Mental Health Blog – Insights from a PMHNP in Oregon

Expert articles on psychiatric care, ADHD, medication management, telehealth, and wellness — helping you make informed choices for your mental health.

ADHD Abdo Mostafa ADHD Abdo Mostafa

ADHD and Menstrual Cycle: Why Symptoms Shift

For many women with ADHD, symptoms consistently peak in the days before their period, and medication often feels less effective during the same window. This post explains the estrogen-dopamine connection behind the ADHD and menstrual cycle pattern, why it differs from PMDD, and what current research says about managing it.

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Sleep Abdo Mostafa Sleep Abdo Mostafa

The Best Sleep Medication You've Never Considered: Doxepin

Most people searching for the best sleep medication reach for Benadryl or another OTC option without realizing these drugs carry cumulative anticholinergic risks linked to cognitive decline over time. Ultra-low-dose doxepin, FDA-approved at 3 mg and 6 mg, works through an entirely different mechanism and may be the best sleep medication option for adults concerned about those risks.

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ADHD Erik Lee, PMHNP-BC, ADHD-CCSP ADHD Erik Lee, PMHNP-BC, ADHD-CCSP

ADHD Management Without Medication: What Helps The Most

Wondering if you can manage ADHD without medication? While nothing matches the effectiveness of stimulant treatment, evidence shows that exercise, mindfulness, structured routines, and complementary supports like CBT, yoga, and even American ginseng can meaningfully improve focus and energy. Learn which strategies truly work—and how to build a comprehensive, sustainable plan for your ADHD care.

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ADHD Erik Lee, PMHNP-BC, ADHD-CCSP ADHD Erik Lee, PMHNP-BC, ADHD-CCSP

ADHD Treatment for Adults in Portland, Oregon

ADHD isn’t just a childhood condition. For adults in Portland and across Oregon, treatment can mean more than focus — it can improve safety, mental health, and stability. Learn what new research reveals and how Celium Healthcare can help.

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