Understand the person & their goals
Look at ADHD, daily functioning, health, and the conditions that may be contributing to difficulties.
A FOUNDATION FOR BETTER FUNCTION
ADHD treatment that goes beyond the prescription.
Specialized ADHD care with UCLA-trained psychiatrist Thomas Beck MD. A thorough evaluation, a clear treatment plan, and ongoing support shaped around your health, your goals, and everyday life.
For adults, children, and adolescents. In person in Spokane and Bellevue, or by telehealth across Washington and Idaho.
A BROADER CLINICAL LENS
ADHD rarely exists
in isolation.
Attention is only part of the picture.
Sleep, physical health, stress, emotional regulation, and daily demands can all influence how a person functions. Understanding that context is part of understanding the patient.
Medication can be an important part of ADHD treatment. But medication works within a biological and psychological system. We want that system working as well as possible.
THE WINSTON APPROACH
A stronger foundation.
A more thoughtful plan.
A thorough evaluation first.
Then care that evolves with you.
Strengthen the
foundation
Consider sleep, nutrition, movement, stress regulation, and relevant medical concerns.
Optimize
treatment
Use medication thoughtfully when appropriate, with attention to response, tolerability, and the whole clinical picture.
Build sustainable
function
Support emotional regulation, habits, executive functioning, and progress in everyday life.
CARE FOR YOUR STAGE OF LIFE
Different lives.
The same depth of care.
What stays the same
Every evaluation is two appointments with Dr. Beck, with the same close look at sleep, physical health, stress, and daily function.
In person in Spokane and Bellevue, or by telehealth across Washington and Idaho.
ADULT ADHD
When getting through the day takes more than it should.
Work, relationships, and everyday responsibilities can place very different demands on attention. We look beyond a symptom checklist to understand where you are struggling, what is helping, and what needs to change.
- A comprehensive evaluation with Dr. Beck
- Treatment considered in the context of your health
- Goals grounded in your day-to-day life
A CLEAR PATH INTO CARE
The Evaluation
Start with a thorough evaluation.
Together, we shape the care that follows.
YOUR STARTING POINTTwo appointments.
Two appointments.
A deeper understanding.
$1,800 · Includes both appointments
Private pay. Winston is out of network with all insurance plans. We provide a superbill for your evaluation visits. Many of our clients with out-of-network benefits recover a meaningful portion of their clinical visit costs.
- Visit 1 75 to 90 minutes
- Full history, symptoms, daily functioning, and what you want to change. Lab work ordered where it will clarify the picture.
- Visit 2 45 to 60 minutes
- Findings and diagnosis, with a written treatment plan you take with you.
Your written evaluation report is in your portal within three days.
Your evaluation includes two appointments with Thomas Beck MD. Together, you explore your symptoms, treatment history, daily functioning, and personal goals.
We take a close look at medical and physiological contributors, including whether lab testing could help clarify the picture. Sleep, nutrition, movement, stress, and mindset, including self-concept and learned patterns, are part of that same careful assessment.
You leave with an explanation of the findings and recommendations for care. The evaluation stands on its own; continuing with Winston is a separate decision.
Care and fee information →Care Programs
ESTABLISH TREATMENT
Smart Start
For people beginning treatment or needing closer medical follow-up while a plan is established or adjusted.
- Put evaluation findings into action, addressing medical contributors, lifestyle, and mindset
- Refine medication when appropriate and track changes in focus, energy, emotional regulation, and daily life
- Get clinical guidance between visits, with treatment adjustments through messaging when appropriate
Build a clearer picture of what helps you function well, then plan the next stage of care together.
EXPERT CARE. MEASURABLE PROGRESS.
Core
For those who want expert psychiatric care and real data behind their treatment, but don’t need more intensive support.
- Psychiatric care with Dr. Beck or Terry Noyes, PA-C
- Mindset, function, lifestyle, and symptom tracking
- Self-guided access to the 17-module Mind+Body curriculum
Stay connected through care-team messaging, with quarterly progress reports to inform your treatment.
STRENGTHEN YOUR FOUNDATION
Plus
For those who want a concentrated push to strengthen their foundation before settling into ongoing care.
- Guided instruction through the 17-module Mind+Body curriculum with Dr. Beck
- Clinical coaching with Dr. Beck to turn insights into practical routines and systems
- Mindset, function, lifestyle, and symptom tracking, with quarterly progress reports
Stay connected through care-team messaging, plus a monthly midpoint check-in with personalized feedback from Dr. Beck.
MIND+BODY, IN EVERYDAY LIFE
Learning that shows up
in daily life.
The 17-module Mind+Body curriculum connects physical health, mindset, and practical changes in daily life. Explore it independently in Core, or work through it with guided instruction and clinical coaching from Dr. Beck in Plus.
Choose a meaningful goal.
Notice what changes.
Review and adjust together.
THE PEOPLE BEHIND YOUR CARE
Meet your team.
Thomas Beck MD
Psychiatrist & Co-founder
UCLA-trained psychiatrist with over a decade focused on ADHD. His clinical expertise and personal experience with ADHD shape an approach that brings together medical care, physiology, lifestyle, and mindset.
