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Birch Grove Mental Health

ADHD Assessment & Medication Management
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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

Sunami Gurung

MA, NH, RI, VT

Psychiatric Nurse Practitioner

Natasa Ristivojevic

Natasa Ristivojevic

MA, NH

Psychiatric Nurse Practitioner

James Quackenbush

James Quackenbush

MA, NH

Psychiatric Nurse Practitioner

Juliana S Pires

Juliana S Pires

MA, NH, RI, VT

Psychiatric Nurse Practitioner

Erin Savage

Erin Savage

MA, NH

Psychiatric Nurse Practitioner

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

Birch Grove Mental Health