Precision Treatment for Adult & Adolescent ADHD

ADHD expert Dr. Lohoff in Chevy Chase MD

A Neurobiological Approach to Executive Function

ADHD is not a lack of willpower; it is a fundamental difference in how your brain’s reward and attention systems are wired. If you struggle with chronic procrastination, emotional dysregulation, or the exhausting "mental fog" that prevents you from reaching your potential, you are likely dealing with a neurobiological challenge that requires more than just a stimulant.

At Lohoff Psychiatry, we move beyond the "one-size-fits-all" stimulant approach. We use clinical neuroscience to map your executive function and identify the specific neurotransmitter pathways—such as dopamine and norepinephrine—that need support to help you live a life of focus and intention.

Our Integrated Approach to ADHD

We treat ADHD by looking at the brain as a complex system that requires the right fuel, the right chemistry, and the right psychological tools.

Advanced Psychopharmacology

Beyond Traditional Stimulants Medication for ADHD should provide clarity, not anxiety or a "crash." We specialize in fine-tuning pharmacological treatments—including high-precision stimulants and non-stimulant alternatives—to stabilize your attention without the unwanted side effects of over-stimulation.

Genomic Medicine

Your Genetic Blueprint for Focus ADHD medications are notorious for their "trial and error" phase. Through pharmacogenomic testing, we identify how your brain receptors and liver enzymes interact with specific ADHD treatments. This allows us to predict which medications will be most effective for your DNA, saving you months of frustration.

Metabolic Psychiatry

Fueling the Focused Brain Executive function is metabolically expensive. We investigate how nutritional deficiencies, sleep architecture, and glucose stability impact your ability to focus. By optimizing your brain's metabolic health, we ensure you have the consistent energy required for high-level cognitive tasks.

Integrated Psychotherapy

Building Executive Resilience Pills don't teach skills. We pair medication with neuro-informed therapy that targets executive function. We help you develop systems for time management, emotional regulation, and task initiation that work with your ADHD brain rather than against it.

The Experience: What to Expect

Our ADHD evaluation is thorough, objective, and designed to provide immediate clarity.

  • Executive Function Evaluation: A comprehensive 60-90-minute assessment of your cognitive history, attention patterns, and the specific "bottlenecks" in your daily productivity.

  • Biological Mapping: We utilize genomic testing to determine your sensitivity to stimulants and look for metabolic factors (like iron or Vitamin D levels) that are scientifically linked to ADHD symptom severity.

  • The Performance Blueprint: You receive a personalized roadmap that may include precision medication, targeted supplements to support neurotransmitter synthesis, and lifestyle architecture.

  • Continuous Calibration: ADHD needs change over time. We provide ongoing support to adjust your plan as your professional or academic demands evolve, ensuring your "cognitive engine" is always tuned.