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Diagnosis, Care, and Management for Attention-Deficit/Hyperactivity Disorder (ADHD)

Gain More Control Over Inattention, Impulsivity, and Related Patterns in the Philadelphia Area

While Attention-Deficit/Hyperactivity Disorder (ADHD) is commonly portrayed in the media as unruly kids running wild, the reality of life with the neurodevelopmental condition is much more nuanced and complex. Patients tend to experience patterns of inattention, hyperactivity, and impulsivity, all of which can be persistent, counterproductive, and inconsistent with their own level of developmental. In explaining Attention-Deficit/Hyperactivity Disorder (ADHD), Philadelphia-area psychiatrist Dr. Jacob D. Buinewicz compares it to navigating a road bent by unexpected turns: The twisty highway can lead travelers to some amazing places, but the journey will also be marked with missed exits and detours due to concentration lapses and poor self-regulation.

Attention Deficit Hyperactivity Disorder (ADHD) in Doylestown, PA
ADHD symptoms often become apparent in patient’s childhood—especially in a classroom setting, where students are expected to sit still and focus for long periods of time—but they can persist in posing challenges for women and men alike well into adulthood. This is because Attention-Deficit/Hyperactivity Disorder (ADHD) impacts people across all of the various stages of their life, making everything from productivity to learning to social interactions a challenge.

With this in mind, early recognition of the signs of Attention-Deficit/Hyperactivity Disorder (ADHD) can set the stage for more successful intervention, as well as the identification and adoption of effective coping mechanisms.

In fact, despite the hurdles this disorder can put in someone’s way, patients with ADHD who receive comprehensive care are typically able to capitalize on their own unique strengths and find themselves thriving in all facets of life.

Dr. Buinewicz is committed to answering your questions, providing answers that extend well beyond merely diagnosing Attention Deficit/Hyperactivity Disorder. His approach includes adaptive techniques and holistic treatments that help his patients to better enjoy their day-to-day experiences, as well as to optimize their executive function.

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Buckingham Psychiatry is dedicated to assisting patients in enhancing their attentional control and managing hyperactivity symptoms. Through an individualized care plan, Dr. Jacob Buinewicz is prepared to support the diverse needs of his patients seeking help for Attention-Deficit/Hyperactivity Disorder (ADHD) in Philadelphia, Allentown, Bethlehem, Cherry Hill, Princeton, and neighboring regions of Pennsylvania and New Jersey. Get in touch by calling 484.466.5560.

What Is Attention-Deficit/Hyperactivity Disorder?

Although the acronym seems contained and tidy, ADHD is not an all-inclusive, cookie-cutter diagnosis. In fact, the condition encompasses multiple manifestations that don’t fit a single profile. Instead, patients exist on a spectrum, and each individual navigates personal challenges and identifies strengths that shape self-image, goals, and ultimate potential.

At its most basic definition, Attention-Deficit/Hyperactivity Disorder (ADHD) presents in three main ways: predominantly inattentive, predominantly hyperactive-impulse, and a combination of the two.

Attention-Deficit/Hyperactivity Disorder (ADHD): Predominantly Inattentive Presentation

The inattentive presentation of Attention-Deficit/Hyperactivity Disorder (ADHD) mainly involves challenges related to maintaining focus on details, following through on completing tasks, and the fallout that develops after failing to follow instructions. Patients often seem disorganized and are frequently forgetful as they navigate day-to-day life. Initially, these characteristics may seem like deficits, but everyone—from the patients themselves to their friends and loved ones—should know that they also have benefits.

Patients living with the Predominantly Inattentive Presentation can draw on deep wells of creativity and introspectiveness. Since their minds are prone to wandering, they are primed for exploring new ideas and concepts that could pose a seemingly insurmountable challenge for others. With proper recognition and encouragement, these individuals can develop their unique strengths in terms of developing fresh perspectives and taking novel approaches in order to creatively solve problems.

Attention-Deficit/Hyperactivity Disorder (ADHD): Predominantly Hyperactive-Impulsive Presentation

This presentation is characterized by an abundance of energy that manifests as extreme fidgeting, a seeming inability to remain seated, and a tendency to interrupt others while they are speaking, in addition to acting without thinking about the ramifications of the action.

These Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms reveal spontaneous actions and impulsive decisions, which can often be interpreted as disruptive by outside observers.

Taking a closer look someone with this type of Attention-Deficit/Hyperactivity Disorder (ADHD) will reveal a person with a passionate spirit and willingness to take risks and seize the moment. With appropriate guidance, this zest for life can be directed toward endeavors with a grand scope, unmatched athleticism, or a vibrant personality destined for leadership and inspiration.

Attention-Deficit/Hyperactivity Disorder (ADHD): Combined Presentation

Attention-Deficit/Hyperactivity Disorder (ADHD) doesn’t always sit on only one end of the condition’s spectrum. Very often, those with the disorder find that their symptoms are more balanced, with both inattention and hyperactivity-impulsivity appearing in equal measure. This is what is known as a Combined Presentation. The resulting blend of challenges could seem overwhelming, since it stems from an intricate conflux of dual Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms.

As challenging as this mix may appear, it also means having access to a pair of distinctive strengths: the inattentive presentation’s boundless creativity and the hyperactive-impulsive presentation’s well of energy.

Dr. Buinewicz
Dr. Buinewicz

Meet Dr. Buinewicz

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Jacob D. Buinewicz, MD is a board certified general psychiatrist. He graduated from Sidney Kimmel Medical College at Thomas Jefferson University Hospital.

Trained in the combined use of psychotherapy and medication, he offers evidence based treatment for a variety of psychiatric disorders. He has specific expertise in mood and bipolar disorders, ADHD, anxiety disorders, OCD, and PTSD. He also offers care for common sources of stress including life transitions, decreased productivity at work, relationship issues, and grief.

Dr. Buinewicz believes all treatment should begin with a patient-centered comprehensive and holistic evaluation. Patients are involved in creating a treatment plan that may include medications, therapy, or a combination of both. He believes that therapy is often a critical component of care as evidence shows that it provides benefit over medication alone. His therapeutic approach is tailored to the individual patient and contains elements of psychodynamic psychotherapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT).

Contact Dr. Jacob D. Buinewicz, MD for a comprehensive psychiatric evaluation and personalized treatment plan at 484-466-5560.

Establishing Successful ADHD Treatment Paths in the Philadelphia Area

Charting the best possible path forward with Attention-Deficit/Hyperactivity Disorder (ADHD) starts with a thorough and comprehensive evaluation to confirm the diagnosis and rule out other potential causes of the apparent symptoms. There is not a particular “ADHD test.” Rather, Dr. Jacob Buinewicz will provide an empathetic and detailed assessment, then follow up with a thoughtfully crafted and multidimensional treatment plan. His approach may involve behavioral strategies, educational accommodations, medication, and lifestyle modifications tailored to improve concentration, organization, and emotional regulation for those with Attention-Deficit/Hyperactivity Disorder (ADHD).

When it comes to ADHD treatment options, medication is considered to be highly effective, well-researched, and the “gold standard.” Stimulants that are proven effective for many patients include brand-name medications like Adderall, Concerta, and Vyvanse, as well as non-branded amphetamine-dextroamphetamine, methylphenidate, and lisdexamfetamine. Patients may also choose non-stimulant options.

Some ADHD symptoms are difficult to address via strategies that don’t include a pharmacological component. Medications can improve these ADHD symptoms, and they have been shown to work very well in combination with therapy.

ADHD Treatment: More than Medication

Dr. Buinewicz emphasizes that while medication is a critical aspect of managing Attention-Deficit/Hyperactivity Disorder (ADHD) for many people, the pharmaceutical route is often a most effective treatment when combined with other strategies.

Pathways to Resilience: Therapeutic Interventions and Lifestyle Adjustments

When it comes to helping patients manage Attention-Deficit/Hyperactivity Disorder (ADHD), Dr. Buinewicz draws on multiple holistic approaches in order to optimize their journey toward living with and managing the condition. His strategies range from behavioral interventions and psychoeducation to Cognitive Behavioral Therapy (CBT), lifestyle modifications, and encouraging participation in supportive systems.

