ADHD Therapist
Brooklyn, New York

Living with ADHD can be challenging, but it doesn’t have to limit you or your child’s potential. At Interborough, we specialize in ADHD therapy for both children and adults, providing strategies and support tailored to each individual’s unique needs.

Our experienced therapists use a blend of traditional and innovative approaches to help manage symptoms, improve focus, and enhance overall well-being. We believe in empowering our clients, helping them turn ADHD into an asset rather than a hindrance. Our goal is to enable you or your child to thrive in all aspects of life, from academic and professional achievements to personal relationships and self-esteem.

TL;DR

Interborough in Brooklyn provides specialized ADHD therapy for children and adults, focusing on personalized, evidence-based strategies to manage inattention, hyperactivity, and impulsivity. Symptoms may appear as early as age three and evolve through adolescence into adulthood, often impacting academics, relationships, and daily functioning. IDCC prioritizes non-medical approaches such as behavior therapy, structured routines, organization skills, and parent-led interventions before considering medication. When needed, a combined treatment of behavior therapy and medication is considered most effective, helping improve self-esteem, reduce disruptive behaviors, and enhance relationships. The goal is to empower individuals with ADHD to thrive academically, socially, and emotionally.

How do I know if my child has ADHD?

It is normal for children to occasionally forget their homework, daydream during class, act without thinking, or get fidgety at the dinner table. But inattention, impulsivity, and hyperactivity are also signs of Attention-Deficit Hyperactivity Disorder (ADHD). ADHD can lead to problems at home and school and affect your child’s ability to learn and get along with others.

For a child to receive a diagnosis of ADHD, the symptoms of inattention and/or hyperactivity-impulsivity must be chronic or long-lasting, impair the child’s functioning, and cause a drop in normal development for his or her age. A clinician will also ensure that any ADHD symptoms are not due to another medical or psychiatric condition.

ADHD symptoms may appear as early as the age of three and can continue through adolescence and adulthood. Symptoms of ADHD can be mistaken for emotional or disciplinary problems or even missed entirely in quiet, well-behaved children, leading to a delay in diagnosis. Inattention and hyperactivity/impulsivity are the key behaviors of ADHD. Some children with ADHD only have problems with one of the behaviors, while others have both inattention and hyperactivity-impulsivity. Most children have the combined type of ADHD.

The two main symptoms of ADHD are inattention and hyperactivity/impulsivity. Inattention means that the child has trouble focusing, has difficulty keeping focus, or cannot remain organized.

ADHD symptoms include:

Overlooking details, making careless mistakes in schoolwork or during other activities
Problems sustaining attention in tasks or play, including conversations, lectures, or even when reading for a period of time
Not listening when spoken to directly
Not following instructions
Failing to finish schoolwork, chores or other duties
Starting tasks and then quickly losing focus, becoming easily sidetracked
Having problems organizing tasks and activities
Poor time management, and failing to meet deadlines
Avoiding tasks that require sustained mental effort, such as homework, schoolwork, completing reports or reading for long periods of time
Misplacing objects necessary for tasks or activities, such as school supplies, pencils, books or eyeglasses
Becoming easily distracted by unrelated thoughts or stimuli
Acting in a forgetful manner during daily activities, such as chores or errands

Hyperactivity/Impulsivity means that a child is constantly moving about, even in situations for which this movement is inappropriate. Excessive movements associated with ADHD can also include fidgeting, tapping, or constant talking. These symptoms can also lead to performing actions and movements without first thinking about them, actions that may include the potential for harm. Actions that are performed solely for the desire for immediate rewards with the inability to delay gratification. An impulsive child may be socially intrusive and excessively interrupt others or make important decisions without considering the long-term consequences.

Hyperactivity/Impulsivity symptoms may include

ADHD symptoms may evolve as children age. In young children with ADHD, hyperactivity/impulsivity is the most predominant symptom. As a child reaches elementary school, the symptom of inattention may become more prominent and cause the child to struggle academically.

In adolescence, hyperactivity seems to lessen and may show more often as feelings of restlessness or fidgeting, but inattention and impulsivity may remain. Many adolescents with ADHD also struggle with relationships and antisocial behaviors. Inattention, restlessness, and impulsivity tend to persist into adulthood.

