09/06/2026
Jubilee Wellness Collective is updating our approach to ADHD stimulant treatment.
As our practice continues to grow and as we continue our education and review of current evidence-based practices, we are moving away from requiring a urine drug screen (UDS) before initiating stimulant medication for ADHD.
There is not strong evidence that requiring a UDS prior to starting stimulant treatment improves medication adherence or necessarily results in better clinical outcomes. We also recognize that urine drug screening can carry a significant stigma for patients and can sometimes create an unnecessary barrier to establishing a therapeutic relationship.
This does NOT mean that urine drug screening will never be used at Jubilee Wellness Collective. There are clinical situations where a UDS may be appropriate and medically indicated, and those decisions will continue to be made on an individual basis.
Most importantly, stimulant treatment will never be based solely on a patient's request for medication.
Before starting stimulant medication, we will complete an appropriate clinical evaluation and establish an ADHD diagnosis based on clinical history, symptoms, functional impairment, and diagnostic criteria.
We will also consider other conditions that can cause or worsen symptoms that may look like ADHD, including:
• Thyroid dysfunction
• Iron deficiency or anemia
• Perimenopause or other hormonal changes
• Anxiety
• PTSD and trauma-related symptoms
• Depression
• Sleep disorders
• Medication or substance effects
• Other medical or psychiatric conditions
Our goal is to provide thoughtful, individualized care—not a one-size-fits-all approach.
At Jubilee Wellness Collective, we believe good psychiatric care means looking at the whole person, understanding the reasons behind their symptoms, and using appropriate monitoring and treatment based on clinical need.
As our practice evolves, so will our policies—and our commitment to providing compassionate, evidence-informed care.