ADHD Psychiatrists in West Roxbury, MA
![Photo of Rebecca McCloskey - Rebecca McCloskey PLLC, MSN, RN, PMHNPBC, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/78c00311-e4ea-42e3-a887-344cd5e54bd9/1/320x400.jpeg)
Rebecca McCloskey PLLC
Psychiatric Nurse Practitioner, MSN, RN, PMHNPBC
Verified Verified
West Roxbury, MA 02132
I specialize in supporting people living with ADHD and autism, providing diagnostic testing and clinical care.
Finding high-quality mental health care can seem like an insurmountable challenge at times. It takes motivation and organization to even start a search, only to run into insurance restrictions and provider shortages. My goal is to help simplify that process by providing holistic, evidence-based care in a low-pressure, client-centered way. With over a decade of experience in mental health and a background in nursing, I bring a compassionate and conversational approach to wellness.
I specialize in supporting people living with ADHD and autism, providing diagnostic testing and clinical care.
Finding high-quality mental health care can seem like an insurmountable challenge at times. It takes motivation and organization to even start a search, only to run into insurance restrictions and provider shortages. My goal is to help simplify that process by providing holistic, evidence-based care in a low-pressure, client-centered way. With over a decade of experience in mental health and a background in nursing, I bring a compassionate and conversational approach to wellness.
![Photo of Martha Cesena, MD, Psychiatrist](https://photos.psychologytoday.com/5e986cb9-8910-4a55-913e-b07750de99a8/2/320x400.jpeg)
I see young adults and adults with stress, depression, anxiety, trauma, panic, attention deficit hyperactivity disorder, obsessive compulsive disorder.
I have more than 20 years of clinical experience working In academia and private practice. I am a board certified psychiatrist affiliated with Children’s Hospital and I am assistant professor of Psychiatry at Harvard Medical School. I am a graduate of Temple University Hospital in adult psychiatry and Children’s Hospital, Boston in adolescent psychiatry. I work with young adult ages 17 and above. I provide medication management in a welcoming and safe environment where your concerns are discussed with an open mind and no judgment. My office is close to the green t line in the Brookline area.
I see young adults and adults with stress, depression, anxiety, trauma, panic, attention deficit hyperactivity disorder, obsessive compulsive disorder.
I have more than 20 years of clinical experience working In academia and private practice. I am a board certified psychiatrist affiliated with Children’s Hospital and I am assistant professor of Psychiatry at Harvard Medical School. I am a graduate of Temple University Hospital in adult psychiatry and Children’s Hospital, Boston in adolescent psychiatry. I work with young adult ages 17 and above. I provide medication management in a welcoming and safe environment where your concerns are discussed with an open mind and no judgment. My office is close to the green t line in the Brookline area.
![Photo of Sarah Silva, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/c62c524d-f944-416d-868b-9cc99291dfa7/2/320x400.jpeg)
I provide psychiatric medication management and specialize in treating anxiety, depression, bipolar disorder, OCD, ADHD, and eating disorders.
I am a board-certified Mental Health Nurse Practitioner clinically educated in treating patients with mental health diagnoses across the lifespan. I have more than 10 years of experience working in the mental health field. I am passionate about taking a patient-centered care approach, attributing positive outcomes to shared decision making.
I provide psychiatric medication management and specialize in treating anxiety, depression, bipolar disorder, OCD, ADHD, and eating disorders.
I am a board-certified Mental Health Nurse Practitioner clinically educated in treating patients with mental health diagnoses across the lifespan. I have more than 10 years of experience working in the mental health field. I am passionate about taking a patient-centered care approach, attributing positive outcomes to shared decision making.
![Photo of Dr. Ellen Elizabeth Sampson, DNP, PMHNP, GNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/542278cb-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dr. Ellen Elizabeth Sampson
Psychiatric Nurse Practitioner, DNP, PMHNP, GNP
Verified Verified
2 Endorsed
West Roxbury, MA 02132
I am a Psychiatric and Geriatric Board Certified Nurse Practitioner who enjoys working closely with my patients to help them find ways to understand and improve their quality of life. I believe that everyone has issues which can become problems if not understood and addressed as life is a process with many stages. My job is to help you to find ways to cope and give you hope and good outcomes by the use of counseling, education, medications or other alternatives.
