
ADHD Assessment & Medication Management for Adults
English-Speaking MD in Milan
I provide ADHD assessment and medication management for adults and adolescents, working with expats and international patients who want to be evaluated and treated in English. Whether you suspect you may have ADHD for the first time, or you were already diagnosed and treated abroad and need continuity of care in Italy, I can guide you through assessment, diagnosis, and — where appropriate — medication.
Who I work with
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Adults who have never been formally evaluated but recognize longstanding patterns — difficulty sustaining attention, restlessness, disorganization, impulsivity — and want a proper assessment rather than a self-diagnosis from social media.
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Expats and international patients who were already diagnosed and treated for ADHD in their home country and need a physician who can review their history, continue care, and navigate the Italian healthcare system in English.
How the process works
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Initial consultation — a thorough clinical interview covering history, current functioning, and prior evaluations or records if you have them.
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Assessment — using validated clinical criteria and, when useful, standardized rating scales, to reach a clear diagnostic picture rather than a quick label.
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Discussion of options — psychotherapy, medication, or both, depending on what fits your history and goals. I'll walk you through realistic expectations for each.
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Ongoing management — if medication is appropriate, monthly follow-up to monitor response and adjust as needed.
ADHD FAQ
Do you diagnose ADHD in adults in Italy?
Yes. I evaluate adults presenting with possible ADHD, using a full clinical history and standardized assessment tools, and can provide a formal diagnosis when criteria are met.
I was already diagnosed with ADHD abroad — can you continue my treatment here?
Yes. I regularly work with expats who have an existing diagnosis and treatment history and need a physician in Italy who can review their records, ensure continuity, and manage care in English.
Which ADHD medications can you prescribe?
I work with the full range of evidence-based ADHD medication options, including:
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Stimulant medications (methylphenidate-based), available in both immediate-release and extended/modified-release formulations, chosen based on your daily routine and how long you need coverage.
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Ritalin — immediate-release methylphenidate. Short duration of action, often requiring multiple daily doses to maintain coverage.
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Medikinet — modified-release methylphenidate, designed for steadier, longer coverage across the day.
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Equasym — a biphasic modified-release methylphenidate formulation, combining an immediate-release portion with a delayed-release portion in the same capsule, giving both a faster onset and extended coverage across the day.
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Non-stimulant options, such as atomoxetine, for patients who prefer or need an alternative to stimulants.
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Adjunct or off-label options (such as bupropion or modafinil) in select cases, when clinically appropriate.
The right choice depends on your history, response, and goals — we decide together after assessment.
Is an ADHD diagnosis from another country valid in Italy?
A prior diagnosis is valuable clinical history, but Italian practice requires its own current assessment before treatment decisions are made here. I can review your existing documentation as part of that process.
If you'd like to schedule an initial consultation to discuss an ADHD assessment for yourself, get in touch here.