Anna Stouffer, PMHNP-BC
Psychiatric nurse practitioner
Video visits across Florida · in person in Wesley Chapel
Tampa residents · Florida telehealth (video)
ADHD care by secure video for Tampa residents, with Anna Stouffer, PMHNP-BC or Margot Krahn, PMHNP-BC. No drive and no waiting room.


You’ll see Anna Stouffer, PMHNP-BC, Margot Krahn, PMHNP-BC.
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Quick answer
Adult ADHD care for Tampa residents at Ascend Mind and Body is by secure video with Anna Stouffer, PMHNP-BC, or Margot Krahn, PMHNP-BC, starting with a real clinical evaluation. In-person visits are at our Wesley Chapel office, about 25 minutes north. Video visits are for Florida residents, and most new patients are seen within the week. We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you.
Pick a clinician and book a time that works for you.
Psychiatric nurse practitioner
Video visits across Florida · in person in Wesley Chapel
Psychiatry, including children 5-17 and geriatric psychiatry
Video visits across Florida · in person in Wesley Chapel
Booking opens the clinician’s Zocdoc calendar in a new tab, set to new-patient video visits. Prefer to talk to someone first? Use the form and a care coordinator will call you.
Four steps from booking to a plan you can follow, without leaving Tampa.
Pick a time on Zocdoc, or send the form and a care coordinator calls you back, usually within one business day.
Before the visit you receive a secure video link. Join from a phone, tablet or laptop, from a private spot in Florida.
A psychiatric evaluation by video that looks at attention, focus and daily life now and in the past, and at what else could explain it.
Treatment can include medication, skills and therapy. Stimulant prescriptions need one in-person visit at our Wesley Chapel office first; follow-ups can be by video.
Most Tampa patients choose video. If you would rather sit in the room, our Wesley Chapel office is about 25 minutes away.
Recommended for Tampa
Serving Tampa, Hillsborough County

Prefer in person?
About 25 min from Tampa by car via I-275 N, outside rush hour
The evaluation is the longest appointment in adult ADHD care, so plan the setting before you plan the date. It runs on secure video from anywhere in Florida, and the spots that work are the ones where you can talk freely for an hour or more: a spare bedroom in Seminole Heights, a home office in New Tampa, a booked conference room downtown. Follow-ups are much shorter and fit around a workday far more easily.
If an in-person step is needed. Some medication decisions call for a visit in the room, and that visit is at our Wesley Chapel office. Measured outside rush hour, it is about 25 minutes from central Tampa via I-275 N, and about 15 minutes from Tampa Palms in New Tampa via I-75 N. Weekday hours are 9:00 AM to 5:00 PM, and parking in the complex lot is free.
What treatment can include, if the answer is ADHD
Choosing the pharmacy ahead of time. Any prescription is sent electronically to one pharmacy you name. If a controlled medication is prescribed, call that Tampa pharmacy to confirm it can fill it before you head over, so a refill does not become an afternoon of phone calls up and down Dale Mabry.
When a child's evaluation comes first. It is common for a Tampa parent to start wondering about themselves while a son or daughter is being assessed. Margot Krahn, PMHNP-BC sees ages 5 to 17 through child and adolescent psychiatry for Tampa families, while your own evaluation with Anna Stouffer, PMHNP-BC is a separate appointment with its own history, even when the two stories sound alike.
Ready to set a date? Book a video visit or ask for a callback, and tell the coordinator whether a morning or an afternoon block is easier to protect.
We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you.
Insurance questions go to our care team, who confirm your coverage with you before your first visit.
Call (813) 670-3005 or read how insurance works here.
The longer answers, one topic at a time.
Adult ADHD is real, common, and often missed for years. It also looks a lot like anxiety, depression, poor sleep, or burnout from the inside. A legitimate evaluation sorts that out before anyone writes a prescription.