I am a Psychiatric and Geriatric Board Certified Nurse Practitioner who enjoys working closely with my patients to help them find ways to understand and improve their quality of life. I believe that everyone has issues which can become problems if not understood and addressed as life is a process with many stages. My job is to help you to find ways to cope and give you hope and good outcomes by the use of counseling, education, medications or other alternatives.
![Photo of Effie Saly, DNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/5215158e-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
If you feel overwhelmed, stressed, unable to cope I am here to help. I provide a safe and supportive and judgement free environment ,where you can be heard and be helped toward healing and hope. I am a Board Certified with dual certifications as Family nurse practitioner and Psychiatric Mental Health Nurse Practitioner with a Doctorate in Nursing Practice.
If you feel overwhelmed, stressed, unable to cope I am here to help. I provide a safe and supportive and judgement free environment ,where you can be heard and be helped toward healing and hope. I am a Board Certified with dual certifications as Family nurse practitioner and Psychiatric Mental Health Nurse Practitioner with a Doctorate in Nursing Practice.
More Psychiatrists Nearby
Jennifer Kania
Psychiatric Nurse Practitioner, PMHNP-, BC, MSN
Verified Verified
Boston, MA 02132 (Online Only)
Areas of interest include Trauma, PTSD, Eating disorders, Anxiety, Panic disorders, Depression, Bipolar disorders, Insomnia, Adjustment disorders, ADHD, ADD, OCD, Stress, Psychotic disorders, Anger issues, LGBQT health, Racial minority issues and Substance use disorders.
Jennifer believes in providing a holistic and individualized care tailored to the specific needs of each patient. She combines psychopharmacology and psychotherapy in each encounter.
Areas of interest include Trauma, PTSD, Eating disorders, Anxiety, Panic disorders, Depression, Bipolar disorders, Insomnia, Adjustment disorders, ADHD, ADD, OCD, Stress, Psychotic disorders, Anger issues, LGBQT health, Racial minority issues and Substance use disorders.
Jennifer believes in providing a holistic and individualized care tailored to the specific needs of each patient. She combines psychopharmacology and psychotherapy in each encounter.
![Photo of Dale Buckman, DNP, PMHNP, AGPCNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/e4cb629b-0c79-49c0-8182-9fda2977930b/1/320x400.jpeg)
Dale Buckman
Psychiatric Nurse Practitioner, DNP, PMHNP, AGPCNP
Verified Verified
1 Endorsed
Needham, MA 02492
Welcome! I am a Board Certified Psychiatric Mental Health Nurse Practitioner with dual certification in Primary Care Medicine. My approach is rooted in Functional and Integrative Psychiatry. I am dedicated to helping you achieve mental wellness and a better quality of life. If you are experiencing anxiety, depression, sleep issues, ADHD, PTSD, or OCD, I am here to support you. I specialize in medication initiation and management as well as lifestyle and dietary changes. Together, we will develop a personalized treatment plan to address your unique needs. Reach out today. www.DrDale.com
Welcome! I am a Board Certified Psychiatric Mental Health Nurse Practitioner with dual certification in Primary Care Medicine. My approach is rooted in Functional and Integrative Psychiatry. I am dedicated to helping you achieve mental wellness and a better quality of life. If you are experiencing anxiety, depression, sleep issues, ADHD, PTSD, or OCD, I am here to support you. I specialize in medication initiation and management as well as lifestyle and dietary changes. Together, we will develop a personalized treatment plan to address your unique needs. Reach out today. www.DrDale.com
![Photo of Amina West, APRN, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/d61b213f-111c-4dd2-a3ad-e525ebbdd23a/1/320x400.jpeg)
Amina West
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
2 Endorsed
Dedham, MA 02026 (Online Only)
I am a licensed Professional Mental Health Practitioner (PMHP) dedicated to helping you navigate through life's challenges. I specialize in offering support and guidance to individuals struggling with ADHD, anxiety, depression, grief, challenging relationships, and loss of a sense of self, among other issues. Do you find these struggles affecting your day-to-day life, relationships, ability to function, or your work and career? Do you feel emotionally exhausted, overwhelmed, frustrated, or lost due to the pressures of living up to someone else's standards? Do you question, wonder, or hope that things could be better?
