Learn more about ADHD treatment from an expert
Dr. Les Tsang is the lead psychiatrist at Circle Medical. He is Board
Certified by the American Board of Psychiatry & Neurology (ABPN) and
trained at UCLA. He previously served as the Director of Behavioral
Medicine at the Napa - Solano Family Medicine Residency program at Kaiser
Permanente.
Dr. Tsang employs the latest scientific research combined with over a decade
of clinical experience to develop an integrated, technology-enabled approach
to ADHD treatment.
What is ADHD, and how does it differ from a regular lack of focus?
Hi! Thanks for having me. ADHD is often misunderstood as being unable to pay attention, but there's actually a bit more involved. People with ADHD typically *can* focus and pay attention to certain tasks, but have a hard time controlling or regulating their attention span. This will result in being able to focus on tasks that are interesting but having difficulty with starting and staying focused on any task that is routine, repetitive or boring.
I see. So it's more a dysregulation of attention instead of being unable to focus.
Right!
What about some of the other parts of ADHD I often hear about that don't sound related to concentration? Can you tell us more about that?
I'm glad you asked! The other two components of ADHD that can often be overlooked are activity and impulse control. Activity affects the internal drive for physical movement while I think of impulse control as our internal filter that keeps us from saying or doing the wrong thing at the worst time. When our internal drive for movement is not controlled, it's really difficult to sit or stand in one place if our drive is telling us to “move”! This is why some people with ADHD have such a hard time waiting in line or sitting through a meeting.
That makes sense! I have a coworker who doodles mindlessly and / or shakes his leg during meetings which seems like he needs to keep moving because he's supposed to be sitting and listening to the meeting.
Right. That could be his coping mechanism for that situation.

What happens when a person has a hard time controlling their impulses?
Without any impulse control, we would share thoughts or ideas without thinking them through or even make decisions or act based on just how we felt in the moment. For example, some people with ADHD will often interrupt and finish the sentences of others.
Interesting. And what are some of these problems an adult with ADHD might experience?
An adult with ADHD might have difficulty staying on track and completing
tasks that need to be done repeatedly on a daily basis and in the same
way, which can happen at work or home.
Each person is different and not everyone experiences the same symptoms or
the same severity of symptoms. It's very possible for adults with mild to moderate
ADHD symptoms to not recognize their experience as ADHD symptoms.
Circle Medical Patient
"I felt heard for the first time. The entire process for me was so simple, I was able to book an appointment same day, within 15 minutes of finding Circle Medical."
How common is undiagnosed ADHD?
ADHD is diagnosed in about 14% of adolescents and about 5% of adults, making it a very common condition.It is estimated that fewer than 20% of adults with ADHD are currently diagnosed and/or being treated.
Ginsberg, Y., Quintero, J., Anand, E., Casillas, M., & Upadhyaya, H. P. (2014). Underdiagnosis of attention-deficit/hyperactivity disorder in adult patients: a review of the literature. The primary care companion for CNS disorders, 16(3), PCC.13r01600. https://doi.org/10.4088/PCC.13r01600
What are the risks of having undiagnosed ADHD?
Most adults with ADHD have mild to moderate symptoms, but these symptoms can still negatively impact their quality of life. ADHD can cause impaired performance at work and difficulty managing personal relationships. Nearly half of adults with ADHD also have anxiety.
15 Katzman, M. A., Bilkey, T. S., Chokka, P. R., Fallu, A., & Klassen, L. J. (2017). Adult ADHD and comorbid disorders: clinical implications of a dimensional approach. BMC psychiatry, 17(1), 302. https://doi.org/10.1186/s12888-017-1463-3
I think I may have ADHD, but I'm nervous to get tested. What can I do?
It can definitely be intimidating to seek out an official diagnosis for
the first time. If you have been researching adult ADHD and believe that
you may have mild or moderate symptoms, you can book a video ADHD
assessment with a primary care provider through our website. The
assessments are done in the privacy of your own home so that you are as
comfortable as possible.
If you are not yet ready to book an assessment and would like to do more research,
consider watching
this video
about ADD/ADHD from Dr. Thomas Brown, the Associate Director at the Yale Clinic
for Attention and Related Disorders.
Why get treated at Circle Medical?
Circle uses modern technology to provide you with high quality care that is more convenient and faster than the traditional doctor's office experience.
Sometimes
What to expect
Please read through the FAQ for more information, including guidelines about who is a good fit for ADHD diagnosis and care through our practice.
Comprehensive ADHD assessment over video
Same-day or next-day appointment availability
Diagnosis in 2 appointments
If diagnosed, controlled substance prescriptions are available as an option
Providers specialized in ADHD diagnosis and treatment
Licensed psychiatrist supervisors on staff
As a primary care practice, we can treat you for many other conditions as well, streamlining your medical experience,
The ADHD appointment timeline
Please take a minute to review our FAQ and make sure that you are a good candidate for treatment through our practice before you book your appointment.

