ADHD can hide behind a successful life. Let's make sense of it together.
You might keep it together at work, then lose the thread at home. Dr. McDade has extensive experience treating ADHD, and she builds a plan with you, by secure video in Texas.
Opens the booking page. A brief screening confirms fit before your first visit.
- Every visit with Dr. McDade
- No referral needed
- Ages 6 to 70, by secure video in Texas
The answer
ADHD, or attention-deficit/hyperactivity disorder, is a persistent pattern of inattention, hyperactivity and impulsivity, or both, that can cause problems in daily life. Symptoms begin in childhood and usually continue into adulthood, the National Institute of Mental Health says. In 2023, about 1 in 16 U.S. adults had a current ADHD diagnosis, the Centers for Disease Control and Prevention reports. It is treatable, most often with medication, therapy, or both. Dr. McDade starts with an unhurried evaluation and builds a plan with you. You understand what you are treating and why.
If you need help now
If you are in crisis or thinking about suicide, call or text 988 or chat at 988lifeline.org to reach the 988 Suicide and Crisis Lifeline. If you are Deaf or hard of hearing, use your preferred relay service or dial 711, then 988. In an emergency, call 911 or go to the nearest emergency room. This practice does not provide emergency services.
Who will you see?
Dr. McDade, at every visit. Health & Harmony Psychiatry is a physician-only practice, so every follow-up is with the physician who already knows your story.
There is time to describe your symptoms fully, along with the context around them. Dr. McDade is trained in child and adolescent psychiatry, and she sees children from age 6.
The practice provides psychiatric evaluation, medication management, follow-up, and coordination with the patient's other clinicians. Full recovery is the goal, even if the best path is a referral.
Can a successful adult have ADHD?
Yes. Maybe you built a career on deadlines and drive, or you keep every plate spinning at work and at home. Maybe you have always worked harder than anyone sees to stay on top of it.
More than half of adults with ADHD were diagnosed in adulthood, the Centers for Disease Control and Prevention reports. Symptoms among girls and women are especially likely to have been missed in childhood, the National Institute of Mental Health notes.
Capable and struggling can both be true.
In Dr. McDade's experience, you can do well at work, where there is built-in structure, and struggle once you are home and the structure disappears. She asks about the parts of life that depend on self-direction, such as medical appointments, time with friends, and household tasks, because they are easy to overlook when someone looks high-functioning.
Her care also covers ADHD symptoms that have worsened in perimenopause, and she does not prescribe hormonal treatment.
ADHD is not a failure of effort. It is a difference in how the brain works, and with the right plan, it is very manageable.
Dr. Allison J. McDade, MDHow does Dr. McDade treat ADHD?
Dr. McDade hears your story and reviews your history and your health, over 60 to 90 minutes. Understanding relies on context, and some stories need more time.
- 01
Your story, now and in childhood
You and Dr. McDade piece together a timeline of your symptoms and what sets them off. For an ADHD diagnosis, symptoms must begin in childhood, before age 12, the National Institute of Mental Health explains.
- 02
How it shows up, and who notices
She asks how it shows up at work, at home, and in your relationships. An ADHD evaluation can include behavior rating scales and a talk with someone who knows you well, such as a partner or family member, the National Institute of Mental Health notes.
- 03
Your history and your health
She reviews past diagnoses and treatment, your mood, physical health, current medications, sleep, recent labs, and any hormonal changes. She looks for anything else that could cause your symptoms or add to them.
- 04
What she finds
She explains what she finds, including whether ADHD, something else, or both may be behind what you notice, and what that means for your daily life.
- 05
Collaborative
A plan built with you
Starting a medication is a collaborative conversation. You and Dr. McDade discuss each option in depth. In her practice, ADHD often starts with medication, then therapy can build organizational and social skills. When therapy is the better starting point, she refers to therapists she knows well.
- 06
Follow-up that keeps up with your life
Follow-up visits run 15 to 30 minutes by secure video. Sometimes, people must try several treatments before finding the one that works for them, the National Institute of Mental Health notes.
Your plan is built with you.
What can ADHD look like in adults?
In adults, ADHD can look like trouble with focus, time, and follow-through.
What it can look like
- Your mind drifts in meetings, reading, or long calls.
- Big projects stall until a deadline forces them.
- Time slips, and you run later than you meant to.
- Bills, forms, and appointments slide.
