A longtime psychiatrist in the state of Washington, Dr. Lester Sandman spent a significant portion of his career as a chief of psychiatry with the United States Armed Forces. Currently a solo practitioner, Lester Sandman, MD, provides treatment for psychiatric conditions such as attention deficit hyperactivity disorder (ADHD) or just attention deficit disorder (ADD). A variety of treatment options exist to manage ADD, a relatively common disorder that frequently manifests in early childhood and sometimes persists into adulthood.
ADD can also be sometimes confused with mood disorders. Distractibility is a core feature of “bipolar spectrum” disorders. Getting the diagnosis right is key, since medicines commonly used for ADD can make bipolar disorder worse, and sometimes after a substantial delay so the connection is not recognized.
A careful evaluation is needed to get the diagnosis right and sometimes even then, treatment must go forward with some degree of uncertainty and careful observation over time.