Adult ADHD is often missed. Many of our Omaha and Papillion-area patients have spent years wondering why focus, follow-through, time management, and emotional regulation have always felt harder for them than for people around them, without ever getting a real evaluation. ADHD is a real, treatable neurodevelopmental condition, and treatment can be life-changing when it is done carefully.
At Midwest Mind & Body Healthcare, we provide thorough adult ADHD evaluation and ongoing treatment. Our founder, Kim Wohlwend, MSN, APRN, is a dual ANCC board-certified Family Nurse Practitioner and Psychiatric-Mental Health Nurse Practitioner. The combination matters here: adult ADHD often co-exists with anxiety, depression, sleep disorders, thyroid issues, and hormonal change, and a clinician who can look at all of those is in a better position to make the right diagnosis and treatment call.
We offer FDA-cleared QBtech computerized testing when helpful, medication management with both stimulant and non-stimulant options, and ongoing follow-up with direct access to your clinician. We take controlled-substance safety seriously: that means we screen carefully, document appropriately, and monitor closely, because good ADHD care requires it.
Signs & Symptoms
What adult ADHD actually looks like.
Adult ADHD does not necessarily look like the childhood stereotype. Many adults with ADHD are high-achieving, creative, and thoughtful; their struggle is internal. Some common patterns:
Attention & Focus
- Difficulty sustaining attention on tasks that are not novel or urgent
- Starting many projects, finishing few
- Losing track of time (time blindness)
- Hyperfocus on the wrong things, and at the wrong times
- Frequent loss of keys, phones, wallets, and thoughts mid-sentence
- Difficulty reading long material without re-reading paragraphs
Executive Function
- Chronic procrastination, especially on complex multi-step tasks
- Difficulty starting tasks you know are important
- Trouble estimating how long things will take
- Disorganized workspaces, schedules, or inboxes
- Forgetting appointments, deadlines, or commitments
- Frequent late-night catch-up on tasks you meant to finish earlier
Emotional Regulation
- Short fuse, especially when interrupted or overwhelmed
- Emotional reactions that feel out of proportion
- Rejection sensitivity and chronic self-criticism
- Difficulty downshifting at the end of the day
- Feeling behind, even on days when you worked hard
- Burnout that keeps coming back despite rest
Hyperactivity (Adult Version)
- Internal restlessness more than external fidgeting
- Difficulty sitting through meetings, movies, or long conversations
- Racing thoughts at bedtime
- Impulsive decisions, purchases, or words
- Needing constant stimulation (music, podcasts, scrolling)
- Tendency to interrupt or finish others' sentences
QBtech Testing
FDA-cleared objective ADHD testing.
ADHD diagnosis is primarily clinical. A thorough interview, history, and validated rating scales are the core. QBtech adds objective data by measuring attention, impulsivity, and motor activity during a 20-minute computerized task, then comparing your performance to age-matched norms.
QBtech is particularly useful when diagnosis is uncertain, when there is a question about whether anxiety or depression is driving presentations, or when you would benefit from having an objective record of findings (for example, for workplace accommodations or academic support). It is not required for every evaluation, but it is available here when it is helpful.
We use QBtech, which is FDA-cleared and used by thousands of clinicians nationwide. Your clinician will discuss with you whether testing is appropriate for your specific situation.
What QBtech measures
- Attention. Reaction-time consistency, omissions, commissions.
- Impulsivity. Response control on a continuous-performance task.
- Motor activity. Objective head-movement tracking.
- Time. 20-minute test, results available immediately.
- Comparison. Your performance vs. age-matched norms.
- Report. Detailed results reviewed with you in-visit.
Treatment
Medication, skills, and the things around the medication.
When ADHD is accurately diagnosed and treated, most patients notice meaningful change in the first month. Treatment usually combines medication with skills and lifestyle adjustments; each on its own is less effective than the combination.
Stimulant medications
Stimulants remain the most effective treatment for most adults with ADHD. There are two main families:
- Methylphenidate-based. Ritalin, Concerta, Focalin, Jornay, Methylin. Different formulations give different durations and release patterns.
- Amphetamine-based. Adderall, Adderall XR, Vyvanse, Dyanavel, Mydayis, Evekeo. Generally longer-acting options than methylphenidate.
We start at conservative doses, titrate carefully, and look closely at both benefit and side effects. Some patients respond better to one family than the other; we may try methylphenidate first, then amphetamine, or vice versa, depending on history.
Non-stimulant medications
Non-stimulants are a real option, and sometimes a better option, especially for patients with cardiac concerns, substance-use history, significant anxiety, or a preference to avoid controlled substances.
- Atomoxetine (Strattera). Once-daily SNRI-style non-stimulant, effective for adult ADHD with good data.
