Sheenie Ambardar, MD is a Los Angeles-based Integrative Psychiatrist with 16+ years of experience in Adult Psychiatry. Dr. Ambardar sees patients throughout California and New York via telehealth and specializes in the diagnosis and treatment of adult men and women with Depression, Anxiety, ADHD, OCD, Panic Disorder, Binge-Eating Disorder, and a host of other common mental health concerns.

Are you experiencing any of these conditions? Concierge Integrative Psychiatry may be the solution you need. At The Happiness Psychiatrist®, we address the root causes of these issues—and many more—as well as give you the resources to build a fuller, happier life.

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ADHD is a neurodevelopmental condition that can affect the brain's executive functions—things like attention, planning, emotional regulation, organization, flexibility, and working memory. While there's no single cause of ADHD, a combination of genetic and environmental factors likely plays a role.

It’s important to remember that ADHD isn't something you've done wrong, nor is it a matter of laziness or a lack of discipline.

As an ADHD psychiatrist in Los Angeles, my goal is to help you understand the roots of your ADHD and to help you thrive with appropriate treatment. A personalized approach — whether through medication, therapy, or lifestyle changes—is the best way to manage symptoms long-term so that you can live the happy and productive life you deserve.

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RELATED: Female Entrepreneurs with ADHD

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Why You Have ADHD

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You may find yourself procrastinating on important projects until the day before they're due, which leads to the all-too-familiar last-minute rush and missed deadlines.

Or maybe during meetings your mind wanders, making it tough to absorb information or respond appropriately. This can leave you feeling frustrated, unprepared, flustered, and embarrassed. 

You've tried various strategies like the Pomodoro technique, time blocking, and daily checklists. Ironically, these methods can sometimes feel like they're just another task that you end up procrastinating on. 

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These behaviors aren’t conscious choices—they’re symptoms of ADHD, much like coughing and sneezing are symptoms of a cold.

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ADHD stems from multiple factors, including genetics, environment, and upbringing. To treat ADHD effectively, you need a personalized approach that takes into account your unique history and background. 

Here are a few factors that can contribute to the development of ADHD:

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Reason #1: Genetics

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• Family History: Research shows that ADHD runs in families, meaning it can be passed down through the generations. The heritability is estimated at 77–88%.

• Childhood Experiences: ADHD was severely underdiagnosed until the 1990s, so your parents might not have known they had it. You may have thought of their behaviors (chaotic routines, emotional dysregulation, constant tardiness) as just who they were. This type of behavior may have contributed to your childhood trauma and later ADHD diagnosis.

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Reason #2: Brain Chemistry

• Chemical Imbalances: Low levels of dopamine and norepinephrine can lead to difficulties in attention, motivation, and focus. These chemical imbalances can be genetic or exacerbated by traumatic experiences.

• Traumatic Experiences: Past trauma, such as emotional or physical abuse, can disrupt the brain’s delicate chemistry and worsen ADHD symptoms.

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Reason #3: Environmental Triggers

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• Exposure to Toxins: Being exposed to environmental toxins, such as lead, phthalates, and bisphenol A (BPA), can influence brain development and increase the risk of ADHD. However, more studies need to be done to confirm this.

• Premature Birth: Infants born prematurely may face developmental challenges that increase the likelihood of ADHD later in life.

• Extreme Stress: Experiencing extreme stress during childhood, such as the loss of a parent or major changes in family dynamics, can heighten the risk of developing ADHD symptoms.

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RELATED: 10 Symptoms of ADHD

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What To Look for in Your Los Angeles ADHD Psychiatrist

Finding an ADHD psychiatrist in Los Angeles can feel overwhelming, especially if you’re concerned that your psychiatrist will only be a “prescriber”

While medication can provide much-needed relief, it doesn’t necessarily address the root issue of why you may have low levels of dopamine and norepinephrine in the first place. 

You want a psychiatrist who offers more than just medication—someone who listens and combines holistic psychiatry, nutritional medicine, CBT, psychodynamic therapy, social skills training, and stress management techniques. This way, you're not just treating your symptoms but addressing all potential underlying factors.

When searching for the right psychiatrist for your ADHD journey, consider doctors who offer:

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‍Not Just a “Pill Mill”  💊

While medication is a very effective treatment for ADHD, it’s important to find a psychiatrist who takes a comprehensive, integrative approach. 

An ADHD psychiatrist should explore all of your symptoms, life circumstances, and any coexisting mental health conditions before suggesting a specific treatment plan. 

Medication can address many ADHD symptoms, but a deeper, holistic strategy will lead to lasting, sustainable improvements. 