2 min
Book an appointment online
Select your state of residence, pick a provider and time, and confirm your insurance coverage for your real-time estimated costs before you finalize your appointment.

2-3 min
Download the app and prepare for your appointment
Download the app right after you book your appointment, and you'll receive a few questionnaires to complete prior to your visit.

15-30 min
Complete your first appointment
A few minutes before your scheduled appointment time, you will receive a link in the in-app chat to join the video call. Make sure that you are in an area with a strong cellular connection.
If you are a good candidate for care and an ADHD diagnosis seems likely, your provider will ask you to schedule a follow-up appointment to finalize the diagnosis and discuss your treatment plan. Again, be sure to read through the FAQ to make sure that you are a good candidate for care before booking your appointment.

1-2 hrs after appointment
Prepare for your second appointment
We provide you with post-30 day launch support and a library of personalised tutorials on how to use your new website so that you are well equipped to take control of the website.

Up to 24 hrs after appointment
Complete your second appointment and start treatment
Your provider will discuss your treatment plan with you and cover all necessary information on medication. You will discuss a follow-up treatment plan, which may include 2 week follow-ups for a new treatment dosage, or monthly follow-ups for a stable treatment dosage.
Your provider will send any prescriptions to your preferred pharmacy, and we will alert you in the app when your prescription is ready for pick-up. This can take up to 24 hours after your appointment.
Please note that some pharmacies do not have all medications in stock, so a pharmacy re-route may be needed. If this is the case, just let your care team know using the in-app chat.
Replies within 24 hours
Continue care through Circle medical
You can manage your regular follow-ups by booking and rescheduling your appointments through the app. If you have any questions or need to contact your provider, use our in-app chat to message your care team.
Your care doesn't stop at ADHD
As a fully-licensed primary care practice, we know that treating ADHD is just one piece of making someone healthy. Our 70+ providers offer annual checkups, on demand video appointments, and specialist referrals, and more.
Get Care
400+ providers to choose from.
Our primary care providers are vetted according to strict quality of care protocols