Request a callbackOne 60-to-90-minute appointment: a structured DSM-5 interview, two validated rating scales, a childhood-to-adult timeline, and a deliberate search for the conditions that imitate ADHD. You leave with a diagnostic impression and a plan, usually the same day.
Illustrative
Before your appointment you complete the ASRS-v1.1, the Adult ADHD Self-Report Scale developed with the World Health Organization and Harvard Medical School. It is a screening instrument, not a diagnosis, and that distinction matters: a high score says "worth investigating properly," not "you have ADHD." Its value is that it gets the raw material on the table before the appointment starts, so the hour is spent on the parts a questionnaire cannot do.
This is the part that cannot be automated. We work through the current symptoms one at a time and ask for concrete examples rather than agreement: not "do you struggle with organization" but what specifically happened the last time a deadline went badly, how often that pattern repeats, and what it has cost. Diagnostic criteria require symptoms present in more than one setting and producing genuine impairment, so the examples do the work that a yes-or-no answer cannot. We also use elements of the DIVA-5, an interview validated specifically for adult diagnosis, alongside developmental history, family and medical history, sleep, and substance use.
ADHD is a neurodevelopmental condition that begins in childhood, even when nobody recognized it then. Building that timeline from adult memory is genuinely difficult, so we anchor it to events rather than feelings: which grades were hardest and why, whether homework took three times as long as classmates said it took, what teachers wrote on report cards, whether you were called bright but careless. Old report cards or a parent's or partner's recollection help when they exist. They are not required, and their absence does not rule anything out.
This is the step a fast screening skips, and it is the reason evaluations here take an hour rather than ten minutes. Anxiety, depression, bipolar disorder, sleep apnea, chronic sleep restriction, thyroid dysfunction, and trauma responses can each produce a convincing imitation of inattentive ADHD. Several of them can also sit alongside genuine ADHD, which is a different finding with a different plan. Sorting that out before anything is prescribed is the single highest-value thing an evaluation does.
Most of the time a diagnostic impression and an initial plan are ready by the end of the visit, and you hear the reasoning rather than just the conclusion. Ambiguous presentations sometimes need one more appointment, and we say so at the time instead of stretching it out. Starting an evaluation is never a promise of a prescription, and a finding of "not ADHD" is a real outcome that we will explain rather than soften.
If you meet criteria and medication is a reasonable next step, we walk through the stimulant and non-stimulant options, what each would mean for you specifically given your cardiovascular and medical history, and what the applicable Florida and federal prescribing rules require. Whether a controlled substance is appropriate is a clinical decision made after the evaluation, not before it.
The evaluation is the beginning of the process rather than the whole of it. Finding a workable dose takes several short appointments over the following weeks, and that stretch matters more than most people expect. Our Wesley Chapel page on ongoing ADHD care covers what that looks like in detail.
That is exactly what the evaluation is for. Tell us what is going on and we will tell you, honestly, whether an ADHD evaluation is the right next step. The first conversation is information, not a commitment.
In-person at our Wesley Chapel office or by Florida telehealth statewide. Adults 18 and older.
Adult ADHD looks different from the hyperactive-child stereotype. Symptoms fall into inattentive and hyperactive-impulsive patterns, and most adults show a mix. No single symptom confirms ADHD; the evaluation exists to sort out whether the pattern meets diagnostic criteria or is better explained by something else. If attention is only one piece of what is going on, Tampa mental health services shows how evaluation, therapy and medication fit together.
Commonly cited prevalence estimates put adult ADHD around 4.4 percent of U.S. adults, and the Centers for Disease Control and Prevention tracks it as one of the more frequently underdiagnosed adult conditions, particularly in women, people of color, and adults who performed well academically despite symptoms and were never flagged as children. It is more likely underdiagnosed than overdiagnosed.
