ADHD Management Plan and Treatment Strategy

Patient Information

Name: _________________________ Date: _________________________ Provider: _____________________

Diagnosis and Treatment Goals

Current ADHD Presentation

• Predominantly Inattentive
• Predominantly Hyperactive-Impulsive
• Combined Presentation

Primary Treatment Goals

1. Improve attention and focus
2. Reduce impulsivity and hyperactivity
3. Enhance academic/work performance
4. Develop organizational skills

Treatment Strategies

Medication Management

Current Medication(s):

• Name: _____________________ Dose: _______ Schedule: _______
• Name: _____________________ Dose: _______ Schedule: _______

Monitoring Plan:

• Blood pressure checks: Every _____ months
• Weight monitoring: Every _____ months
• Side effect assessment: Every _____ months

Behavioral Interventions

• Cognitive Behavioral Therapy (CBT)
• Parent Training
• Social Skills Training
• Organizational Skills Training

Educational/Workplace Accommodations

• Extended time for tasks/tests
• Quiet work environment
• Break tasks into smaller segments
• Written instructions for complex tasks

Support System

Professional Support Team

• Primary Care Provider: _________________
• Psychiatrist: _________________________
• Therapist: ___________________________
• School Counselor/Work Supervisor: ________________

Daily Management Strategies

1. Use of planning tools (calendar, reminders)
2. Regular sleep schedule
3. Healthy diet and exercise routine
4. Structured daily routine

Progress Monitoring

Follow-up Schedule

• Next medication review: ________________
• Next behavioral assessment: ____________
• Next comprehensive evaluation: _________

Emergency Contact Information

Provider: ______________________________ Phone: ________________________________ Emergency Services: ____________________

Signatures

Patient/Guardian: ______________________ Provider: _____________________________ Date: ________________________________