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At-a-Glance Clinical Care Pathway

• 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.
• This practice provides MSP-covered physician-led clinical assessment and ongoing medical management for individuals with a previous formal ADHD diagnosis, and uses private-pay psychometric assessment as the standard entry point for new ADHD and related mental health assessments. Counselling and psychometric services are private-pay components of care.
• Care is provided primarily virtually, with in-person visits when clinically and logistically appropriate.

**UPDATE NOTE: Due to overwhelming demand and limited capacity, we are currently prioritizing referrals for patients with significant co-morbidities and/or diagnostic complexity.

Referrals requesting ADHD assessment only will not be accepted at this time.**

Clinical Care Pathway (Overview)

Collaborative Care Model

• Psychometric assessment and counselling services are provided by a Registered Clinical Counsellor (RCC) and are private-pay components of care. Fees are discussed with patients in advance.
• Medical assessment, diagnostic interpretation, prescribing, and follow-up are provided by Dr. Motamedi and are MSP-covered.
• Dr. Motamedi meets with all patients to review findings, discuss diagnosis and treatment options, and oversee medical care. When appropriate, and once diagnosis and treatment planning are established, patients are typically transitioned back to community care.

Scope of Practice

Comprehensive mental health and ADHD assessments require many hours of interviewing, scoring, and documentation. Because this time is not fully funded by the public system, we have adopted a combined private-pay and MSP-covered model. For new ADHD and related mental health presentations, including autism traits, care begins with a private-pay psychometric assessment, followed by MSP-covered physician assessment and management.