begins with scheduling a brief call with our clinic intake coordinator, free of charge. The purpose of this call is to review our services, to learn more about your inquiry to assess how our services assess how our services match with your unique needs and goals. During this call we can answer any additional questions and once the call is completed schedule your initial evaluation if appropriate. ​ If you are ready to book an initial evaluation , required of all new patients regardless of prior assessments of diagnosis, please schedule your intake call here . ​ ​ *Note , wait times for an intake call may vary due to the high volume of new patient interest. We thank you in advance for your patience as address interest patients in the order of their contact. How it Works All patients new to our clinic are required to have a 3-hour initial ADHD diagnostic evaluation regardless of any prior diagnosis or treatment outside of our clinic. To learn more about our initial evaluation, here . Our process for scheduling an initial evaluation begins with scheduling a brief call with our clinic intake coordinator, free of charge . The purpose of this call is to review our services, to learn more about your inquiry to assess how our services assess how our services match with your unique needs and goals. During this call we can answer any additional questions and once the call is completed schedule your initial evaluation if appropriate. ​ If you are ready to book an initial evaluation, please schedule your intake call here . ​ ​ *Note, wait times for an intake call may vary due to the high volume of new patient interest. We thank you in advance for your patience as address interest patients in the order of their contact.

Top of Page Outside The Box Smart but Stuck A New Understanding of ADHD ADD: The Unfocused Mind ADHD Comorbidities Handbook Books Written by Thomas E. Brown, PhD Outside The Box Outside the Box: Rethinking ADD in Children and Adults— A Practical Guide Read Excerpt Read Critiques Outside the Box: Rethinking ADD/ADHD in Children and Adults—A Practical Guide identifies assumptions about ADD/ADHD that demand reevaluation in light of recent research. Building upon a current, science-based foundation, the book describes in practical terms how ADHD can be recognized at various ages; how it differs from more typical brain development; how it can significantly impair those affected; and how it can safely, and in most cases effectively, be treated in children and adults. ​ The book extends Dr. Brown’s previous work utilizing current scientific research but also the experience and perspective of the author, a clinician who has devoted more than 35 years to studying this disorder formally and countless hours to engaging with and providing treatment for a diversity of children, teenagers, and adults with ADHD and related problems. ​ The book’s audience includes laypersons and the wide variety of clinicians involved in assessing, treating, and/or monitoring the care of children and adults with this disorder (e.g., pediatricians, primary care physicians, psychologists, psychiatrists, neurologists, physician assistants, advanced practice nurses, and clinical social workers) and also educators, disability service providers, human resource specialists, and the adolescents and adults who seek more information about ADHD assessment and treatment for themselves or for family or friends. Table Contents: ​ Introduction Basic Facts and the Central Mystery of ADHD A New Model of ADHD: Executive Function Impairments Differences Among Persons With ADHD Ways ADHD Can Impair Functioning at Various Age Levels How ADHD Impacts “Brain Googling” for Motivations How ADHD Develops, Sometimes Gets Worse, and Sometimes Improves How and Why Other Disorders Often Co-Occur With ADHD Assessing Children, Teenagers, and Adults for ADHD Emotional Dynamics in Individuals, Couples, and Families Coping With ADHD Practical Aspects of Medication Treatments for ADHD Practical Aspects of Nonmedication Interventions for ADHD Treatment Adaptations for ADHD With Various Complications Available in paperback and in eBook formats Smart but Stuck Smart but Stuck: Emotions in Teens and Adults with ADHD Current diagnostic criteria for ADHD do not explicitly include problems with emotions, but many with ADHD have much difficulty with recognizing, responding to, and managing their emotions—both positive and negative. This book explains why many with ADHD struggle so much with emotions and what can be done about it. “Smart but Stuck” offers a series of true stories about intelligent teens and adults who had gotten “stuck” in failures at school, work, or in getting along with friends and family because of their ADHD. It shows how they got “unstuck” by dealing with ups and downs of emotions they didn’t know they had. ​ In this book you will meet and get to know 11 teens and adults including: ​ • Sue, who earned high grades until middle school, then lost motivation for schoolwork and became disorganized and oppositional in 9th grade, frustrating teachers and family while losing hope for herself. • Mike, a college student who was put on academic probation. His dad always told him he’s smart but just lazy, and now he’s starting to believe it. • Steve, a computer programmer whose ADHD struggles have led to him losing his job—and his wife. He’s good at programming computers, but not at programming himself. • Sarah, who’s had trouble keeping track of things and getting work done since she hit menopause. She’s puzzled, since she never had such a hard time when she was younger. Read Excerpt Read Critiques For information on how to order this book: From the United States, click here ​ From the United Kingdom and other European countries, click here A New Understanding of ADHD A New Understanding of ADHD in Children and Adults Read Excerpt Read Critiques For over 100 years, ADHD has been seen as essentially a behavior disorder. Recent scientific research has developed a new paradigm which recognizes ADHD as a developmental disorder of the cognitive management system of the brain, its executive functions. This cutting-edge book pulls together key ideas of this new understanding of ADHD, explaining them and describing in