ADHD Medication Management
in NJ & NY

Psychiatrists, physician associates (PA-C), psychiatric nurse practitioners and, in many cases, primary care physicians can all prescribe ADHD medication, including controlled stimulants, in both states. Psychologists cannot prescribe in NJ or NY. Care at Gimel Health is provided by Michael Feldman, PA-C, a physician associate specializing in psychiatry with full prescriptive authority in both states under a collaborating physician agreement. The practical difference between providers is appointment length and follow-up, not prescribing scope.

Yes, and if you already have one I will review how it was reached. Diagnosis is part of the initial evaluation, so you do not need to arrive with paperwork. If you were diagnosed elsewhere and the assessment was thorough, we build on it. If it was a five-minute online questionnaire, we go through it properly before any prescription is written.

This happens often. Several national telehealth services diagnose across state lines but hold prescribing licenses in a limited set of states, and New Jersey is frequently excluded. Bring whatever documentation you have. I am licensed in both New Jersey and New York and can review the existing assessment, complete whatever is missing, and prescribe directly.

Stimulants, meaning methylphenidate and amphetamine-based medications, work within hours and have the strongest evidence base for adult ADHD. Non-stimulants such as atomoxetine, alpha-2 agonists and bupropion take several weeks to show full effect but are not controlled substances and are often the better choice with cardiac history, substance use history or stimulant-worsened anxiety. Which class we start with depends on your history, not on a default.

Yes. I hold licenses in both states and provide ADHD medication management by telehealth throughout New Jersey and New York, including ongoing dose adjustments and follow-up appointments. Controlled substance prescribing by telehealth is subject to federal and state rules that have changed repeatedly since 2023, so I will tell you at the discovery call whether your first visit needs to be in person at the Fort Lee office.

Stimulants are Schedule II, so they cannot be refilled automatically the way most prescriptions can. Each fill needs a new prescription. I send prescriptions electronically ahead of when you run out, and both states require checking the prescription monitoring database, which is routine. Staying on schedule with follow-up appointments is what keeps refills uninterrupted.

Yes, and co-occurring conditions are a large part of what I do. Sequence matters. Stimulants started on top of an unrecognized bipolar disorder can trigger mood instability, and untreated ADHD often blocks progress on depression. The evaluation is built to identify what is present so the treatment plan addresses all of it in a defensible order.

Most adults have a workable answer within four to eight weeks. Stimulants show effect the day you take them, so the early adjustments move quickly, usually every one to two weeks. Non-stimulants need four to six weeks before we can judge them fairly. If the first medication does not work, that is information, not failure, and it narrows what to try next.