Advocacy groups like CHADD point to a consistent pattern: girls with ADHD are more likely to present as daydreamy, anxious, or "a little disorganized" rather than disruptive, so teachers and parents flag it less often, and the symptoms get relabeled as anxiety or a personality trait. That pattern often continues into adulthood, and a major life transition, a new job with less structure, a new baby, a divorce, or a menopause-related hormonal shift, is a common trigger for finally seeking an evaluation once the coping systems that were quietly holding things together run out of runway. We take that history seriously rather than dismissing it as "just stress."

Adult ADHD evaluation includes a structured clinical interview, rating scales, and a review of school, work, and medical history: not a five-minute checklist.
Stimulants (methylphenidate and amphetamine classes) are first-line for most adults when appropriate; they are Schedule II controlled substances with prescribing rules we take seriously. Non-stimulants are a real alternative for people who cannot or would rather not take stimulants. Individual responses to any medication vary, and starting an evaluation is not a promise of a prescription.
The methylphenidate class and the amphetamine class are first-line for most adults when a stimulant is appropriate. They are Schedule II controlled substances, which means specific federal and Florida prescribing rules apply, including the telehealth requirements described below. A baseline check of blood pressure, heart rate, and cardiovascular history happens before starting, with periodic monitoring after. If you have a personal or family history of heart conditions, tell us at your evaluation so we can coordinate additional cardiac clearance when warranted.
Atomoxetine, viloxazine, and certain alpha-agonists such as guanfacine are genuine alternatives for patients who cannot take stimulants due to cardiovascular history or substance-use history, or who simply prefer not to. Non-stimulants are not Schedule II controlled substances, so they are not subject to the same in-person telehealth requirement and can be started via telehealth. They generally take longer to reach full effect than stimulants, which we explain when we discuss which starting point fits you.
CBT-based skills work through our therapy team addresses organization, time management, and emotional regulation in ways medication alone does not reach. Consistent sleep, exercise, and external structure (calendars, reminders, body-doubling) meaningfully amplify treatment, though they are not a substitute for it when symptoms are significant. For most adults the strongest results come from combining approaches.
If a first medication does not help, or the side effects outweigh the benefit, we adjust the dose or try a different option at your follow-up rather than declaring the case closed. At the right dose, medication should help you be more consistently yourself, not less; feeling flat or "not like yourself" is a signal to adjust, not something to push through.
An evaluation produces a clinical record: your diagnosis, the criteria met, what was ruled out, and the plan. That is enough for treatment and for many workplace conversations. It is often not enough for a university disability office or a standardized-testing body, which usually want full psychoeducational testing. We tell you which you need before you book.
People book an ADHD evaluation for two different reasons and the reasons need different products. One is treatment: you want to know what is going on and what to do about it. The other is documentation: somebody, an employer, a university, a testing body, a disability program, has asked for proof. Practices that blur those two together generate a lot of patients who paid for the wrong thing and found out afterward.
The diagnosis, with the ICD-10 code; which DSM-5 criteria were met and the evidence for each; the rating-scale results; the conditions considered and ruled out, with reasoning; relevant medical and developmental history; and the treatment plan agreed at the visit. It is a clinical document, written for a clinical audience, and it is written the same way whether or not you ask for a copy.
Continuing care with another prescriber, coordinating with your primary care provider, insurer documentation for a medication requiring prior authorization, and many employer accommodation conversations, which frequently ask a treating clinician to describe a condition and its functional limitations rather than to supply test scores. Requirements vary by employer, and the request you receive is the thing that determines what is needed.
University disability services and the bodies that administer standardized and professional licensing exams commonly require a full psychoeducational or neuropsychological battery with normed cognitive and achievement scores, sometimes within a set number of years. A clinical diagnostic evaluation does not produce those scores, because it is not that instrument. If documentation of that kind is why you are booking, say so on the first call and we will point you at psychological and neuropsychological testing with Dr. Marshall, in person at our Lakeland office or by telehealth instead of selling you the shorter appointment.