understandable language scientific research that supports this new model. It addresses questions like: Why can those with ADHD focus very well on some tasks while having great difficulty in focusing on other tasks they recognize as important? How does brain development and functioning of persons with ADHD differ from others? How do impairments of ADHD change from childhood through adolescence and in adulthood? What treatments help to improve ADHD impairments? How do they work? Are they safe? Why do those with ADHD have additional emotional, cognitive, and learning disorders more often than most others? What commonly-held assumptions about ADHD have now been proven wrong by scientific research? ​ Psychiatrists, psychologists, social workers, and other medical and mental health professionals, as well as those affected by ADHD and their families, will find this to be an insightful and invaluable resource. Table of Contents Introduction 35 Myths about ADHD and Why they are Wrong A New Paradigm for an Old Disorder: ADHD as Impaire d Executive Functions What Research Reveals about the Causes and Unfolding Nature of ADHD How the New Model Changes Assessment of ADHD in Children and Adults How Treatments for ADHD Affect the Brain and Improve Executive Functions Why Many Learning and Psychiatric Disorders so often Co-occur with ADHD References Index ​ For information on how to order this book: From the United States, click here From the United Kingdom and other European countries, click here ADD: The Unfocused Mind Attention Deficit Disorder: The Unfocused Mind in Children and Adults Myths about Attention Deficit Disorder abound. This disorder often goes unrecognized, and even when diagnosed may be inadequately treated. In this up-to-date and clearly written book for the general public as well as professionals in medicine, mental health and education, Dr. Brown describes his new way of understanding ADD. Drawing on recent findings in neuroscience and a rich variety of case histories from his clinical practice, he describes what ADD syndrome is, how it can be recognized at different ages, and how it can best be treated. ​ This is the first book to address the perplexing question about ADD: how can individuals, some very bright, be chronically unable to “pay attention,” yet be able to focus very well on specific tasks that strongly interest them? Dr. Brown challenges the “willpower” explanation and explains how inherited malfunctions of the brain’s management system prevent some people from being able to deal adequately with challenging tasks of childhood, adolescence, and adulthood. His book is an authoritative and practical guide for physicians and psychologists, parents and teachers, and the 7 to 9 percent of persons who suffer from ADD or ADHD. Read Critiques For information on how to order this book: From the United States, click here From the United Kingdom and other European countries, click here ADHD Comorbidities Handbook ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults Read Critiques Many books address various aspects of ADHD – but only ADHD Comorbidities: Handbook for ADHD Complications in Children and Adults comprehensively describes the multiple ways in which other psychiatric and learning disorders complicate ADHD in both children and adults. ​ This practical book features comprehensive, research-based information on ADHD and its full range of comorbidities – including anxiety disorders, mood disorders, learning disorders, substance abuse, sleep disorders, obsessive-compulsive disorder, autism spectrum disorders, oppositionality and aggression, Tourette syndrome, and developmental coordination disorder. ​ The book offers a new paradigm for understanding ADHD, viewing it not as a simple behavior disorder, but as a complex developmental impairment of executive function, the management system of the brain. In accessible language, more than 30 researcher-clinician contributors summarize how to recognize ADHD and its comorbidities at various stages of development, from preschool age to adolescence to adulthood. Clinicians will find practical help “and acquire valuable guidance on tailoring medications and other interventions” to optimize treatment outcomes for patients of all ages with complex cases of ADHD.

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BEFARS Click to Order Brown EF/A Scales Dr. Brown has developed and published assessment tools to help assess executive function impairments associated with ADD/ADHD and related problems. These tools are designed for easy use by psychologists, physicians, psychiatrists, school psychologists and other educational, medical or mental health professionals. His rating scales, normed for each age group across the lifespan, elicit valuable data about executive function impairments for persons aged 3 years through adult. The scales are useful for: ​ screening individuals who might benefit from assessment for ADD/ADHD as one component of a comprehensive assessment of persons for possible ADD/ADHD for monitoring effectiveness of ongoing treatment for ADD/ADHD These scales are widely used by schools and clinicians in paper and pencil or clinical interview format; they have also been utilized in research for many clinical trials of ADHD medications. ​ Scales are divided into Age Groups Young Children (3 to 7) Middle Childhood (8 to 12) Adolescents/Teens (13 to 18) Adults (19+) ​ ​ All Patients Will Receive Their Own Copy After their Initial Evaluation ​ The Brown Scales help to assess a wide range of symptoms of executive function impairments associated with ADHD/ADD. These normed rating scales are available to elicit parent report and teacher report for children ages 3 to 7 yrs and 8 to 12 yrs. For 8 to 12 year olds, a normed self-report version is also available. For adolescents (12-18 yrs) and for adults, normed rating scales elicit self-report and collateral report on a single form. ​ Dr. Brown's scale was first released in 1996 and focused on adolescents and adults. In 2001, it was revised to assess children. Both Brown Scales for Children and Adolescents and the Brown Scales for Adolescents and Adults provide age-based norms and detailed information about how to administer and interpret the Brown Scales. In 