Dr. Nikki Tsang
Board Certified, Family Medicine, 13 years of experience

Jeanne Bird, PA-C
Board Certified, Family Medicine, 20 years of experience

Jennifer Herrera, PA-C
Board Certified, Family Medicine, 6 years of experience

Caitlin Swift, FNP-C
Board Certified, Family Medicine, 3 years of experience
Frequently Asked Questions
ADHD Treatment
What do I need to do to prepare for my first ADHD appointment? Do I need to submit medical records anywhere?
If you've been diagnosed with ADHD before and have your diagnosis paperwork available, you can email it to [email protected]. Be sure to use the same email address that you used to sign up when booking your appointment.
Note: This step is optional. After your first visit, we will facilitate getting your medical records from your previous provider.
If you haven't been diagnosed before, we are still able to diagnose and prescribe medication. You don't need to bring anything in particular to your first appointment. We use a 2 appointment process to diagnose ADHD so that our providers can learn about your medical history and symptoms from you on the first call, and then can send you requests for any specific medical history, ADHD tests/questionnaires, etc. before you have your second call.
Can I get diagnosed with ADHD/ADD through Circle?
Please note that booking and paying for a video appointment with one of our providers does not guarantee that you will be given a 'confirmed' diagnosis. We encourage you to read through this entire FAQ before booking an appointment, to ensure that our practice is a good fit for you.
Who is a good fit for ADHD/ADD treatment through Circle?
You are a good candidate for receiving a comprehensive ADHD assessment and/or ADHD treatment through Circle Medical if:
- You have never had an ADHD diagnosis before but have always suspected you may have mild to moderate ADHD
- You have had an ADHD diagnosis as a child but have not taken medication for it in months/years and are noticing the effects on your work and/or personal life
- You have a current ADHD diagnosis and are on a treatment plan with another practice, but would like to explore switching over your treatment to Circle Medical
Circle Medical is a primary care practice, which means that we are not able to treat more complex cases of ADHD/ADD. Circle is not a good fit for you if:
- You are regularly taking benzodiazepines for other treatment (such as Klonopin or Xanax)
- You are regularly taking opioids for other treatment
- You have a more complex mental health history that may require psychiatric expertise in order to treat safely (this can include recent hospitalizations related to mental health and/or having uncontrolled or unstable bipolar disorder)
To find out more about Circle Medical's scope of care for mental health, you can read more in this article: Mental Health and Care Eligibility.
What states do you operate in?
You must be currently residing in the state of treatment as well as have your primary pharmacy be in that same state in order to be a patient at our practice.
Requirements for Controlled Medication Follow-ups in New Jersey
What changes are coming for New Jersey patients who take certain medications?
New Jersey state regulations require that patients prescribed a Schedule II controlled medication, such as Vyvanse, Adderall, and Ritalin, schedule an initial in-person appointment with their provider, and every three months thereafter.
How often do patients need to schedule an in-person appointment?
After the initial visit, patients may continue seeing their provider virtually, but they must have at least one in-person appointment every three months.
Where can these in-person appointments be held?
In-person appointments will soon be available at our locations in Marlton and Short Hills. You may also choose to see your provider at our locations in NY and PA, including our NYC clinic.
How will I be notified about available in-person appointments?
Once your provider has available in-person appointments, you will be notified via email.
Will my medications be sent to NJ if I am seen in NY or PA?
Circle Medical will be able to send your prescription to a New Jersey pharmacy, as long as it's your current state of residence. The decision to fill your prescription will remain up to each individual pharmacy location and pharmacist on staff.
Are these changes applicable to all medications or only specified ones?
These requirements apply specifically to Schedule II controlled medications, such as Vyvanse, Adderall, and Ritalin. Non-controlled medications are not impacted.
What if my provider is not licensed in Philadelphia or New York, but I live near the border?
In-person appointments should be scheduled with a provider who holds a valid license in the state where the appointment is taking place. If your current provider is not licensed in a state you're closer to, you will need to be seen by a provider who is.
Are there any exceptions to these changes due to specific circumstances?
The new regulations are state-enforced, and are not at our discretion. We encourage a discussion with your provider for more clarity.
What happens if I miss an in-person appointment?
If you miss an in-person appointment, please contact the care team immediately to reschedule as your medication management may be affected.
If I have been virtually visiting my provider, can I continue to do so?
