What can I do right now?
Pick how much time you have. You get the items that fit, most useful first.Pick your time. You get one thing to do.
Who is this for?
1 minute
Ordered by expected benefit for everyone. Add a few facts and this reorders for you. Each of the 100 has a 1 minute version
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1Medication
Discuss methylphenidate for your child
High certaintyADHD evidenceType one line in your phone notes: the difficulty your child would want treatment to help with.
- Only a qualified prescriber can decide whether methylphenidate suits your child.
- The estimate is for school age children and does not apply to preschoolers.
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2Medication
Discuss methylphenidate as an adult
High certaintyADHD evidenceJot down the moment in an ordinary day you would most like treatment to improve.
- Whether it suits you, and the prescribing, are decisions for a qualified clinician.
- Bring your health history and every medicine you take, including ones bought without a prescription.
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3Assessment
Request your child's ADHD assessment
Guideline advice, not formally gradedADHD evidencePicture one recent moment when your child needed more support than they got. That is your opening example.
- A qualified clinician should tell ADHD apart from normal developmental variation and other conditions.
- Assessment routes differ between countries.
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4Assessment
Ask for an adult ADHD assessment
Guideline advice, not formally gradedADHD evidenceWrite the one difficulty you most want the assessor to understand as a single sentence.
- An online screener cannot confirm ADHD.
- A qualified clinician has to weigh your symptoms, impairment and other possible causes.
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5Monitoring
Plan titration with your clinician
Guideline advice, not formally gradedADHD evidenceAdd one change you've noticed, good or bad, to a note titled 'next review'.
- The prescriber directs every medication change.
- Report worrying effects promptly instead of waiting for the next routine review.
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6Medication
Ask about amphetamine alternatives
Moderate certaintyADHD evidenceWrite down one thing that went well and one that didn't on your child's previous treatment.
- These are clinician-led alternatives, not interchangeable medicines.
- Appetite, sleep and cardiovascular effects need review; the youth estimate does not describe adult efficacy.
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7Medication
Ask about atomoxetine as an adult
High certaintyADHD evidenceType the one question about nonstimulant treatment you most want answered.
- A clinician should decide whether it suits you, check interactions and plan monitoring.
- This adult estimate cannot be assumed to apply to children or to every outcome.
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8Assessment
Prepare a medication safety review
Guideline advice, not formally gradedADHD evidenceOpen your notes and write the one health detail or medicine the prescriber must not miss.
- A qualified prescriber decides whether treatment suits you and which tests are needed.
- A normal screening result does not replace follow-up, and new symptoms still need reporting.
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9Monitoring
Book your treatment review
Guideline advice, not formally gradedADHD evidenceStart a note called 'treatment review' and put the first thing you want to raise in it.
- New problems or side effects mean an earlier review, not a wait.
- Medication decisions belong with your prescriber.
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10Combined care
Ask for anxiety and depression care
Guideline advice, not formally gradedADHD evidenceWrite down the mood or anxiety worry you want your clinician to hear about.
- If you or your child has thoughts of suicide or is in immediate danger, help is available now: contact local emergency services or a crisis line.
- New severe mood changes need prompt clinical assessment, including review of current medicines.
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11Medication
Ask about alpha-2 nonstimulant options
High certaintyADHD evidenceWrite down the one concern about a nonstimulant you want the clinician to answer.
- A specialist must choose and supervise the medicine, and in the UK clonidine is used only on tertiary specialist advice.
- Plan any change, stopping included, with the prescriber, because stopping suddenly can raise blood pressure.
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12School care
Request a school support plan
Guideline advice, not formally gradedADHD evidenceWrite the single school barrier you want the support meeting to tackle.
- Eligibility and legal procedures vary by country and school system.
- An ADHD diagnosis does not automatically decide which plan or adjustments a child gets.
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13Therapy
Ask about CBT adapted for adult ADHD
Moderate certaintyADHD evidenceFinish the sentence 'I'd want an ADHD therapist to help me with...' in your notes.
- Choose a qualified therapist and keep therapy connected to the rest of your care.
- CBT does not require you to change medication yourself.
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14Monitoring
Arrange pulse and blood pressure checks
Guideline advice, not formally gradedADHD evidenceCheck your calendar: do you know when your next pulse and blood pressure check is?
- New chest pain, fainting or significant palpitations need prompt medical assessment.
- A clinician should interpret readings and decide whether further tests are needed.
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15Assessment
Ask about coexisting conditions
Guideline advice, not formally gradedADHD evidenceWrite down the learning, communication or movement concern you want to mention.
- Screening results need a clinician to interpret them.
- ADHD, autism, learning conditions and tics can occur together, and none of them should be diagnosed or ruled out from a checklist alone.
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16Tobacco
Ask for support with smoking
Not ratedgeneral health evidenceName the smoking moment you'd most want help with.
Ask a clinician or pharmacist to go through treatment options and your medicines with you, including if you are pregnant.
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17Monitoring
Arrange your child's growth checks
Guideline advice, not formally gradedADHD evidenceThink of any change in your child's appetite that you want to report.
- A clinician should read the growth chart and decide how treatment responds to it.
- Raise appetite or growth worries without changing the medication yourself.
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18Medication
Plan a pregnancy medication review
Not ratedgeneral health evidenceWrite down the question about pregnancy and your current treatment that worries you most.
- Contact your prescriber promptly about pregnancy or plans for one.
- Medication decisions need a review of your own situation, and nothing here tells you to change treatment.
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19Movement
Build activity you enjoy
Not ratedgeneral health evidencePick one kind of movement you enjoy and could actually repeat.
If a condition, pain or disability affects exercise, ask a clinician how to adapt it.
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20Alcohol
Bring alcohol into your health review
Not ratedgeneral health evidenceName one effect of drinking you'd like to talk about, without judging yourself.
- Alcohol withdrawal can be dangerous.
- If you may be dependent, get medical advice before changing your drinking.
- Seizures or hallucinations need emergency help.
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21Safety
Take talk of suicide seriously
Not ratedADHD evidencePractise saying it out loud: 'I am struggling and need someone to stay with me while I get help.'
- If you or someone else may act on suicidal thoughts, call your local emergency number now, or contact a crisis line or suicide prevention helpline in your country.
- Do not wait for a scheduled appointment.
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22Care planning
Plan the move to adult ADHD care
Guideline advice, not formally gradedADHD evidenceWrite down the handover detail you most need someone to clear up.
- Referral rules and ages differ by service and country.
- Confirm with the clinical teams who carries on prescribing and monitoring.
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23Injury prevention
Put medicines out of children's reach
Not ratedgeneral health evidenceLook around for one spot at home where a child could reach medicines or supplements.
- If you suspect poisoning, get advice quickly from your local poison service or emergency care.
- Changing where you store medicines does not change the instructions for taking them.
