The answer is it depends, and also possibly all of the above! ADHD is best managed through a team approach. The gold standard for optimum outcomes for adults with ADHD is medication management plus behavioral interventions, such as coaching. A psychiatrist or other medical practitioner can help with diagnosing your ADHD and managing your medications. A therapist can help you with processing and healing from past trauma, anxiety, depression as well as help you manage or change current unhelpful thought patterns, limiting beliefs and fears. Some therapists and psychologists also provide testing and diagnosis for ADHD. ADHD coaching can help you work toward specific goals, improve your executive functioning skills, and develop practical strategies, tools, systems and support to be successful.