The interview and the rating scales work equally well in the room or over video; the American Psychiatric Association has affirmed that telepsychiatry produces outcomes comparable to in-person care for most adult outpatients. What is not a matter of preference is controlled-substance prescribing. Stimulants are Schedule II, and Florida telehealth practice standards under Florida Statute 456.47 sit alongside federal requirements that shape when and how a prescription can be issued. Whether a controlled substance is appropriate for you at all is a clinical decision made after the full evaluation. Because Wesley Chapel is a real Ascend office, an in-person step is handled inside the practice rather than referred out to whoever has an opening. We will not write a stimulant prescription off a short screening call in any format.
If there is active psychosis, an active stimulant use disorder, or a safety crisis happening now, an outpatient ADHD evaluation is not the right starting point and we will say so plainly rather than book you anyway. If you are having thoughts of harming yourself or someone else, call 911 or go to the nearest emergency room. For the Suicide and Crisis Lifeline, call or text 988, available 24 hours a day, every day.
Roughly half of adults with ADHD also have an anxiety disorder, and about 30 percent have major depression, so a good evaluation always screens for both rather than assuming the first plausible label is correct.
Racing thoughts and difficulty concentrating from anxiety can look like inattentive ADHD, but the driver and the treatment differ.
Read moreLow motivation, poor concentration, and slowed thinking can be mistaken for ADHD; treating depression sometimes resolves the "ADHD-like" symptoms.
Read moreOverlaps with ADHD in impulsivity and distractibility, but a stimulant can worsen an undiagnosed bipolar presentation, which is why the review happens first.
Read moreChronic sleep deprivation and undiagnosed sleep apnea both produce attention problems that mimic ADHD closely enough to fool a self-assessment.
Both hypothyroidism and hyperthyroidism can cause concentration and energy changes; a simple lab panel rules this in or out.
Hypervigilance and difficulty concentrating from unresolved trauma can present like ADHD, though the treatment approach is different.
Read moreThis is why the evaluation is a full clinical interview rather than a five-minute checklist: getting the diagnosis right the first time prevents months of treating the wrong thing. A stimulant handed out on a quick screen, without this review, is exactly how people end up feeling worse.
Most adults need a clinical diagnostic evaluation, the service on this page, and we tell you which one applies to you before you commit.
A clinical evaluation combines a structured interview, validated ASRS-v1.1 and DIVA-5 scales, a symptom timeline, and a differential review. It is sufficient for diagnosis and medication management for most adults, and it leads directly into treatment if a diagnosis is confirmed.
A full neuropsychological or psychoeducational battery is a different instrument: several hours of standardized cognitive, attention, and achievement testing administered by a psychologist, scored against population norms, and written up as a formal report. Ascend offers it through our separate psychological testing service, in person in Lakeland or by telehealth, including neuropsychological evaluation.
Reach for the longer battery when a university disability office or an exam board has asked for normed scores, when disability determination is involved, or when the picture is tangled with a suspected learning disability, a head injury, or autism spectrum traits that need untangling from ADHD. Reach for the clinical evaluation when the question is "what is going on and what do I do about it." A useful test: if someone has handed you a form with requirements on it, read the form before booking anything. If nobody has, the clinical evaluation is almost certainly what you want.
Anna Stouffer, PMHNP-BC is a dual board-certified Advanced Practice Registered Nurse licensed in Florida, holding certification as both a Psychiatric-Mental Health Nurse Practitioner and a Family Nurse Practitioner. She holds a Master of Science in Nursing and has more than a decade of clinical experience, starting in family medicine before specializing in psychiatric care. That dual background matters specifically for ADHD evaluation: she can screen the physical-health picture, thyroid function, sleep, cardiovascular baseline, and medication interactions, alongside the psychiatric one, rather than treating attention symptoms in isolation.
Tampa patients who start with Anna see her directly for the ADHD evaluation and every follow-up; there is no rotating provider panel and no algorithmic matching. In her own words: "I believe every patient deserves to be heard, not rushed. My approach is simple: take the time to understand your full story, and build a plan that actually fits your life."