I am a licensed Professional Mental Health Practitioner (PMHP) dedicated to helping you navigate through life's challenges. I specialize in offering support and guidance to individuals struggling with ADHD, anxiety, depression, grief, challenging relationships, and loss of a sense of self, among other issues. Do you find these struggles affecting your day-to-day life, relationships, ability to function, or your work and career? Do you feel emotionally exhausted, overwhelmed, frustrated, or lost due to the pressures of living up to someone else's standards? Do you question, wonder, or hope that things could be better?
![Photo of Alberta Adu - NewGenn Psychiatry , PMHNP, RN -BSN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/a7e25b46-af55-47ce-aceb-931ae199d40d/1/320x400.jpeg)
NewGenn Psychiatry
Psychiatric Nurse Practitioner, PMHNP, RN -BSN
Verified Verified
1 Endorsed
Chestnut Hill, MA 02467
Currently accepting new patients! NewGenn Psychiatry provides in person and tele-psychiatry services to teens and adults in Waltham, Boston, and surrounding cities. Flexible hours are offered to accommodate students and busy professionals. We provide diagnostic assessment and medication management for many psychiatric conditions including but not limited to Schizophrenia, Bipolar disorder, ADHD, Anxiety and Depression. Our treatment approach is centered on collaborative, evidence-based care and we work with you and your team to craft an individualized treatment plan.
Currently accepting new patients! NewGenn Psychiatry provides in person and tele-psychiatry services to teens and adults in Waltham, Boston, and surrounding cities. Flexible hours are offered to accommodate students and busy professionals. We provide diagnostic assessment and medication management for many psychiatric conditions including but not limited to Schizophrenia, Bipolar disorder, ADHD, Anxiety and Depression. Our treatment approach is centered on collaborative, evidence-based care and we work with you and your team to craft an individualized treatment plan.
![Photo of Claudio O. Toppelberg, MD, Psychiatrist](https://photos.psychologytoday.com/401cd04e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Dr. Toppelberg is an experienced, Harvard-trained child, adolescent and adult psychiatrist, usually working with ages 3-30. He evaluates and treats emotional/ behavioral difficulties including ADHD, depression, trauma, stress, anxiety, and selective mutism, and those preventing weight loss. He has focused on issues of performance at work, study and competitive sports. He regularly works with tour-level tennis players and other professional and student athletes. He is an expert in neurodevelopmental disabilities, as well as learning and language disabilities. He runs psychiatric services at an excellent school for children/adolescents with autism and other neurodevelopmental disabilities, the prestigious New England Center for Children.
Dr. Toppelberg is an experienced, Harvard-trained child, adolescent and adult psychiatrist, usually working with ages 3-30. He evaluates and treats emotional/ behavioral difficulties including ADHD, depression, trauma, stress, anxiety, and selective mutism, and those preventing weight loss. He has focused on issues of performance at work, study and competitive sports. He regularly works with tour-level tennis players and other professional and student athletes. He is an expert in neurodevelopmental disabilities, as well as learning and language disabilities. He runs psychiatric services at an excellent school for children/adolescents with autism and other neurodevelopmental disabilities, the prestigious New England Center for Children.
![Photo of Nicholas Sousa, APRN , Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/8c6ed283-b3b7-45e6-aea7-0b295275cf90/1/320x400.jpeg)
Nicholas Sousa
Psychiatric Nurse Practitioner, APRN
Verified Verified
1 Endorsed
Roslindale, MA 02131
Nicholas Sousa is a Board Certified Psychiatric Mental Health Nurse Practitioner with many years of experience. Nicholas specializes in Anxiety, Depression, ADHD, PTSD, Adjustment disorders and bi-polar spectrum disorders, he also has experience working with schizophrenia, substance use disorders and major mental illness. He is committed to providing high quality care for individuals suffering from mental illness.
