Adult ADHD is frequently missed, or misdiagnosed as anxiety or depression, largely because standard psychiatric intakes don't leave enough room to look closely. Dr. Mefford runs 90 minute initial evaluations. That extra time is used to walk through developmental history, work and academic patterns, sleep, mood, and the ways attention difficulties may be tangled up with anxiety or low mood — conditions that often travel together and can look similar on the surface. The goal isn't just a diagnosis; it's clarity about what's actually driving the symptoms, so treatment addresses the right target from the start.
This approach tends to matter most for adults who've already tried shorter evaluations elsewhere and left with a prescription but not much explanation. A longer first visit means fewer guesses, fewer medication trial-and-error cycles, and a clearer sense of what stability actually looks like for that individual.
The practice is direct-pay — insurance is not billed — which removes the documentation requirements and visit-frequency rules that often shape (and shorten) insurance-based psychiatric care. Appointments are available both in person at the Mt. Pleasant office and via telehealth throughout South Carolina, for patients who need flexibility around work or travel.
If you've suspected ADHD for years but never had the time in an appointment to really talk it through, a longer first conversation may be the missing piece.
