# Book your treatment review

Published by Pawel Jozefiak. [About this project](https://adhd100.jock.pl/about/), [How we check sources](https://adhd100.jock.pl/methodology/)

- Canonical: https://adhd100.jock.pl/book-regular-treatment-review/
- Language: en
- First published: 2026-09-29
- Evidence checked: 2026-09-29, using AI-assisted source verification
- Clinical review: Not clinically reviewed
- Number 9 of 100 in the list: https://adhd100.jock.pl/#book-regular-treatment-review

Regular reviews keep your care in step with what you need now, what is working and what side effects appear.

**The number:** At least 1 ADHD medication review each year ([NICE, 2019](https://www.nice.org.uk/guidance/ng87/chapter/Recommendations))

## The evidence

- How sure: Certainty of evidence: Guideline advice, not formally graded. Measured in people with ADHD.
- Evidence grade: A. Grade A: moderate or high certainty evidence in people with ADHD, or an explicit ADHD guideline recommendation.
- Basis: NICE NG87 1.10.1 annual review recommendation; a care standard, not a rated treatment-effect estimate
- Outcome: maximum routine interval between full medication reviews
- Comparison: NICE NG87 recommendation 1.10.1
- Benefit: 79/100. The benefit score is an editorial prioritization for the general list, weighted by certainty. It is not a prediction of what will happen for you.

## 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

1. Check when your last full medication review was and who is responsible for the next one.
2. Bring a short account of what treatment helps with and what is still hard.
3. Discuss new health conditions, life changes and any unwanted effects.
4. Ask for a written plan identifying follow-up, monitoring and who will prescribe.

## Talk to a clinician first

New problems or side effects mean an earlier review, not a wait. Medication decisions belong with your prescriber.

## Putting it into practice

### Start now

- 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.

### What it looks like

- 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.

### Common mistakes

- A prescription renewal is not necessarily a full review. Ask what was actually assessed.
- A yearly review does not replace earlier monitoring, or getting help with new side effects.

### A structured start

**Keep care current**

1. Confirm who provides your full treatment review.
2. Bring treatment feedback and changed circumstances.
3. Record the agreed plan and next review date.

### Trusted how-to guides

- [Common questions about methylphenidate for adults](https://www.nhs.uk/medicines/methylphenidate-adults/common-questions-about-methylphenidate-for-adults/), NHS
- [Tips for Talking With a Health Care Provider About Your Mental Health](https://www.nimh.nih.gov/health/publications/tips-for-talking-with-your-health-care-provider), NIMH

## Sources

- [Attention deficit hyperactivity disorder: diagnosis and management (NG87), recommendations](https://www.nice.org.uk/guidance/ng87/chapter/Recommendations), NICE, 2019 (Tier 1 guideline)
- [Common questions about methylphenidate for adults](https://www.nhs.uk/medicines/methylphenidate-adults/common-questions-about-methylphenidate-for-adults/), NHS, 2025 (Tier 1 guideline)

---

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.

Report an error: meet@jock.pl

Reuse: CC BY 4.0, https://creativecommons.org/licenses/by/4.0/