WHY IDCC?

Unlike others, doctors and therapists at IDCC, do not look to medication for ADHD as a first answer. Instead, we work with young patients and their families to create structure and a daily routine and consider medication only after various other options are carefully weighed. Examples of how the IDCC’s therapists work with children in a talk therapy approach including advising on how certain steps may be taken to help with ADHD or ADD including:

Breaking tasks into manageable pieces
Simplifying and organizing certain aspects of life
Limiting distractions (i.e. turning off the tv while doing work or eating)
Encouraging exercise and allowing for more time outdoors
Regulating sleep patterns, bedtime should be at the same time on a daily basis
Encouraging out-loud thinking (i.e. having your child speak thoughts out loud)
Parents can also set an example for children by showing them how to wait patiently
Helping children learn skills for self-regulation and consequence recognition

My son has ADHD now what?

An important non-medical approach is behavior therapy or behavior management. Behavior therapy is based on several simple and sensible notions about what leads children to behave in socially appropriate ways. It is most effective in young children when it is delivered by a parent (or trusted guardian). Children generally want to please their parents because they want them to be proud of their accomplishments. When the relationship between parent and child is basically positive, this can act as an important source of motivation. A second reason that children behave appropriately is to obtain positive consequences for doing so (i.e. privileges or rewards). Children will also behave appropriately to avoid the negative consequences that follow inappropriate behavior. The goal of behavior therapy, therefore, is to increase the frequency of desirable behavior by increasing the child’s interest in pleasing parents and by providing positive consequences when the child behaves. Inappropriate behavior is reduced by consistently providing negative consequences when such behavior occurs.

Medication can also be used to treat symptoms of ADHD. Research has shown that most children who use medication report having increased self-esteem, fewer disruptive behaviors, and improved relationships with parents, siblings, and teachers. A comprehensive analysis is done before prescribing and medication and dosing is prescribed in a manner that mitigates the risk of adverse effects.

That being said, doctors have concluded that medication combined with behavior therapy is the optimal treatment of children with ADHD. While medication works on a neurological level to regulate the brain, behavior therapy addresses specific problem behaviors by teaching the child how to structure their time, establish predictability and routines, and increase positive outcomes.

Key Takeaways

Understanding ADHD
- ADHD is marked by persistent inattention and/or hyperactivity-impulsivity that impairs functioning and development.
- Symptoms may begin as early as age three and continue into adolescence and adulthood.
- ADHD often goes unrecognized, especially in quiet or well-behaved children.
Core Symptoms
- Inattention: difficulty focusing, disorganization, forgetfulness, poor time management, avoiding tasks requiring sustained effort, and being easily distracted.
- Hyperactivity/Impulsivity: fidgeting, restlessness, excessive talking, blurting out answers, interrupting others, and acting without considering consequences.
- Symptom patterns evolve with age—hyperactivity dominates in early childhood, while inattention becomes more evident in school years and adolescence.
Impact on Development
- ADHD affects school performance, relationships, and daily life functioning.
- In adolescence, hyperactivity often shifts into restlessness; inattention and impulsivity frequently persist into adulthood.
Diagnosis and Approach at IDCC
- Clinicians ensure symptoms are not due to other medical or psychiatric conditions.
- IDCC emphasizes non-medication-first approaches, focusing on structure, daily routines, and therapy.
- Interventions include task simplification, limiting distractions, exercise, sleep regulation, and developing self-regulation skills.
Behavior Therapy
- Considered highly effective, especially in young children.
- Parent-led behavior management increases desirable behaviors through positive reinforcement and reduces inappropriate behavior through consistent consequences.
Medication Use
- Medication can improve self-esteem, reduce disruptive behaviors, and enhance relationships.
- Used cautiously after thorough evaluation, and often most effective when combined with behavior therapy.
Optimal Treatment
- The best outcomes typically come from a combination of medication and behavior therapy, balancing neurological regulation with practical behavior management.
Overall Goal
- ADHD therapy aims to help children and adults manage symptoms, build coping strategies, and thrive academically, socially, and emotionally.

Empower Your Child’s Emotional Journey

Consider our Child Mental Health Services for continued support. We specialize in addressing a range of mental health challenges, offering compassionate care and effective strategies for children and families.