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Green Leaves

ADHD Management

Alternatives to medication for San Francisco teens and tweens

My approach to managing ADHD for teens and tweens goes beyond relying on medications. I believe in a holistic approach to executive function that integrates behavioral strategies and skill-building with solid family support. While I recognize that medications can be a highly effective tool, I see them as just one part of a broader strategy. Psychiatric care, if your family desires it, can combine with a foundation of practical techniques that enable self-regulation, positive habits, constructive routines, and a nurturing home environment. I help families build the skills that set their members up for long-term success and well-being.


Looking for ADHD strategies that go beyond medication? Let's work together to build lasting skills and support.

ADHD in San Francisco: Beyond the Prescription Pad

In San Francisco's achievement-oriented culture, ADHD challenges can feel especially overwhelming. Families often feel caught between viewing medication as their only option and struggling to manage without adequate support.

The reality is that effective ADHD management involves multiple approaches working together. While medication can be valuable, building a comprehensive toolkit of strategies creates a foundation for lifelong success that medication alone cannot provide.


The Complete ADHD Management Toolkit

Building Executive Function Skills

ADHD fundamentally affects the brain's self-management system. These skills can be strengthened through targeted practice:

  • Time management: Visual schedules, chunking tasks, and using timers effectively

  • Organization: Systems for schoolwork, personal items, and digital information

  • Task initiation: Routines that make starting difficult tasks easier

  • Working memory: Tools like checklists and visual reminders

  • Emotional regulation: Recognizing triggers and practicing calming techniques

These skills don't develop automatically but can be systematically built with the right support—much like strengthening a muscle through regular exercise.


Creating Supportive Environments

The physical environment significantly impacts ADHD symptoms. Together, we'll create:

  • Distraction-minimized study spaces

  • Visual reminders and organizational systems

  • Technology boundaries that reduce overstimulation

  • Routines that provide predictability

  • Sleep-friendly environments that support better focus

Small, strategic changes to your home environment can dramatically reduce ADHD friction points.


Strengthening Family Systems

ADHD affects the whole family, not just the diagnosed individual. I'll help you:

  • Develop communication approaches that reduce conflict

  • Create household structures that support executive function

  • Set realistic expectations that acknowledge ADHD challenges

  • Balance accountability with compassion

When families understand ADHD as a neurodevelopmental condition rather than willful behavior, dynamics often transform for the better.


Navigating School Successfully

San Francisco's competitive educational environment requires strategic advocacy. I help famlies establish:

  • Effective communication with teachers and administrators

  • Appropriate accommodation plans when needed

  • Homework systems that reduce family stress

  • Self-advocacy skills for your child or teen

With the right school support, your child can thrive academically despite ADHD challenges.


A Balanced Perspective on Medication

Medication can be an important part of ADHD management. While I cannot prescribe medication (the prescription  would need to come from your child's doctor or psychiatrist), I help families:

  • Understand medication's benefits and limitations

  • Make informed decisions based on individual needs

  • Use behavioral strategies to enhance medication effectiveness

  • Develop complementary skills and supports

If your family chooses medication, we can maximize its benefits within a comprehensive plan. If you prefer non-medication approaches, we'll focus on building robust behavioral and environmental strategies.


What to Expect in Our Work Together

Our collaboration typically follows a structured approach:

  1. Assessment of current challenges, strengths, and existing strategies

  2. Strategy development customized to your specific needs

  3. Skill building with practical techniques for managing ADHD challenges

  4. Family integration to support ADHD management effectively

  5. Ongoing refinement as skills develop and needs evolve

Sessions may include parents only, the child or teen individually, or the whole family, depending on your specific goals.


Benefits That Last a Lifetime

The skills developed through our work together extend far beyond managing immediate symptoms. Families can expect:

  • Improved academic performance and reduced school stress

  • Better family relationships with less conflict

  • Enhanced self-esteem and confidence

  • Greater independence and self-sufficiency

By investing in comprehensive ADHD management now, you're providing your child with tools they'll use throughout their lifetime—whether or not medication is part of their treatment plan.

Forest

© 2025 by Michelle Copley

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