When a stimulant medication requires baseline vitals or cardiovascular screening, Anna coordinates directly with Dr. Jason Saylor, DO, our Chief Medical Officer and the family medicine physician at our Tampa-Carrollwood office, so patients are not sent chasing paperwork between separate practices. The dual certification is not a formality: stimulant medications require ongoing blood pressure and heart-rate monitoring, and when a patient's "ADHD symptoms" trace back to a sleep disorder or thyroid issue, that gets caught and addressed inside the same relationship rather than through a separate referral loop.
It is common to feel some hesitation before an ADHD evaluation, whether that is worry about being dismissed, worry about being wrong, or discomfort talking about years of struggle that felt like a personal failing. None of that changes how the evaluation is conducted. Anna takes the history seriously regardless of how the symptoms are described, treats a negative finding as useful information rather than a dead end, and explains her reasoning in plain language. If you have put off calling because you are not sure your symptoms are "bad enough," that uncertainty is itself a common and valid reason to get an actual evaluation instead of continuing to guess.
Tampa Bay has real options, including full neuropsychological practices doing excellent work. The choice mostly comes down to what you actually need. The tradeoffs are real, and we would rather you know them before you call.
| Option | Named, continuous provider | Typical speed to first visit | Upfront on stimulant rules |
|---|---|---|---|
| Ascend Mind and Body, Tampa | Anna Stouffer or Margot Krahn, PMHNP-BC, every visit | Usually within one week | Explained before you book |
| Full neuropsychological testing practice | Usually a psychologist plus a separate prescriber | Varies, plus report time | Testing only; prescribing handled elsewhere |
| National telehealth ADHD app or marketplace | Matched algorithmically, may rotate | Often fast | Often unclear until after signup |
| Large multi-clinician telehealth group | Varies; provider can change between visits | Varies | Varies by clinician |
Insurance questions go to our care team, who confirm your coverage with you before your first visit. We are not going to tell you a plan covers something it does not.
We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you. Coverage can change, so we verify current status for your specific plan before you book.
Insurance questions go to our care team, who confirm your coverage with you before your first visit.
No. Many adults are diagnosed for the first time in their 30s, 40s, or later. We build the symptom timeline from your own recollection and the standardized rating scales. Report cards or input from a parent or partner help when they exist, but their absence does not rule out a diagnosis.
In-person ADHD appointments are at our Wesley Chapel office, about 25 minutes north of central Tampa on I-75, open Monday through Friday. Telehealth covers all of Tampa, Hillsborough County, and any Florida address.
Ascend Mind and Body of Wesley Chapel
27724 Cashford Cir Ste 102
Wesley Chapel, FL 33544
Phone: (813) 670-3005
Hours: Monday through Friday, 9:00 AM to 5:00 PM. Get directions.
Arrive 10 to 15 minutes early the first time, because intake paperwork is genuinely tedious and doing it in the waiting room compresses the part you came for. Block off closer to two hours than one: 60 to 90 minutes of evaluation, plus check-in and the conversation afterward. Bring the medication list and, if you have them, whatever childhood records surfaced. Nobody will quiz you, and there is no computerized attention test to perform on. It is a long structured conversation with a clinician who is writing things down, which is less clinical-feeling than most people brace for.
If an in-person step is needed for a controlled-substance decision, it happens at our Wesley Chapel office rather than as a referral somewhere else. Our Wesley Chapel office at 27724 Cashford Circle, Suite 102 is about 25 minutes north on I-75, and ongoing medication management there is covered in depth on its own page.
In-person ADHD visits are at our Wesley Chapel office, about 25 minutes north of central Tampa on I-75; every other visit can be by secure video.
