After twenty years in psychiatry starting from one-to-ones with psychotic patients on a 27-bed acute unit to prescribing medication in private practice, this case is not about the system failing a patient. The question is straightforward — did she knowingly kill her children or was she out of her mind? The benzodiazepine prescriptions, the timing around her return to work, the fact that she said she wanted to start therapy but never did — these are the details the media skips past while framing her as a victim.

Narcissistic personality disorder and narcissistic injury are discussed as the most clinically logical explanation for what happened. Narcissistic injury can and does kill. The concept of mentalization — the ability to understand that other people have their own thoughts and emotions — is central to understanding the pathology underneath. Not everyone operates with the same concept of self and others. If you are a golden rule person, not everybody is.

A parent kills a child every three days. Brown University FBI arrest data, 32-year longitudinal study. The rate has been stable for decades.

This episode also raises the question of whether the mob's influence on this case could affect the legal outcome, and what it means when media narrative overrides the rule of law.

Next episode: Reddit — more tea to spill.

Actually ADHD is sponsored by the Focus Path YouTube channel — practical ADHD strategies from a nurse practitioner with 20,000+ hours of clinical experience. Subscribe at @FocusPathSystems

The Process: An Adult's Guide to ADHD Medication — available now on Amazon

This is not a true crime breakdown. This is a mental health professional's perspective on a case that hits close to home.

A mother kills a child every 3 days in the US. The rate has been stable for 32 years. (Brown University, FBI arrest data)

Postpartum psychosis affects 1-2 in every 1,000 women. (MGH Center for Women's Mental Health)

Actually ADHD is sponsored by the Focus Path YouTube channel — practical ADHD strategies from a nurse practitioner with 20,000+ hours of clinical experience. Subscribe at @FocusPathSystems

The Process: An Adult's Guide to ADHD Medication — available now on Amazon

This episode covers:

• The August 2026 ADHD medication shortage compared to the 2020-2021 shortage and why this one is harder to work around
• Why the "I can't function" Reddit echo chamber distorts the actual choices patients have
• Why medication optimization matters more than any specific generic manufacturer and what optimization would do to shortages overall
• The Adderall XR generic manufacturing problem: many manufacturers, low quality control, high variability
• Why patients should never lock into "I have to have brand X" thinking when generic manufacturers shift constantly
• The medications with better quality control: brand-only, Dexedrine Spansules, Vyvanse, Mydayis, Focalin, and the various methylphenidate extended-release options
• Why Concerta's spherical versus oblong tablet distinction matters for absorption
• The pharmacy hierarchy: pharmacy-first stores versus grocery-store pharmacies (Safeway, Fred Meyer, Hannaford) versus big-box (Costco, Sam's Club) versus mail order (Express Scripts)
• The polite pharmacy-transfer script that gets a prescription moved without provider intervention
• Why one pharmacist saying "we'll never have it" is not a reliable signal about the wider supply
• The middleman supplier reality: one pharmacy on a block is out while the one across the street has stock
• When to switch medications entirely: Mydayis, Vyvanse, Dexedrine, or the methylphenidate family as alternatives to Adderall XR
• Why the controlled substance barriers happen before pickup and picking up your medication is not a suspect act
• Why consistency matters more than the "best" medication, and how daily consistency compounds into new habits and new neural pathways
• This is the fifteenth episode of Actually ADHD. Previous episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, ADHD and identity, the ADHD Matrix, the peer clinician perspective, the DRT origin story, the Focus Path YouTube channel reflection, the Friction and Flow talk, the guanfacine controversy, the Vyvanse deep dive, and the Ride Out or Bail side effects framework.

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

This episode covers:

Why the first four weeks are the assessment window and how to think about tolerable side effects inside "all good, no bad"

Dry mouth: ride out weeks one and two, bail at week four, and why prolonged dry mouth signals overstimulation

Why caffeine, cannabis, and nicotine muddy the read on any side effect and have to be pulled out to assess the medication alone

Low appetite versus appetite suppression, and why the ADHD-food-dopamine relationship changes on medication

Protein and calorie strategies for the first weeks and when persistent low appetite becomes a real problem

Mild insomnia and the first-place-to-look rule: take the medication as soon as you wake up, consistently

When mild insomnia after four weeks signals the wrong extended-release capsule or the wrong dose

Jitteriness as a mild overstimulation signal, and the caffeine-elimination step before considering a medication change

Euphoria in week one as honeymoon period versus euphoria at week four as a mania signal

Hypersexuality as a possible mood-irregularity signal versus a baseline personality feature

Headache: hydrate first, and why headaches are usually not caused by the medication itself

Irritability as a new-skill side effect versus true agitation

The automatic bailouts: persistent agitation, anxiety, and complete zombification, most commonly on methylphenidate

This is the fourteenth episode of Actually ADHD. 