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24Sleep
Mention your child's snoring
Guideline advice, not formally gradedADHD evidenceRecall whether you have noticed your child snoring, gasping or pausing while breathing in sleep.
- Snoring alone does not diagnose sleep apnoea.
- A clinician needs to assess it, and breathing pauses with marked daytime sleepiness need prompt review.
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25Food
Ask for an appetite eating plan
Not ratedADHD evidenceName one meal your child manages well and one they struggle with.
- Weight loss or growth worries need a clinical review.
- Any change to medicines or their timing must be agreed with the prescriber.
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26Sleep
Protect your child's sleep time
Not ratedgeneral health evidenceThink back: does your child usually wake refreshed, or still very tired?
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27Physical health
Ask which health checks are due
Not ratedgeneral health evidenceName one health check or result you're not sure is up to date.
- Who gets tested, and how often, varies by country and by personal risk.
- New symptoms need a clinical assessment, not a wait for the routine check.
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28Assessment
Ask for a sleep problem assessment
Not ratedADHD evidenceWrite down the sleep symptom you most want looked at.
- Ongoing sleepiness, pauses in breathing or gasping need medical assessment.
- If sleepiness makes driving unsafe, do not drive, and get clinical advice.
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29Sleep
Keep a steady sleep window
Not ratedgeneral health evidencePick a wake time that works most days of your week without cutting your sleep short.
- If sleep problems persist or affect daily life, get assessed.
- Medication changes belong with your prescriber.
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30Cannabis
Discuss cannabis use openly
Not ratedgeneral health evidenceName what you hope cannabis helps with, and one worry you'd like to raise.
- Talk about cannabis alongside your prescribed medicines and other substances.
- This item does not recommend cannabis for ADHD and is not a plan for stopping without supervision.
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31Safety
Ask about bullying and exclusion
Not ratedADHD evidenceSay it out loud until it sounds like you: 'If someone is hurting or excluding you, I want to know and help.'
- Seek urgent help for threats or injury.
- Respond to harm whether your child was targeted, harmed others or both.
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32Dental health
Support your child's tooth care
Not ratedgeneral health evidenceName the part of brushing your child finds hardest, so you can ask for help with it.
Ask a dentist about pain, persistent bleeding, injury or difficulty brushing; supervision and toothpaste use should suit your child's age.
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33Injury prevention
Check your child's sports helmet
Not ratedgeneral health evidenceTry to remember when your child's helmet fit was last checked.
- A helmet does not rule out concussion or other injury.
- Get medical advice after a worrying head injury.
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34Mental health
Notice lasting changes in mood
Not ratedgeneral health evidenceAsk yourself: has my mood or enjoyment changed from usual? Then pick the person you could tell.
- This cannot diagnose depression.
- For thoughts of suicide, seek help now: contact a crisis line or helpline in your country, and call your local emergency number if anyone is in immediate danger.
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35Care planning
Ask for a diagnosis explanation
Guideline advice, not formally gradedADHD evidenceType the question about ADHD you most want answered.
- Use the conversation to understand the diagnosis and your options.
- Treatment decisions should be made for you specifically, with your clinician.
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36Movement
Add gentle strength work
Not ratedgeneral health evidenceDecide whether you'd rather learn strength moves at home or with an instructor.
Get advice on adapting exercise if illness, injury, balance problems or pain get in the way.
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37Food
Make regular meals easier
Not ratedADHD evidenceName one easy meal you already like and could eat often.
Food allergies, swallowing problems, growth worries or an eating disorder need personal dietary advice.
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38Combined care
Discuss substance risk with your team
Guideline advice, not formally gradedADHD evidenceWrite down the substance-use or medicine-safety worry you want to raise privately with your clinician.
- Substance use and prescribing need an assessment of your own situation.
- This finding does not support taking someone else's medicine, taking extra, or tackling substance problems without clinical help.
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39Nicotine
Ask for help with youth vaping
Not ratedgeneral health evidenceCome up with one neutral question about vaping that asks what your child thinks.
- If your child uses nicotine, ask their healthcare professional about appropriate support.
- Treatment choices for young people need individual advice.
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40Sleep
Ask for tailored sleep support
Not ratedADHD evidenceName the one sleep problem that most disrupts your child's night.
- Get clinical advice for sleep problems that persist.
- Breathing pauses and marked daytime sleepiness need assessment.
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41Mental health
Notice worry behind the behaviour
Not ratedADHD evidenceTry the question out loud: 'What feels hardest or most worrying about this?'
- This cannot diagnose anxiety.
- Get prompt help for severe distress, self-harm or major loss of functioning.
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42Therapy
Ask about parent behaviour training
Very low certaintyADHD evidenceWrite down one daily situation, like bedtime or leaving the house, you'd want a parent-training therapist's help with.
- Look for a trained professional who works with young children.
- Parent training gives you tools and support, and it does not mean you caused your child's ADHD.
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43Work care
Ask for workplace adjustments
Not ratedADHD evidenceWrite down the one work barrier you'd most like support with.
- Disclosure and workplace rights depend on local rules and your circumstances.
- Ask about confidentiality and share only what the request needs.
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44Food
Get help for loss-of-control eating
Not ratedgeneral health evidenceAsk yourself honestly: does eating often feel out of your control?
- Binge eating disorder needs a clinical assessment.
- Don't start a strict diet on your own, because the NHS says dieting during treatment can make binge eating harder to stop.
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45Medication
Discuss treatment and driving safety
Very low certaintyADHD evidenceWrite down one driving moment that worried you, to take to your clinician.
- Do not drive if symptoms or side effects make it unsafe.
- Medication does not guarantee safe driving, so get individual clinical advice and follow local licensing rules.
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46Parent support
Ask for support for yourself too
Guideline advice, not formally gradedADHD evidenceWrite down one name and the help you would ask that person for.
Seek urgent support if you feel unable to keep yourself or your child safe.
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47School
Keep a conversation with school
Guideline advice, not formally gradedADHD evidenceWrite down the question about school you most want answered.
Agree what information may be shared and involve your child in a way that fits their age and understanding.
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48Information
Check ADHD claims before sharing
Not ratedgeneral health evidenceTake the last health claim you heard and ask: 'What evidence would let someone else check this?'
- A relatable video cannot diagnose ADHD or justify changing treatment.
- Take diagnostic or treatment questions to a qualified clinician.
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49Sleep
Give screens a bedtime boundary
Not ratedgeneral health evidencePick the quiet thing you'll do after screens this evening.
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50Caffeine
Review caffeine and sleep together
Not ratedgeneral health evidenceName the time of your usual last caffeinated drink of the day.
Use this to prepare for a conversation, especially if you take medicines, are pregnant or have ongoing sleep problems.
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51Appointments
Ask for appointment text reminders
Moderate certaintygeneral health evidenceLook up your next appointment and ask yourself if the service has your current phone number.