We serve adults from Tampa, Carrollwood, South Tampa, Westchase, New Tampa, Town 'N' Country, Brandon, Riverview, Valrico, Plant City, Lutz, Land O' Lakes, and the rest of Hillsborough County, plus any Florida address for telehealth, since the license attaches to the state, not the ZIP code. Tampa-Carrollwood is one of three in-person Ascend locations, alongside Wesley Chapel and Lakeland, and the practice coordinates primary care, psychiatry, and talk therapy under one organization, which matters for ADHD care specifically because stimulant management often involves more than one provider type.
An evaluation gives you an accurate diagnosis and a plan. It is not a promise of a prescription, it does not promise a specific medication will work for you, and it does not treat ADHD as an excuse or a personality flaw. Individual responses to any medication vary.
ADHD is a neurodevelopmental condition rooted in differences in executive function and dopamine regulation, not a character flaw. We are not going to hand you a stimulant from a quick screen, tell you a medication will definitely fix everything, or promise a diagnosis before we have done the work. What we can tell you is that a thorough evaluation reliably answers the question you came in with, whether that answer is ADHD, something else, or both, and produces a treatment plan that fits the real picture.
A few myths worth addressing directly, because repeating them keeps people who need help from getting evaluated. Being able to focus for hours on your phone or a hobby does not rule out ADHD; hyperfocus on stimulating or interesting tasks is a well-documented feature of it. Not being diagnosed as a child does not mean you cannot have it; ADHD is present from childhood by definition, but that does not mean it was recognized then, especially in women and in adults who performed well academically. And a rise in adult diagnoses over time is consistent with more people finally getting access to an accurate evaluation, not evidence the condition is being handed out too freely.
An evaluation also cannot tell you how the treatment will go. It can tell you what you have, what else is in play, and what the reasonable options are. Whether a particular medication suits you is answered by trying it carefully and watching, not by the assessment, and that stretch is covered on our ongoing ADHD care page. What the evaluation does control is the quality of the starting point, and a wrong starting point is expensive in a way that shows up months later.
For a deeper look at the condition itself, see our adult ADHD overview. For the statewide version of this service, see Florida telehealth ADHD evaluation. For the full testing battery, see testing with Dr. Marshall in Lakeland.
Last medically reviewed by Anna Stouffer, PMHNP-BC on 2026-07-06.
This page is educational and does not replace an individualized clinical evaluation. ADHD evaluation and medication management involve prescription medications, including Schedule II controlled substances, with real risks and benefits. Treatment decisions are made between you and your provider after appropriate diagnostic workup, and individual responses to any medication vary. If you are in crisis, call or text 988, or call 911.
Plan on 60 to 90 minutes in the room, plus 10 to 15 minutes of intake paperwork beforehand, so block off close to two hours for the first appointment. Rating scales are completed before you arrive. Most people receive a diagnostic impression and a plan at the end of that same visit; a genuinely ambiguous picture occasionally needs one more appointment, and we say so at the time rather than stretching it out.
The ASRS-v1.1 is a screening questionnaire developed with the World Health Organization and Harvard Medical School; the DIVA-5 is a structured interview validated for diagnosing ADHD in adults. The first you complete on your own and it flags whether a full assessment is warranted. The second is not a form: it is a conversation that has to be conducted by a clinician, because the diagnostic questions turn on concrete examples and follow-up probing that a checkbox cannot capture. A screening score on its own is not a diagnosis.
Yes. The evaluation produces a clinical record containing your diagnosis and ICD-10 code, which criteria were met and the evidence for each, the rating-scale results, what was considered and ruled out, and the plan agreed at the visit. You can request a copy. It is written as a clinical document rather than as a letter aimed at a particular third party.
Sometimes, and it depends entirely on who is asking. Many employer accommodation processes ask a treating clinician to describe the condition and its functional limitations, and a clinical evaluation summary generally supports that. University disability offices and the bodies that run standardized and licensing exams usually want a full psychoeducational or neuropsychological battery with normed scores, sometimes completed within a set number of years. Read the actual requirements you were given before booking, and tell us what they say on the first call so we can point you at the right service.