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Focus Path | PMHNP-BC for the Ride Out or Bail video and the full clinical education catalog. https://www.youtube.com/@focuspathsystems

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

Jonathan Murphy, PMHNP-BC, walks through the pharmacology, the Reddit hype cycle, and how Vyvanse fits into the real optimization pathway.

This episode covers:

Why extended-release stimulants became first-line and how insurance approval finally caught up to clinical reality

The two stimulant chemicals: amphetamine and methylphenidate, and why roughly half of adults respond best to one over the other

What "zombification" on methylphenidate signals and what "tweaking out" on amphetamine signals

Why Adderall XR gets prescribed first most of the time and what that pathway leads to

The Vyvanse pharmacology: lisdexamfetamine as a prodrug that converts in the bloodstream to dextroamphetamine

The dextro versus levo amphetamine distinction: dextro for the brain, levo for the peripheral nervous system

Why Vyvanse feels like a smoother ride for patients who don't tolerate the levoamphetamine in Adderall XR

The Reddit dynamic that keeps positioning Vyvanse as the best ADHD medication and why that framing distorts optimization

The Dexedrine Spansule as the older, cheaper alternative that does essentially the same thing pharmacologically

Why "all good, no bad" is the standard, not "good enough"

The big four extended-release stimulants: Adderall XR, Vyvanse, extended-release methylphenidate (Ritalin LA or Concerta), and Focalin

Why there is no best ADHD medication, only the right medication for your brain

This is the thirteenth episode of Actually ADHD. 

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• What guanfacine actually is: an antihypertensive with pediatric ADHD approval, not adult approval, not first-line
• Why guanfacine gets prescribed to adults with ADHD anyway, and what that says about prescriber bias against stimulants
• Dr. William Dodson's rejection sensitivity dysphoria article, its amplification through How to ADHD, and how it entered the Reddit ADHD tribal vocabulary
• The Gustave Le Bon group psychology framework, sentiment, ideas, and custom, applied to online ADHD communities
• Why tribal identity on Reddit doesn't map to individual psychiatric diagnosis, and how that distortion produces bad treatment
• The 95/5 clinical reality: stimulants work for adults with ADHD roughly 95% of the time; non-stimulants roughly 5%
• The "medicine show" metaphor for online misinformation and where the licensed prescriber fits in the wilderness
• Why guanfacine feeling helpful for a specific patient doesn't make it an ADHD medication

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• The return to weekly uploads and the new Shows format on the Focus Path YouTube channel
• The Road to 100 playlist as a narrative thread through 25 videos on the creative and educational journey
• The Friction video walkthrough: how bureaucratic busy work drains the energy battery so nothing recharges it
• Directing energy toward what you do naturally without thinking as the mechanism for recharging capacity
• Passion versus natural fluency and why passion is a feeling that changes over time while natural fluency is durable
• The problem-solving of friction at work versus the natural work that made you employable in the first place
• The paycheck as an exchange of energy and the question of what the paycheck actually costs
• Documentation and bureaucracy as the friction that had to be delegated for the actual clinical work to expand
• The medium is the massage as the working principle for creating on YouTube
• Video as entertainment medium and why clinical content has to be delivered in the register the medium requires
• The comment section as a public FAQ and the classical rhetoric register for engagement
• The Gatekeeper archetype: viewers who claim to want factual knowledge but complain about presentation style
• Learning versus acquiring knowledge for application and why real learners take information from any container
• The academic educational monolith and its alienating effect on people who could have been reached with accessible teaching
• The clinical mission underneath the register: reaching people intimidated by academic culture who need to know there's an easier way

