Book your treatment review
Guideline advice, not formally gradedADHD evidence
Regular reviews match your care to current needs, benefits and side effects.
Start with the time you have
1 minute
Start a note called 'treatment review' and put the first thing you want to raise in it.
5 minutes
Find the date of your last review. If the next one is unclear, draft a request.
15 minutes
Write one page on what helps, the unwanted effects and the support you need now.
A plan
Keep care current
- Confirm who provides your full treatment review.
- Bring treatment feedback and changed circumstances.
- Record the agreed plan and next review date.
How sure the science is
Guideline advice, not formally graded, ADHD evidence
- Recommended by ADHD clinical guidelines, but nobody has pooled the trials and graded how sure they are.
- Guideline advice is a considered judgement, not a measured certainty.
- Measured in people with ADHD.
NICE NG87 1.10.1 annual review recommendation; a care standard, not a rated treatment-effect estimate.
The number, drawn
Why it matters
- ADHD treatment needs can change as school, work, health and responsibilities change.
- NICE recommends a medication review at least once a year, covering how well treatment works through the day, adverse effects, preferences and whether treatment is still needed; the NHS describes yearly check-ups.
- This is a minimum interval, not a reason to postpone help when treatment is causing problems.
How to do it
- Check when your last full medication review was and who is responsible for the next one.
- Bring a short account of what treatment helps with and what is still hard.
- Discuss new health conditions, life changes and any unwanted effects.
- Ask for a written plan identifying follow-up, monitoring and who will prescribe.
- New problems or side effects mean an earlier review, not a wait.
- Medication decisions belong with your prescriber.
Putting it into practice
In real life
- Bring changes in work demands or school support that change what you want from treatment.
- Ask who will handle prescriptions and physical checks after the review.
Watch out for
- Common mistakeA prescription renewal is not necessarily a full review. Ask what was actually assessed.
- Common mistakeA yearly review does not replace earlier monitoring, or getting help with new side effects.
Trusted guides
How we rated it
- Evidence grade
- A Moderate or high certainty evidence in people with ADHD, or an explicit ADHD guideline recommendation.
- The number
- At least 1 ADHD medication review each year (NICE, 2019)
- Benefit
- 79/100 An editorial priority for the general list, weighted by certainty. It does not predict what will happen for you.
- Effort
- Quick win
Sources
- Tier 1 guidelineAttention deficit hyperactivity disorder: diagnosis and management (NG87), recommendationsNICE, 2019
- Tier 1 guidelineCommon questions about methylphenidate for adultsNHS, 2025
- General information about ADHD, not a diagnosis or an individual treatment plan.
- Tailoring changes the order of suggestions; it does not assess you.
- Medication decisions belong with you and a qualified clinician.