My treatment approach to ADHD includes:

Psycho-education - Understanding how ADHD causes the impact that it does and how one’s struggles are related to ADHD 

Skills Building – Working collaboratively with the client to develop and implement specific strategies to compensate for areas of difficulty 

Psychotherapy – Addressing issues that often accompany ADHD such as low self esteem, relationship issues, anxiety and depression

Family Support – Helping family members better understand ADHD and how they can best be supportive

Medication Referral

Attention Deficit Hyperactivity Disorder (ADHD)

  • Do you have difficulty with organization?
  • Do you often lose items necessary for tasks or activities?
  • Are you easily distracted?
  • Do you find it difficult to focus on boring activities?
  • Is it hard for you to stop doing activities that are extremely interesting?
  • Do you find it difficult to follow through on completion of chores or tasks?
  • Is time management hard for you and is it hard for you to plan ahead?
  • Do you have difficulty getting to places on time?
  • Do you often feel fidgety or restless?
  • Do you have difficulty with anger?
  • Do you find yourself reacting before thinking?
  • Do you feel the need to interrupt others?
  • Do you find yourself starting many different activities, but having difficulty completing them?
  • Have others told you they think you’re not listening to them?
  • Is it often hard for you to become motivated?
  • Do you feel as though you’ve underachieved in life despite a lot of hard work and effort?
  • Have some of the above difficulties created problems in interpersonal relationships?

Brian Douville, LCSW, SEP

Licensed Clinical Social Worker, Virginia

Phone: 703.550.4048


For more information, call Brian Douville, LCSW, SEP at 703.550.4048 or email at

If you answered yes to some of the above questions, you may have Attention Deficit Hyperactivity Disorder.

Attention Deficit Hyperactivity Disorder (ADHD), also known as Attention Deficit Disorder (ADD), once thought of as a childhood disorder, is now known to affect millions of adults as well. Although most commonly associated with hyperactivity, the real impact of ADHD is much greater. In order to appreciate this impact, it is important to understand what happens differently in the ADHD brain.

In the non-ADHD brain there is a mechanism that allows one to pause before responding to a given situation. When faced with a problem or task, this pause allows for thinking about different options, evaluating them, choosing the most effective option and then responding. In the ADHD brain, this capacity for pausing before reacting is greatly reduced. This often leads to difficulty with planning ahead, time management problems, organizational difficulties, problems with keeping emotions private (particularly in situations where it would be advantageous to do so), difficulties with anger management, interpersonal problems, blurting out ones thoughts and interrupting others.

Another way to understand ADHD is to think of it as a stimulation deficiency syndrome. The ADHD brain is constantly searching for more stimulation, which leads to distractibility and hyper-focusing on things that are enjoyable (video games, TV), while having difficulty staying focused on tasks that are less interesting (homework, chores). People with ADHD may have problems paying attention in conversation and may suffer from motivational impairment.

I have attended trainings and workshops with numerous leaders in the field of ADHD research and treatment including Edward Hallowell, MD, Russell Barkley, PhD, Kathleen Nadeau, PhD, Arthur Robin, PhD, Kevin Murphy, PhD, Barbara Ingersoll, PhD, J. Russell Ramsey, PhD and Anthony Rostain, MD.

The Stone House

Psychotherapy and Psychiatry