ADHD can disrupt focus – But not your potential
With the right tools, everyday challenges become growth opportunities
ADHD impacts all aspects of life
Living with ADHD
ADHD Touches Every Part of Life
ADHD can show up in subtle (and not-so-subtle) ways across daily life. Whether at work, at home, or in relationships, its influence can be felt in both challenges and strengths.
At work
Staying organized, meeting deadlines, or maintaining focus can feel overwhelming. Tasks may pile up, and starting can be the hardest part.
With children
Parenting can become chaotic, with routines disrupted and patience tested. Yet many parents bring creativity, energy, and deep engagement to their families.
In relationships
Communication may be strained by forgetfulness or impulsivity. Emotional highs and lows can make it harder to maintain harmony, even with the best intentions.
Supportive care can help individuals better understand how ADHD affects different areas of life and how to build strategies that foster clarity, connection, and calm.
Having an untreated parent with ADHD
Parenting with ADHD: Balancing Strengths and Support
ADHD can shape family life in unique ways. While it may bring bursts of creativity, spontaneity, and emotional intensity, it can also make consistency and structure more difficult to maintain, especially for children who thrive on stability.
Parents may find it challenging to stay organized or regulate emotions, which can lead to moments of confusion or unpredictability. Yet the energy and imagination they bring to the table are powerful assets in building meaningful connections.
Supportive care can help preserve what makes each parent unique while fostering greater balance and emotional regulation. With the right tools and guidance, families can grow stronger together.
Having an untreated partner with ADHD
Navigating Relationships When ADHD Is Part of the Picture
Relationships are complex, especially when one partner is living with ADHD that hasn’t yet been addressed.
Challenges like forgetfulness, impulsivity, or difficulty following through can sometimes lead to tension or misunderstandings.
It’s not uncommon for partners to feel overwhelmed by responsibilities while still deeply valuing what matters most.
Yet ADHD can also bring vibrant energy, enthusiasm, and emotional depth to a relationship.
With the right support, couples often discover new ways to communicate, connect, and grow together.
Properly managed ADHD can be transformative
Thriving with ADHD – Support That Makes a Difference
ADHD doesn’t have to hold you back. With the right support, individuals can build focus, structure, and emotional balance—at work, at home, and in relationships.
At work
Improved attention and organization can lead to greater productivity and fewer challenges.
At home
Parents often find new ways to maintain structure, manage emotions, and meet the demands of family life.
In relationships
Supportive care can help reduce impulsivity and emotional swings, strengthening communication and trust.
When care is tailored to your needs, it’s possible to harness your strengths and navigate challenges with confidence. Growth, stability, and connection are all within reach.
ADHD Assessment for informed diagnosis & treatment plannig
We use ADHD assessments in our practice to more precisely understand cognitive and behavioral health.
Assessments involve short & engaging online games that offers a snapshot of how people think and behave.
Creyos is a scientifically-validated platform designed for precise and efficient measurement of cognitive and behavioral health.
With 30 years of research and a comprehensive database of 85,000 participants, it combines engaging online cognitive tasks with digital behavioral health questionnaires to deliver objective insights into brain health.
Incorporating testing into our patient evaluation practice enhances our ability to understand your needs and make informed decisions—leading to faster and more effective care.
Scheduling and Testing
Easy
Quick & Convenient
Participate in the assessment from any device you prefer, like your laptop, desktop, or tablet.
Schedule
When works for you
Schedule your assessment with your Birch Grove Mental Health Psychiatric Nurse Practitioner.
How to
Tutorial
Before you take the assignment, you will be guided on what to expect, how to tackle the assessment, and how long it will probably take.
Be Tested
Tasks & quizes
Complete the task, and once you’re done, a report will zip off to your practitioner to check out.
What patients say about us…
My teen son has started seeing Sunami for several months. It’s been great to see and hear his trust in her grow. We are building a toolset that my son can practice and use. It takes a village; happy and relieved to have found Sunami for my son’s mental health journey.
Highly recommend! Virtual appointments are very easy and scheduling is always flexible. Highly knowledgeable and trustworthy. Medication refills are sent in timely.
This practice has been so helpful for my whole family. They have been so flexible with appointments and are always responsive. Our NP is very knowledgable and caring. Highly recommend!
Meet The Team

