Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD) are often poorly understood by Health Care Providers.  The most common and usually but not always the most effective medications for these conditions are a special class of medications that practitioners are hesitant to use.  And a patient who uses these medications is then sometimes viewed with suspicion or reticence.  It’s an uncomfortable situation for the patient and the health care practitioner.  And it is often made worse by the fact that Attention deficit is just poorly understood by many health care providers.  I understand the situation because I am a Family and Emergency Physician who has treated many patients with the condition…And because I myself have it.  Why would I reveal that here?  Because if you have Attention Deficit, or suspect you do, you need someone who understands the condition. And the stigma associated with it, and the complex social issues surrounding it.  I do.  I live it every day.

Arriving at a diagnosis of Attention Deficit is only part of the issue.  And a very important part. But once diagnosed, treatment options are numerous and need to be approached with patience and even creativity.  In other words,  this is a “spectrum disorder” disorder, and each of us has a slightly different presentation, and so each of us needs a clinician who will work through the diagnosis and the many treatment options slowly, open to trying more than a “one size fits all” approach.  The treating physician needs to monitor progress and help and encourage you as you find a way to self-optimization.  Your treatment is unique.  It is never as simple as just giving a medication and showing you the door.  Different people have different dose requirements; some do better on extended release medications, some do better on intermittent, short-term medications.  Some simply need relief from the Hyperactivity, while others need to focus on their attention deficit. Some need both.  The treatment is not an end-all solution.  It’s a journey.  And frankly, while many think of attention deficit as just that, a “deficit” it can also be our greatest strength.  I am an English Professor, Physician, former Army Captain, Cabinet Maker, and speak three languages fluently, because I have harnessed my ADHD, not in spite of it.

If you suspect you have an Attention Deficit Disorder, or have been previously diagnosed with Attention Deficit, and want to optimize your treatment or consider alternative treatments, I would be happy to work with you and share my own experience.  There are medications that can change your life…and there are also many proven non-pharmacological approaches that can help too!  Of course, I cannot guarantee I have the solution for you, but I can guarantee that I will listen respectfully, that we will talk honestly and frankly, and that we will work together earnestly to get you the chance you deserve.


Joshua B. Kretchmar

Dr. Kretchmar’s interest and belief in the whole patient extends beyond the boundaries of Rejuvenation Medical.   He keeps active and trained in both Family and  Emergency medicine and volunteers in underserved/rural areas, as well as in disasters around the world. He believes all people, everywhere, have a right to medical care and significant amounts of the proceeds from Rejuvenation will be set aside every year for medical mission trips to disaster zones.