We would like to acknowledge and extend our sincere appreciation to Dr. Janine Karpakis for her valuable contributions to the development of this coordinated ADHD program and for her ongoing commitment to this important work.
Dr. Karpakis is a local family physician with over 30 years of clinical experience and extensive expertise in the assessment and management of ADHD. She has completed postgraduate training in neurodevelopmental pediatric disorders, is CANREACH-certified, and is a member of the Canadian ADHD Resource Alliance. Her clinical focus includes ADHD care for children (ages 6 and up), adolescents, and adults.
We are all grateful to benefit from Dr. Karpakis’ broad experience. Her approach is grounded in compassionate, evidence-informed, and culturally sensitive care for neurodivergent individuals and their families. Dr. Karpakis’ involvement helps ensure that this coordinated ADHD program maintains a high standard of quality and service.
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Can you help me access a doctor? This coordinated program can support you in understanding your options and, where appropriate, facilitate referral to a licensed provider. All medical decisions remain independent. These sessions help with your preparation for next steps, including how to speak with a physician (if appropriate, this may also include sending you home with diagnostic forms to be completed for a doctor consultation).
Supportive • Ethical • Medically Appropriate • Continuity-Based
ADHD Support, Done the Right Way
Please note that this ADHD coordination service is available to all residents of Atlantic Canada. Any medical referrals, if required, are coordinated through the Provincial Health Care System. These coordinated coaching sessions are private-pay services and consist of one intake session followed by 3 follow-up sessions. Please take the time to carefully read all program information and disclaimers before proceeding.
If you or your child may be struggling with ADHD, it can be hard to know where to begin.
This coordinated program offers a more thoughtful pathway — starting with supportive intake and coaching, and helping guide appropriate next steps when medical assessment may be needed. With a Clear Referral Pathway to Physician Care and a Medical ADHD assessment that occurs within the provincial healthcare system. The program provides a more structured and supportive pathway. One that is supported by licensed PEI doctors with extensive experience in ADHD. Where physician assessment is appropriate, that medical care occurs within the provincial healthcare system. This is one of the most important differences in this model.
Referral Pathways
When appropriate, this program may support referral to licensed physicians for independent medical assessment (if appropriate, this may also include sending you home with diagnostic forms to be completed for a doctor consultation).
Some physicians practicing within the provincial healthcare system, may accept referrals from a variety of sources, including this service. Referral is not guaranteed, and all referrals are considered and managed independently by the receiving physician in accordance with their own clinical judgment and office processes. All medical assessment and treatment decisions are made independently by the physician. Physicians are not compensated for receiving referrals, and any referrals from our service are handled in accordance with the physician’s usual intake and referral practices within their medical office.
It helps ensure the physician component of care is handled in a way that is:
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legally appropriate
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ethically sound
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clinically responsible
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aligned with professional standards
Why this coordinated program is different?
Before choosing any ADHD service, it is worth asking a few important questions.
A more responsible & compliant pathway for ADHD support
- Supportive First Step
- Structured intake and ADHD-focused coaching
- Clear Referral Pathway
- Support toward appropriate physician assessment when indicated
- Public-System Physician Care
- Medical ADHD assessment occurs within the provincial healthcare system
- Ongoing Care Matters
- Appropriate physician follow-up is part of the model
Looking for ADHD help can feel overwhelming
Whether you are a parent seeking answers for your child or an adult wondering whether ADHD may be affecting daily life, it is understandable to want clarity.
There are many online services offering ADHD-related care, but not all care models are built the same way.
We believe people deserve a pathway that is:
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supportive
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medically appropriate
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ethically structured
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designed for real follow-up and continuity
A pathway that is not built around rushed assessments or quick answers without a plan.
Instead, this coordinated program help individuals and families begin in a way that feels clear, responsible, and supported.
What good ADHD care should include..
Before choosing any ADHD service, it is worth asking a few important questions.
Will there be proper ongoing care?
ADHD care does not usually begin and end with one appointment. A proper medical pathway may involve follow-up, ongoing symptom review, medication discussions, reassessment over time, and support planning for school, work, or daily life.
If a physician is involved in ADHD assessment or treatment, there should be a clear plan for who provides ongoing care. A helpful question to ask:
"If ADHD is diagnosed, who will actually provide the follow-up care?"
Is medication being handled responsibly?
Some medications used in ADHD treatment are restricted / controlled medications, which means prescribing them comes with important medical responsibilities.
These medications may require careful assessment, safety screening, follow-up, and ongoing monitoring.
ADHD medication should never be treated like a quick online transaction.
Are the limitations of virtual care being taken seriously?
Virtual care can be very helpful and improve access for many people.
At the same time, not every person or situation is best served entirely online.
A trustworthy ADHD pathway should be honest about both the benefits and the limitations of virtual care.
Is the medical side of care happening in the right setting?
ADHD assessment and physician-based medical management are important parts of healthcare. In Prince Edward Island, this type of physician care is generally understood to belong within the public healthcare system, rather than being approached as a private-pay shortcut.
That distinction matters. People seeking help deserve care that is ethical, appropriate, and structured for continuity.
Why this coordinated program is different
The model was designed around a simple principle:
People deserve support first, proper medical care when appropriate, and continuity throughout.
- This is not a “quick diagnosis” service.
- This is not a prescription shortcut.
- We do not believe ADHD care should begin and end with a rushed virtual encounter.
- Instead, this program provides a more structured and supportive pathway. One that is supported by licenses PEI doctors with extensive experience in ADHD.
Your Process
1. The program begins with a single intake session, followed by three structured coaching modules:
• ADHD Module 2: Understanding ADHD-related patterns
• ADHD Module 3: Building practical strategies and tools
• ADHD Module 4: Supporting implementation and habit development2.
If appropriate, preparation for an independant medical diagnostic referral can begin as early as Module 2.
3. At the start of each module, you have the option to select a new coach (subject to their current certification level and availability).
4. If an assessment is required, you will be assigned an Anchor Coach. You may choose to continue working with this coach for future sessions, education, or ongoing support.
ADHD Support Pathway
Step 1 — Start with supportive intake and coaching
Begin with structured intake and ADHD-focused supportive coaching.
This helps create space to:
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understand symptoms and concerns
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explore day-to-day challenges
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identify whether ADHD may be part of the picture
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clarify readiness for further assessment
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support practical next steps
For many people, simply having a knowledgeable and supportive place to start makes the process feel far more manageable.
Step 3 — Physician ADHD assessment occurs within the provincial healthcare system
Where physician assessment is appropriate, that medical care occurs within the provincial healthcare system.
This is one of the most important differences in this model.
It helps ensure the physician component of care is handled in a way that is:
-
legally appropriate
-
ethically sound
-
clinically responsible
-
aligned with professional standards
Step 4 — Appropriate ongoing physician care is part of this pathway
If ADHD is diagnosed and ongoing medical care is needed, appropriate physician follow-up is part of the care pathway.
That may include treatment planning, medication review where appropriate, monitoring over time, and continuity of care beyond the initial assessment.
Because good ADHD care should not leave people unsupported after the first important step.
Step 2 — Referral support when medical assessment may be appropriate
If, through the intake and coaching process, a formal medical ADHD assessment appears appropriate, your coach can help support referral into ADHD-experienced physicians for an independent medical assessment.
A diagnosis should be made independently by the physician based on proper medical judgment — not pre-decided or rushed.