And the patients that came in those Amen DC doors were already thinking deeply into the next box. Many of them had "already tried everything else - several times." That experience confirmed my expectations: the science works. Looking is always better than guessing, - and soon will become the standard of care.
Just take a look at the hundreds [now nearly 2000] of comments here and elsewhere that highlight the challenges with dialing in ADHD medications for effective treatment. No, I am not asserting it's all a mess - many do well and have no problems - but it is quite true that the challenges out there are not rare, but rather commonplace, - way too commonplace.
Impulsivity is, without doubt, the most frequent challenge in our daily lives - for mental health professionals, teachers, HR professionals, physicians, and anyone working with administrative challenges. Let's call it a problem instead of rationalizing the behavior-