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52Sleep
Ask about restless legs at night
Not ratedgeneral health evidenceThink back: is the leg discomfort worse when you're resting at night?
- Ask a clinician about testing and any supplements.
- An overdose of iron can be fatal for a young child, so keep iron products out of their reach.
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53Workspace
Compare quiet with gentle noise
Moderate certaintyADHD evidencePick a task where background sound helped you or got in your way. That's your test task.
- Keep the volume low and comfortable.
- Don't mask alarms, traffic or other sounds you need for safety, and stop if the sound causes discomfort.
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54Driving
Put your phone away before driving
Not ratedgeneral health evidenceIf you're not driving right now, pick where the phone goes on your next journey.
- Only read or change settings when you're safely parked.
- This routine does not establish that you are fit to drive.
- Follow local licensing rules and any clinical advice given to you.
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55Study skills
Recall before you reread
Not ratedgeneral health evidenceWithout looking, say one fact you studied recently. Then decide how you'll check it later.
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56Parenting
Share time your child enjoys
Guideline advice, not formally gradedADHD evidenceJot down something your child loves and a curious question you could ask about it.
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57Communication
Choose how to explain your ADHD
Not ratedADHD evidenceFill in the blanks out loud: 'One thing I find difficult is ___. A helpful response would be ___.'
You do not need to disclose to someone who may use the information to intimidate or harm you.
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58Peer support
Try a supportive ADHD group
Guideline advice, not formally gradedADHD evidenceWrite down what you'd want from a group: understanding, shared experience or practical encouragement.
- Peer support complements professional help.
- Do not follow another member's medication or diagnostic advice.
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59Task starts
Link a small action to a clear cue
Not ratedgeneral health evidenceFinish the sentence 'If this happens, then I will...' in your head, with a cue you know and one small action.
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60Sleep
Ask a clinician about melatonin
Not ratedADHD evidenceWrite down one sleep question you want answered before melatonin comes up.
- For children, melatonin is a decision led by a clinician.
- Discuss side effects, interactions and follow-up.
- This item gives no dosing or self-treatment advice.
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61Planning
Keep commitments in one calendar
Not ratedADHD evidenceDecide which calendar you'll look at before you accept your next appointment.
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62Emotions
Treat big feelings as part of ADHD
Not ratedADHD evidenceWhat was the last strong feeling you had, and what set it off? Name both.
- Strong feelings are not always ADHD.
- Seek help promptly for low mood lasting weeks, hopelessness or thoughts of self-harm.
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63Study skills
Spread study across later revisits
Not ratedgeneral health evidencePick one thing you want to remember next week and when you could look at it again.
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64Task starting
Shrink a task to its first action
Not ratedADHD evidenceName a task you've been putting off and the first physical thing it needs.
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65Reminders
Plan medication reminders safely
Not ratedgeneral health evidenceWrite down the reminder or storage question you most want to ask your pharmacist.
- Follow your prescription.
- If you're not sure whether you've taken a dose, or how to store or organise a medicine, ask your pharmacist or prescriber instead of guessing.
- Keep medicines secure and out of children's reach.
- A reminder does not decide what to take.
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66Organisation
Capture tasks in one place
Not ratedADHD evidencePick the place your next task will go, somewhere you already use, and picture opening it.
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67Money
Automate a bill you can cover
Not ratedADHD evidenceName one predictable bill you still have to remember by hand.
- Automatic payments can cause fees when there isn't enough money in the account.
- Check amounts, dates and cancellation terms.
- Automating a bill does not make it affordable.
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68Movement
Help your child find active fun
Very low certaintyADHD evidenceAsk your child which active game or sport sounds enjoyable.
- Choose activities that suit your child's age, health and ability.
- Ask about adaptations if a medical condition limits exercise.
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69Relationships
Repeat back what you heard
Not ratedgeneral health evidenceTry the line out loud: 'What I heard was ___. Is that what you meant?'
- Communication exercises are not a solution to coercion or abuse.
- Seek confidential support if you feel unsafe.
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70Identity
Make room for mixed feelings
Not ratedADHD evidenceName one feeling about your diagnosis and leave it as it is.
- Grief-like feelings do not explain every change in mood.
- Seek help for persistent hopelessness, loss of functioning or thoughts of self-harm.
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71Parenting
Praise a specific effort
Very low certaintyADHD evidencePick a recent effort your child made and say out loud the exact words you'd use to praise it.
Praise is support, not a substitute for assessment or a complete parent-training programme.
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72Stress
Set a limit before overload builds
Not ratedgeneral health evidenceSay one kind, clear limit out loud: 'I cannot take that on today.'
Persistent exhaustion, low mood or loss of functioning deserves medical attention rather than assuming it is ADHD burnout.
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73Attention
Work in short, adjustable blocks
Not ratedADHD evidencePick one task and a small piece you could do before a break.
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74Digital focus
Silence nonessential notifications
Not ratedADHD evidencePick one type of notification that can safely wait until your next break.
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75Planning
Choose your important task first
Not ratedADHD evidenceName the task whose delay would matter most today, and its smallest useful first move.
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76Organisation
Give essentials a home
Not ratedADHD evidencePick a handy, secure home for the thing you lose most often.
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77Family
Make space for siblings too
Not ratedADHD evidencePractise the question: 'How has this been for you? You can tell me the difficult parts too.'
Take threats, injuries or fear between siblings seriously and seek help with keeping everyone safe.
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78Emotions
Help your child name the feeling
Not ratedADHD evidencePractise the words: 'I can see this is hard. Are you angry, sad, or something else?'
Seek professional support if outbursts involve injury, threats or major disruption.
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79Emotions
Pause before you react
Not ratedADHD evidenceRun it silently: 'I feel overwhelmed. Can we pause and come back to this?'
If you fear you may hurt yourself or someone else, seek urgent help rather than relying on a pause.
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80Self knowledge
Name your own strengths
Not ratedADHD evidenceJot down a situation you handled well and the skill you used.
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81Routines
Make a short leaving checklist
Not ratedADHD evidenceWrite down the thing you most often forget when you leave home. That's line one of your checklist.
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82Money
Put a pause before checkout
Not ratedADHD evidenceName one shopping shortcut you'd like to make less automatic.
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83Time
Make time visible
Not ratedADHD evidenceName a transition you often miss, and what you want its cue to make you do.
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84Parenting
Keep boundaries clear and calm
Very low certaintyADHD evidenceSay one calm, concrete boundary out loud: 'I will help you, and I will not let anyone get hurt.'
- Avoid physical punishment, humiliation or withholding basic needs.
- Ask for professional help if family conflict or aggression is escalating.
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85Admin
Give paperwork a next action
Not ratedADHD evidencePick one paper lying around that needs an action, not more sorting.
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86Attention
Park distractions for later
Not ratedADHD evidenceRun it in your head: a side thought turns up, you give it a short label, you go back to the task.
