What is ADHD?
Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterised by executive dysfunction occasioning symptoms of inattention, hyperactivity, impulsivity and emotional dysregulation that are excessive and pervasive, impairing in multiple contexts, and otherwise age-inappropriate.
ADHD symptoms arise from executive dysfunction, and emotional dysregulation is often considered a core symptom. In children, problems paying attention may result in poor school performance. ADHD is associated with other neurodevelopmental and mental disorders as well as some non-psychiatric disorders, which can cause additional impairment, especially in modern society. Although people with ADHD struggle to sustain attention on tasks that entail delayed rewards or consequences, they are often able to maintain an unusually prolonged and intense level of attention for tasks they do find interesting or rewarding; this is known as hyperfocus.
The precise causes of ADHD are unknown in the majority of cases. For most people with ADHD, many genetic and environmental risk factors accumulate to cause the disorder. The environmental risks for ADHD most often exert their influence in the early prenatal period. In some cases a single event might cause ADHD such as traumatic brain injury, exposure to biohazards during pregnancy, a major genetic mutation or extreme environmental deprivation early in life. Later in life, there is no biologically distinct adult onset ADHD except for when ADHD occurs after traumatic brain injury.
Genetic factors play an important role; ADHD tends to run in families and has a heritability rate of 74%. Toxins and infections during pregnancy as well as brain damage may be environmental risks.
It affects about 5–7% of children when diagnosed via the DSM-IV criteria, and 1–2% when diagnosed via the ICD-10 criteria. Rates are similar between countries and differences in rates depend mostly on how it is diagnosed. ADHD is diagnosed approximately twice as often in boys as in girls, and 1.6 times more often in men than in women, although the disorder is overlooked in girls or diagnosed in later life because their symptoms sometimes differ from diagnostic criteria. About 30–50% of people diagnosed in childhood continue to have ADHD in adulthood, with 2.58% of adults estimated to have ADHD which began in childhood. In adults, hyperactivity is usually replaced by inner restlessness, and adults often develop coping skills to compensate for their impairments. The condition can be difficult to tell apart from other conditions, as well as from high levels of activity within the range of normal behaviour. ADHD has a negative impact on patient health-related quality of life that may be further exacerbated by, or may increase the risk of, other psychiatric conditions such as anxiety and depression.
ADHD management recommendations vary and usually involve some combination of medications, counseling, and lifestyle changes. The British guideline emphasises environmental modifications and education about ADHD for individuals and carers as the first response. If symptoms persist, parent-training, medication, or psychotherapy (especially cognitive behavioural therapy) can be recommended based on age. Canadian and American guidelines recommend medications and behavioural therapy together, except in preschool-aged children for whom the first-line treatment is behavioural therapy alone. Medications are the most effective pharmaceutical treatment, although there may be side effects and any improvements will be reverted if medication is ceased.
ADHD, its diagnosis, and its treatment have been considered controversial since the 1970s. These controversies have involved doctors, teachers, policymakers, parents, and the media. Topics have included causes of ADHD and the use of stimulant medications in its treatment. ADHD is now a well-validated clinical diagnosis in children and adults, and the debate in the scientific community mainly centers on how it is diagnosed and treated. ADHD was officially known as attention deficit disorder (ADD) from 1980 to 1987; prior to the 1980s, it was known as hyperkinetic reaction of childhood. Symptoms similar to those of ADHD have been described in medical literature dating back to the 18th century.
About Jennifer Schiavi NP
I am a board certified Family Nurse Practitioner (FNP-BC) with a passion for ADHD. I received my degree from University of Rochester in Rochester, NY. I have a great interest for mental health, the human brain, and holistic care. So, I decided to dive deep into educating myself about the evidence-based practices of ADHD assessment, diagnosis, and interventions. I have over 11 years of nursing experience. I am an ADHD Certified Clinical Services Provider (ADHD-CCSP) and a Certified Integrative Mental Health Professional (CIMHP).
I help patients with ADHD overcome emotional, behavioral, relationship, and achievement challenges so that they do not have to rely only on pharmaceutical medication for relief of symptoms.
I use a mind-body holistic approach which includes nutrition, behavioral interventions, and pharmaceutical medications if needed for treatment of ADHD.
Outside of my professional endeavors, I cherish quality time with my family, including our beloved dogs, cats, chickens, and ducks. Nature beckons me as an avid outdoors adventurer, and I find joy in cultivating and cooking organic foods.
In a world where accessibility and flexibility have become paramount, Jennifer Schiavi NP in Family Health PLLC is breaking barriers and bridging the gap for ADHD care. The holistic approach to neurodivergent care extends beyond the boundaries of Manhattan, Brooklyn, NYC, and even beyond the state of New York. This comprehensive guide explores the virtual outreach of Jennifer Schiavi NP, offering empowering solutions for individuals seeking ADHD treatment.
Navigating the Neurodivergent Landscape
In the bustling cityscape of New York, the demand for accessible ADHD care is on the rise. Jennifer Schiavi NP recognizes the unique challenges faced by neurodivergent individuals and has designed a holistic approach to cater to their diverse needs.
Jennifer Schiavi NP's Holistic Neurodivergent Care
Understanding ADHD Treatment
Delving into the intricacies of ADHD treatment, Jennifer Schiavi NP offers a multifaceted approach. From prescription medications to integrative and holistic therapies, every aspect is tailored to the individual, fostering a judgment-free zone for neurodivergent care.
The Essence of Holistic Care
Jennifer Schiavi NP's practice is grounded in the belief that true wellness stems from a holistic balance. Behavioral interventions, herbal support, nutrition, and pharmaceutical medications form the pillars of a comprehensive treatment plan.
The Virtual Advantage
Beyond Geographical Boundaries
One of the standout features of Jennifer Schiavi NP's practice is the ability to provide virtual visits. Now, individuals residing anywhere in New York State can access personalized ADHD treatment from the comfort of their homes.
Direct Access Communication
Breaking down traditional barriers, Jennifer Schiavi NP ensures direct access communication. This seamless interaction fosters a strong patient-practitioner relationship, crucial for effective neurodivergent care.
Tailoring Solutions for Adults
Adult ADHD Treatment in Ithaca, NY
Recognizing the diverse needs of adults, Jennifer Schiavi NP extends her expertise to the picturesque town of Ithaca. Here, a blend of in-person and virtual treatments ensures a flexible and accommodating approach.
Cornell University and Beyond
With a focus on the academic community, Jennifer Schiavi NP caters to students at Cornell University and Ithaca College, recognizing the unique challenges faced by this demographic.
Embracing Neurodiversity
A Community of Support
In the world of hashtags and social advocacy, Jennifer Schiavi NP's practice is not just a service but a community. From #ADHDawareness to #Neurodiversity, the practice actively participates in raising awareness and fostering a supportive environment.
Breaking Stigmas
Beyond the realms of ADHD treatment, Jennifer Schiavi NP is committed to breaking stigmas associated with mental health. The practice actively engages in conversations surrounding mental health awareness and support.
Conclusion
Empowering Lives, One Virtual Session at a Time
As we navigate the complexities of neurodivergence, Jennifer Schiavi NP's holistic approach stands as a beacon of hope. By embracing virtual outreach, the practice not only addresses the immediate needs of individuals but also contributes to a larger narrative of empowerment and understanding.
In a world where geographical limitations are fading, Jennifer Schiavi NP in Family Health PLLC is paving the way for a future where neurodivergent care knows no bounds. The virtual ADHD treatment offered anywhere in New York is not just a service; it's a testament to the power of inclusivity and personalized care. Join us in the journey of empowering lives and embracing neurodiversity.