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Holistic Options 🪻

A comprehensive ADHD treatment plan may also involve non-medication interventions such as:

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• ADHD-Approved Meditation: Many individuals with ADHD find it challenging to sit still or concentrate during long meditation sessions. However, even short, 5-15 minute guided meditation sessions can lead to significant improvements in attention, mood, and emotional regulation. In addition, incorporating movement-based mindfulness practices, like yoga or walking meditation, can also help if you struggle with traditional sitting meditation.

• Journaling for the Unfocused Mind: Consistency can be a hurdle when it comes to journaling. However, using helpful prompts, digital apps, or setting a specific time each week to write down your thoughts for 10 minutes can make it easier to gradually build this transformative habit.

• Brain Training with Biofeedback: Some clinics offer neurofeedback sessions, where you begin with a brain assessment to identify your brainwave patterns. While watching videos or playing games, sensors track your brain activity, providing real-time feedback on how your neural circuitry works. This enjoyable, non-invasive method helps improve focus and emotional regulation, especially when used in conjunction with medication.

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Compassion, Empathy, and Transparency 💘

A key "green flag" when considering an ADHD psychiatrist is how your initial ADHD consultation is handled.

For example, here at The Happiness Psychiatrist®, our ADHD diagnostic process typically unfolds over two appointments. We start with:

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• A Detailed, Friendly Interview: We’ll discuss your current symptoms, past psychiatric, social, and medical history, and any childhood and adult experiences that may be indicative of ADHD.

• ADHD Testing: We use several clinically validated scales and questionnaires to help better assess your ADHD symptoms.

• Review of any other mental health concerns: Adult ADHD can frequently co-occur with Depression, Anxiety, Bipolar Disorder, OCD, Trauma, Premenstrual Dysphoric Disorder (PMDD), Borderline Personality Disorder, Insomnia, Cannabis Use Disorder, Binge-Eating Disorder, and low self-esteem. It’s important to ascertain if we should treat these issues first or concomitantly.

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RELATED: My Favorite Resources for a Happier Life

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5 ADHD Treatment Options

Life with ADHD doesn’t have to feel overwhelming or out of control. 

You can wake up each day with a clear plan, knowing what needs to get done without the stress of scrambling at the last minute. A life where you start projects on time, stay focused during meetings, and finish assignments and tasks without feeling drained, ashamed, or upset.

For some patients, starting stimulant medications like Adderall or Vyvanse along with Cognitive Behavioral Therapy (CBT) makes this possible. You get a boost in focus and concentration from the medication while using therapy to build useful strategies that can help you stay organized and overcome procrastination for the long term.

For others, a different route may be the answer. Non-stimulant medications like Strattera or Kapvay, combined with daily routines such as morning meditation, exercise, supplements, and healthier eating habits, can bring about more balance to your life.

It’s important to remember that your ADHD doesn’t define you. With the right treatment plan, whether it's through medication, lifestyle changes, or therapy, you can create a life where you feel empowered and productive and work steadily towards your goals. You've got this!

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Option 1: Stimulant Medications

Stimulant medications, like Adderall or Ritalin, are often first-line treatments for ADHD. 

These medications work quickly, often showing noticeable effects in 60 minutes. Stimulant medications directly increase dopamine and norepinephrine levels, which helps to improve focus and attention and reduce impulsivity.

While effective for many individuals, it’s essential to find the right dose for you under the guidance of an experienced psychiatrist.

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Option 2: Non-Stimulant Medications

Non-stimulant medications, like Strattera (atomoxetine) and Clonidine ER (Kapvay), are good alternatives for those who cannot tolerate stimulants. Unlike stimulants, which work almost immediately, non-stimulants may take a bit longer to build up in your system and start showing effects. 

Strattera, for example, targets norepinephrine regulation without directly boosting dopamine levels, and helps improve focus over time. 

The mechanism of action of Kapvay (Clonidine ER) in ADHD is not precisely known, but it is thought to stimulate alpha2-adrenergic receptors in the brain stem, reducing sympathetic outflow from the central nervous system.  

Non-stimulants are less likely to cause insomnia, anxiety, high blood pressure, and appetite suppression, making them ideal for individuals sensitive to stimulant-related side effects.

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Option 3: Cognitive Behavioral Therapy (CBT)

CBT is a powerful tool for managing ADHD symptoms, especially when combined with medication. 

CBT can help address the procrastination, time management, and negative thought patterns that often accompany ADHD. By working with a skilled ADHD psychotherapist, you can develop new coping strategies to handle everyday challenges.

For example, Cognitive Behavioral Therapy (CBT) can help you:

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• Break down large tasks into manageable chunks, thus reducing overwhelm.

• Develop time management techniques, such as prioritizing only 3 important tasks for the day or using timers.

• Challenge negative thoughts such as “I’m never going to get this done,” and replace them with productive, positive self-talk.

• Create simple systems to help you stay organized and reduce distractions.