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87Self esteem
Answer self-criticism with kindness
Not ratedgeneral health evidenceSay it silently: 'This is a hard moment. What would I say to someone I care about?'
Persistent worthlessness, hopelessness or thoughts of self-harm deserve prompt professional support.
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88Planning
Review the coming week
Not ratedADHD evidencePick a regular slot in your week for a short look ahead.
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89Digital focus
Block one distracting digital route
Not ratedADHD evidenceName the one app or website that most often breaks into a task you want to finish.
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90Time
Check how long tasks really take
Not ratedADHD evidencePick one task you repeat and usually think will take less time than it does.
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91Therapy
Ask for organisational skills training
Very low certaintyADHD evidenceWrite down one way school organisation goes wrong for your child, to raise with trained staff.
- Ask about a trained, structured service before paying for any programme.
- It should fit alongside teaching and the rest of your child's ADHD care.
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92Organisation
Build a homework packing routine
Very low certaintyADHD evidenceName the homework-materials problem you and your child most want to make easier.
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93Sleep
Get some morning daylight
Not ratedgeneral health evidencePick one safe spot outdoors you could get to soon after waking.
This means normal daylight, not looking at the sun or using a light therapy device.
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94Task starts
Pair a small task with a reward
Not ratedADHD evidencePick one tiny task step and something pleasant and affordable to follow it.
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95Hormones
Bring cycle patterns to your clinician
Not ratedgeneral health evidenceAsk yourself whether the changes you want to raise seem to line up with your period.
- Do not use cycle timing to change medicines yourself.
- Seek help for severe symptoms without waiting to finish a diary.
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96Stress
Practise gentle calming breaths
Not ratedgeneral health evidenceGet comfortable and just notice how you're breathing, without changing it.
- Do not assume new chest pain, faintness or severe breathlessness is stress.
- Seek medical help.
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97Emotions
Check a hurtful message before replying
Not ratedgeneral health evidencePick an ambiguous comment from memory. Split the words you heard from the meaning you added.
- Do not use an RSD label to diagnose yourself or excuse another person's abuse.
- Seek help for severe or persistent distress.
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98Mindfulness
Try mindfulness gently
Very low certaintyADHD evidenceListen for a nearby sound or feel your natural breath. When your mind wanders, bring it back gently.
- Mindfulness is not helpful for everyone.
- Stop if it worsens distress, and discuss persistent symptoms with a clinician.
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99Supplements
Check omega 3 claims before buying
Low certaintyADHD evidenceWrite down exactly what improvement you'd expect before paying for an ADHD supplement.
- Discuss supplements with a clinician or pharmacist, especially alongside medicines.
- This is an evidence review, not a recommendation to self-treat.
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100Friendships
Practise friendship without pressure
Very low certaintyADHD evidenceTry one gentle question: 'Is there a friendship situation you want help with?'
Do not promise that social skills training will reliably improve ADHD or friendships; the evidence is very uncertain.
Nothing fits this length yet.
5 minutes
Ordered by expected benefit for everyone. Add a few facts and this reorders for you. Each of the 100 has a 5 minute version
-
1Medication
Discuss methylphenidate for your child
High certaintyADHD evidenceWrite down one thing you hope it helps and one worry, to take to the prescriber.
- Only a qualified prescriber can decide whether methylphenidate suits your child.
- The estimate is for school age children and does not apply to preschoolers.
-
2Medication
Discuss methylphenidate as an adult
High certaintyADHD evidenceWrite a few treatment goals and your questions about side effects.
- Whether it suits you, and the prescribing, are decisions for a qualified clinician.
- Bring your health history and every medicine you take, including ones bought without a prescription.
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3Assessment
Request your child's ADHD assessment
Guideline advice, not formally gradedADHD evidenceWrite a short request to your child's clinician that describes the main concern.
- A qualified clinician should tell ADHD apart from normal developmental variation and other conditions.
- Assessment routes differ between countries.
-
4Assessment
Ask for an adult ADHD assessment
Guideline advice, not formally gradedADHD evidenceWrite three examples of what you struggle with and roughly when each began.
- An online screener cannot confirm ADHD.
- A qualified clinician has to weigh your symptoms, impairment and other possible causes.
-
5Monitoring
Plan titration with your clinician
Guideline advice, not formally gradedADHD evidenceWrite a few lines on attention, how your days are going, sleep, appetite and mood.
- The prescriber directs every medication change.
- Report worrying effects promptly instead of waiting for the next routine review.
-
6Medication
Ask about amphetamine alternatives
Moderate certaintyADHD evidenceWrite what helped, what did not, and what your child found uncomfortable.
- These are clinician-led alternatives, not interchangeable medicines.
- Appetite, sleep and cardiovascular effects need review; the youth estimate does not describe adult efficacy.
-
7Medication
Ask about atomoxetine as an adult
High certaintyADHD evidenceList what you want from an alternative and what made previous treatment hard.
- A clinician should decide whether it suits you, check interactions and plan monitoring.
- This adult estimate cannot be assumed to apply to children or to every outcome.
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8Assessment
Prepare a medication safety review
Guideline advice, not formally gradedADHD evidenceList every medicine and supplement you take right now for the appointment.
- A qualified prescriber decides whether treatment suits you and which tests are needed.
- A normal screening result does not replace follow-up, and new symptoms still need reporting.
-
9Monitoring
Book your treatment review
Guideline advice, not formally gradedADHD evidenceFind the date of your last review. If the next one is unclear, draft a request.
- New problems or side effects mean an earlier review, not a wait.
- Medication decisions belong with your prescriber.
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10Combined care
Ask for anxiety and depression care
Guideline advice, not formally gradedADHD evidenceWrite when it started, how often it happens and what it stops you doing.
- If you or your child has thoughts of suicide or is in immediate danger, help is available now: contact local emergency services or a crisis line.
- New severe mood changes need prompt clinical assessment, including review of current medicines.
-
11Medication
Ask about alpha-2 nonstimulant options
High certaintyADHD evidenceWrite down your child's current medicines and any history of fainting or marked sleepiness.
- A specialist must choose and supervise the medicine, and in the UK clonidine is used only on tertiary specialist advice.
- Plan any change, stopping included, with the prescriber, because stopping suddenly can raise blood pressure.
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12School care
Request a school support plan
Guideline advice, not formally gradedADHD evidenceDraft an email asking the school for a support meeting or a needs assessment.
- Eligibility and legal procedures vary by country and school system.
- An ADHD diagnosis does not automatically decide which plan or adjustments a child gets.
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13Therapy
Ask about CBT adapted for adult ADHD
Moderate certaintyADHD evidenceWrite three questions for a therapist: their ADHD experience, the format, the cost.
- Choose a qualified therapist and keep therapy connected to the rest of your care.
- CBT does not require you to change medication yourself.