- Keys, phone, and lists keep going missing.
- You interrupt, or talk more than you planned.
- Projects start strong and stay unfinished.
- You feel restless unless you are busy.
Many people show some of these behaviors some of the time. With ADHD, they are more severe, frequent, and persistent, they get in the way of daily life in more than one setting, and they last at least six months, the National Institute of Mental Health explains.
If some of this sounds familiar, a careful evaluation can sort out what is behind it.
ADHD is common, and it is treatable.
What if your child or teen has ADHD?
In Dr. McDade's experience, ADHD is a very common reason for referral, especially from middle school on.
How a teen's care works
- At the first visit, Dr. McDade speaks with you first, then with your teen alone.
- At follow-ups, she gets a quick update from you, and most of the visit is spent with your teen.
- More often than not, you and your teen agree on the problem and describe it differently, in her experience.
The child psychiatry page covers ages 6 to 10, and the teen psychiatry page covers ages 11 to 17. What is shared with you, and when, is explained on the child and adolescent psychiatry page.
You stay involved, and your teen is heard.
Questions about ADHD care
Can you be diagnosed with ADHD as an adult?
Yes. Adults can have ADHD, and it is never too late to seek a diagnosis and treatment, the National Institute of Mental Health says.
Are there ADHD medications besides stimulants?
Yes. Stimulants are the best-known ADHD medications, and nonstimulants are also approved for ADHD, the Centers for Disease Control and Prevention notes.
Can you have ADHD and anxiety or depression?
Yes. ADHD often occurs with conditions such as anxiety, depression, or sleep problems, which can make them harder to diagnose and treat, the National Institute of Mental Health notes. The first evaluation can sort out what is behind it.
What if I am not sure which concern fits?
You can start without a name for it. The first evaluation begins with when your symptoms began and how long they have lasted, and Dr. McDade explains what she finds.
How long is the first evaluation?
60 to 90 minutes with Dr. McDade. The length follows your age, your symptoms, and your history, and it leaves room to connect and consider.
Will I see the same doctor at every visit?
Yes. Health & Harmony Psychiatry is a physician-only practice, and every visit, from your first evaluation through every follow-up, is with Dr. McDade.
Do I need a referral to see Dr. McDade?
No. You can book a first visit without a referral, and a parent or guardian books for anyone under 18. Clinicians who want to refer a patient can use the refer a patient page.
How much does care cost?
Care is cash pay. A new evaluation with Dr. McDade is $465, and follow-up visits with Dr. McDade are $275. You receive a good faith estimate before your first visit.
Does Dr. McDade take insurance?
No. Care is cash pay, with rates set in advance and shared up front. You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
What if telepsychiatry is not the right fit for me?
A brief screening first confirms that telepsychiatry fits your needs. A doctor-patient relationship begins only after the first visit, once Dr. McDade confirms telepsychiatry can meet the patient's needs. Dr. McDade may decline to form the relationship; if that happens, any prepaid amount is refunded in full and referrals are provided.
What ages does Dr. McDade see, and where?
Patients ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment. Telepsychiatry may not be appropriate for everyone; a brief screening determines fit. Certain medications, including some controlled substances, may only be prescribed to patients residing in Texas.
Is this an emergency service?
No. Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911.
Sources for the facts on this page.
- ADHD in Adults: 4 Things to Know, National Institute of Mental Health, 2024
- Attention-Deficit/Hyperactivity Disorder: What You Need to Know, National Institute of Mental Health, 2024
- Attention-Deficit/Hyperactivity Disorder (ADHD), National Institute of Mental Health, August 2026
- Attention-Deficit/Hyperactivity Disorder Diagnosis, Treatment, and Telehealth Use in Adults, Centers for Disease Control and Prevention, October 10, 2024
- Treatment of ADHD, Centers for Disease Control and Prevention, October 21, 2026
The information on this website is for general education and does not constitute medical advice or create a physician-patient relationship. For care, please schedule an appointment.
Care Through Connection
A plan that fits the life you have built.
Book the first visit online, or call 832.387.6088 with questions. A parent or guardian books for anyone under 18, and a brief screening confirms fit before your first visit.
Health & Harmony Psychiatry does not provide emergency care. If you are in crisis or thinking about harming yourself, call or text 988, or call 911. Ages 6 to 70. Health & Harmony Psychiatry provides care by secure video to patients physically located in Texas at the time of their appointment.