Nicholas Sousa is a Board Certified Psychiatric Mental Health Nurse Practitioner with many years of experience. Nicholas specializes in Anxiety, Depression, ADHD, PTSD, Adjustment disorders and bi-polar spectrum disorders, he also has experience working with schizophrenia, substance use disorders and major mental illness. He is committed to providing high quality care for individuals suffering from mental illness.
![Photo of Kari Spaeth, PMHNP, LICSW, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/69672d2c-4671-4969-b6f4-3680e8ddee22/3/320x400.jpeg)
Kari Spaeth
Psychiatric Nurse Practitioner, PMHNP, LICSW
Verified Verified
Boston, MA 02131 (Online Only)
I have helped individuals with depression, anxiety, PTSD, ADHD, insomnia/sleep disorders, bipolar disorder and non mood based psychosis.
I am a board certified Psychiatric Mental Health Nurse Practitioner with over 25 years of experience in the mental health field. I am passionate about listening and developing treatment goals that meet your individual needs for mind, body and spirit health from the comfort of your own home.
I have helped individuals with depression, anxiety, PTSD, ADHD, insomnia/sleep disorders, bipolar disorder and non mood based psychosis.
I am a board certified Psychiatric Mental Health Nurse Practitioner with over 25 years of experience in the mental health field. I am passionate about listening and developing treatment goals that meet your individual needs for mind, body and spirit health from the comfort of your own home.
![Photo of Olubunmi Olawale, PMHNPBC, MSN, RN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/3c12a4b1-95d3-472c-846a-e65c3138d521/1/320x400.jpeg)
Olubunmi Olawale
Psychiatric Nurse Practitioner, PMHNPBC, MSN, RN
Verified Verified
Boston, MA 02136 (Online Only)
Mental health is a priority to you and us at the Heritage Health System. We care for your mental health needs. We're aimed at supporting you to achieve your goal of a good level of functioning. We also prioritize your needs by ensuring an adequate evaluation of your presenting concerns/symptoms and come up with the appropriate diagnosis and treatment as required. I consult with your therapist and other treaters to provide expert medication management across the diagnostic spectrum. We address and manage symptoms of anxiety, depression, bipolar, ADHD, OCD, eating disorders, schizophrenia and dual diagnosis.
Mental health is a priority to you and us at the Heritage Health System. We care for your mental health needs. We're aimed at supporting you to achieve your goal of a good level of functioning. We also prioritize your needs by ensuring an adequate evaluation of your presenting concerns/symptoms and come up with the appropriate diagnosis and treatment as required. I consult with your therapist and other treaters to provide expert medication management across the diagnostic spectrum. We address and manage symptoms of anxiety, depression, bipolar, ADHD, OCD, eating disorders, schizophrenia and dual diagnosis.
![Photo of Leah Miller, MSN, RN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/9c4abc7f-335a-4bbb-9e4e-62d02b504dbc/4/320x400.jpeg)
Leah Miller
Psychiatric Nurse Practitioner, MSN, RN, PMHNP
Verified Verified
1 Endorsed
Newton, MA 02467
I provide psychiatric care to individuals ages 9+ struggling with their mental health, including changes in mood, increased anxiety, OCD, ADHD, trauma, stress, and loss. I offer an empathetic, collaborative approach with the intention of helping my clients feel heard and supported. I value my clients' preferences and take a holistic view of their lives when considering the best treatment for them. My clinical interests include working with tweens, teens, and young adults, as well as women of child-bearing age.
I provide psychiatric care to individuals ages 9+ struggling with their mental health, including changes in mood, increased anxiety, OCD, ADHD, trauma, stress, and loss. I offer an empathetic, collaborative approach with the intention of helping my clients feel heard and supported. I value my clients' preferences and take a holistic view of their lives when considering the best treatment for them. My clinical interests include working with tweens, teens, and young adults, as well as women of child-bearing age.