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14Monitoring
Arrange pulse and blood pressure checks
Guideline advice, not formally gradedADHD evidenceLook at your appointment record, and if the next check isn't clear, contact the service in charge.
- New chest pain, fainting or significant palpitations need prompt medical assessment.
- A clinician should interpret readings and decide whether further tests are needed.
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15Assessment
Ask about coexisting conditions
Guideline advice, not formally gradedADHD evidenceWrite the concern and one example of it from home or school.
- Screening results need a clinician to interpret them.
- ADHD, autism, learning conditions and tics can occur together, and none of them should be diagnosed or ruled out from a checklist alone.
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16Tobacco
Ask for support with smoking
Not ratedgeneral health evidenceList your strongest cravings, previous attempts and questions for an adviser.
Ask a clinician or pharmacist to go through treatment options and your medicines with you, including if you are pregnant.
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17Monitoring
Arrange your child's growth checks
Guideline advice, not formally gradedADHD evidenceCheck when height and weight were last measured, and book the next appointment if it's due.
- A clinician should read the growth chart and decide how treatment responds to it.
- Raise appetite or growth worries without changing the medication yourself.
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18Medication
Plan a pregnancy medication review
Not ratedgeneral health evidenceDraft a request for a medication review that mentions pregnancy or your plans for it.
- Contact your prescriber promptly about pregnancy or plans for one.
- Medication decisions need a review of your own situation, and nothing here tells you to change treatment.
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19Movement
Build activity you enjoy
Not ratedgeneral health evidenceIf it is safe for you, take a comfortable short walk or use an adapted movement you already know.
If a condition, pain or disability affects exercise, ask a clinician how to adapt it.
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20Alcohol
Bring alcohol into your health review
Not ratedgeneral health evidenceWrite a short account of your drinking pattern and any problems or withdrawal symptoms.
- Alcohol withdrawal can be dangerous.
- If you may be dependent, get medical advice before changing your drinking.
- Seizures or hallucinations need emergency help.
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21Safety
Take talk of suicide seriously
Not ratedADHD evidenceIdentify your local crisis service and a trusted person you could contact; do not delay urgent help to do this.
- If you or someone else may act on suicidal thoughts, call your local emergency number now, or contact a crisis line or suicide prevention helpline in your country.
- Do not wait for a scheduled appointment.
-
22Care planning
Plan the move to adult ADHD care
Guideline advice, not formally gradedADHD evidenceWrite a message asking the current team what the transition plan is.
- Referral rules and ages differ by service and country.
- Confirm with the clinical teams who carries on prescribing and monitoring.
-
23Injury prevention
Put medicines out of children's reach
Not ratedgeneral health evidenceCheck that place and return any medicines to appropriate safe storage out of reach and sight.
- If you suspect poisoning, get advice quickly from your local poison service or emergency care.
- Changing where you store medicines does not change the instructions for taking them.
-
24Sleep
Mention your child's snoring
Guideline advice, not formally gradedADHD evidenceWrite down the breathing signs and how your child seems during the day.
- Snoring alone does not diagnose sleep apnoea.
- A clinician needs to assess it, and breathing pauses with marked daytime sleepiness need prompt review.
-
25Food
Ask for an appetite eating plan
Not ratedADHD evidenceList recent eating changes and the foods your child currently accepts.
- Weight loss or growth worries need a clinical review.
- Any change to medicines or their timing must be agreed with the prescriber.
-
26Sleep
Protect your child's sleep time
Not ratedgeneral health evidenceCheck the CDC age table and compare it with your child's usual time asleep.
-
27Physical health
Ask which health checks are due
Not ratedgeneral health evidenceList known family history, existing conditions and any past results you can easily find.
- Who gets tested, and how often, varies by country and by personal risk.
- New symptoms need a clinical assessment, not a wait for the routine check.
-
28Assessment
Ask for a sleep problem assessment
Not ratedADHD evidenceWrite when the problem happens, and whether anyone has noticed snoring or pauses in your breathing.
- Ongoing sleepiness, pauses in breathing or gasping need medical assessment.
- If sleepiness makes driving unsafe, do not drive, and get clinical advice.
-
29Sleep
Keep a steady sleep window
Not ratedgeneral health evidenceCompare your workday and free-day sleep times and identify the biggest mismatch.
- If sleep problems persist or affect daily life, get assessed.
- Medication changes belong with your prescriber.
-
30Cannabis
Discuss cannabis use openly
Not ratedgeneral health evidenceWrite a brief account of your use and its effects on sleep, attention and daily life.
- Talk about cannabis alongside your prescribed medicines and other substances.
- This item does not recommend cannabis for ADHD and is not a plan for stopping without supervision.
-
31Safety
Ask about bullying and exclusion
Not ratedADHD evidenceAsk about one part of your child's day and listen without jumping straight to advice.
- Seek urgent help for threats or injury.
- Respond to harm whether your child was targeted, harmed others or both.
-
32Dental health
Support your child's tooth care
Not ratedgeneral health evidenceCheck the NHS advice for your child's age and identify one brushing step to support.
Ask a dentist about pain, persistent bleeding, injury or difficulty brushing; supervision and toothpaste use should suit your child's age.
-
33Injury prevention
Check your child's sports helmet
Not ratedgeneral health evidenceOpen the activity-specific CDC helmet guide and identify the fit checks.
- A helmet does not rule out concussion or other injury.
- Get medical advice after a worrying head injury.
-
34Mental health
Notice lasting changes in mood
Not ratedgeneral health evidenceNote what changed, when it began and one example of how it affects everyday life.
- This cannot diagnose depression.
- For thoughts of suicide, seek help now: contact a crisis line or helpline in your country, and call your local emergency number if anyone is in immediate danger.
-
35Care planning
Ask for a diagnosis explanation
Guideline advice, not formally gradedADHD evidenceList two questions and one part of the diagnosis you want explained.
- Use the conversation to understand the diagnosis and your options.
- Treatment decisions should be made for you specifically, with your clinician.
-
36Movement
Add gentle strength work
Not ratedgeneral health evidenceRead the NHS guide and select one movement that appears suitable for you.
Get advice on adapting exercise if illness, injury, balance problems or pain get in the way.
-
37Food
Make regular meals easier
Not ratedADHD evidenceChoose a simple breakfast or other meal from foods you usually have.
Food allergies, swallowing problems, growth worries or an eating disorder need personal dietary advice.
-
38Combined care
Discuss substance risk with your team
Guideline advice, not formally gradedADHD evidenceList the substances and medicines you use, and any worries about control or safety.
- Substance use and prescribing need an assessment of your own situation.
- This finding does not support taking someone else's medicine, taking extra, or tackling substance problems without clinical help.
-
39Nicotine
Ask for help with youth vaping
Not ratedgeneral health evidenceRead the CDC parent guide and choose one question for a healthcare professional.
- If your child uses nicotine, ask their healthcare professional about appropriate support.
