ADHD Treatment & Medication Guide: Finding Your Balance in North Texas
Treating ADHD is not about “fixing” a broken brain; it’s about giving a high-performance engine the brakes and steering it needs to stay on the track.
At Passion Health Primary Care, we use a “Multimodal Approach.” We believe that while pills can turn on the lights, skills teach you how to see. This guide explains the biology behind the medication and the lifestyle strategies that make it work.
1. How ADHD Medication Actually Works
The biggest myth we hear is that medication “drugs” you. In reality, untreated ADHD brains are under-stimulated, which is why they crave distraction.
The Science of Stimulants
The Problem: In an ADHD brain, dopamine (the focus chemical) is reabsorbed too quickly, leaving the connection gap (synapse) empty. This causes the brain to scramble for stimulation.
The Fix: Stimulant medications act as a “plug” for the drain. They temporarily stop the reabsorption, allowing dopamine to pool in the gap. This allows the brain to communicate clearly, reducing the need for hyperactivity.
2. The Two Main Types of Medication
There is no “one size fits all.” We use genetic markers and lifestyle factors to choose between the two main families.
A. Stimulants (The “Gold Standard”)
These are effective for 70-80% of patients and work within 30-45 minutes.
Class | Common Names | How it Feels |
Methylphenidate | Ritalin, Concerta, Focalin | Often described as a “gentle focus.” |
Amphetamines | Adderall, Vyvanse | Often described as “stronger drive.” |
B. Non-Stimulants (The 24-Hour Option)
Used when stimulants aren’t tolerated or for those with high anxiety/tics.
How they work: They target norepinephrine receptors or blood pressure pathways to calm the brain’s “fight or flight” response.
Pros: They work 24/7 (you wake up focused) and have no abuse potential.
Cons: They take 2–4 weeks to build up in your system.
3. Beyond the Pill: Behavioral Strategies
Medication makes the brain able to focus; therapy teaches it what to focus on.
Cognitive Behavioral Therapy (CBT)
ADHD often comes with years of negative self-talk (“I’m just lazy”). CBT helps rewrite these scripts and manages Rejection Sensitive Dysphoria (RSD).
The “Dopamine Menu” Lifestyle
Instead of vague advice like “eat well,” we teach the Dopamine Menu:
Entrees (Deep Satisfaction): Exercise, finishing a project, hobbies.
Sides (Support): Protein-rich breakfast (essential for medication absorption).
Junk Food (Quick Fix): Doom-scrolling, sugary snacks (we help you limit these).
4. Why “Titration” Matters
Finding the right dose is an art called Titration.
The Goal: Maximum symptom relief with minimum side effects.
The Process: We start low and go slow. We monitor your heart rate, blood pressure, and sleep.
The Sign it’s Working: You shouldn’t feel “high” or “zombie-like.” You should just feel… capable. Like doing the dishes is just doing the dishes, not climbing a mountain.
5. FAQ: Common Fears
Q: Will medication change my child’s personality?
A: No. If a patient looks “zombie-like,” the dose is too high. The correct dose reveals their true personality by removing the frustration and impulsivity masking it.
Q: Is it safe to take these long-term?
A: Yes. Untreated ADHD carries higher health risks (accidents, obesity, stress) than the long-term use of therapeutic stimulants.
Final Thoughts: A Toolbox, Not a Crutch
ADHD treatment is not a crutch; it is a pair of eyeglasses for your brain. You don’t have to squint your way through life anymore..