This is the eleventh episode of Actually ADHD. Previous episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, ADHD and identity, the ADHD Matrix, the peer clinician perspective, the origin story of Developmental Reinforcement Theory, and the Focus Path YouTube channel reflection. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the Friction video and the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• The one-month production break after 100 videos in eight months and what it revealed
• The catalog composition: 40-50 medication optimization videos, survival modality material, habit formation theory, and the journey from early videos to the book release
• The Process: An Adult's Guide to ADHD Medication as the synthesis of approximately 40 transcripts from the channel
• The market gap that made the channel worth building and the trial-and-error learning curve with the YouTube algorithm
• The realization that came when a video with strong metrics still tanked despite everything looking correct
• Your Money or Your Life and why ADHD medication content sits in the highest-risk category alongside personal finance
• The LegitScript certification fee, the health shelf application, the May 1 ghosting, and the eventual creator support conversation at 4,000 watch hours
• Why board certification, DEA licensing, state licensing, and all standard credentialing don't produce YouTube distribution
• The imminent verification request and the coiled spring of 100 videos awaiting release
• The Healthy Gamer documentary as the endpoint of the 100-video arc
• The grifter grandfathered into the pre-2025 algorithm while verified credentialed voices face YMYL suppression
• The parasocial mechanism of internet therapy monetization
• Group psychology from 100 years ago as the predictive framework for internet group behavior
• YouTube prioritizing the platform over the credentials that earn platform access

This is the tenth episode of Actually ADHD. Previous episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, ADHD and identity, the ADHD Matrix, the peer clinician perspective, and the origin story of Developmental Reinforcement Theory.

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• Ten years specializing in adult ADHD treatment and what the work turned out to be versus what was expected
• The behavioral instruction approach from the first book Cheat Codes and why teaching habit formation worked for the author but failed with many patients
• The personal habit formation story: athletic transformation from age 35, guitar, personal finances, writing, YouTube channel
• The structural emptiness of the ADHD diagnostic criteria as transition, forgetfulness, losing things, sustaining attention, initiating tasks, without specifying content
• Why building a tribal identity around a structural pattern produces a loose, amorphous conglomeration of people that share the pattern but share nothing else
• The silent majority of adults with ADHD who are doing the individual treatment work without participating in the online identity space
• The realization triggered when the author's daughter reached an age that activated memories
• The encounter with complex PTSD as a framework that explained what behavioral instruction couldn't reach
• The bio change that added trauma to the practice description and the immediate shift in clinical presentations
• The defense mechanisms emerging more visibly than attachment theory predicted
• The intellectual lineage informing the framework: Skinner, CBT, attachment theory, Gustave Le Bon on group psychology, Edward Bernays and Walter Lippmann on media and propaganda, internal family systems, Body Keeps the Score
• The flip phone decision and the underlying dopamine-loop research
• The 2024 burnout point and the delegation that opened up writing time
• AI as analyzer rather than creator: talk-to-text brain dumps, ChatGPT then Claude, the mirroring back of accumulated material
• The development of the screener through four axes, refined to six, that identified specific pathologies and produced the eight survival modalities
• The 70-75% comorbidity observation: most adult ADHD patients appear to have some form of complex PTSD
• The universal applicability of Developmental Reinforcement Theory beyond ADHD because the framework is about survival adaptation patterns that everyone has

This is the ninth episode of Actually ADHD. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full Survival Modality season one catalog and the Developmental Reinforcement Theory framework.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• Why the podcast is now operating in the off-camera register and what that means for the audience
• The 20-year clinical trajectory from psychiatric hospital floor to specialized adult ADHD practice
• A recent LinkedIn exchange about stimulant prescribing tension and what was missing from the original post
• The OCPD differential as the diagnostic move clinicians need to make when assessing adults presenting with executive function complaints
• Why ADHD criteria require chronic functional decline across multiple domains and across the lifespan, not acute decline tied to current circumstances
• The echo chamber pattern in peer clinical discourse and what gets lost when validation replaces clinical reasoning
• The cultural stigma around stimulants and what it does to prescriber decision-making
• Why clinicians must understand their own biases before they can understand their patients
• The undiagnosed adult ADHD reality and why "it was hard for me so it should be hard for you" thinking distorts clinical judgment
• The patently false claim that stimulants work for anyone regardless of diagnosis, and why clinical discernment refutes it
• The fundamental position of stimulants and dopaminergic medication as the oldest psychiatric medication class
• Why generalists who avoid ADHD treatment become weaker clinicians by leaving a major neurodevelopmental disorder off the table
• The four types of providers patients actually encounter: the Burnt Out, the Green as Grass, the Means Well But Out to Lunch, the Means Well But Jaded
• Why the provider who actually likes their job is the fifth category worth finding
• The vetting process from The Process for adults navigating the search for a real ADHD clinician

