adhd meds chapel hill adhd treatment durham adhd therapy raleigh

KETAMINE THERAPY, PSYCHOTHERAPY & MEDICATION MANAGEMENT FOR TEENS AND ADULTS IN RALEIGH / DURHAM / CHAPEL HILL, NC

EXPERIENCE CLARITY AND FOCUS living with ADHD

Your brain works beautifully — just differently.

Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC
Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC
Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC

ADHD: More Than Just “Can’t Sit Still”

Have you been suffering with any of the following symptoms of ADHD?

  • Difficulty focusing on tasks that don't capture your interest, but hyperfocusing intensely on things that do

  • Feeling restless, fidgety, or like you have a motor running inside you

  • Struggling with time management, organization, or remembering important details

  • Having brilliant ideas and insights, but difficulty following through on projects

  • Feeling overwhelmed by daily tasks that seem simple for others

ADHD affects people differently:

  • Some are primarily hyperactive and impulsive, always moving and speaking before thinking

  • Others are primarily inattentive, appearing dreamy or distracted but not disruptive

  • Many experience both hyperactivity and inattention in varying combinations

  • Some hyperfocus intensely on interests while struggling with everything else

  • Others have excellent focus but struggle with emotional regulation and impulsivity

YOU’RE NOT ALONE.
You’re doing your best & your brain works differently.

You need different strategies — there’s a better way forward.

ADHD

Understanding ADHD

ADHD is often misunderstood as simply being hyperactive or unable to pay attention. In reality, it's about having a brain that processes information, manages attention, and regulates energy differently. Your brain isn't broken—it's wired in a way that can be both challenging and remarkably creative.

ADHD isn't about being lazy, unfocused, or lacking intelligence. It's about having a brain that thrives with the right structure and struggles without it.

When Your Brain Has Its Own Agenda

Living with ADHD can feel like your brain has a mind of its own. You might sit down to work on something important, only to find yourself deep in research about something completely unrelated three hours later. Or you might feel motivated to tackle a project, but get overwhelmed by all the steps involved and end up doing nothing.

Your attention doesn't always go where you want it to go. Sometimes it scatters across multiple things at once, and other times it locks onto something so intensely that you lose track of time, forget to eat, or miss important appointments.

This isn't lack of willpower or poor character—it's how ADHD brains naturally regulate attention and interest.

ADHD

The Exhaustion of Constant Mental Effort

What many people don't realize about ADHD is how much mental energy it takes to function in a world designed for neurotypical brains. Simple tasks like organizing your schedule, remembering appointments, or staying focused during meetings can require enormous effort.

You might find yourself:

  • Feeling mentally exhausted even when you haven't accomplished much

  • Using elaborate systems to stay organized, only to abandon them when they become overwhelming

  • Feeling like you're working twice as hard as others to achieve the same results

  • Experiencing intense frustration when your brain won't cooperate with your intentions

This mental fatigue is real and valid. You're not lazy—you're working incredibly hard to navigate daily life with a brain that needs different kinds of support.

There are gifts that come with ADHD.

The Gifts That Come With ADHD

While ADHD creates real challenges, it also often comes with incredible strengths. Many people with ADHD are highly creative, innovative problem-solvers who think outside the box. You might be exceptionally good at seeing connections others miss, generating original ideas, or thinking quickly in crisis situations.

ADHD brains are often:

  • Highly creative and imaginative

  • Excellent at thinking on their feet

  • Passionate and enthusiastic about interests

  • Able to see the big picture when others get lost in details

  • Naturally empathetic and intuitive

The goal isn't to eliminate what makes your brain unique, but to develop strategies that help you manage the challenges while celebrating your strengths.

Perhaps the most important thing to understand about ADHD is that you're not broken or defective. You have a brain that works differently, and with the right understanding, strategies, and support, you can thrive.

Many of the struggles you experience aren't personal failings—they're predictable challenges that come with having an ADHD brain trying to function in systems designed for neurotypical minds.

ADHD is part of who you are, but it doesn't define your potential or worth. With the right support, you can learn to work with your brain rather than against it.

You deserve to feel successful, capable, and proud of the unique way your mind works.

How We Help

Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC

Ketamine-Assisted Therapy

Ketamine therapy for ADHD is usually recommended with another co-occurring condition, such as anxiety. Ketamine offers rapid relief by helping your brain form new neural connections. Many clients describe feeling like they can "breathe again" or access parts of themselves that were unreachable—often within days rather than months. This isn't about eliminating difficult emotions; it's about reclaiming your capacity to feel, connect, and engage with life.

Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC

Traditional Therapy

Sometimes the gentle, steady work of talk therapy is exactly what you need to get relief & real solutions for ADHD. We offer evidence-based approaches in a warm, supportive environment where you can explore patterns, build coping skills, and create lasting change at your own pace.

Medication Management

When thoughtfully chosen and carefully monitored, medication for ADHD is the gold standard and can be one of the most powerful tools for coping. We take time to understand your unique experience and work collaboratively to find what supports your wellness goals.

Ketamine Therapy, Medication Management, and Psychotherapy in Chapel Hill, NC & Durham, NC

You can learn to thrive with ADHD, turning what feels like a challenge into a source of creativity, innovation, and authentic self-expression.

You Might Benefit From Our Approach If:

  • You struggle with focus, organization, or time management despite your best efforts

  • Simple tasks feel overwhelming while complex, interesting projects capture your complete attention

  • You feel mentally exhausted from trying to function in systems that don't fit your brain

  • Emotional reactions feel intense and difficult to manage

  • You've been told you're "too much" or need to "try harder" but traditional strategies don't work

  • You suspect you have ADHD but have never been properly evaluated

  • You're ready for care that celebrates your strengths while addressing real challenges

What Healing Can Look Like

ADHD doesn't have to be a constant struggle. With the right support, you can:

  • Develop systems and strategies that actually work with your brain

  • Feel more organized and in control of your daily life

  • Use your natural creativity and innovation as strengths

  • Manage emotions and reactions in ways that feel authentic to you

  • Find work and relationships that appreciate how your mind works

  • Feel proud of your accomplishments rather than constantly behind

  • Experience the joy and energy that comes naturally to ADHD brains

  • Build confidence in your abilities and trust in your unique perspective

Dr. Sarah S. Tatko, DMSc, PA-C

About Canto Integrative Psychiatry’s Owner & your Provider

Welcome, I’m Sarah.

Welcome to Canto Integrative Psychiatry. If you've found your way here, you're likely looking for something different—mental health care that feels genuine, accessible, and deeply supportive. I’ve created this practice because I believe healing happens best in spaces that feel safe, warm, and authentically human.

Whether you're struggling with depression, anxiety, relationship challenges, or simply feeling stuck in patterns that no longer serve you, we're here to walk alongside you. Our approach combines evidence-based treatments like ketamine-assisted psychotherapy with the kind of compassionate, individualized care that honors your unique story and goals. You won't get lost in phone trees or feel rushed through appointments—instead, you'll find providers who respond promptly, take time to truly understand your experience, and surround you with the area's most trusted professionals when additional support is needed..

Get to know me better

MEET THE TEAM