ADHD Specialist & Treatment in San Antonio, TX
Careful ADHD evaluation and psychiatric treatment for adults and adolescents in San Antonio. We take the time to get the diagnosis right, then build a plan that fits your life, not a stimulant-only shortcut.
Understanding ADHD
Real evaluation, not a five-minute rule-out
Adult ADHD is often missed for years, sometimes because it was diagnosed as anxiety, sometimes because it did not look like classic hyperactive presentations. Inattentive ADHD, in particular, can go unrecognized well into adulthood, especially in women. The result is a lot of people wondering why the standard advice about focus and productivity has never worked for them.
At South Texas Mental Health Associates in San Antonio, ADHD evaluation is thorough. Your first visit is 60 minutes with a psychiatric provider, and includes a review of symptoms, developmental history, sleep and mood, and any other factors that can look like ADHD. We rule in and rule out carefully, because getting the diagnosis right shapes everything that follows.
Treatment is individualized. That may include stimulant medication, non-stimulant options like atomoxetine or guanfacine, therapy and skill-building, or a combination. Our psychiatric team manages medication carefully and monitors response over time. For adolescents ages 6 to 17, Eric Seilhamer, DNP, our board-certified PMHNP, provides child and adolescent psychiatric care.
By the numbers
ADHD in context
Adult ADHD is often missed for years before diagnosis. Here is some published context.
Signs & symptoms
What ADHD can look like
ADHD is not just about focus. Many of these are lifelong patterns that finally start making sense once ADHD is on the table.
Our approach
How we evaluate and treat ADHD at STMHA
Thorough evaluation, honest options, and ongoing management. Not a stimulant prescription in a rushed visit.
Why STMHA
Why patients choose STMHA for ADHD care
Board-certified prescribers
Psychiatric providers with real experience diagnosing and managing ADHD, not general practitioners.
Adults and adolescents
Adult ADHD is a focus, with Eric Seilhamer, DNP providing care for adolescents ages 6 to 17.
Careful controlled-substance prescribing
Stimulants are managed carefully, with ongoing monitoring. No mill-style prescribing.
In-person or telehealth
Both available. Note that stimulants may require an in-person visit per state and federal rules.
Comparing ADHD treatments
Stimulant, non-stimulant, and behavioral approaches
ADHD responds best to a mix, tailored to each patient. Here is the general landscape.
| Approach | How it works | Time to response |
|---|---|---|
| Stimulant medication | Amphetamine class (Adderall, Vyvanse) or methylphenidate class (Ritalin, Concerta). First-line for most patients. | Effect within days |
| Non-stimulant medication | Atomoxetine, guanfacine, or bupropion. Useful when stimulants are not appropriate or not preferred. | 2-6 weeks to full effect |
| Therapy and coaching | CBT for ADHD, executive-function work, and skill-building around organization and time management. | Skills built over months |
| Combined care | Medication plus behavioral strategies. Often the strongest long-term functional outcome. | Layered response |
Your provider matches the approach to your presentation, other conditions, and preferences. Controlled substance prescribing follows Texas law.
Related services
Related care that pairs with ADHD treatment
ADHD often overlaps with anxiety, depression, and mood conditions. A team that treats both makes a real difference.
Broader psychiatric prescribing across conditions.
Learn more › Anxiety treatmentAnxiety often co-occurs with ADHD and can look similar.
Learn more › Depression treatmentDepression is common alongside untreated ADHD.
Learn more › Individual psychotherapyTherapy focused on executive function skills and coping with ADHD.
Learn more › DBT therapyEmotion regulation skills for ADHD-related overwhelm.
Learn more › Meet our pediatric PMHNPEric Seilhamer, DNP, PMHNP-BC, provides child and adolescent psychiatric care.
Learn more ›Where to find care
Our San Antonio clinic
Care is available at our San Antonio clinic on NW Military Highway, Monday through Friday, and by secure telehealth across Texas.
STMHA San Antonio
Coverage
Insurance accepted
We accept most major plans and verify your benefits before your first visit, so there are no surprises.
Good to know
ADHD questions, answered
Yes. Adult ADHD evaluation is a focus at STMHA. Your first visit is 60 minutes with a psychiatric provider, includes a thorough review of symptoms and history, and screens for common ADHD look-alikes.
Yes. Eric Seilhamer, DNP, PMHNP-BC, our board-certified psychiatric nurse practitioner, provides care for children and adolescents ages 6 to 17.
Yes, when clinically appropriate. Stimulants including Adderall, Vyvanse, and Concerta are prescribed carefully with ongoing monitoring. Every controlled substance prescription follows Texas law.
Non-stimulant medications like atomoxetine (Strattera), guanfacine, and bupropion are effective for many patients. Therapy and skill-building are also part of many ADHD treatment plans. Your provider will discuss options honestly.
In many cases, a comprehensive clinical evaluation is sufficient for adult ADHD diagnosis. Formal psychological testing may be recommended in complex cases, particularly when learning disorders are also being considered.
Initial evaluation and non-controlled medication management can be delivered by telehealth. Stimulant prescribing may require an in-person visit at our San Antonio clinic per federal and state rules.
Most new ADHD patients are scheduled within a week or two. Request an appointment and we will find the earliest option that works for you.
We accept most major insurance plans. Coverage for evaluation, medication, and therapy varies by plan. We verify benefits before your first visit.
Medically reviewed
Reviewed by John Lusins III, MD
Board-certified psychiatrist and Medical Director of South Texas Mental Health Associates.
In a crisis
Get help right now
STMHA is an outpatient clinic and cannot respond to emergencies. If you or someone you know is in danger or thinking about suicide, please use these free, confidential resources, available 24/7.
- Call 911Life-threatening emergency, or someone at immediate risk of harm.
- Call or text 988Suicide & Crisis Lifeline, 24/7. Chat at 988lifeline.org/chat.
- Dial 988, then press 1Veterans Crisis Line, or text 838255.
- Dial 2-1-1Texas 2-1-1, everyday support and community resources.
Get a real ADHD evaluation. Get a plan that fits your life.
Contact South Texas Mental Health Associates to schedule an ADHD evaluation at our San Antonio clinic, or by telehealth from anywhere in Texas.