Sunami Gurung
MA, NH, RI, VT
Psychiatric Nurse Practitioner

Natasa Ristivojevic
MA, NH
Psychiatric Nurse Practitioner

James Quackenbush
MA, NH
Psychiatric Nurse Practitioner

Juliana S Pires
MA, NH, RI, VT
Psychiatric Nurse Practitioner

Erin Savage
MA, NH
Psychiatric Nurse Practitioner
Sunami Gurung
Psychiatric Nurse Practitioner
Approach
- Person-centered approach
- Tailored treatment plans
- Evidence-based medication management & psychotherapy
Clinical interests
- Depression & Anxiety
- Bipolar disorder
- OCD
- Trauma & PTSD
- ADHD
Languages
- English
- Nepali
- Hindi
Locations
- MA, NH, RI, VT
Salma Trainor
Psychiatric Nurse Practitioner
Approach
- Passion for supporting others
- Empathic relations is foundational
- Collaborative and inclusive
Clinical interests
- OCD
- Depression
- Anxiety
- Bipolar disorder
Languages
- English
Locations
- MA & NH
Natasa Ristivojevic
Psychiatric Nurse Practitioner
Approach
- Wholistic approach prioritizing human connection
- Evidence-based interventions
- Judicious medication management
Clinical interests
- Psychotic disorders
- Mood disorders
- Substance use
Languages
- English
- Serbian
Locations
- MA & NH
James Quackenbush
Psychiatric Nurse Practitioner
Approach
- Collaborative focus on goals and you
- Evidence-based planning
- Empowering you toward well-being
Clinical interests
- Depression & Anxiety
- PTSD
- Borderline
- Personality disorder
- Bipolar disorder
- Schizophrenia
Languages
- English
- French
Locations
- MA, NH
Juliana S Pires
Psychiatric Nurse Practitioner
Approach
- Medication management
- Coping skills development
- Empathic listener, genuine, honest
Clinical interests
- Depression & Anxiety
- Bipolar disorder
- Schizophrenia
- Trauma & PTSD
- ADHD
Languages
- English
- Portuguese
Locations
- MA, NH, RI, VT
Erin Savage
Psychiatric Nurse Practitioner
Approach
- Compassionate & empathic listening
- Tailored treatment to goals
- Utilize cognitive behavioral therapy & coping skills development
Clinical interests
- Depression & Anxiety
- Bipolar disorder
- schizophrenia
- Trauma
Languages
- English
Locations
- MA, NH
Insurance, Costs, Payments
Massachusetts
Aetna
Blue Cross Blue Shield
Cigna
Harvard Pilgrim
Mass General Brigham Health
Tricare
Tufts
UHC – Optum
New Hampshire
Blue Cross Blue Shield
Carelon Behavioral Health
Cigna
Harvard Pilgrim
Tricare
Tufts
UHC – optum
Rhode Island
Aetna
Blue Cross Blue Shield
Cigna
UHC – Optum
Vermont
Blue Cross Blue Shield
Cigna
UHC – Optum
Costs
15 min Consultation – Free
Evaluation $300
Follow-up $180
Payment Options
Zelle / Venmo
Major Credit Cards
The path to thriving with ADHD is paved with understanding, patience, and empowerment
Why Birch Grove Mental Health?
Our team of Psychiatric Nurse Practitioners are passionate about supporting individuals affected by mental illness
Through effective and practical treatment, we see victories every day
In Person Sessions
MA & NH
You-Centered
Prioritizing your Care, Progress, and Wellbeing
Your Goals
Personalized Treatment Plans
Telehealth
Flex to your schedule and life
Your Voice Matters
Collaborative Decision Making
You Have a Life
Flexible hours and ways to connect
other conditions we diagnose & treat
Anxiety – Persistent, overwhelming worry
- Excessive worry or fear
- Restlessness or feeling on edge, difficulty relaxing
- Fatigue or feeling easily tired despite adequate sleep
- Difficulty concentrating or remaining focused
Bipolar Disorder – Mood swings, irritable, impulsive
- Manic episodes of high energy, grandiosity, risky behaviors
- Hypomanic episodes of less severe mania & elevated activity
- Depressive episodes characterized by sadness & apathy
- Mixed episodes include both mania and depression
Depression - Sad, fatigued, unmotivated
- Persistently low or depressed mood
- Loss of interest or pleasure in activities once enjoyed
- Significant changes in appetite or weight
- Sleep disturbances such as too much or too little sleep
Trauma – Nightmares, hypervigilance, flashbacks
- Intrusive, distressing flashbacks of the traumatic event
- Avoid people & situations that remind you of the trauma
- Persistent negative emotions, feeling detached from others
- Easily startled, feeling on edge, or difficulty sleeping
Thought Disorders – Disorganized, paranoid, delusional
- Disorganized thinking, incoherent speech.
- Loose associations by jumping between unrelated topics.
- Tangentiality through inclusion of irrelevant information.
- Incoherence (word salad), illogical word combinations
Obsessive Compulsive Disorder (OCD) – Checking, counting, germaphobic
- Compulsive repetitive behaviors or rituals
- Repeatedly intrusive disturbing or unwanted thoughts
- Obsessive, recurrent urges or anxiety causing mental images
- Avoid situations that trigger obsessions or compulsions
Panic Disorder – Intense, sudden fear
- Panic attacks episodes of intense fear & discomfort
- Symptoms include palpitations, sweating, trembling
- Fear of future attacks creates worry of more attacks
- Avoids places where previous attacks occurred
The stuff of life
- Stress Management
- Life Transitions
- Relationship issues
Accepting Patients 6+ yrs,
ADHD Testing, Diagnosis, & Medication Management