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Justin Bethoney, NPIntegrative Psychiatric Nursing

Condition

ADHD

  • Telehealth by Zoom
  • Ages 5 and up
  • Licensed in OR, WA, ME, FL

In short

Justin Bethoney, PMHNP treats ADHD in children from age 5, teens and adults by telehealth. He starts medication low with short-acting options, finds the dose that improves focus without side effects like insomnia, appetite loss or agitation, then extends coverage across the day, alongside education, sleep, exercise and practical structure.

01

Why ADHD is often the missing piece

ADHD is the condition Justin treats most often, and the one he most enjoys treating. In his experience, ADHD is frequently the primary issue, with anxiety and low mood developing as a result of years of struggling to keep up. That is why he screens for ADHD in nearly everyone who comes in for anxiety or depression.

02

How medication is started and adjusted

For stimulant medications, Justin starts low with an immediate-release form. Once the right dose for focus and performance is clear, doses are added to cover the length of the work or school day, and many people then move to a long-acting version.

Working up step by step avoids overshooting the dose and helps patients notice clearly what a good effect feels like and what a side effect feels like. The goal is to feel functional, confident, effective and organized, without problems such as insomnia, appetite loss, jaw clenching or agitation. Non-stimulant ADHD medications are also an option.

03

Beyond medication

Education matters: understanding what is known about ADHD and why the brain works the way it does helps patients and parents a great deal. Justin also covers practical executive-function strategies for those who want them.

  • Sleep: improving sleep is essential for everyone with ADHD
  • Exercise, especially cardio, which helps symptoms
  • Structure, routines, and planned rewards and goal setting
  • Mindfulness, for the right person
  • Targeted supplements discussed individually (for example zinc, magnesium, B6, tyrosine or choline)
04

Children and teens

Justin sees children from age 5. Parents are included in sessions often, and Justin also spends time with the child or teen alone. For adolescents he prescribes for, family sessions are available.

How Justin helps

From Justin's book, free to read

Go deeper in The Mental Wellness Diet

Common questions

Does Justin prescribe stimulants for ADHD?

Yes. Justin prescribes stimulants and other ADHD medications when appropriate, starting low and adjusting carefully. Patients already on a standing dose of benzodiazepines or opioids from another prescriber are referred elsewhere.

Can ADHD be treated without medication?

Some people choose not to take medication. Justin can explain the options and continue treatment with therapy, education, sleep, exercise, structure and integrative options either way.

How involved are parents?

For children and teens, parents are usually part of the sessions, with some time for the child or teen to talk with Justin alone.

Ready to get to the root of it?

Complete the short screening form or leave a voicemail. Calls are returned within 24 hours on weekdays.

In crisis? Call or text 988, call 911, or go to the nearest emergency room.