- Viloxazine (Qelbree). Newer non-stimulant approved for adult and pediatric ADHD.
- Guanfacine ER (Intuniv) and clonidine. Particularly helpful for impulsivity and sleep; often used in combination with stimulants.
- Bupropion (Wellbutrin). Off-label but sometimes useful, particularly when ADHD coexists with depression or the patient wants to avoid a controlled substance.
The things around the medication
Medication works best when it is paired with the parts of life that support executive function:
- Sleep. Adults with ADHD often have late chronotypes and inconsistent sleep. Stabilizing sleep is one of the biggest non-medication levers.
- Exercise. Aerobic activity 3 or more times per week improves attention and executive function.
- Structure. Externalizing memory and planning into calendars, lists, and automatic routines reduces the load on executive function.
- Coaching and CBT for ADHD. Skills-based therapy built specifically for ADHD is effective; we refer to therapy partners in our network when it is the right fit.
- Co-occurring conditions. Treating anxiety and depression alongside ADHD usually improves outcomes in all three. See our anxiety treatment page.
What to Expect
From first call to first prescription.
Comprehensive evaluation
60-minute first visit. We review symptom history from childhood forward, current impact, prior evaluations, medical history, other mental-health conditions, and substances. You'll complete validated rating scales before the visit. QBtech testing is added when useful.
Diagnosis and plan
Most patients leave the first visit with a clear diagnosis (or a clear reason we need additional information) and a concrete treatment plan. If medication is appropriate, we start conservatively and schedule a follow-up within 2 to 4 weeks.
Titration & follow-up
Finding the right medication and dose usually takes a few adjustments. We follow up closely in the first 2 to 3 months, then at the cadence that makes sense for you. Direct access to your clinician between visits through the patient portal.
Pricing
Transparent ADHD evaluation & treatment pricing.
Evaluation
Comprehensive diagnostic interview, rating-scale review, and treatment plan.
Evaluation + QBtech
Includes QBtech computerized attention, impulsivity, and activity testing.
Follow-up
Medication management, titration, and ongoing care.
Adult ADHD care for the Omaha metro.
In-person appointments at our Papillion, Nebraska office; secure telehealth available anywhere in Nebraska. Mental-health services (including ADHD) are licensed in Nebraska only.
Also serving specific cities: Adult ADHD Treatment in Omaha · Mental Health Care in Bellevue
FAQ
ADHD treatment questions.
How much does adult ADHD testing cost in Papillion?
Self-pay: $250 for comprehensive diagnostic evaluation, $375 for evaluation plus QBtech testing, and $150 for follow-up visits. Most insurance plans we accept cover ADHD evaluation and medication management; confirm your behavioral-health benefits in advance.
What is QBtech testing?
QBtech is an FDA-cleared computerized test that objectively measures attention, impulsivity, and motor activity. It takes about 20 minutes and compares your performance to age-matched norms. It is not required for every ADHD evaluation, but helpful when diagnosis is unclear or when an objective record is useful (for example, for workplace or academic accommodations).
Do you prescribe stimulants for adult ADHD?
Yes, when clinically appropriate. We follow required screening and controlled-substance-safety steps, and we monitor response carefully. Non-stimulant options are also available and sometimes preferred based on history.
Can I switch my existing ADHD prescription to your practice?
Yes, with some steps. Transferring controlled-substance care requires a full evaluation here, review of records from the previous provider, a controlled-substance agreement, and a follow-up schedule. We cannot simply continue an existing prescription without establishing care.
Do you accept insurance for ADHD evaluation?
Yes. In-network with Aetna, Blue Cross Blue Shield, UnitedHealthcare (including UMR), Midlands Choice, and Nebraska Total Care (Medicaid) for mental-health services including ADHD evaluation and medication management.
Can I be evaluated for ADHD by telehealth?
Yes. Initial and follow-up ADHD visits are available by secure telehealth for patients physically located in Nebraska. Certain controlled-substance prescriptions may require an in-person visit based on current federal rules; we will tell you if that applies in your case.
What if I also have anxiety or depression?
Very common. We evaluate for co-occurring conditions at intake and treat them in parallel. See our anxiety treatment page for more on anxiety care.
How long does the first appointment take?
60 minutes for the evaluation itself. If we add QBtech testing, plan for an additional 20 to 30 minutes on the same visit. Follow-up visits are 20 to 30 minutes.
Do you treat ADHD in teenagers?
We see patients 18 and over. For patients under 18, we're happy to refer to a pediatric mental-health provider in the Omaha area.
Let's figure out what is actually going on.
Evidence-based adult ADHD evaluation and treatment. FDA-cleared QBtech testing when useful. Insurance accepted. Most new patients seen within 1 to 2 weeks in Papillion or by Nebraska telehealth.
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