For our online telemedicine doctors, click to go to www.VitalOncall.com

Walnut Creek-San Francisco-CastroValley-Pittsburg-Folsom-Beverly Hills-San Diego

Click to CALL (925) 388-9800

Click to CALL (925) 388-9800

  • PAIN MANAGEMENT
  • PAIN MEDICINE
  • Neurology
  • ADHD
  • IV Ketamine
  • TESTOSTERONE
  • Weight Loss
  • SUBSTANCE OVERUSE
  • Acupuncture
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  • COVID
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  • More
    • PAIN MANAGEMENT
    • PAIN MEDICINE
    • Neurology
    • ADHD
    • IV Ketamine
    • TESTOSTERONE
    • Weight Loss
    • SUBSTANCE OVERUSE
    • Acupuncture
    • Vaccines
    • COVID
    • Locations
    • Contact Us
  • PAIN MANAGEMENT
  • PAIN MEDICINE
  • Neurology
  • ADHD
  • IV Ketamine
  • TESTOSTERONE
  • Weight Loss
  • SUBSTANCE OVERUSE
  • Acupuncture
  • Vaccines
  • COVID
  • Locations
  • Contact Us

Vital Total Health Medical Group, Inc.

Vital Total Health Medical Group, Inc.Vital Total Health Medical Group, Inc.Vital Total Health Medical Group, Inc.

MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA

MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA MULTISPECIALTY MEDICAL GROUP SERVING ALL CALIFORNIA
ASRS-5 ADHD Screening Tool

SCREENING FOR ADHD

Do you have ADHD?

Nearly 2.5% per cent of the Adult population suffer from ADHD, and many of those have  associated issues or comorbidities.  Do you have ADHD?


Answer yes or no:

1.  Do you often have difficulty concentrating on what people are saying to you even when they are speaking to you directly?

2.  Do you often leave your seat in meetings or other situations in which you are expected to remain seated?

3.  Do you often have difficulty unwinding and relaxing when you have time to yourself?

4.  When you’re in a conversation, do you often find yourself finishing the sentences of the people you are talking to before they can finish them themselves?

5.  Do you often put things off until the last minute?

6.  Do you often depend on others to keep your life in order and attend to details?


If you answer yes, to three or four of the above questions, then you may have ADHD.  Come in and schedule an appointment with our doctor.


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Three types of ADHD & their Symptoms

DSM-5 Criteria for ADHD 18 Symptoms

Inattention

  1. Inattention to details, makes careless mistakes
  2. Difficulty maintaining attention
  3. Seems not to listen
  4. Fails to finish tasks
  5. Difficulty organizing
  6. Avoids tasks that require significant attention
  7. Loses things
  8. Easily distracted 
  9. Forgetful


Hyperactivity or Impulsivity

  1. Fidgets
  2. Unable to stay seated
  3. Inappropriate running or climbing, restless
  4. Difficulty in engaging in leisure activity quietly
  5. "On the go"
  6. Talks excessively
  7. Blurts out answers before question is finished
  8. Difficulty awaiting turn
  9. Interrupts or intrudes on others


For children to age 16, at least six symptoms of inattention or hyperactivity/impulsivity, and they are inappropriate for developmental level .


For adolescents age 17 years and older and adults, at least five symptoms of inattention or hyperactivity/impulsivity have been present for at least 6 months.


In addition, the following conditions exists:

  • it is chronic, with inattentive or hyperactive-impulsive symptoms present before age 12 years.
  • it is pervasive, with symptoms present in two or more settings, such as at home, school or work; with friends or family.
  • it impairs, with evidence that the symptoms interfere with or reduce the quality of function at school, or work, or with social activities (executive functioning deficits).
  • symptoms are not better explained by another mental disorder, such as a mood disorder, anxiety disorder, dissociative disorder, a personality disorder, or psychotic disorder. 


Presentation in three ways:

  1. Combined Presentation:  symptoms of both criteria inattention and hyperactivity-impulsivity were present for the past 6 months
  2. Predominantly Inattentive Presentation:  symptoms of inattention, but not hyperactivity-impulsivity, are present for the past six months.  Most common in adults.
  3. Predominantly Hyperactive-Impulsive Presentation:  symptoms of hyperactivity-impulsivity, but not inattention, are present for the past six months.

Note symptoms can change, and thus the presentation may change over time.



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CoMorbidities

Bipolar Disorder

Dysthymia / Depression

Dysthymia / Depression

ADHD has a high prevalence of comorbidity with bipolar disorder. Rates of ADHD comorbidity in bipolar disorder have been estimated between 9% and 21%,  and more so with Bipolar I disorder.

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Dysthymia / Depression

Dysthymia / Depression

Dysthymia / Depression

 ADHD and dysthymia/depression occur frequently together, with studies reporting prevalence rates of depression in individuals with ADHD ranging from 18% to 53%.

Anxiety

Dysthymia / Depression

Substance Use Disorder

The risk for anxiety disorders is higher in individuals with ADHD with rates approaching 50%.  Comorbid ADHD is more common in individuals with a primary diagnosis of social phobia than panic disorder 

Substance Use Disorder

A Multi-dimensional Disease

Substance Use Disorder

Maybe the most common comorbid condition with ADHD is Substance Use Disorder or SUD, particularly using alcohol and/or nicotine, cannabis and cocaine. Substance abuse or dependency is approximately twice as common in individuals with ADHD. 

