Who Can Prescribe ADHD Medication in NJ and NY?
A primary care doctor can sometimes write an ADHD prescription, but the visit that actually works long term usually comes from someone who evaluates and manages ADHD as a core part of their practice.…
An independent review of your current psychiatric diagnosis and medications, from someone who isn't the person who prescribed them. One appointment, a written summary you can bring back to your own provider, no ongoing commitment required.
Self-pay practice · Superbill provided for out-of-network reimbursement
Asking for a second opinion doesn't mean your current provider got something wrong, and it doesn't require their permission. It means you want an independent read on your diagnosis and medication plan before making a decision, whether that's because something still isn't working, your provider is retiring or unavailable, or you're helping a family member make sense of a regimen that's grown complicated. This is a single, focused consultation built for exactly that.
Bring whatever you have: a current medication list with doses and how long you've been on each, prior diagnoses, records if you have them, and a description of what has and hasn't helped. If you don't have formal records, that's fine too, we work from your account of your history instead. I go through the full picture before the appointment so the time we spend together is spent on judgment, not paperwork.
A few patterns show up often enough to be worth naming. A diagnosis assigned during a brief or crisis visit that was never revisited as more history became clear. A medication called ineffective after a trial that was too short or a dose that was never actually reached. A second condition, commonly ADHD, an anxiety disorder, or a sleep problem, that was never screened for and is quietly working against whatever else is being treated. None of this means anything was done wrong. It means the picture had more angles than a rushed first look could capture.
A second opinion is most useful when you're on two or more medications and unsure whether each one is still earning its place, when you're considering a major change like stopping a long-term medication or starting a controlled substance, when your diagnosis was made quickly and never revisited, or when your provider is retiring, relocating, or otherwise no longer available and you need continuity of judgment before choosing what comes next.
When stimulants are not appropriate or well tolerated, non-stimulant options such as atomoxetine (Strattera) or guanfacine may be considered. These can suit adults with certain cardiovascular concerns, a history of substance use, or co-occurring anxiety. They generally take longer to reach full effect and are titrated gradually, with monitoring for side effects, as part of an individualized plan.
After the appointment, you receive a written summary: my read on your diagnosis, specific thoughts on where your current medications could be optimized, and next-step recommendations. You can bring that back to your existing provider, use it to decide whether to continue treatment as-is, or use it as the basis for starting ongoing care here. Which of those you choose afterward is entirely up to you, this consultation doesn't commit you to anything beyond itself.
⚠ This information is educational and general. A second opinion consultation reflects an independent clinical review and is not a guarantee that treatment will change or that any specific outcome will result.
Six focus areas. Click any to see the full approach.
Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Specialized care for chronic worry, panic, PTSD,
and obsessive thoughts.
Treatment for depression, bipolar, PMDD, and
complex mood patterns.
Medical and medication support for anorexia,
bulimia, and binge eating.
Treatment for insomnia, rage, and impulse
control challenges.
Treatment-resistant cases, psychosis,
schizoaffective, autism spectrum.
Three steps. No surprises.
Tell me what's prompting the second opinion. I'll tell you honestly whether this is the right fit for your situation.
Medication list, prior diagnoses, and records if available. No formal paperwork required if you don't have them.
One appointment, up to 50 minutes. You leave with a written summary you can act on however you choose.
Founder · Physician Assistant–Certified
Before clinical practice I spent over ten years in molecular and cellular biology research at the Weizmann Institute of Science and Mount Sinai. That training is about isolating variables and not accepting an unverified result, which is exactly the discipline a second opinion needs: not a fresh guess, but a systematic check of what was tried, at what dose, for how long, and whether it was ever given a fair test.
Complex or long-standing medication regimens, diagnoses that have never been revisited, and situations where a provider transition means someone needs continuity of judgment before choosing what comes next. I also see this from family members trying to make sense of a relative's treatment plan.
A single, thorough appointment and a written summary you own and can use however you see fit, whether that's bringing it back to your current provider or starting care here.
FOUNDER VIDEO
Watch: Why I founded Gimel Health
I do not take insurance. Self-pay allows time for a thorough evaluation and coordinated follow-up.
Initial evaluation (up to 50 minutes): $350
Follow-up visit: $300
Discovery call: free, about 10 minutes
You pay at the visit and I provide a superbill for out-of-network reimbursement.
Things patients usually want to know before reaching out.
I personally read every inquiry and respond within one business day.