![Photo of Andrea Sawyer, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/85da8902-efd6-4c0e-832b-e9f247cb5753/1/320x400.jpeg)
Andrea Sawyer
Psychiatric Nurse Practitioner, MSN, PMHNP
Verified Verified
1 Endorsed
Newton, MA 02467 (Online Only)
I provide medication management and consultation (virtually) for children, adolescents and young adults ages 5-21 with anxiety, depression, ADHD, PTSD, autism and mood disorders. Please visit my website and follow the link at the bottom of the page to arrange a free consultation.
I provide medication management and consultation (virtually) for children, adolescents and young adults ages 5-21 with anxiety, depression, ADHD, PTSD, autism and mood disorders. Please visit my website and follow the link at the bottom of the page to arrange a free consultation.
![Photo of Hannah Lynch - Onward Psychiatry, PMHNP, LICSW, LADC1, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/d0fb4186-25b0-434b-b8c7-695a3ea7280b/1/320x400.jpeg)
Onward Psychiatry
Psychiatric Nurse Practitioner, PMHNP, LICSW, LADC1
Verified Verified
Dedham, MA 02027
Immediate openings for therapy and medication management in person or via telehealth! If you have been struggling with symptoms that are keeping you from moving forward, we can help. At Onward Psychiatry we put a focus on symptoms, not just diagnosis, to help you improve areas of your life where you might be having difficulty. We will help you formulate a treatment plan with medications and/or therapy to aid in improving areas of your life that you have been struggling with.
Immediate openings for therapy and medication management in person or via telehealth! If you have been struggling with symptoms that are keeping you from moving forward, we can help. At Onward Psychiatry we put a focus on symptoms, not just diagnosis, to help you improve areas of your life where you might be having difficulty. We will help you formulate a treatment plan with medications and/or therapy to aid in improving areas of your life that you have been struggling with.
![Photo of Stephanie Doyle Grant, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/423f026d-22b2-4dba-9149-4decce19e78d/1/320x400.jpeg)
Hi! My name is Stephanie Doyle Grant and I am a board-certified Psychiatric Nurse Practitioner providing psychiatric care to children, adolescents, and adults. I provide psychopharm evaluation/medication management, while also including diagnosis and treatment of psychiatric disorders and will offer psychotherapy. I have experience in working with individuals experiencing depression, anxiety, ADHD, PTSD and specialize in the diagnosis and treatment of mood and psychotic disorders.
Hi! My name is Stephanie Doyle Grant and I am a board-certified Psychiatric Nurse Practitioner providing psychiatric care to children, adolescents, and adults. I provide psychopharm evaluation/medication management, while also including diagnosis and treatment of psychiatric disorders and will offer psychotherapy. I have experience in working with individuals experiencing depression, anxiety, ADHD, PTSD and specialize in the diagnosis and treatment of mood and psychotic disorders.
![Photo of Alicia Cashman, MSN, NP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/f80b8df7-127b-450c-a708-99e10d7699f5/3/320x400.jpeg)
Alicia Cashman
Psychiatric Nurse Practitioner, MSN, NP
Verified Verified
Dedham, MA 02026
Waitlist for new clients
I provide person-centered therapy and medication management. I work with individuals with anxiety, depression, life transitions, mood disorders, ADHD, stress, family conflict and more. I strive to develop a genuine therapeutic relationship with each client to ensure I have a good understanding of your concerns and goals. I work with each client to develop a treatment plan with hopes of alleviating distress and helping individuals build their coping skills.
I provide person-centered therapy and medication management. I work with individuals with anxiety, depression, life transitions, mood disorders, ADHD, stress, family conflict and more. I strive to develop a genuine therapeutic relationship with each client to ensure I have a good understanding of your concerns and goals. I work with each client to develop a treatment plan with hopes of alleviating distress and helping individuals build their coping skills.