- Treatment choices for young people need individual advice.
-
40Sleep
Ask for tailored sleep support
Not ratedADHD evidenceWrite down that problem, its daytime impact and what you have already tried.
- Get clinical advice for sleep problems that persist.
- Breathing pauses and marked daytime sleepiness need assessment.
-
41Mental health
Notice worry behind the behaviour
Not ratedADHD evidenceWrite down one repeated worry, when it appears and what your child avoids.
- This cannot diagnose anxiety.
- Get prompt help for severe distress, self-harm or major loss of functioning.
-
42Therapy
Ask about parent behaviour training
Very low certaintyADHD evidenceWrite to your child's clinician asking about behavioural parent training.
- Look for a trained professional who works with young children.
- Parent training gives you tools and support, and it does not mean you caused your child's ADHD.
-
43Work care
Ask for workplace adjustments
Not ratedADHD evidenceWrite one sentence on the barrier and one on an adjustment that might help.
- Disclosure and workplace rights depend on local rules and your circumstances.
- Ask about confidentiality and share only what the request needs.
-
44Food
Get help for loss-of-control eating
Not ratedgeneral health evidenceNote when binges happened this week and how you felt before and after.
- Binge eating disorder needs a clinical assessment.
- Don't start a strict diet on your own, because the NHS says dieting during treatment can make binge eating harder to stop.
-
45Medication
Discuss treatment and driving safety
Very low certaintyADHD evidenceWrite down attention problems or side effects that could affect your driving.
- Do not drive if symptoms or side effects make it unsafe.
- Medication does not guarantee safe driving, so get individual clinical advice and follow local licensing rules.
-
46Parent support
Ask for support for yourself too
Guideline advice, not formally gradedADHD evidenceDraft a specific request for emotional or practical support.
Seek urgent support if you feel unable to keep yourself or your child safe.
-
47School
Keep a conversation with school
Guideline advice, not formally gradedADHD evidenceDraft a brief message asking the teacher for a conversation about one concern.
Agree what information may be shared and involve your child in a way that fits their age and understanding.
-
48Information
Check ADHD claims before sharing
Not ratedgeneral health evidenceOpen one source behind an ADHD claim and check its author, date and study population.
- A relatable video cannot diagnose ADHD or justify changing treatment.
- Take diagnostic or treatment questions to a qualified clinician.
-
49Sleep
Give screens a bedtime boundary
Not ratedgeneral health evidenceWork out a screen stopping time that leaves a short wind-down before bed.
-
50Caffeine
Review caffeine and sleep together
Not ratedgeneral health evidenceList yesterday's caffeinated drinks and their approximate times.
Use this to prepare for a conversation, especially if you take medicines, are pregnant or have ongoing sleep problems.
-
51Appointments
Ask for appointment text reminders
Moderate certaintygeneral health evidenceCheck the reminder options for one upcoming appointment.
-
52Sleep
Ask about restless legs at night
Not ratedgeneral health evidenceNote the sensation, when it happens and whether movement changes it.
- Ask a clinician about testing and any supplements.
- An overdose of iron can be fatal for a young child, so keep iron products out of their reach.
-
53Workspace
Compare quiet with gentle noise
Moderate certaintyADHD evidenceRemove one avoidable source of noise and try a small task in the quieter setting.
- Keep the volume low and comfortable.
- Don't mask alarms, traffic or other sounds you need for safety, and stop if the sound causes discomfort.
-
54Driving
Put your phone away before driving
Not ratedgeneral health evidenceBefore your next drive, set up phone silencing, your route and an out-of-reach phone location.
- Only read or change settings when you're safely parked.
- This routine does not establish that you are fit to drive.
- Follow local licensing rules and any clinical advice given to you.
-
55Study skills
Recall before you reread
Not ratedgeneral health evidenceCover a short piece of study material, recall its main point and check your answer.
-
56Parenting
Share time your child enjoys
Guideline advice, not formally gradedADHD evidenceAsk your child to show or tell you something they enjoy, and listen without correcting.
-
57Communication
Choose how to explain your ADHD
Not ratedADHD evidenceChoose one trusted person and draft a short explanation of what you want them to understand.
You do not need to disclose to someone who may use the information to intimidate or harm you.
-
58Peer support
Try a supportive ADHD group
Guideline advice, not formally gradedADHD evidenceUse the NHS resource list to identify one suitable group and check its audience and cost.
- Peer support complements professional help.
- Do not follow another member's medication or diagnostic advice.
-
59Task starts
Link a small action to a clear cue
Not ratedgeneral health evidenceWrite your cue and action, then rehearse the sentence once.
-
60Sleep
Ask a clinician about melatonin
Not ratedADHD evidenceList the sleep approaches already tried and whether they helped.
- For children, melatonin is a decision led by a clinician.
- Discuss side effects, interactions and follow-up.
- This item gives no dosing or self-treatment advice.
-
61Planning
Keep commitments in one calendar
Not ratedADHD evidenceEnter your next commitment with its location and preparation note.
-
62Emotions
Treat big feelings as part of ADHD
Not ratedADHD evidenceWrite two recent examples of fast, strong feelings and how long each lasted.
- Strong feelings are not always ADHD.
- Seek help promptly for low mood lasting weeks, hopelessness or thoughts of self-harm.
-
63Study skills
Spread study across later revisits
Not ratedgeneral health evidenceAdd one short revisit of a current topic to your calendar.
-
64Task starting
Shrink a task to its first action
Not ratedADHD evidenceDo that first action and identify what comes next.
-
65Reminders
Plan medication reminders safely
Not ratedgeneral health evidenceWrite that question beside the medicine instructions you plan to bring.
- Follow your prescription.
- If you're not sure whether you've taken a dose, or how to store or organise a medicine, ask your pharmacist or prescriber instead of guessing.
- Keep medicines secure and out of children's reach.
- A reminder does not decide what to take.
-
66Organisation
Capture tasks in one place
Not ratedADHD evidenceMake a single inbox and put three loose tasks into it.
-
67Money
Automate a bill you can cover
Not ratedADHD evidenceCheck that bill's amount and next payment date.
- Automatic payments can cause fees when there isn't enough money in the account.
- Check amounts, dates and cancellation terms.
- Automating a bill does not make it affordable.
-
68Movement
Help your child find active fun
Very low certaintyADHD evidenceChoose one manageable activity and check what supervision or equipment it needs.
- Choose activities that suit your child's age, health and ability.
- Ask about adaptations if a medical condition limits exercise.
-
69Relationships
Repeat back what you heard
Not ratedgeneral health evidencePractise listening to one concern and summarising it before offering advice.
- Communication exercises are not a solution to coercion or abuse.
- Seek confidential support if you feel unsafe.
-
70Identity
Make room for mixed feelings
Not ratedADHD evidenceWrite what the diagnosis helps explain and one question or feeling you want to discuss.
