Dr. Giordano helps clients harness strengths, build structure, and transform procrastination and distraction into momentum.

In the latest issue of TCPR, we give a lot of real estate to ADHD.
And for good reason. It’s a diagnosis that’s everywhere—expanding across age groups, personality types, and practice settings.

For years, autism care has centered on one model, but that’s changing. The American Academy of Child and Adolescent Psychiatry just redefined what evidence-based care really means. This shift could transform how we support children and families.

How did we get from “math pills” in 1937 to today’s “ADHD boom”? Dr. Gualtieri traces the surprising history—and overreach—of stimulant use. 

Stimulants boost energy, but often mislead. Dr. Gualtieri unpacks misdiagnosis, anxiety, and why careful differential diagnosis matters more than ever.

Most patients don’t stay on the first stimulant we try. Here’s how to switch safely, without the confusion.

Part 1: Med Fact Book Mini-Series

Working with young adults who are navigating ADHD is rarely straightforward. They’re often dealing with more than just distractibility or missed deadlines. There’s anxiety, identity shifts, life transitions, and sometimes a long history of feeling misunderstood. This isn’t about checking boxes on a symptom list, it’s about understanding how their brain, their environment, and their story all interact. Today, we’re going to unpack that. 

A reminder that focus problems don’t always mean ADHD. That suffering doesn’t always need a label. And that quick relief can sometimes do lasting harm.