That happens, and it is a real result rather than a brush-off. Self-report scales are sensitive by design, so anxiety, sustained sleep deprivation, depression, a thyroid problem, or a period of genuine overload can all push a score up. If the pattern is better explained by one of those, we will tell you which, explain the reasoning, and discuss treating that instead. You are not being told nothing is wrong. You are being told the label is different.
The criteria are the same, but the history-taking has to work harder. Girls with ADHD more often presented as daydreamy, anxious, or disorganized rather than disruptive, so it was frequently missed, relabeled, or absorbed into a reputation for being scattered. That means there is often no childhood diagnosis to point at and sometimes no adult in the picture who remembers it that way. We build the timeline from academic history, effort expended versus results achieved, and the coping systems that quietly held things together until a life change removed them.
Do not change anything without asking first. If you are currently taking a prescribed stimulant, keep taking it as prescribed and tell us at the visit; stopping to "get a clean read" is not necessary and can make the appointment harder rather than easier. Ordinary coffee is fine. What genuinely helps is arriving reasonably rested, since a badly slept night colors how you describe every symptom.
Only if you want us to, and it is never required. Collateral history from someone who knew you as a child or lives with you now can be useful, particularly for the childhood timeline, since ADHD symptoms are often more visible from the outside than the inside. If you would rather keep the appointment entirely between you and the clinician, that is completely workable and changes nothing about how the evaluation is conducted.
27724 Cashford Circle, Suite 102, Wesley Chapel, FL 33544, about 25 minutes north of central Tampa on I-75, open Monday through Friday. There is parking on site, no garage and no valet. Arrive 10 to 15 minutes early for your first visit so the intake paperwork does not eat into the evaluation itself.
Yes. In-person appointments at our Wesley Chapel office are available for the evaluation and for follow-ups, and plenty of people prefer a long first conversation face to face. Video works equally well for the interview and scales if that suits your schedule better. Where the format is not simply a preference is controlled-substance prescribing, which carries its own Florida and federal requirements; because Wesley Chapel is a real Ascend office, any in-person step is handled inside the practice rather than referred elsewhere.
Less than people fear. We anchor the timeline to things that are easier to recall than feelings: which subjects were hardest and why, whether homework took far longer than it seemed to take everyone else, what teachers repeatedly wrote on report cards, whether you were described as bright but careless. Gaps are normal and expected at 35 or 50. Report cards and a relative's recollection help if they exist, and their absence does not rule out a diagnosis.
It becomes part of your medical record, which is protected health information handled under HIPAA and not disclosed to an employer without your written authorization. Where it can matter is in situations where you yourself disclose it, such as requesting an accommodation, or in specific roles with their own medical or licensing requirements. Those are worth thinking through before you file anything, and it is a reasonable question to raise at the evaluation.
We will do a fresh evaluation on its own merits, and we will read the prior one if you can get it, because knowing what was already considered saves covering the same ground twice. What we will not do is promise a different conclusion in advance. Sometimes a second look with a longer appointment and a proper differential does change the picture. Sometimes it confirms the first result, and if so we will say that directly and talk about what actually fits.
Yes, and that history is useful rather than complicating. With your written consent we can request records or share a summary so your therapist and your prescriber are not working from different pictures. You do not have to move your therapy to us. If you would like therapy alongside a diagnosis, our talk therapy team is available, but nothing about the evaluation depends on it.
If a medication is started, you will have a specific set of things to watch for and a defined date to report back, usually a couple of weeks out. That interval exists because the first dose is a starting point rather than an answer, and the information you bring back is what shapes the next decision. If no medication is started, the gap is used for whatever the plan called for instead: sleep work, a lab panel, therapy, or a referral.
Often, yes. A negative result narrows the field and redirects attention to whatever is actually producing the symptoms, which is more useful than continuing to guess. Adults commonly arrive convinced it must be ADHD and leave with a sleep disorder, an anxiety disorder, or a thyroid result to follow up, all of which are treatable and none of which would have improved on an ADHD plan. The evaluation is designed to answer the question either way.