- Grief-like feelings do not explain every change in mood.
- Seek help for persistent hopelessness, loss of functioning or thoughts of self-harm.
-
71Parenting
Praise a specific effort
Very low certaintyADHD evidenceNotice and warmly describe an effort your child makes during an ordinary interaction.
Praise is support, not a substitute for assessment or a complete parent-training programme.
-
72Stress
Set a limit before overload builds
Not ratedgeneral health evidenceIdentify one pressure and one person who could help reduce it.
Persistent exhaustion, low mood or loss of functioning deserves medical attention rather than assuming it is ADHD burnout.
-
73Attention
Work in short, adjustable blocks
Not ratedADHD evidenceTry a five minute start on that piece, with permission to stop afterwards.
-
74Digital focus
Silence nonessential notifications
Not ratedADHD evidenceTurn off one optional app's sounds, vibrations and banners.
-
75Planning
Choose your important task first
Not ratedADHD evidenceMark one priority in your task list and decide when to start it.
-
76Organisation
Give essentials a home
Not ratedADHD evidenceClear that small space and put the essential there.
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77Family
Make space for siblings too
Not ratedADHD evidenceCheck in with a sibling and listen without immediately defending anyone.
Take threats, injuries or fear between siblings seriously and seek help with keeping everyone safe.
-
78Emotions
Help your child name the feeling
Not ratedADHD evidenceThink with your child about a word or drawing they could use when speaking feels hard.
Seek professional support if outbursts involve injury, threats or major disruption.
-
79Emotions
Pause before you react
Not ratedADHD evidenceIdentify your first warning sign in a recent disagreement and choose a pause phrase.
If you fear you may hurt yourself or someone else, seek urgent help rather than relying on a pause.
-
80Self knowledge
Name your own strengths
Not ratedADHD evidenceWrite two concrete examples of your strengths, including one outside productivity or work.
-
81Routines
Make a short leaving checklist
Not ratedADHD evidenceWrite a short leaving list and put it where you collect your belongings.
-
82Money
Put a pause before checkout
Not ratedADHD evidenceDisable one optional shopping shortcut or notification.
-
83Time
Make time visible
Not ratedADHD evidenceSet one clearly labelled transition alarm or place a clock in view.
-
84Parenting
Keep boundaries clear and calm
Very low certaintyADHD evidenceChoose one repeated conflict and decide how to explain the expectation in simple words.
- Avoid physical punishment, humiliation or withholding basic needs.
- Ask for professional help if family conflict or aggression is escalating.
-
85Admin
Give paperwork a next action
Not ratedADHD evidenceProcess one document: name the action, record any deadline and decide where the paper belongs.
-
86Attention
Park distractions for later
Not ratedADHD evidenceStart a short task with a place to capture side thoughts in a few words.
-
87Self esteem
Answer self-criticism with kindness
Not ratedgeneral health evidenceWrite one harsh belief about yourself and one concrete fact that challenges it.
Persistent worthlessness, hopelessness or thoughts of self-harm deserve prompt professional support.
-
88Planning
Review the coming week
Not ratedADHD evidenceCheck the next few calendar entries and identify one preparation task.
-
89Digital focus
Block one distracting digital route
Not ratedADHD evidenceSet one temporary limit using a tool you already have.
-
90Time
Check how long tasks really take
Not ratedADHD evidenceEstimate and time a brief familiar task, including its setup.
-
91Therapy
Ask for organisational skills training
Very low certaintyADHD evidenceDraft a message asking the school about structured organisational skills training.
- Ask about a trained, structured service before paying for any programme.
- It should fit alongside teaching and the rest of your child's ADHD care.
-
92Organisation
Build a homework packing routine
Very low certaintyADHD evidenceAgree one place for the materials needed for the next homework task.
-
93Sleep
Get some morning daylight
Not ratedgeneral health evidenceIf daylight and conditions allow, spend a few comfortable minutes outside.
This means normal daylight, not looking at the sun or using a light therapy device.
-
94Task starts
Pair a small task with a reward
Not ratedADHD evidenceWrite the step and its reward, keeping the finish point clear.
-
95Hormones
Bring cycle patterns to your clinician
Not ratedgeneral health evidenceMake a brief note of today's symptoms and where you are in your cycle, if known.
- Do not use cycle timing to change medicines yourself.
- Seek help for severe symptoms without waiting to finish a diary.
-
96Stress
Practise gentle calming breaths
Not ratedgeneral health evidenceFollow the NHS breathing exercise gently, counting only if comfortable; stop if you feel worse.
- Do not assume new chest pain, faintness or severe breathlessness is stress.
- Seek medical help.
-
97Emotions
Check a hurtful message before replying
Not ratedgeneral health evidenceDraft one calm clarification question without sending it while highly upset.
- Do not use an RSD label to diagnose yourself or excuse another person's abuse.
- Seek help for severe or persistent distress.
-
98Mindfulness
Try mindfulness gently
Very low certaintyADHD evidenceTry a short seated practice from the NHS guide, keeping your eyes open if you prefer.
- Mindfulness is not helpful for everyone.
- Stop if it worsens distress, and discuss persistent symptoms with a clinician.
-
99Supplements
Check omega 3 claims before buying
Low certaintyADHD evidenceList the supplements and medicines you want a pharmacist to review.
- Discuss supplements with a clinician or pharmacist, especially alongside medicines.
- This is an evidence review, not a recommendation to self-treat.
-
100Friendships
Practise friendship without pressure
Very low certaintyADHD evidenceRehearse one short exchange with your child, if they want to.
Do not promise that social skills training will reliably improve ADHD or friendships; the evidence is very uncertain.
Nothing fits this length yet.
15 minutes
Ordered by expected benefit for everyone. Add a few facts and this reorders for you. Each of the 100 has a 15 minute version
-
1Medication
Discuss methylphenidate for your child
High certaintyADHD evidenceList the support your child already gets, their health conditions and medicines, and what you want to ask about monitoring.
- Only a qualified prescriber can decide whether methylphenidate suits your child.
- The estimate is for school age children and does not apply to preschoolers.
-
2Medication
Discuss methylphenidate as an adult
High certaintyADHD evidencePut your medicine list and medical history on one page for the prescribing appointment.
- Whether it suits you, and the prescribing, are decisions for a qualified clinician.
- Bring your health history and every medicine you take, including ones bought without a prescription.
-
3Assessment
Request your child's ADHD assessment
Guideline advice, not formally gradedADHD evidencePut the school feedback and developmental information you already have in one folder.
- A qualified clinician should tell ADHD apart from normal developmental variation and other conditions.
- Assessment routes differ between countries.
-
4Assessment
Ask for an adult ADHD assessment
Guideline advice, not formally gradedADHD evidenceDraft a short appointment note: symptoms, childhood history, mood, sleep and current medicines.
- An online screener cannot confirm ADHD.