Personality Disorders

A Multi-dimensional Disease

A Multi-dimensional Disease

Though little is mentioned in the literature, personality disorders are present in more than 50% of adults with ADHD. 

A Multi-dimensional Disease

A Multi-dimensional Disease

A Multi-dimensional Disease

It is evident that successful treatment includes accurate assessment not only of ADHD, but also the possible comorbidities.   Treatment selection must be geared to improvement in  functional outcomes.  Functional outcomes include symptom reduction, but also extend to improved daily functioning and increased quality of life  

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adhd evaluation & Treatment

Telemedicine and Office Care

Telemedicine and Office Care

Telemedicine and Office Care

Care can be provided over the internet through Telemedicine online and over the phone, saving you time, hassles and money.  But we have offices throughout the San Francisco Bay Area and Southern California, where you are always welcome to come in.


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Initial Consultation

Telemedicine and Office Care

Telemedicine and Office Care

An Initial Consultation is provided by our Psychiatrist, who will be available by text or telephone between monthly visits.

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ADHD Medications

Telemedicine and Office Care

ADHD Medications

Medications such as stimulants are electronically sent directly to the pharmacy of your choice, or medications can be mailed to you directly from our partner pharmacy.


There are Non-stimulants available.  


Alternative treatments incude Ketamine Infusions for treating ADHD and its comorbidities.

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Counseling

Emotional Support Animal - ESA

ADHD Medications

Strategy, Support, Coaching and Counseling is available and provided by our counselors and doctors.

Emotional Support Animal - ESA

Emotional Support Animal - ESA

Emotional Support Animal - ESA

For an additional cost, we provide ESA letters for the home and travel.


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Pricing

Emotional Support Animal - ESA

Emotional Support Animal - ESA

We accept Medicare, and most insurances except HMO's.   


For Cash prices in 2023, the charges for:

  • Initial Consultation $ 320
  • Monthly follow up visits for prescriptions $ 160
  • Counseling and Coaching - dependent on provider
  • ESA letters $ 160


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Northern and Southern California Locations and Online at www.VitalOncall.com

Walnut Creek - Oakland -San Francisco -Pleasanton

Telephone & Fax (925) 388-9800

Open today

09:00 am – 05:00 pm

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Locations

Walnut Creek

San Francisco - Union square

San Francisco - Union square

710 S Broadway, Ste 212

Walnut Creek, CA  94596

(925) 388-9800

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San Francisco - Union square

San Francisco - Union square

San Francisco - Union square

490 Post Street 

Suite 450 

San Francisco, CA  94102 

(415) 651-7160

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pittsburg

San Francisco - Union square

pittsburg

180 E Leland Road

Suite A

Pittsburg,CA  94565 

(925) 665-0999

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pittsburg

Oakland At pill hill

pittsburg

180 E Leland Road

Suite A

Pittsburg,CA  94565 

(925) 665-0999

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castro valley

Oakland At pill hill

Oakland At pill hill

21030 Redwood Road

Castro Valley,CA  94546 

(510) 470-9989

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Oakland At pill hill

Oakland At pill hill

Oakland At pill hill

2929 Summit St, Suite 103

Oakland, CA  94609

(510) 340-9952

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Pleasanton

Pleasanton

Pleasanton

4439 Stoneridge Drive 

Ste  110A

Pleasanton, CA  94588

(925) 388-9800 

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Sacramento

Pleasanton

Pleasanton

6611 Folsom-Auburn Road

Suite F

Folsom, CA  95630

(916) 287-8411

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los angeles

los angeles

los angeles

 291 S La Cienega Blvd

Suite 108 

Beverly Hills, CA  90211 

(424) 457-0088

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san diego

los angeles

los angeles

9655 Granite Ridge Drive

Suite 200

San Diego, CA 92123

(858) 727-9500 

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Walnut Creek Office

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Walnut Creek Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.   

VITAL TOTAL HEALTH MEDICAL GROUP, Inc.

710 S Broadway, Suite 212, Walnut Creek, CA 94596

(925) 388-9800

Hours

Open today

09:00 am – 07:00 pm

San Francisco Office

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San Francisco Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.    

Vital Total Health Medical Group, Inc.

4200 18th Street, Suite 103, San Francisco, CA 94114

(415) 770-0855

Hours

Open today

09:00 am – 05:00 pm

Oakland Office

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Oakland Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.    

Vital Total Health Medical Group, Inc.

2929 Summit Street, Suite 103, Oakland, CA 94609

(510) 340-9952

Hours

Open today

09:00 am – 05:00 pm

Pleasanton Office

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Pleasanton Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.   

Vital Total Health Medical Group, Inc.

4439 Stoneridge Drive, Ste 110A, Pleasanton, California 94588

(925) 388-9800

Hours

Open today

09:00 am – 05:00 pm

Sacramento-Folsom Office

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Folsom Office

Call us for any questions, or to schedule an appointment.  We accept Medicare and most private insurances.   

Vital Total Health Medical Group, Inc.

6611 Folsom-Auburn Rd, Ste F, California 95630

(916) 287-8411

Hours

Open today

09:00 am – 05:00 pm


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