Wendy Popa, MS, CCC-SLP
Co-founder · Operations & Client Experience
Speech-language pathologist and dyslexia specialist with over 20 years of experience in ADHD and learning differences. Wendy leads operations and client experience, helping your care feel coordinated and personal.
Terry Noyes, PA-C
Physician Assistant
With eight years at Winston, Terry brings deep experience in ADHD care and specialized expertise in women’s health and hormonal influences on ADHD. She provides ongoing psychiatric care and supports women navigating these overlapping needs.
Riley Thomas, RMA
Registered Medical Assistant
Riley supports the details of clinical care, helps with questions along the way, and keeps the process moving. She brings a practical, responsive approach to solving problems and making care easier to navigate.
EXPERTISE WITH PERSONAL UNDERSTANDING
Thomas Beck MD
Psychiatry residency and fellowship at UCLA
Founder, Winston Integrative ADHD
Who will I see?
Dr. Beck conducts every evaluation and all included Smart Start and Plus appointments. Core follow-up visits are with Dr. Beck or Terry Noyes, PA-C, who has cared for Winston patients with ADHD for eight years and leads our clinical work on ADHD in women.
A physician’s perspective.
A personal reason to care.
Dr. Beck’s path took him from leaving high school and earning a GED to graduating from medical school with honors and completing psychiatry residency and fellowship at UCLA.
His own experience with ADHD informs the questions he asks: what is making daily life harder, what strengths are being overlooked, and what might help this particular person move forward?
That personal understanding accompanies a clinical approach grounded in evaluation, thoughtful treatment, and attention to progress over time.
CARE, ACCESS & FEES
Know what to expect.
Before you commit.
Clear information.
A plan you can review.
Winston offers ongoing care through a private-pay, out-of-network concierge care model. Our care programs bring together scheduled psychiatric visits, direct access to your care team through secure messaging, and clinical tracking to guide treatment over time.
Request written information about the evaluation and care program options, including fees and what each level of care includes. Review the details at your own pace before deciding on the next step.
After your evaluation, you receive a recommended care plan with services, fees, and payment terms clearly outlined before you decide about continuing care.
What does concierge care mean?+
Concierge programs provide an ongoing relationship with your psychiatric care team, with scheduled visits, secure messaging between appointments, and progress tracking. Core offers ongoing specialty care; Plus adds more frequent visits and guided curriculum work with Dr. Beck. Your evaluation is separate, and program services and fees are outlined before you enroll.
Can I speak with someone if I have questions?+
Yes. Send your question through the request form and we reply by email, usually within one business day. If a conversation would help, we arrange a call with our team from there. A call is not required to get started.
Can I use insurance benefits?+
Winston is out of network and care is paid for directly. We provide a superbill for your evaluation visits, which you can submit to your insurer. Any potential reimbursement depends on your plan and the services involved. Check with your insurer before assuming fees will be reimbursed.
Do I have to join a program to be evaluated?+
No. The evaluation includes two appointments with Dr. Beck and is a standalone service. Continuing care is a separate decision, guided by your needs and the evaluation findings.
Can I begin with Core if medication is already working?+
Yes, when clinically appropriate after evaluation. Smart Start is for people needing closer initial follow-up; it is not a required step for everyone.
What can we handle through messaging?+
Many routine care questions and medication adjustments can be addressed through secure messaging when medically appropriate. Your clinician determines when a visit is needed. We explain response expectations before care begins; messaging is not an emergency service.
What if I need extra appointments?+
Additional visits can be arranged when clinically needed. We explain their fees and whether a different care schedule would be appropriate, rather than assuming the included appointments will meet every need.
What happens after four months?+
We review your progress together and plan the next stage of care. When you’re ready, you can step down to Core for ongoing psychiatric care, tracking, and support. If you would benefit from more structured support, we discuss continuing at that level before making a change.
How does this work for children and families?+
Dr. Beck considers development, family observations, school demands, and relevant health factors. The follow-up plan reflects your child’s needs. When your child is ready for less frequent follow-up, Core provides ongoing specialty care and progress tracking.
Does the program include individual therapy or coaching?+
Plus includes clinical coaching with Dr. Beck: guided curriculum work, goal setting, and review of your tracking to help you apply changes in daily life. Core includes self-guided curriculum access without clinical coaching. Individual psychotherapy is not included.
Do I need to attend a group for Plus?+
No. Plus is built around your individual appointments, curriculum work, and personalized midpoint feedback. Occasional group sessions on topics of interest to our clients are held, but attendance is not required.
How is the Plus midpoint check-in different from messaging?+
Available in Plus, the monthly midpoint check-in is a planned review of your curriculum goals, progress, and obstacles, with a brief personalized response from Dr. Beck. Routine clinical messaging is available in both Core and Plus for appropriate care questions. Neither replaces an appointment when one is medically needed.
YOUR NEXT CHAPTER STARTS WITH UNDERSTANDING
Let’s look at the whole picture.
Specialty ADHD care in Spokane and Bellevue, and by telehealth across Washington and Idaho.