EXPERT
Dr. Jacob M. Behrens, M.D.
Psychiatrist
ABOUT
At Envision ADHD, we strive to create a more accessible, understanding, and specialized care model for the professional with ADHD
We understand how untreated ADHD may impair the lives of high functioning adults
We understand how commuting to clinic visits and managing monthly paper prescriptions does not fit the demanding lifestyles of working professionals
We understand how adults with ADHD have unique treatment needs, and strive to evolve with emerging technologies and research to best tailor the clinical experience
Our medical director, Dr. Behrens, specializes in a psychiatric approach that combines an understanding of the unique needs of working professionals with an expertise in ADHD-specific treatments.
Dr. Behrens is a board-certified psychiatrist and fellow of the American Psychiatric Association. He completed his psychiatric residency at the University of Wisconsin where he served as a Chief Resident. He obtained his medical degree from the University of Wisconsin School of Medicine and Public Health and his Bachelor’s of Science degree in Genetics from the University of Wisconsin-Madison.
16 years
Experience
Dr. Jacob M. Behrens, M.D.
- Milwaukee, WI
- University of Wisconsin School of Medicine and Public Health
- Accepting new patients
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What are the long-term effects of Ritalin on children?
I can certainly appreciate having concerns and wanting to to the best for your son. It is a difficult question to answer definitively given the research but there is nothing READ MORE
I can certainly appreciate having concerns and wanting to to the best for your son. It is a difficult question to answer definitively given the research but there is nothing to my knowledge to show negative results on brain development. I’ve linked a couple more recent larger studies in the journal of the American medical association studying longer term use on major cardiac events in adolescents and adults (surprisingly not showing increased risk which was expected).
Something that is so often talked about but which the literature does show is the potential and studied risk of untreated ADHD on things such as car accidents, crime, substance abuse, obesity, comirbid psychiatric conditions, loss of work productivity, earnings, promotions.
In the end, there are risks and benefits to all modalities but also risks of not treating in these cases. In the end, I find that it comes down to the individual functioning of the individual moving forward and can always look at options when feeling ready.
A book with some non med options and also a look at stimulants (although not fully showcasing the far larger effect size and research of stimulants) is “finally focused” by Greenblat. In children when brains may still be developing and waiting to see how executives function may improve, it may be reasonable to first work with some of the steps in the book and then having medication as an option in the future when he is able to verbalize having a problem and wanting help and when the most common side affect (lower appetite) is less concerning.
Links to the cardiac, car accident studies and to the book for reference hopefully linked below
Wishing you the best.
Dr Behrens
https://jamanetwork.com/journals/jama/fullarticle/1104778
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1814941
https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwj2stLNt9ziAhUCu-wKHfpLDA4YABAEGgJwag&ohost=www.google.com&cid=CAESQOD2ArgN0KRlKxj-17rAE5Zi6zZHMZizI8OAlluFA5TRF219byHtOFYYlalRcHDdnRjOsSfAPd5_-i4xTLzefj0&sig=AOD64_0Aaj_wBoDar3gryzkW0Mg4m3MOrA&q&adurl&ved=2ahUKEwjVlMnNt9ziAhVLKawKHYUbCuMQ0Qx6BAgOEAE&bg=!gIOlg5tE3uvYyY4xK0cCAAAAMlIAAAADCgBL_SpcvEUAisYyzTRijRw0uRo8DHUJBJQTxPJP6GCN7c-dT4FEnAwwpdCUBVYOw5drJkTw6Y0nOFkctFh4vFPguRucQYc4cIle-cJRmQDeNn5o2HEuBd00SbpCDJtQn15yQCZdm4oPHyXnKSwCNU8w2ZiY4z7GkU0TZUEKo8n6ZXBiKC3UiYTPerIT5A5y2kamJQpDSNAqoEO_tlmUtI6ULN751xtcBO4f9YdhqkbwYcMLL74T4ZYwb5WZDzmS1Xmneip9eFeG12jfREhmTYaJQL3N4IV4mIG7lix0VL7uz56kUFuIt3z1x47VvDlg0608J8BY0gHUeZk5VtpGvHtGrW4hvq35XkbEoZNynCg6ZTmDpj0GZw3KPieiiVNiXPUnoq2MytYKHzT-xAgW
Something that is so often talked about but which the literature does show is the potential and studied risk of untreated ADHD on things such as car accidents, crime, substance abuse, obesity, comirbid psychiatric conditions, loss of work productivity, earnings, promotions.
In the end, there are risks and benefits to all modalities but also risks of not treating in these cases. In the end, I find that it comes down to the individual functioning of the individual moving forward and can always look at options when feeling ready.
A book with some non med options and also a look at stimulants (although not fully showcasing the far larger effect size and research of stimulants) is “finally focused” by Greenblat. In children when brains may still be developing and waiting to see how executives function may improve, it may be reasonable to first work with some of the steps in the book and then having medication as an option in the future when he is able to verbalize having a problem and wanting help and when the most common side affect (lower appetite) is less concerning.
Links to the cardiac, car accident studies and to the book for reference hopefully linked below
Wishing you the best.
Dr Behrens
https://jamanetwork.com/journals/jama/fullarticle/1104778
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/1814941
https://www.googleadservices.com/pagead/aclk?sa=L&ai=DChcSEwj2stLNt9ziAhUCu-wKHfpLDA4YABAEGgJwag&ohost=www.google.com&cid=CAESQOD2ArgN0KRlKxj-17rAE5Zi6zZHMZizI8OAlluFA5TRF219byHtOFYYlalRcHDdnRjOsSfAPd5_-i4xTLzefj0&sig=AOD64_0Aaj_wBoDar3gryzkW0Mg4m3MOrA&q&adurl&ved=2ahUKEwjVlMnNt9ziAhVLKawKHYUbCuMQ0Qx6BAgOEAE&bg=!gIOlg5tE3uvYyY4xK0cCAAAAMlIAAAADCgBL_SpcvEUAisYyzTRijRw0uRo8DHUJBJQTxPJP6GCN7c-dT4FEnAwwpdCUBVYOw5drJkTw6Y0nOFkctFh4vFPguRucQYc4cIle-cJRmQDeNn5o2HEuBd00SbpCDJtQn15yQCZdm4oPHyXnKSwCNU8w2ZiY4z7GkU0TZUEKo8n6ZXBiKC3UiYTPerIT5A5y2kamJQpDSNAqoEO_tlmUtI6ULN751xtcBO4f9YdhqkbwYcMLL74T4ZYwb5WZDzmS1Xmneip9eFeG12jfREhmTYaJQL3N4IV4mIG7lix0VL7uz56kUFuIt3z1x47VvDlg0608J8BY0gHUeZk5VtpGvHtGrW4hvq35XkbEoZNynCg6ZTmDpj0GZw3KPieiiVNiXPUnoq2MytYKHzT-xAgW