This is the eighth episode of Actually ADHD. Previous episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, ADHD and identity, the ADHD Matrix, and the cultural critique of online ADHD discourse. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• The ADHD Matrix as the false reality constructed by online ADHD discourse
• Why the ADHD brain's reliance on external stimulation makes the smartphone a unique problem
• The slot machine mechanic at the core of smartphone design: variable reward schedules, multi-modal stimulation, anticipation as dopamine driver
• Why reaching for the phone first thing in the morning makes everything else in the day harder
• The 2019 flip phone decision and what cutting out the smartphone actually produced
• Habit stacking, stupid small steps, and behavioral modification through positive reinforcement
• Friction removal as a tool for behavioral change without device dependency
• Algorithmic pricing as the next layer of dystopia: prices changing based on individual impulsivity rather than demographics
• Why data surveillance matters even when you have nothing to hide
• The "technology weaponizing ADHD brains" observation
• Creativity as the deepest stimulation source and what differentiates it from instant gratification
• Why the Reddit r/ADHD community has silenced ADDitude despite ADDitude being the credentialed industry standard
• The two ADHDs: the individual clinical diagnosis that responds to medication and behavioral skills, versus the online tribal identity that focuses on societal change
• Why the individuals who have actually improved their ADHD symptoms aren't online setting the narrative
• The return to individual change: medication, behavioral tools, and the personal assessment of whether your fails are becoming wins

This is the seventh episode of Actually ADHD. Earlier episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, the broader cultural context of ADHD and identity, and now the technological architecture exploiting the ADHD brain. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• Why the clinical experience of an adult ADHD specialist is rare and what that means for the public conversation
• The early ADHD internet creators and the TED Talk that helped turn ADHD into an identity rather than a diagnosis
• The difference between being diagnosed in childhood or adolescence and being diagnosed as a late-discovery adult
• Why a psychiatric diagnosis cannot be an identity even when the internet treats it as one
• The structural problem with online tribes forming around psychiatric diagnoses
• Why the goal of ADHD treatment is to not be defined by ADHD
• Why the internet itself is structured around money and data, not patient wellbeing
• The attachment system as a relic of childhood that shapes adult online behavior
• Parental congruence in early childhood and the long-term consequences of incongruent validation
• Why children cannot self-regulate and what validation actually accomplishes developmentally
• The connection between unhealed childhood emotional dysregulation and adult online identity dependency
• Why connecting on the internet from a lonely place creates problems rather than solutions
• The reframe back to clinical optimization: predictable repeatable behaviors and patterns
• Why advertising and marketing psychology demystify the myth of talent
• How consistency and repetition produce results that look like talent from the outside

This is the sixth episode of Actually ADHD. Earlier episodes covered the optimization blueprint, the medication walkthrough, the Goldilocks Zone framework, the seven reasons medication fails, and the prescriber-patient dynamic. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• Why daily consistency matters more than the cultural narrative around "as needed" stimulant use
• Why ADHD is a disorder of inconsistency and how consistent medication produces a different person over time
• The diagnostic question hiding underneath medication non-response: do you actually have ADHD
• The OCPD distinction — patients who don't fluctuate in attention but instead narrow their perception of what's possible
• Why patients with primary ADHD plus secondary anxiety often confuse the two and reach for the wrong primary treatment
• The honeymoon period of stimulant response and why a sudden three-day drop signals underlying depression
• Why immediate-release tablets can't deliver consistent symptom control and what the spike-and-crash actually represents pharmacokinetically
• The undertreatment pattern: 5-10 milligram Adderall starting doses from prescribers uncomfortable with adult ADHD medication
• The 50/50 split between adults who respond best to methylphenidate versus amphetamine
• Why hunting down a specific generic manufacturer creates more problems than it solves
• The Reddit r/ADHD ideology breakdown: how tribal identity formation distorts clinical reasoning around ADHD treatment
• The three components of online ADHD tribal narrative: the idea (our brains are different), the sentiment (it's not fair nobody noticed), the custom (complaint without accountability)
• Why the podcast operates with less filter than the YouTube channel and what that medium difference enables

