Starting ADHD Treatment - Integra Psychiatry Private Psychiatric Consultations in Newcastle, the North East and remotely.

Taking the anxiety out of starting treatment

Starting ADHD medication is a significant step that should be approached with careful consideration and professional guidance. We support individuals through this process by providing clear, evidence-based information on different medication options, their potential benefits, and possible side effects. ADHD medications, such as stimulants (e.g., methylphenidate, lisdexamfetamine) and non-stimulants (e.g., atomoxetine, guanfacine), work by improving focus, impulse control, and executive functioning. The decision to begin medication should be based on a thorough assessment of an individual’s symptoms, daily challenges, and personal goals. Our team helps clients understand what to expect, how medications work, and the importance of monitoring their effects over time.

‍

Once someone starts ADHD medication, ongoing support and adjustments may be necessary to find the right dosage and treatment plan. We provide follow-up consultations to track progress, address any side effects, and ensure the medication is having the desired impact. It’s essential to communicate any changes in mood, appetite, sleep, or other concerns, as these factors can influence how well the medication works. Additionally, we emphasize a holistic approach by integrating medication with behavioral strategies, lifestyle modifications, and coaching to optimize long-term success.

‍

Pharmacist counselling patient on their ADHD medication

Medications for ADHD

Whilst every treatment decision is individual to the person, below is some brief information about commonly prescribed medicationsf or ADHD

Methylphenidate

Methylphenidate is a first-line stimulant medication used to treat ADHD by enhancing dopamine and norepinephrine levels in the brain, which helps improve focus, attention, and impulse control. It is available in both short-acting and long-acting formulations, allowing for tailored treatment based on an individual’s symptoms and daily needs.

‍

Lisdexamphetamine

Lisdexamfetamine (Elvanse) is a long-acting stimulant medication used to treat ADHD by increasing dopamine and norepinephrine levels in the brain, which enhances focus, impulse control, and attention. It is a prodrug, meaning it is gradually converted into its active form in the body, providing a smoother and extended effect throughout the day with a lower risk of sudden crashes.

‍

Atomoxetine

Atomoxetine is a non-stimulant medication used to treat ADHD by increasing norepinephrine levels in the brain, which helps improve attention, impulse control, and hyperactivity. Unlike stimulant medications, it has a gradual effect and may take a few weeks to reach full effectiveness, making it a suitable option for individuals who do not tolerate stimulants.

‍

Guanfacine

Guanfacine is a non-stimulant medication used to treat ADHD, particularly in individuals who may not tolerate stimulants well. It works by targeting receptors in the brain to improve attention, impulse control, and emotional regulation, while also helping to reduce hyperactivity.

‍

What next?

Dose titration and monitoring of ADHD medication is a carefully managed process designed to find the most effective dose with the fewest side effects. It typically begins with a low starting dose, which is gradually adjusted based on the individual’s response and tolerance. The goal is to achieve optimal symptom control while minimizing side effects such as appetite suppression, sleep disturbances, or mood changes. Stimulant medications like methylphenidate and lisdexamfetamine are often adjusted in small increments over several weeks, while non-stimulant medications like atomoxetine and guanfacine may take longer to reach full effectiveness. Regular check-ins with a healthcare provider are essential during this phase to track progress and make necessary adjustments.

‍

Monitoring throughout titration involves assessing both the benefits and potential side effects of the medication. This may include structured feedback from the individual, parents, or teachers, as well as standardized rating scales and clinical observations. Physical health monitoring, such as checking blood pressure, heart rate, weight, and sleep patterns, is also important, particularly for stimulant medications. If side effects become problematic, adjustments may include dose modifications, switching medications, or adding behavioral interventions. Ongoing follow-ups ensure that the medication continues to provide effective symptom management, allowing individuals to function at their best in daily life.

‍

Annual Monitoring and Shared Care

Once optimal symptom control has been achieved, you will require an annual prescription review and monitoring (usually six monthly or annually) of your physical health. The latter can often be done via your GP via 'Shared Care' although certain GP practices in the North East area, and across the country, are not accepting shared care for ADHD medications. We have a partnership with a local service that can provide this at a relatively low cost if required.

Starting Treatment