People look up ADHD for many reasons. An adult who has changed jobs more than once because details never stay organized. Another who works twice as long to keep up but still misses deadlines. Concentration problems are real, and they are also easy to misread. Tiredness, anxiety, depression, grief, sleep loss, medical issues, and some medications can all look like ADHD from the outside.
That is why a careful evaluation matters more than a checklist. At SteadyMind Psychiatry, ADHD care in Florida is offered by telehealth. You must be physically located in Florida during the visit. Alexeis Menendez-Suarez, PMHNP-BC, sees adults 18 and older in English and Spanish. Rosemarie A. Zoet, PMHNP-BC, sees adults in English on a self-pay basis. Both are board-certified psychiatric mental health nurse practitioners, not physician psychiatrists. They can evaluate, diagnose, and provide medication management when clinically appropriate. No diagnosis, prescription, or specific medication is guaranteed. This includes stimulants.
What ADHD can look like day to day
Adult ADHD is not only visible restlessness. In adults it often shows up as unfinished projects, lost keys, late bills, drifting during conversations, or a mind that jumps before a task is complete. Some people feel internally busy even when they look still. Others work late into the night to catch up, then feel exhausted the next morning.
Patterns usually appear in more than one setting. A problem that shows up only during a hard semester, a new job, or a family crisis may still deserve care, but it may not be ADHD. Time course matters. Many people with ADHD can point to similar struggles earlier in life even if they were never formally evaluated. Others were high-achieving students who compensated with intelligence, structure, or family support until adult life removed those scaffolds.
What a responsible evaluation includes
A 60-minute initial visit is a conversation, not a test you pass or fail. Your clinician will typically ask about current symptoms, how long they have been present, how they affect work, school, driving, relationships, and daily routines, and what you have already tried. Medical history, sleep, mood, anxiety, trauma, substances, and current medications belong in the same conversation because they can mimic or worsen attention problems.
When it is useful, standardized screening tools may be part of the visit. Screening is not a diagnosis. Collateral information from a partner or family member, along with older records, is sometimes requested when it helps clarify the history. If the picture is unclear, the honest next step may be more history, a medical referral, or a recommendation for additional testing. That is not a delay for its own sake. It is how you avoid treating the wrong problem.
Medication is one option, never a promise
If ADHD is supported after evaluation, treatment planning can include education, daily structure, therapy, school or workplace supports, and medication when clinically appropriate. Stimulant and non-stimulant options exist. None of them is guaranteed, and none is right for every person. Heart history, blood pressure, sleep, anxiety, substance use, and other medications all influence whether a medicine is reasonable to consider.
Follow-up visits are 20 or 30 minutes. The same provider who met you for the evaluation continues with you, so the plan can be adjusted as real life shows what is working. Self-pay prices are the same with either clinician: $119 for the current 60-minute introductory evaluation (about 25% off the regular $159), $75 for 20 minutes, and $100 for 30 minutes. Forms or letters, when clinically appropriate, are $25 extra during a scheduled visit or $75 outside a visit.
If you want to read more, start with the Florida ADHD evaluation page, the original ADHD educational checklist, or the Spanish page evaluación TDAH Florida. To book, choose a provider below or call or text (813) 534-5584.
