A focus of the practice · Adults with ADHD in New York State

Adult ADHD
Assessment, diagnosis, and personalized medication management.

I work with you to manage symptoms and improve how you function, so you can live your life the way you want to live it.

Jeffrey Panko, PMHNP-BC

Let’s focus on the full picture.

ADHD is more than
a checklist of symptoms.

We’ll review your symptoms, how they’ve affected your life so far, how they affect your quality of life now, and how they’re shaping the future you’re building.

You may be wondering about ADHD for the first time or looking for support with a diagnosis you already have. Wherever you are, I’ll meet you where you’re at.

We’ll explore how you’ve functioned throughout your life. ADHD can affect focus and attention and involve hyperactivity, impulsivity, or both. Symptoms begin in childhood, but the way they show up can change over time.

We’ll look at the difficulties you’re having now and how they developed, changed, and persisted over time. These difficulties can have more than one explanation. They may suggest ADHD, but it isn’t always ADHD, and often it isn’t ADHD alone.

Whether ADHD, another condition, or a combination is affecting you, an evaluation can help clarify what’s going on and how we can address it. You’ve come to the right place to start figuring that out.

I specialize in adult ADHD assessment, diagnosis, and medication management, providing these services through telehealth throughout New York State.

How care takes shape

Once we understand what’s contributing to these difficulties and how they show up in your life,
we plan the path forward together.

I use a collaborative approach. No one understands the life you’ve experienced better than you do, so your input is important and valuable. You’ll have space to ask questions, speak your mind, and, most importantly, share your preferences for treatment.

01 · Assessment

Make room for your story

Relevant records and psychological questionnaires may help clarify or support a diagnosis, but they’re only part of the picture. Your life story and experiences matter.

You don’t need a history of treatment to seek care for ADHD, even well into adulthood. ADHD may be diagnosed for the first time at different stages of adult life.

If you’re still struggling, being told in the past that you don’t have ADHD doesn’t have to stop you from seeking another evaluation. ADHD can be challenging to diagnose and can present in ways that aren’t always easy to recognize. A second opinion may confirm the earlier assessment or identify something that was missed.

02 · Treatment planning

Understand your options and how they align with your preferences

We’ll discuss treatment options, including medication, lifestyle changes, therapy, and behavioral strategies. Together, we’ll choose the options that address your symptoms, support your goals, and respect your preferences.

03 · Follow-up

Continuing the conversation

Follow-up appointments give us time to discuss side effects, changes in your day-to-day functioning, and whether the plan is improving your quality of life and the things that matter most to you. We’ll decide together when to stay the course and when to adjust our approach.

Time & fees

A clear place
to begin.

ADHD services are covered by participating insurances. Self-pay rates are listed below.

Initial evaluation: 60 minutes · $300
Medication follow-up: 20–30 minutes · $150

Reduced rates are available for patients in certain financial situations. You can find more information on the Fees & sliding scale page using the link below.

Fees & sliding scale
Can I book if I have never been diagnosed?

Yes. An initial evaluation can explore whether ADHD explains your concerns. It considers the fuller picture. While it does not guarantee a particular diagnosis, it gives us the opportunity to start addressing your concerns.

Can I seek care if I already have an ADHD diagnosis?

Yes. We’ll discuss your previous treatment history, what worked and what didn’t, and evaluate the effects your current treatment is having. Bring previous records and medication information if you have them; with your permission, I can request records from prior providers.

Does an assessment guarantee medication?

No. Medication decisions follow an individual assessment of your needs and treatment options. An evaluation does not guarantee a prescription or a particular medication.

Is this neuropsychological testing?

No. This is a psychiatric assessment and medication-management service, not neuropsychological testing.

Keep exploring

Learn more about your mental health, symptoms, and treatments.

Explore medication and mental health guides in the patient library and read articles written for the practice. My mental health videos and a newsletter are planned.

Read the ADHD guide

General assessment information informed by NIMH: ADHD in Adults. Educational information does not replace an individual clinical assessment and does not constitute medical advice or an established therapeutic relationship.

Further reading

Understand your options.

Your next step:

Let’s start with a conversation.