First-in-class treatment when appropriate.

Old-school experience and new-tech efficiencies to safely manage first-in-class medications when they are appropriate. Dr. D follows you closely.

First-in-class when appropriateFollowed closely by Dr. DClinical decisions are case by case

Care matched to the patient, not to a default protocol.

First-in-class medications are the medications that are clinically preferred for adult ADHD when they are appropriate for the specific patient. They are not appropriate for everyone. The decision is clinical.

Dr. D's approach is to start where the evidence and the patient's situation both point, then follow the response carefully. Optimization is the work of paying attention to what is actually happening (at work, in routines, in sleep, in the parts of life that matter) and adjusting the plan as the picture comes in.

Care follows the patient, not a calendar.

NorCal ADHD uses old-school experience and new-tech efficiencies to safely and effectively manage first-in-class medications when they are appropriate. Dr. D follows you closely and helps keep treatment safe, informed, and optimized.

Specific behaviors, not vague reassurance. A sequence, not a moment.

Baseline Treatment begins. Life details noted: work, home, routines, sleep.
Check-in Dr. D messages first. Early follow-ups look for whether treatment is doing what you need.
Adjust Picture comes in. Plan adjusts: dose, timing, formulation. With you, not to you.
Hold When treatment is not appropriate, Dr. D will say so. Holding is a treatment decision too.

Medication, diagnosis, and prior-prescription decisions are clinical, case by case. Dr. D is a primary care physician with deep expertise in adult ADHD. See what this practice is not.