Behavioral Interventions

There are many strategies that can play a pivotal role in alleviating disruptions caused by Attention-Deficit/Hyperactivity Disorder (ADHD) symptoms, including coaching, structured routines, and behavioral modification techniques.

These interventions focus on helping the patient to develop healthier habits—such as organization, time management, and coping mechanisms—in order to better navigate daily activities. Individuals can gradually learn to not only mitigate their symptoms, but also to tap into the innate abilities their condition gives them. This effectively turns what was once a source of struggle, frustration, and even shame into a powerful life skill. Behavioral interventions offer practical tools that can be adapted into virtually any area of life, making them not only an Attention-Deficit/Hyperactivity Disorder (ADHD) treatment path but also an opportunity for immense personal growth.

Psychoeducation

There is a reason that the saying “knowledge is power” caught on. Learning about ADHD can create a potent attitudinal shift for both patients and their families. Psychoeducation explores the science behind Attention-Deficit/Hyperactivity Disorder (ADHD) and sheds light on multiple facets of the various symptoms that individuals experience. By cultivating creating understanding and developing realistic expectations of tomorrow, patients and their families alike can foster more empathy for themselves and each other. Overall, this can make the general environment a supportive space with a bent toward to progress. As another saying goes: Compassion begins with understanding.

Cognitive Behavioral Therapy (CBT)

Many people living with ADHD find Cognitive Behavioral Therapy to be a game-changer. This therapeutic intervention skillfully blends cognitive and behavioral theories together in order to help individuals better understand how their thoughts influence and impact their behaviors. Techniques designed to enhance self-awareness, develop coping strategies for working through inattention and impulsivity, and regulate emotional responses play a huge role in improving overall functioning and enriching daily experiences for people with Attention-Deficit/Hyperactivity Disorder. Through CBT (as this approach is known), individuals can find success in rewriting their personal narrative, transitioning from mere survival to succeeding and thriving.

Lifestyle Modifications

At Buckingham Psychiatry, Dr. Buniewicz believes that physical health and mental health are fundamentally interconnected. He works to help patients understand that getting adequate sleep, balanced nutrition, and consistent physical activity can significantly help with managing symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD). Building structured routines and practices in the areas of sleep, diet, and exercise can provide much-needed stability, as well as replenish the body’s natural resources that help patients to combat challenges more effectively. Implementing these lifestyle changes can give patients a chance to reduce the severity of their symptoms, as well as enhance their overall well-being, self-image, and quality of life.

Support Systems

People with Attention-Deficit/Hyperactivity Disorder (ADHD) can draw immense strength, as well as comfort, from the practice of interacting with people who share a common experience. Connecting with other people who live with the condition can not only offer emotional reassurance, but can also open up reservoirs of practical wisdom, strategies, ideas for navigating societal complexities, and—perhaps most critically—feeling validated and understood “just as you are.” Creating and sustaining such support systems can contribute significantly to personally tailored coping mechanisms and strategies, growing out of real-world scenarios and experiences.

Key Takeaways of Treatment for Attention-Deficit/Hyperactivity Disorder (ADHD)

Understanding the nuances of Attention-Deficit/Hyperactivity Disorder (ADHD) is an important piece of the treatment puzzle for anyone affected by the condition. Staying informed about the latest advancements can be as important as employing effective coping skills and securing a healthy support network. Remember that insightful knowledge, a commitment to tailored treatment, a strong support system, and a compassionate healthcare professional like Dr. Jacob D. Buinewicz managing your care can be the strategies that make a true difference in overcoming the challenges of Attention-Deficit/Hyperactivity Disorder (ADHD).

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For more information about assessment and treatment options for Attention-Deficit/Hyperactivity Disorder (ADHD) in the Philadelphia area, reach out to Dr. Jacob D. Buinewicz at Buckingham Psychiatry. Situated in Doylestown, Dr. Buinewicz accepts patients from throughout the region, including Philadelphia and Princeton. To schedule a consultation, please call 484.466.5560.