In this episode, we take a step back from the rush to diagnose and explore why so many adults are reporting attention difficulties today — and how primary care providers can begin to thoughtfully assess for ADHD. We unpack sociocultural forces shaping the rise in self-diagnosis, discuss the limitations of adult-onset ADHD as a clinical entity, and offer a practical entry point for evaluating attentional complaints using tools like the ASRS and WURS. If you’ve been feeling unsure about how to approach adult ADHD in a busy primary care setting, this episode offers a clear and manageable starting point.

For access to the Show Notes as well as the downloadable clinical references and patients handouts associated with this episode, visit the Episode Page. There, if you sign up for a free membership, you'll find:

• Links to the ASRS and WURS screeners
• A quick-reference reviewing the key points on evaluating ADHD in aduls
• A table reviewing the differential for chief complaints of inattention
• A patient handout on "Why you might feel distracted" that helps patient understand other factors involved in their (in)attention
• A patient handout on "How to improve focus without medications" that works for those with and without ADHD

For a deep dive on managing antidepressants and treating depression in primary care, check out our Audio Course Managing Depression in Primary Care.

By the end of this episode, you'll be able to:

1. Recognize the sociocultural and environmental trends contributing to increased self-reported attentional difficulties in adults.
2. Describe key clinical considerations that may suggest a diagnosis of ADHD versus other contributing factors
3. Outline a basic approach for initiating an ADHD assessment in primary care, including the use of the ASRS and WURS screening tools

SSRIs are among the most widely prescribed medications in primary care, but side effects are one of the top reasons patients stop taking them. Nausea, fatigue, weight gain, and sexual dysfunction can derail treatment before it even has a chance to work. In this episode, we decode the four most common SSRI/SNRI side effect domains and give you a clear, practical framework for managing each one. Learn how to set expectations early, adjust timing, and use targeted strategies to help your patients stay on track and feel better faster. If you’ve ever found yourself guessing how to manage SSRI side effects, this episode gives you the confidence to handle them head-on.

For access to the Show Notes as well as the downloadable clinical references and patients handouts associated with this episode, visit the Episode Page. There, if you sign up for a free membership, you'll find:

• A clinical reference sheet on managing SSRI-related side effects, for quick recall of the topics discussed in this episodes
• An SSRI comparison table comparing the various antidepressant and their clinical + side effects
• An SSRI counseling phrase sheet to help you discuss these issues with patients
• A patient handout on What to Expect When Starting an SSRI
• A patient handout on Sexual Side Effects from SSRIs

For more comprehensive guidance on managing antidepressants and treating depression in primary care, check out our Audio Course on Managing Depression in Primary Care.

By the end of this episode, you'll be able to:

1. Recognize the most common early-onset side effects of SSRIs (e.g., GI upset and headaches) and apply evidence-based strategies to counsel patients and manage these symptoms.
2. Differentiate between more activating and more sedating SSRIs, and implement p ractical dosing schedule adjustments to mitigate energy-related side effects.
3. Identify pharmacologic interventions for SSRI-induced sexual dysfunction and weight gain, including when to switch medications versus when to consider adjunctive treatments (e.g., bupropion, buspirone, PDE-5 inhibitors).