A Little Note, PLLC

A Little Note, PLLC ADHD shows up in different ways and changes as your child grows. A Little Note grows with them. 🌱

08/31/2026

ADHD in girls can be complicated.

It presents differently and is more likely to be hidden behind good grades, people-pleasing, perfectionism, big emotions, or just trying really hard to keep it all together. These are things that can be hard to recognize from the outside. And it’s part of the reason why ADHD in girls has been missed for so long.

As research shifts to cover these gaps, many clinicians, educators, and families are still unaware of key differences in how ADHD presents in girls. That’s where A Little Note comes in.

I designed the Unmasked program to help you better understand ADHD in girls and more specifically, how ADHD presents in your daughter, with the goal of protecting her self-esteem and improving long-term outcomes, while helping you feel more confident in how to support, understand, and advocate for her.

🗓️We start in just 2 weeks, and there are still spots available. Cohorts are intentionally kept small to foster connection and active participation.

Learn more, sign up, or join the waitlist through the link in bio.🔗

School is back, routines are shifting, and I know your family’s calendar is already full!That’s why A Little Note offers...
08/25/2026

School is back, routines are shifting, and I know your family’s calendar is already full!

That’s why A Little Note offers afternoon, evening, and weekend appointments every week.

Because getting the care your child needs shouldn’t mean:
→ Taking time off work
→ Pulling your child out of school
→ Rearranging your entire day

My goal is to make ADHD care fit into your family’s life…not add more stress to it.

If you don’t see a time that works for your family, just reach out. I’ll do my best to find a time that does.

Virtual pediatric ADHD care in North Carolina |
Meeting your family wherever you are on your ADHD journey



08/24/2026

Research has shown that girls develop compensatory mechanisms more often than boys, which include things like masking their symptoms, overcompensating, and internalizing their struggle  → which may lead to anxiety, depression, perfectionism, people pleasing, and low self-esteem. 

So watch for the struggle, for the pretty systems that fall apart, for the girl that’s exhausted and overwhelmed in the evenings…


And I had to grab a few “supplies” for myself when we went back to school shopping…old habits die hard I guess…or maybe there’s always that hope with ADHD…that this will be the year life stops being so hard, and we can just…function.

Anyway, I’m pretty sure this new notebook I got is the key to it all

If you know me at all, you know I couldn’t start a business without including a book club🤓📚 …and this one is for parents...
08/21/2026

If you know me at all, you know I couldn’t start a business without including a book club🤓📚 …and this one is for parents of kids with ADHD.

Parenting feels harder than ever because of the constant stream of information, advice, and opinions coming at us from every direction. A 2023 study found that this overload can contribute to increased searching online, while decreasing confidence in parenting, and making it harder for parents to make informed decisions. 

As an experienced pediatric nurse practitioner specializing in pediatric ADHD, with a doctorate focused on translating the latest evidence-based research into practice, I thoughtfully select each book for its relevance, content, and ability to offer meaningful insight to families.

Notes Between Chapters is a place to trust in quality over quantity, and to navigate this journey alongside other parents in a professionally facilitated space.

This is a community where you’re safe to ask the hard questions, share perspectives, and connect what you’re reading to real life.

I’ll announce the book for September on Monday!🤗

Want to get a head start? Comment “What are we reading?” below and I’ll send you the link early.👀📖

08/19/2026

Stimulants are a highly effective, first-line treatment for ADHD in children ages 6 years and up. There are decades of rigorous research demonstrating their safety.

Are there risks? Sure. No medication is without them. That’s why a comprehensive evaluation, individualized treatment plan, and thorough discussion with your health care provider are so important.

But my goal with this post is to help you recognize some of the potential benefits that aren’t as readily discussed.

Because when I talk with families about ADHD, I want them to understand that, in my clinical experience, I have seen the impacts of untreated ADHD far more often than I have seen a significant adverse effect from a stimulant.

What questions do you have about ADHD medications? Drop them below and I may address in a future post👇

If you’re in North Carolina, I’d love to discuss this or other concerns with you in more depth. Book your free consultation today —> link in bio. 🔗

⚠️Disclaimer: This content is for educational and informational purposes only. It is not intended as medical advice, a medical recommendation, diagnosis, or treatment suggestion. It is not intended to replace consultations or conversations with your health care provider.

Running in the morning is often recommended to take advantage of the focus and motivation that dopamine and norepinephri...
08/14/2026

Running in the morning is often recommended to take advantage of the focus and motivation that dopamine and norepinephrine bring …but since the benefits may only last around 90 minutes…I prefer to use it to turn my brain OFF and transition to a calmer state in the evening.

📌This can also make any aerobic exercise a handy tool to help with afternoon homework!

What activities does your child enjoy?

Address

964 High House Road Unit #4619
Cary, NC
27513

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