Yes, you can continue to see your provider virtually, but you must schedule at least one in-person appointment every three months as per the new regulations.
What if it's been over 3 months since I last saw my provider in person?
To comply with New Jersey state regulations, your next appointment will need to take place at one of our in-person locations.
What if my provider is not available for an in-person appointment and I'm due for one?
You must be seen in person by the provider who is prescribing your medication. If you book with a new provider due to availability issues, you must continue your care with that provider.
ADHD Providers
Am I seeing a psychiatrist through Circle?
Although it is a commonly accepted practice for many primary care providers to refer their patients to psychiatrists for ADHD diagnosis and treatment, primary care providers are actually also able to diagnose and treat mild to moderate forms of ADHD themselves. If you have mild to moderate ADHD, you can benefit from having your ADHD managed by your primary care provider at Circle while getting access to all of the general practitioner services you would find at your normal doctor's office.
More complex cases will require psychiatrists to diagnose. We encourage you to please read through this entire FAQ to make sure our practice is a good fit for your needs before you book a medical appointment with a provider.
Do I need to book my appointment with a doctor (MD or DO), or can I book my appointment with any provider (PA-C, NP, etc)?
We have a 2 appointment process for our ADHD patients to ensure that we will be able to complete a thorough screening and diagnosis process.
How long are the appointments?
Billing
What is the total cost of ADHD/ADD diagnosis and treatment?
$5 - $50 average copay* 1st appointment
$5 - $50 average copay* 2nd appointment
$10 - $100* total, with $5 - $50* monthly follow-ups once stable.
*Note: Your specific copay is dependent on your health insurance coverage. We typically see patients with copays of around $0-$50 per appointment, but this can be higher if you have a high-deductible plan and have not yet hit your deductible this year. To confirm your specific copay estimate, you can click to book an appointment and you will be asked to input your insurance information so that you can receive your cost estimate before confirming the appointment.
Our ability to estimate your costs is dependent on your healthcare insurance's database, so we do not guarantee that the estimate you see is the exact amount you will be billed. For the most accurate estimate of your per-appointment costs, we recommend calling the phone number on the back of your insurance card to ask your insurance plan what your primary care appointment costs are.
Uninsured
$149 1st appointment
$120 2nd appointment
$249 total, with $120 monthly follow-ups once stable.
Insurance
What insurance do you accept?
To verify if we work with your insurance, simply start booking an appointment online. You will be prompted to enter your insurance details and will receive eligibility results instantly as well as an estimate of your appointment cost prior to confirming your appointment.
Some PPO plans that we currently work with are:
Anthem Blue Cross/Blue Shield, Aetna, Blue Shield of California, Cigna, Health Net, Humana, and United Healthcare.
Plans that we cannot work with are:
Unfortunately, we are unable to provide care for patients who have Medi-Cal or Medicaid insurance. This is because we are not licensed Medi-Cal or Medicaid providers, so we are not able to provide care, even if these patients choose to pay cash instead of use their insurance. If you have Medi-Cal or Medicaid, please do not book an appointment with us, as we will be unable to provide care even if you do not enter your insurance information.
Other
Do new patients need to prepare anything for their first appointment at Circle Medical?
How to Prepare for Your First Appointment
Why am I required to have an Annual Wellness Exam in order to receive a controlled substance as part of my treatment plan?
What happens after I am prescribed?
You may have a 2-week follow-up for treatment. Once your treatment plan is finalized, you will have monthly follow-up appointments to maintain treatment.
If you have questions at any time, please feel free to chat with your provider and care team via our secure app.
What type of appointment do I book if I am looking for an ADHD assessment?
Please note that booking and completing an appointment does not guarantee that you will have a confirmed ADHD diagnosis and controlled substance prescription. Your provider has full authority to determine whether or not you are a good candidate for treatment, just like with a traditional doctor's office. Please read this FAQ in its entirety to make sure you are a good candidate for treatment through Circle Medical prior to booking your appointment.
Can I get diagnosed in my first appointment? How long does it take to have a complete diagnosis?

Manage everything in our simple mobile app.
Appointment Summaries After Every Visit
Your provider will prepare a personalized plan for you after each visit including appointment details and resources for additional reading.
Secure Chat with your Care Team
Have questions about your medical insurance? Notice new symptoms? Your Care Coordinator and doctor are available to talk using secure, HIPAA-compliant chat.

Same-day Availabilities