2018 the scales underwent another revision to better assess this complex impairment that impacts academic, social, emotional, and behavioral development for both children and adults. Now known as the Brown Executive Function/Attention Scales (Brown EF/A Scales), it goes beyond other measures to screen and assess a wider range of impairments of executive function and attention. ​ What makes Brown EF/A Scales Different? ​ Helps address situational variability: The clinical presentation of ADHD is generally variable, the symptoms are situational, and the degree to which a patient exhibits them may be observed and interpreted differently by various observers.1 The Brown EF/A scales will provide a comprehensive evaluation of an individual's ADHD symptoms by analyzing their behavior using multiple perspectives: the examinee's self-perspective, teacher's perspective and parents' perspective. ​ Items are more specific and contextual: Patients with ADHD experience situational variability and have the ability to focus on certain activities which hold strong interest for them. The Brown EF/A scales will include items that are more specific and ask about difficulties they might encounter in a specific context, e.g. difficulty remembering what has been read (when reading is assigned, not self-selected texts). ​ Focus on severity as opposed to frequency: The items on the Brown EF/A scales, unlike other instruments will focus on severity of specific behaviors as opposed to frequency. This will allow examinees to directly and more accurately report symptoms they perceive to be problems. ​ Includes DSM-5 symptoms of ADHD and more: In addition to diagnostic criteria for ADHD defined in DSM-5, the Brown EF/A scales also assess other important aspects of executive function impairments found in persons with ADHD, but not yet included in DSM-5 diagnostic criteria for ADD/ADHD. ​ Based on Dr. Brown's model of Executive Functions: The Brown EF/A scales are based on Dr. Brown's six cluster model of executive functions that has been well recognized and explained in books and articles for more than a decade. ​ ​

Helpful Links International US . International UK . National Focus The websites listed here offer offer a variety of free information about attention deficit disorders. Most specialize in issues concerning children and adolescents; some focus more on adults. Many are sponsored by ADD support and advocacy organizations and provide detailed, downloadable information that has been evaluated and approved by a professional advisory board; others are less selective and may include reports that are not adequately supported by scientific research. Some list contact information for local support and advocacy groups concerned with attention deficit disorders. Many have links to related organizations, and all are nonprofit. International Websites Based in United States Children and Adults with ADHD (CHADD) , is the largest ADHD support and advocacy organization in the United States that offers scientifically reliable information about ADHD in children adolescents, and adults. Their site offers downloadable fact sheets for parents, educators, professionals, the media, and the general public. The site also includes contact information for two hundred local chapters of CHADD throughout the United States. Chadd.org Add.org ADDA is a resource in English for adults with ADD. Sponsored by Attention Deficit Disorder Association (ADDA), the world’s largest organization for adults with ADHD, it provides information, resources, and networking opportunities. International Websites Based in the United Kingdom addiss.co.uk ADDIS presents information in English about ADHD across the lifespan. It serves patients, parents, teachers, and health professionals, and questions received by phone or email are answered. This site is sponsored by the National Attention Deficit Disorder Information and Support Service in the United Kingdom. adders.org adders.org provides a wide variety of information about ADHD in English, French, German, and Spanish. It posts websites and email addresses for support groups in forty different countries. Websites with a National Focus The following websites are sponsored by ADHD education and advocacy organizations in various countries. Some are much better established and provide much more reliable information than others. Many list addresses for local groups within their country. Usually the material is presented in the dominant language of the country listed. ​ Argentina TDAH ​ ​ Australia Learning and Attentional Disorders Society (LADS) Learning Difficulties Coalition NSW ADHD Foundation ​ ​ Austria​ ADAPT​ ​ ​ Belgium ADHD Europe ​ Brazil The Brazilian Association for Attention Deficit Disorder (ABDA) ​ ​ Canada Canadian ADHD Resource Alliance (CADDRA) Centre for ADHD Awareness, Canada (CADDAC) ​ China ADHD-China ​ ​ Denmark Danish ADHD Association ​ ​ Estonia Estonian Children's Fund ​ ​ Finland The ADHD Association ​ ​ France HyperSupers - ADHD France ​ ​ Germany JUVEMUS ADHD-Deutschland ​ ​ Hong Kong Focus Hong Kong ​ ​ Ireland HADD ​ ​ Italy AIFA ​ ​ Japan Ejison Club ​ Mexico Deficit de Atencion The Netherlands Balans Brainwiki ​ ​ New Zealand ADHD New Zealand ​ ​ Northern Ireland ADD-NI ​ ​ Spain ADANA Fundación ANSHDA APNADAH ​

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Documentation Requests Report Policy & Fees NOTICE: if you are an established & current patient , use this form to request a letter or report regarding diagnosis, recommendations, and/or accommodations, preparation can take between several hours and billed at the doctor's hourly fee. If you need a brief summary for a diagnosis, treatment progress or medication recommendations, this may be subject to a fee depending on the time required to complete the letter. Please allow us at least a few weeks notice for requesting any reports. Requesting Documentation- Existing Patients ONLY I am requesting the following: Initial Assessment Report (note: charges may apply) Requesting Records Requesting Superbill Requesting Individual Insurance Form Accomodations Report (preparation charges will apply) I understand turnaround can take 1-4 weeks, depending on the request Submit Thanks for submitting!