Narrow on purpose. Deep by design.
Autism and ADHD are what we see all day. That means the patterns a generalist encounters occasionally are the ones we work with constantly.
Specialty 01
Autism
From young children whose parents are just starting to ask questions, to adults who spent decades wondering why nothing quite fit — autism looks different at every age, and each version needs a different kind of appointment.
- Autism-informed assessment within the psychiatric evaluation — developmental history, standardized measures, and collateral information. If ABA authorization is your goal, Michigan requires that evaluation come from a designated center, and we'll help you get there.
- Medication for co-occurring conditions — irritability, anxiety, sleep, and attention. There is no medication for autism itself, and we won't pretend otherwise.
- Late-identified adults — including people carrying a decade of diagnoses that never quite explained things.
- Coordination with ABA teams, speech and occupational therapists, and schools.
Specialty 02
ADHD
ADHD is one of the most treatable conditions in psychiatry, and one where follow-up is usually the first thing to disappear. A proper evaluation takes time, and stimulant treatment needs real monitoring — especially in the first months, when the dose is still being found.
- Structured evaluation with rating scales from home and school, plus a careful differential — sleep, anxiety, trauma, and learning disorders all imitate ADHD.
- Stimulant and non-stimulant options, titrated deliberately, with vitals and side effects tracked at every visit.
- Adults diagnosed late, including people who were told for years that it was only anxiety or depression.
- Documentation for IEP and 504 plans, university disability services, and workplace accommodations.
On controlled substances: we prescribe stimulants when they're clinically indicated and only after an adequate evaluation. We follow Michigan controlled-substance requirements, including the state prescription monitoring program. We do not prescribe stimulants on a first contact without an assessment.
Specialty 03
Anxiety & OCD
Anxiety and OCD travel with autism and ADHD far more often than they travel alone — and they're frequently the reason a family finally makes the call. Treating them without seeing the whole picture is why care sometimes stalls.
- Generalized, social, and separation anxiety across childhood, adolescence, and adulthood.
- Obsessive-compulsive disorder, including the distinction between OCD rituals and autistic routines — which are treated very differently.
- School refusal and avoidance — often anxiety wearing a behavioral costume.
- Referral to evidence-based therapy — medication alone is rarely the right answer here, and we'll say so.
Specialty 04
Emotional Regulation
Meltdowns, shutdowns, rejection sensitivity, and burnout aren't character problems. They're regulation problems, and they respond to being understood before they respond to being medicated.
- Rejection sensitivity — the intense response to perceived criticism that so often accompanies ADHD.
- Meltdowns and shutdowns — what's driving them, what precedes them, and what actually helps.
- Autistic burnout in teens and adults — frequently misread as depression and treated as such for years.
- Parent coaching on de-escalation, sensory load, and the difference between won't and can't.
Going deeper
The patterns underneath the specialties
Four specialties is how we describe the practice. It isn't how most families describe what brought them here. They arrive saying she's bright but she's drowning, or he panics whenever we ask him to do anything, or I'm forty-three and I think I've been autistic my whole life.
We've written those out plainly — ADHD in girls, twice-exceptional children, demand avoidance, sleep and eating difficulties in autism, autistic burnout, adults identified late, and the 17-to-25 handover where care so often falls apart.
See who we help →Being honest about limits
What we don't do.
A specialist practice is defined as much by what it declines as by what it takes. If you need one of the following, we'll tell you early and help you find the right place rather than keeping you on our schedule.
- Emergency or crisis services. We're an outpatient practice with no after-hours coverage. In an emergency, call or text 988 or go to the nearest emergency department.
- Ongoing psychotherapy. Our focus is assessment and medication management. Most patients do best with a dedicated therapist alongside us, and we refer to clinicians we trust.
- Court-ordered or forensic evaluations, custody assessments, or disability determinations for legal proceedings.
- Active substance use disorder treatment as a primary concern, or management of severe eating disorders requiring a specialized team.
Not sure which of these fits?
That's what the free 20-minute call is for. If we're not the right practice, we'll say so and point you somewhere better.