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CBT takes regular practice (and you won’t be perfect at it), but it can lead to significant improvements in your day-to-day life!

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Option 4: Meditation and Mindfulness

For someone with ADHD, a suggestion to practice meditation and mindfulness might seem absurd because the idea of focusing on the present moment is precisely something you feel you can’t do. 

However, for those with a wandering mind, dipping your toes into meditation and mindfulness can be truly transformative. Start by setting a timer for just 1 minute, close your eyes, and pay attention to your thoughts and feelings without judgment.

Mindfulness could also look like pausing for 30 seconds during a busy day to observe your breath instead of rushing from one task to another. With regular practice, you’ll begin to notice:

• Increased Awareness: You’ll catch and conquer distractions faster.

• Less Impulsivity: You’ll start to pause before acting.

• Improved Calm: Stress will start to feel more manageable.

• Better Focus: Staying on task becomes easier.

• Reduced Procrastination: You’ll put things off less frequently

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Option 5: Lifestyle Adjustments

You may have already tried this step to fix your procrastination or focus habits. You may have even felt bitter or frustrated when this step didn’t work.

While lifestyle changes are valuable and important, they usually can’t fix ADHD if the root cause lies within those first 3 reasons: genetics, brain chemistry, and environment. 

However, lifestyle adjustments can definitely help improve ADHD symptoms when used in conjunction with treatments such as medication and CBT. 

I recommend focusing on:

• Fun (or at least tolerable) Exercise: Experiment until you find a physical activity you can realistically do most days of the week (e.g., using an in-home treadmill, outdoor walking, group sports, dance classes, weight lifting, or yoga are some of my favorite recommendations!). Consistent physical exercise, even for just 10 minutes a day, will naturally boost your dopamine levels to help enhance focus and motivation.

• Yummy Foods: A balanced diet rich in unprocessed whole foods helps stabilize mood and boost attention. However, you don’t need to sacrifice taste while eating healthier. Start by replacing morning toast and cereal with eggs and avocados, opt for lean organic chicken over beef, and choose juicy watermelon over ice cream. These tasty options make healthy eating easier and more enjoyable.

• Enjoyable Sleep: Consistent, quality sleep restores your brain's capacity to function optimally and removes toxins as well. A regular sleep schedule (7-8 hours every night) reduces irritability and enhances concentration. If you have trouble sleeping, consider taking a high-quality magnesium glycinate supplement.

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ADHD FAQs:

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Should I Go to a Psychiatrist or Psychologist for ADHD?

Both mental health professionals play a crucial role in the clinical landscape, but their approaches differ.

A psychiatrist, especially one experienced in ADHD treatment, can offer a diagnosis and prescribe medication to help manage symptoms. 

Psychologists focus mainly on therapy and behavioral strategies to help build better coping mechanisms for ADHD.

For many, working with an ADHD psychiatrist in Los Angeles offers the best of both worlds: a clear diagnosis, access to medication when appropriate, and the chance to address co-occurring mental health issues, such as Anxiety, Depression, Bipolar Disorder, OCD, or PMDD.

Combining medication management with consistent therapeutic support often leads to the best outcomes.

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Where to Get an ADHD Diagnosis in Los Angeles? What Happens Next?

During an evaluation, a psychiatrist will assess your symptoms, medical history, and how your daily functioning is affected. This may involve a series of clinically validated questionnaires and interviews over the course of two appointments. 

At The Happiness Psychiatrist®, we offer a tailored approach to ADHD diagnosis and treatment. After diagnosis, we’ll work together to create a plan that’s manageable and fits into your lifestyle. 

With ongoing support, the majority of patients experience significant improvements in procrastination and their ability to manage tasks.

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‍Can a Person with Severe ADHD Live a Normal Life?

Yes, many people with ADHD go on to have successful careers, meaningful relationships, and well-rounded lives.

Remember the goal isn't perfection; it's progress.

Success comes from understanding your unique challenges (e.g., have you always had ADHD? Is it partly a trauma response?) and building effective, personalized strategies. 

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How to Deal with High-Functioning ADHD

Dealing with high-functioning ADHD can be difficult, especially when it seems like you're managing well on the surface. 

Many people meet their deadlines but pay for it with burnout and anxiety. 

Coping strategies include breaking tasks into manageable chunks, using body doubling, and setting realistic goals. 

Medications also help improve focus and reduce mental fatigue. 

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‍Our Approach to ADHD Treatment in Los Angeles, CA

Dr. Ambardar offers a compassionate, individualized approach to ADHD diagnosis and treatment. 

Whether you're dealing with chronic procrastination, high-functioning ADHD, or more severe symptoms, we're here to guide you through the process of understanding your brain and finding sustainable solutions that truly work for you.

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Your journey to healing starts here. Reach out today and let's start our work together to help you break free from ADHD 🌷

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