![Photo of Meredith Morrison, PMHNP, MSN, RN, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/9a4ada10-ac51-4d71-b8c6-58a6e291f572/2/320x400.jpeg)
Meredith Morrison
Psychiatric Nurse Practitioner, PMHNP, MSN, RN
Verified Verified
1 Endorsed
Chestnut Hill, MA 02467
I am a board certified Psychiatric-Mental Health Nurse Practitioner with training and experience treating patients with mental health issues across the lifespan. My clinical career has taken me on a journey through the healthcare system, from inpatient to outpatient settings. My clinical practice focuses on assessing, diagnosing, treatment planning and care coordination for those struggling with a wide range of mental health issues. I specialize in psychopharmacology and provide diagnostic evaluations, assessments and ongoing treatment via medication management for my clients, tailored to their individual needs’.
I am a board certified Psychiatric-Mental Health Nurse Practitioner with training and experience treating patients with mental health issues across the lifespan. My clinical career has taken me on a journey through the healthcare system, from inpatient to outpatient settings. My clinical practice focuses on assessing, diagnosing, treatment planning and care coordination for those struggling with a wide range of mental health issues. I specialize in psychopharmacology and provide diagnostic evaluations, assessments and ongoing treatment via medication management for my clients, tailored to their individual needs’.
![Photo of Hilda A Epelle - Rising Behavioral Help Center, APRN, MSN, PMHNP, Psychiatric Nurse Practitioner](https://photos.psychologytoday.com/1493dc8c-c234-4fc9-bf82-13cc19da4b0b/1/320x400.png)
Rising Behavioral Help Center
Psychiatric Nurse Practitioner, APRN, MSN, PMHNP
Verified Verified
Dedham, MA 02026
With over 10 years of clinical and leadership experience in healthcare, I am deeply committed to developing care plans that optimally balance the application of medications and other therapeutic techniques for behavioral and mental health. As a clinical instructor, I independently train aspiring mental health practitioners, emphasizing a holistic approach and individual patient focus.
With over 10 years of clinical and leadership experience in healthcare, I am deeply committed to developing care plans that optimally balance the application of medications and other therapeutic techniques for behavioral and mental health. As a clinical instructor, I independently train aspiring mental health practitioners, emphasizing a holistic approach and individual patient focus.
See more therapy options for West Roxbury
Nearby ADHD Psychiatrists Searches for West Roxbury
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- Jamaica Plain
- Milton
- Needham
- Newton
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ADHD Psychiatrists
When should I seek treatment for ADHD?
You should seek treatment for ADHD if you consistently have difficulty with attention, hyperactivity, or impulsivity that interferes with your daily life. Symptoms of ADHD include the inability to sustain attention during tasks, difficulty organizing tasks and activities, being easily distracted, frequent fidgeting or squirming, and talking or interrupting excessively. If these symptoms interfere with your career, academics, or relationships—for example, consistently failing to complete professional projects on time—you should seek an evaluation for ADHD.
How does treatment for ADHD work?
Effective treatment for ADHD often consists of medication, behavioral therapy, and lifestyle changes. Stimulant medications such as Adderall and Ritalin work by altering levels of neurotransmitters in the brain; higher levels of dopamine and norepinephrine are known to improve attention and focus. Therapy works by helping people with ADHD understand the condition, discuss their areas of difficulty, and develop behavioral strategies to manage their symptoms. In some cases, modifying one’s diet and exercise can also help improve symptoms.
Are there specific medications for ADHD?
Medications to treat ADHD are generally stimulants, the most common are Adderall and Ritalin. There are two categories of stimulants: Amphetamines include Adderall, Dyanavel, Vyvanse, and Dexedrine, and methylphenidates include Ritalin, Concerta, Daytrana, Focalin, Quillichew, Quillivant, and Metadate. Non-stimulants and antidepressants may be used as an alternative if stimulants aren’t effective or viable for a particular patient.
How long does treatment for ADHD take?
It’s tough to give an exact time frame because everyone varies. In terms of medications, stimulants begin to work very soon after you take them, generally within the hour. It may take time to identify the right medication and dosage, but the medication itself is fast-acting. In terms of therapy, it takes time to develop skills and put them into practice, but you will likely see improvements within a few weeks or months.