Yes. Margot Krahn, PMHNP-BC evaluates and treats children and teens ages 5 to 17 by video or in person at the Wesley Chapel office, with a parent or guardian involved. When a school needs a formal written test report, psychological testing is with Dr. Richard M. Marshall, Ed.D., Ph.D., a psychologist and not a psychiatrist, in person in Lakeland or by telehealth. For help at school, Hillsborough County Public Schools lets a parent ask, spoken or in writing, for an initial evaluation, and the district must hold a Child Study Team meeting within 30 calendar days of that request.
A board-certified psychiatric nurse practitioner such as Anna Stouffer, PMHNP-BC or Margot Krahn, PMHNP-BC can diagnose ADHD and treat it, using a structured clinical interview, validated rating scales and a childhood-to-adult history. Most adults do not need a full testing battery for diagnosis and treatment. Formal testing by a psychologist makes sense when the picture is tangled with a possible learning disability or head injury, or when a university or exam board asks for normed scores in a report.
That depends on your plan's formulary, so it is checked as part of choosing the medication instead of being discovered at the pharmacy counter. When a plan requires prior authorization, your clinician knows before writing the prescription, and when a clinically comparable option sits on your formulary, starting there can avoid a delay of a week or two. Insurance questions go to our care team, who confirm your coverage with you before your first visit.
Several. Non-stimulant medications, including atomoxetine, viloxazine and alpha-agonists such as guanfacine, are real alternatives and are not Schedule II drugs. CBT-based skills work through our therapy team targets organization, time management and emotional regulation in ways a pill does not. Consistent sleep, regular exercise and external structure such as reminders and body-doubling help with any plan. Which mix fits you is worked out after the evaluation, with your medical history in view.
Some of it can, and the answer depends on the medication and on the rules in force at the time. Non-stimulants are not Schedule II controlled substances. Stimulants are, so federal and Florida telehealth rules decide whether an in-person visit has to come first, and those rules have been revised several times. Nothing is promised before the evaluation. If your situation calls for an in-person visit, it is at the Wesley Chapel office, and the care team tells you before you book.
The evidence for most supplements is limited, and none of them replaces an evaluation. If you take fish oil, magnesium, a nootropic blend or anything else, bring the bottle or a photo of the label to the first visit, because some products interact with prescription medications or change sleep and heart rate in ways that matter when a stimulant is being considered. Your clinician will tell you plainly what to keep, pause or stop.
You can, if the space is private and you have a long block. The evaluation needs 60 to 90 minutes of uninterrupted conversation about school, work, relationships and health, which is hard in an open-plan office or a shared cubicle. A closed office, a reserved meeting room or a parked car works. You must be physically in Florida, and keep a phone nearby, since the visit can continue by phone if the video connection drops and you agree. Follow-ups are short enough for a lunch break.
At a Quest or Labcorp patient service center close to you. Inside city limits, Quest draws in South Tampa on MacDill Ave, on West Dr. Martin Luther King Jr. Blvd near the St. Joseph's campus and in New Tampa on Bruce B. Downs Blvd, and Labcorp has sites on West Kennedy Blvd and South Habana Ave. Ruling out a thyroid problem or another mimic is part of a careful ADHD workup, and your clinician reviews the results with you before any treatment decision.
CHADD, the national nonprofit for children and adults with ADHD, publishes plain-language material that partners and parents often find useful, and it is a reasonable first read for anyone trying to understand what a new diagnosis means at home. With your consent, a partner can also join part of a follow-up by video to hear the plan directly and ask questions, which tends to help more than a secondhand summary.
Need formal ADHD testing with a written report? See ADHD testing in Lakeland with Dr. Richard M. Marshall, Ed.D., Ph.D., a psychologist, in person at our Lakeland office.
Book a video visit online, or send a request and a care coordinator will call you back. Insurance questions go to our care team, who confirm your coverage with you before your first visit.