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DSM-5 ADHD
The DSM-5 ADHD fact sheet outlines updated criteria recognising ADHD as a lifelong condition, with revised age-of-onset, adult-specific guidance, and clarified diagnostic standards across all ages.
August 26, 2025
SNAP - IV Questionnaire
The SNAP-IV (Swanson, Nolan, and Pelham Rating Scale – Fourth Edition) is a behavioural questionnaire used to evaluate symptoms of ADHD (Attention Deficit Hyperactivity Disorder) and Oppositional Defiant Disorder (ODD) in children and adolescents.
July 4, 2025
ASRS Questionnaire
Adult ADHD Self-Report Scale (ASRS)
July 26, 2025
Example report - Shared Care Agreement
Example report template for ADHD medication increase
May 8, 2025
Example report template - Shared Care agreement (Coming Soon)
Example report template for Shared Care agreement
April 23, 2025
Example report template - Medication Travel Letter (Coming Soon)
Example report template for Medication Travel Letter
Articles
Choosing the First Medication for ADHD: Contextual Considerations for Clinicians
Selecting the initial medication for managing attention-deficit/hyperactivity disorder (ADHD) requires careful consideration of multiple contextual factors.
February 23, 2026
Understanding the Relationship Between ADHD and Anxiety Disorders
Attention-deficit/hyperactivity disorder (ADHD) frequently co-occurs with anxiety disorders, making it an important area for clinicians to understand.
Mental Restlessness in ADHD: The Hidden Symptom Many Adults Experience
When most people think about attention-deficit/hyperactivity disorder (ADHD), they picture visible behaviours such as fidgeting, restlessness, or difficulty sitting still.
February 20, 2026
Does Parenting Cause ADHD? A Science-Based Perspective
Discussions about the causes of attention-deficit/hyperactivity disorder (ADHD) often generate strong opinions.
Why Low-Tech Tools Often Work Better Than Apps for Adults With ADHD
When addressing difficulties with task organisation, planning, and follow-through in adults with ADHD, high-tech solutions are often recommended first. However, clinical experience and theory suggest that low-tech strategies are frequently more effective than app-based or “smart” solutions.
February 2, 2026
Maternal Diet During Pregnancy and Neurodevelopmental Risk: What Clinicians Need to Know
Recent research has reignited discussion around the role of maternal diet during pregnancy and the risk of neurodevelopmental conditions such as ADHD and autism spectrum disorder (ASD) in offspring.
Jobs
Therapists – EMDR & CBT (ADHD Specialist)
Role: Remote Therapists (EMDR & CBT) Contract: Remote, Ad Hoc Pay: Competitive
Fully remote
ADHD Coach – Certified
Role: ADHD Coach Contract: Remote, Ad Hoc Pay: Competitive
ADOS Assessor – Remote
Role: ADOS Assessor (Autism Diagnostic Observation Schedule) Contract: Remote, Per Assessment Pay: £150 per assessment
Autism Assessor – ASD Specialist
Role: Autism Assessor (ASD – using ADOS framework) Contract: Remote, Ad Hoc (5–6 hours per week minimum) Pay: Competitive
Pharmacist – ADHD Prescriber
Role: Pharmacist (Remote Prescribing ADHD from age 6+) Contract: Remote, Ad Hoc (5–6 hours per week minimum) Pay: Competitive
ADHD Assessor Nurse
Role: ADHD Assessor – Registered Nurse Contract: Remote, Ad Hoc (5–6 hours per week minimum) Pay: Competitive
Q&A
What are the key components of a comprehensive ADHD treatment plan beyond medication?
Medication is one aspect of a multimodal strategy. Psychoeducation, behavioural coaching, cognitive-behavioural therapy, sleep hygiene, exercise, and workplace adjustments all improve long-term outcomes. Encouraging structure and self-management strategies is vital for sustainable progress.
How often should follow-up reviews be conducted after initiating treatment?
During titration, reviews should occur every 2–4 weeks to assess efficacy, tolerability, and vital signs. Once stable, patients should be reviewed at least every 6 months, with documentation of symptom control, side-effects, adherence, and ongoing clinical need.
Can ADHD medication be prescribed alongside antidepressants or anxiolytics?
Yes, but review pharmacodynamic interactions carefully. SSRIs are generally safe with stimulants, but MAOIs are contraindicated. Monitor for additive effects on anxiety, blood pressure, and sleep. Start low, titrate gradually, and coordinate care with the prescribing GP or psychiatrist.
How should ADHD be managed in women presenting with hormonal fluctuations or perimenopausal symptoms?
Fluctuating oestrogen can affect dopamine and norepinephrine regulation, often worsening ADHD symptoms pre-menstrually or during perimenopause. Dose adjustments, switching to a longer-acting stimulant, or considering adjunctive HRT may be appropriate with multidisciplinary input.
What’s the current evidence on using ADHD medication in patients with substance misuse histories?
Stimulants can be used cautiously if substance use is stable and properly monitored. Lisdexamfetamine may carry a lower misuse potential due to its prodrug formulation. In active misuse, defer pharmacological treatment and focus on psychosocial interventions first.
How do you manage patients who report stimulant ‘crashes’ or rebound irritability?
Review dosing schedule first. Crashes may indicate too short a duration or excessive peak dose. Switching to a modified-release formulation or splitting doses can help. Also assess for poor sleep, caffeine use, or concurrent anxiety, which can exacerbate rebound effects.
Recent Job Postings
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Recent Blog Posts
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