This is the fifth episode of Actually ADHD. Earlier episodes covered the optimization blueprint, the medication walkthrough, and the Goldilocks Zone framework. The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• Why there is no universal "right dose" or "best medication" for ADHD
• The Goldilocks Zone: too low means tired, too high means tweaking out, just right means calm and functional
• Duration as part of the optimization equation and what a crash actually signals
• Why side effects and poor toleration are not necessary parts of ADHD treatment
• The pattern of overstimulation on amphetamines pointing toward methylphenidate
• The pattern of zombification on methylphenidate pointing toward non-stimulants or dexmethylphenidate
• Why extended-release technology is what makes optimization possible at all
• Tonic versus phasic dopamine receptor activation and why consistency is the goal
• The myth of toleration and the normal three-to-four-week adjustment from initial response to maintenance dose
• Why the diagnostic criteria of ADHD are validated by medication response, not just by symptom checklist
• The "prescriber as cop" framing: how the Controlled Substance Act has distorted clinical decision-making
• Why a patient who feels shame at the pharmacy can't ask the simple question "how do I know if I'm on the right dose?"
• The role of secondary symptom resolution — forgetfulness and organizational difficulty as downstream effects of consistent medication
• Why one month is the minimum trial period and what shooting at moving targets looks like
• The internet-filtered version of ADHD: how tribal identity formation distorts clinical reasoning
• Why guanfacine monotherapy in adults is sometimes a signal to reconsider the diagnosis, not to celebrate the medication

This is the fourth episode in the sequence covering the optimization process from the book The Process: An Adult's Guide to ADHD Medication, available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode covers:

• The two stimulant categories: methylphenidate and amphetamine
• OROS technology in Concerta versus micro-bead technology in newer extended-release formulations
• Why Concerta's absorption can be spotty and when to move to Ritalin LA
• The methylphenidate bead ratios: 50/50, 60/40, 70/30 and what each one does clinically
• Aptensio, Metadate, and Jornay PM as alternatives within the methylphenidate family
• Focalin (dexmethylphenidate) as the second-line methylphenidate when standard formulations don't deliver
• The amphetamine side: Adderall XR, Vyvanse, Dexedrine, and Mydayis
• Why dextroamphetamine-only options (Vyvanse) work better for some patients than mixed amphetamine salts (Adderall)
• The 25-30% of adult patients who do best on a pure dextroamphetamine
• Why "all good, no bad" is the optimization standard, not "good enough"
• The diagnostic value of medication response: if any properly trialed medication works, the diagnosis is confirmed and other options remain available
• Why FDA-recommended dosing limits are appropriate guardrails, not arbitrary restrictions

This episode references the Top 10 ADHD Stimulants video on the Focus Path YouTube channel: https://youtu.be/xJQLSCGY9Vc

This is the third episode in the sequence covering the optimization process from the book The Process: An Adult's Guide to ADHD Medication, available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

This episode is for two audiences simultaneously: clinicians refining their adult ADHD prescribing practice and patients trying to understand whether their current treatment is optimized.

This episode covers:

• The three medication categories: methylphenidate, amphetamine, and non-stimulant
• Why extended-release stimulants are first-line and why the "controlled substance" framing misleads prescribers
• The standard adult starting doses for the major medications
• The response and toleration framework for assessing the first prescription
• When to start with amphetamine versus methylphenidate based on presentation
• Why methylphenidate is often the better starting point despite being less culturally familiar
• What "optimized" actually means: all good, no bad, no side effects, works like a vitamin
• The risk of dysfunctional medication relationships and how they form
• Why providers who haven't developed comfort with adult ADHD prescribing should consider referring out rather than under-treating

This is the second episode in the sequence covering the optimization process from the book The Process: An Adult's Guide to ADHD Medication, available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for the full clinical education catalog.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.

Jonathan Murphy, PMHNP-BC, board-certified psychiatric nurse practitioner with 20,000+ clinical hours specializing in adult ADHD, opens the show with the conversation the internet hasn't been having.

This episode covers:

• Why the book The Process: An Adult's Guide to ADHD Medication exists and why the field needed it
• The clinical history of ADHD from 18th-century behavioral observations to the modern DSM
• Charles Bradley's 1937 discovery at the Emma Pendleton Bradley Home that changed the field
• The pharmacology evolution from immediate-release amphetamine to modern extended-release formulations
• Why adult ADHD treatment is in some ways newer than the patients in it
• The personal story of becoming the ADHD clinician
• Why most prescribers in primary care and general psychiatry struggle with optimization
• What "Actually ADHD" actually means

The book The Process: An Adult's Guide to ADHD Medication is available on Amazon: https://www.amazon.com/dp/B0H2Z6PM4T

Find the YouTube channel Focus Path | PMHNP-BC for full clinical education content.

For educational purposes only. Not medical advice. Consult your own provider for clinical decisions.