E266 - ADHD Treatment in the Real World: Prescribing Trends and Patient Outcomes with Dr. Ryan Sultán

E266 - ADHD Treatment in the Real World: Prescribing Trends and Patient Outcomes with Dr. Ryan Sultán

Author: Neuroscience Education Institute October 22, 2025 Duration: 52:03

In this episode, Dr. Andy Cutler talks with Dr. Ryan Sultán about the evolving landscape of ADHD—why diagnoses and prescriptions have risen across age groups, what recent prescribing data reveal, and how these trends align with real-world clinical experience. They explore how ADHD medications affect not just symptoms but broader outcomes like school, work, and safety, while also addressing concerns about overdiagnosis, misuse, and disparities in access to care.  

Dr. Ryan Sultan is a board-certified adult and child psychiatrist specializing in attention-deficit/hyperactivity disorder (ADHD)and assistant professor at Columbia University Irving Medical Center and the New York State Psychiatric Institute. He is the Medical Director of NYC-based Integrative Psychiatry, where he assesses and treats patients using a combination of psychological, social, environmental, and pharmacological modalities. Integrative Psychiatry also provides ADHD treatment in Miami. As an ADHD psychiatrist, he conducts extensive ADHD research with a focus on using big data to improve ADHD treatment in real world settings, advocating for non-pharmacological interventions such as cognitive behavioral therapy (CBT) for ADHD, coaching, and digital tools as a foundational treatment that precedes or supplements medication. He approaches ADHD treatment with a nuanced understanding of the current misuse and overdiagnosis crisis, and addresses this issue through careful assessment and monitoring.  

Andrew J. Cutler, MD, is a distinguished psychiatrist and researcher with extensive experience in clinical trials and psychopharmacology. He currently serves as the Chief Medical Officer of Neuroscience Education Institute and holds the position of Clinical Associate Professor of Psychiatry at SUNY Upstate Medical University in Syracuse, New York. 

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The NEI Podcast, from the Neuroscience Education Institute, moves beyond standard medical lectures to explore the nuanced realities of psychiatric practice. This series connects directly with the clinicians and researchers shaping modern thought, offering detailed conversations on psychopharmacology, emerging therapies, and the complex nature of neuropsychiatric diseases. You'll hear experts break down current challenges, from diagnosis to treatment strategies, in a format designed for deep understanding. It’s a resource built for those who care for the mind, providing continuing education that feels less like a requirement and more like a vital dialogue. The discussions naturally evolve from the latest evidence and clinical experience, ensuring each episode addresses the practical questions faced in daily practice. Tune in for a thoughtful examination of mental health science, where learning is woven into every conversation. This podcast serves as an ongoing forum for anyone dedicated to advancing their knowledge in psychiatry and neurology, emphasizing the critical connection between education and improved patient outcomes. The Neuroscience Education Institute grounds each session in its mission to elevate the standard of care through imaginative, high-level learning.
Author: Language: English Episodes: 100

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