Adult ADHD Medication Management by Telehealth

Telehealth care for adults anywhere in Massachusetts · (617) 318-8557

For many adults with ADHD, medication is one part of a treatment plan that can support focus, organization, and daily functioning. Good medication management is more than writing a prescription. It means choosing an option carefully, adjusting it thoughtfully, watching for side effects, and checking in regularly to see whether treatment is helping in ways that matter in your life.

Daniel Ackroyd, PMHNP-BC, is a board-certified psychiatric mental health nurse practitioner who has provided psychiatric medication management to adults in Massachusetts since 2014. Care is delivered through secure telehealth to adults anywhere in Massachusetts, including patients in Burlington, Lexington, Concord, Wilmington, and Chelmsford.

Who This Service Is For

  • Adults newly diagnosed with ADHD after an evaluation with this practice. See Adult ADHD Evaluation.
  • Adults previously diagnosed who are looking for a new prescriber, for example after moving, changing insurance, or losing access to a previous clinician. Transferring an existing ADHD prescription is straightforward. It just requires verifying your current prescription and prescriber.
  • Adults with ADHD alongside anxiety, depression, or sleep concerns who want those conditions considered together.

The practice treats adults only.

How Medication Decisions Are Made

There is no single best ADHD medication for everyone. Decisions are individualized and made together with you, taking into account:

  • Your symptoms, goals, and daily schedule
  • Past medication experiences, including what helped and what didn't
  • Medical history, current medications, and other health factors
  • Co-occurring conditions such as anxiety, mood symptoms, or insomnia
  • Your preferences about how and when medication fits into your day

Options may include stimulant medications and non-stimulant medications. Each has potential benefits and risks, which will be discussed with you before you start. Medication is used only when it is clinically appropriate.

What Ongoing Care Looks Like

Starting and adjusting. Early follow-up visits focus on finding an effective, well-tolerated approach. That can mean adjusting the dose or timing, or trying a different option.

Regular follow-up. Once treatment is stable, visits continue monthly to review how you are doing at work, at home, and in relationships, and to watch for side effects.

Safety and monitoring. Stimulant medications are controlled substances, and prescribing them carries specific legal and safety requirements. Monitoring may include reviewing sleep, appetite, blood pressure, heart rate, and mood, and following Massachusetts prescription monitoring requirements. A controlled-substance agreement is included as part of the practice's consent-for-treatment form.

Beyond medication. Medication tends to work best as part of a broader plan. Care may include practical guidance on sleep, exercise, nutrition, and daily structure, plus referral for therapy or skills-based support when helpful.

What to Expect at Follow-Up Visits

Follow-up visits are usually shorter than the initial evaluation and focus on how things are going in real life. Useful things to think about beforehand:

  • Whether focus, organization, and task completion have changed at work or at home
  • How long the medication's effect seems to last during the day
  • Any changes in sleep, appetite, mood, anxiety, or irritability
  • Any new medications, supplements, or health changes
  • Questions or concerns about continuing, adjusting, or stopping treatment

Some patients find it helpful to jot down brief notes between visits, since day-to-day details can be easy to forget. You are always welcome to raise concerns. Care is meant to be collaborative.

Why Telehealth Works Well for ADHD Follow-Up

For adults with ADHD, the logistics of getting to appointments can be a barrier in itself. Secure video visits from home or another private location mean:

  • No commute or waiting room
  • Easier scheduling around work
  • Consistent follow-up, which is important when adjusting medication

You must be located in Massachusetts at the time of each visit.

Serving Adults Anywhere in Massachusetts

Telehealth allows adults anywhere in Massachusetts to receive consistent care. Many patients are in communities northwest of Boston:

Insurance

Accepted plans include Blue Cross Blue Shield, Harvard Pilgrim, Optum, UnitedHealthcare, Cigna, Aetna, and Tufts. Please confirm your coverage, including telehealth benefits, with your insurer. New Medicaid, MassHealth, and Medicare patients are not accepted at this time. Self-pay options may be available. See Insurance Information.

Frequently Asked Questions

Can ADHD medication be prescribed through telehealth in Massachusetts? In many cases, yes. Telehealth prescribing of controlled substances is subject to federal and state rules, which can change. The practice follows current requirements, and your clinician will explain anything that applies to you.

Do you prescribe both stimulant and non-stimulant medications? Both types may be considered when clinically appropriate. The choice depends on your history, health, and preferences.

What if my medication isn't working or causes side effects? Tell your clinician. Adjusting the dose, the timing, or the medication itself is a normal part of treatment. Do not change or stop a medication on your own without discussing it first.

Can you take over my existing ADHD prescription? Usually, yes. Transferring care is straightforward. It requires verifying your current prescription and prescriber, and your clinician will review your history with you.

Do I have to take medication forever? Not necessarily. Treatment plans are reviewed over time, and your goals and preferences are part of every decision.

Get Started

New patients begin by completing a short, secure intake form so the practice can review your needs and confirm fit before scheduling.

Complete the Secure Intake Form →
General questions: call (617) 318-8557.

This page is general information and not medical advice. In an emergency call 911, or call or text 988 for the Suicide & Crisis Lifeline.

Your ADHD Evaluation Starts Here

The First Step Toward Adult ADHD Diagnosis Or Treatment Is Completing A Secure Intake Form. This Allows Your Symptoms, History, And Goals To Be Reviewed Before Scheduling An Initial Evaluation.

Ackroyd Psychiatric – Daniel Ackroyd, PMHNP-BC
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