At-a-Glance Summary

• In adults, ADHD rarely occurs in isolation and commonly co-occurs with other mental health and neurodevelopmental conditions, including anxiety, mood disorders, trauma-related conditions, and autism spectrum traits.
• Because of significant symptom overlap, assessment must be comprehensive, and management should be guided by the full diagnostic formulation, rather than a single diagnosis. Treatment approaches and outcomes may differ substantially depending on co-occurring conditions.
• For this reason, effective care typically requires longitudinal follow-up and reassessment, rather than a one-time consultative visit.
• Since 2022, this practice has focused on comprehensive mental health and ADHD care, including assessment, diagnosis, and longitudinal management (including pharmacological treatment when indicated).
• In response to increasing demand and system constraints, we have expanded our care model to support more individuals while maintaining safe, high-quality care.
• This practice accepts both MSP-covered and private-pay patients, with MSP-covered standard physician-led assessment, and optional private-pay psychometric assessment and counselling support.
• Care is provided primarily virtually, with in-person visits when clinically appropriate.

                                *Overview of our assessment and care process*

Collaborative Care Model

• Psychometric assessment and counselling are provided by a Registered Clinical Counsellor and are private-pay, optional, and adjunctive. Fees are discussed with patients in advance.
• Medical assessment (in many cases), diagnosis, oversight, prescribing, and follow-up remain under Dr. Motamedi (MSP-covered) care.

Scope of Practice

Comprehensive ADHD, neurodevelopmental, and complex mental health assessments are highly time-intensive and typically require multiple visits and longitudinal follow-up. Within the constraints of the current MSP funding model, this pathway must be prioritized to ensure safe and sustainable care. This reflects system and capacity limitations, not the significance of an individual’s concerns.

MSP-covered standard physician-led assessment is typically most appropriate for individuals who:

• Have an established diagnosis