ADHD & Cognitive Performance Optimization

For adults presenting with attention and cognitive concerns, we perform structured screening (ASRS, Conners Adult ADHD Rating Scale) and evaluate the biological contributors that amplify or mimic ADHD: thyroid dysfunction, iron deficiency (serum ferritin <50 ng/mL impairs dopamine synthesis), vitamin D deficiency, sleep disorders, testosterone deficiency, and chronic stress with cortisol dysregulation. We prescribe and manage stimulant medications (amphetamine and methylphenidate-based) when indicated, with appropriate monitoring. For cognitive optimization, we develop individualized nootropic and nutraceutical protocols: omega-3 (DHA-forward), lion's mane mushroom, bacopa monnieri, phosphatidylserine, and citicoline — with the understanding that stimulants are tools, not cures, and that substrate optimization underlies peak cognitive function.