Treatment always includes consideration of non-pharmacological and pharmacological options - talking treatments and drug treatments. A combined approach often works best.
Talking treatments can include coaching, educational support and psychological support. In many cases it is possible to get more value from the talking treatment approaches when also taking drug treatment.
Drug treatment is particularly effective in ADHD and can make an immediate difference. Medication can be used to improve focus and concentration and to reduce impulsivity. It is possible to gain new insights and to learn and practice more skills more efficiently when on medication.
A combined approach often works best. Many people can access the content of talking treatments better when they are on medication to improve their concentration. Some patients with time and change in external circumstances can significantly reduce or stop their medication.
Sometimes it is necessary to run some basic cardiovascular tests before starting medication, eg blood tests and an ECG.
This is mostly applicable to adults >45y or those with an usual feature in their family history.
Recent tests completed elsewhere may be acceptable. If further testing is deemed necessary this can be arranged locally through partner organisations.
Medication initiation appointments may be face to face or by video.
If medication adjustment proceeds smoothly it takes around 3 months to stabilise medication, although it can take longer.
If your NHS GP is able to share care and you would prefer to be transferred to a shared care agreement, this can be arranged after 2-3 months on a stable dose.
In the first year we recommend a review appointment 4-6 months after medication is stabilised. Following that, an annual review is a normal part of a shared care agreement and interim appointments are available on request.
Prescriptions will be provided in one of several ways:
Paper prescriptions provided in person
Arranged via a national pharmacy which offers a delivery service to your address of choice
The NHS is reviewing shared care agreements at a national level. At the moment there are different arrangements in different regions. We will liaise with your GP to request that your care be continued under a shared care agreement.