- A qualified clinician has to weigh your symptoms, impairment and other possible causes.
-
5Monitoring
Plan titration with your clinician
Guideline advice, not formally gradedADHD evidenceAsk the clinic which feedback form they use, and write your questions for the next review.
- The prescriber directs every medication change.
- Report worrying effects promptly instead of waiting for the next routine review.
-
6Medication
Ask about amphetamine alternatives
Moderate certaintyADHD evidencePull together a summary of previous treatment to go through with the prescriber.
- These are clinician-led alternatives, not interchangeable medicines.
- Appetite, sleep and cardiovascular effects need review; the youth estimate does not describe adult efficacy.
-
7Medication
Ask about atomoxetine as an adult
High certaintyADHD evidenceWrite your questions about timing, side effects and the review appointment.
- A clinician should decide whether it suits you, check interactions and plan monitoring.
- This adult estimate cannot be assumed to apply to children or to every outcome.
-
8Assessment
Prepare a medication safety review
Guideline advice, not formally gradedADHD evidenceWrite down your own and your family's health history, and your questions about baseline checks.
- A qualified prescriber decides whether treatment suits you and which tests are needed.
- A normal screening result does not replace follow-up, and new symptoms still need reporting.
-
9Monitoring
Book your treatment review
Guideline advice, not formally gradedADHD evidenceWrite one page on what helps, the unwanted effects and the support you need now.
- New problems or side effects mean an earlier review, not a wait.
- Medication decisions belong with your prescriber.
-
10Combined care
Ask for anxiety and depression care
Guideline advice, not formally gradedADHD evidencePut your symptom history and current medicine list together for an appointment about combined care.
- If you or your child has thoughts of suicide or is in immediate danger, help is available now: contact local emergency services or a crisis line.
- New severe mood changes need prompt clinical assessment, including review of current medicines.
-
11Medication
Ask about alpha-2 nonstimulant options
High certaintyADHD evidenceWrite your questions about the proposed medicine, whether it is licensed locally, and monitoring.
- A specialist must choose and supervise the medicine, and in the UK clonidine is used only on tertiary specialist advice.
- Plan any change, stopping included, with the prescriber, because stopping suddenly can raise blood pressure.
-
12School care
Request a school support plan
Guideline advice, not formally gradedADHD evidenceMake a short list for the meeting: the barriers, the help already in place, and what your child thinks.
- Eligibility and legal procedures vary by country and school system.
- An ADHD diagnosis does not automatically decide which plan or adjustments a child gets.
-
13Therapy
Ask about CBT adapted for adult ADHD
Moderate certaintyADHD evidenceDraft a therapy enquiry: your goals, your current care, and what might make attending hard.
- Choose a qualified therapist and keep therapy connected to the rest of your care.
- CBT does not require you to change medication yourself.
-
14Monitoring
Arrange pulse and blood pressure checks
Guideline advice, not formally gradedADHD evidenceWrite a short note for your clinician on heart symptoms, family history and recent treatment changes.
- New chest pain, fainting or significant palpitations need prompt medical assessment.
- A clinician should interpret readings and decide whether further tests are needed.
-
15Assessment
Ask about coexisting conditions
Guideline advice, not formally gradedADHD evidenceCollect the reports you already have and write your questions about further assessment.
- Screening results need a clinician to interpret them.
- ADHD, autism, learning conditions and tics can occur together, and none of them should be diagnosed or ruled out from a checklist alone.
-
16Tobacco
Ask for support with smoking
Not ratedgeneral health evidenceFind a local stop-smoking service or ask your clinician for a support appointment.
Ask a clinician or pharmacist to go through treatment options and your medicines with you, including if you are pregnant.
-
17Monitoring
Arrange your child's growth checks
Guideline advice, not formally gradedADHD evidenceGather the measurements you have and write your questions about appetite or growth for the review.
- A clinician should read the growth chart and decide how treatment responds to it.
- Raise appetite or growth worries without changing the medication yourself.
-
18Medication
Plan a pregnancy medication review
Not ratedgeneral health evidenceWrite your medicine list and a few lines on how treatment affects your everyday life.
- Contact your prescriber promptly about pregnancy or plans for one.
- Medication decisions need a review of your own situation, and nothing here tells you to change treatment.
-
19Movement
Build activity you enjoy
Not ratedgeneral health evidenceTry a manageable activity session, or use the time to find an accessible option.
If a condition, pain or disability affects exercise, ask a clinician how to adapt it.
-
20Alcohol
Bring alcohol into your health review
Not ratedgeneral health evidenceContact primary care or a local alcohol service and prepare the points you want to cover.
- Alcohol withdrawal can be dangerous.
- If you may be dependent, get medical advice before changing your drinking.
- Seizures or hallucinations need emergency help.
-
21Safety
Take talk of suicide seriously
Not ratedADHD evidenceRead NIMH's action steps with a trusted person and discuss how you would help each other reach support.
- If you or someone else may act on suicidal thoughts, call your local emergency number now, or contact a crisis line or suicide prevention helpline in your country.
- Do not wait for a scheduled appointment.
-
22Care planning
Plan the move to adult ADHD care
Guideline advice, not formally gradedADHD evidenceList current treatments, monitoring and support to go through at the handover meeting.
- Referral rules and ages differ by service and country.
- Confirm with the clinical teams who carries on prescribing and monitoring.
-
23Injury prevention
Put medicines out of children's reach
Not ratedgeneral health evidenceReview medicine storage with other adults at home, including what happens when visitors arrive.
- If you suspect poisoning, get advice quickly from your local poison service or emergency care.
- Changing where you store medicines does not change the instructions for taking them.
-
24Sleep
Mention your child's snoring
Guideline advice, not formally gradedADHD evidenceListen at your child's door for a few minutes after they fall asleep, then note what you heard for the clinician.
- Snoring alone does not diagnose sleep apnoea.
- A clinician needs to assess it, and breathing pauses with marked daytime sleepiness need prompt review.
-
25Food
Ask for an appetite eating plan
Not ratedADHD evidencePrepare a message for the prescriber or dietitian about appetite, eating times and weight concerns.
- Weight loss or growth worries need a clinical review.
- Any change to medicines or their timing must be agreed with the prescriber.
-
26Sleep
Protect your child's sleep time
Not ratedgeneral health evidenceReview bedtime, estimated sleep onset and waking with your child, then note any daytime sleepiness.
-
27Physical health
Ask which health checks are due
Not ratedgeneral health evidencePrepare a primary-care appointment request asking which preventive checks are appropriate.
- Who gets tested, and how often, varies by country and by personal risk.
- New symptoms need a clinical assessment, not a wait for the routine check.
-
28Assessment
Ask for a sleep problem assessment
Not ratedADHD evidenceWrite a short sleep history and your medicine list to go through with your clinician.
- Ongoing sleepiness, pauses in breathing or gasping need medical assessment.
- If sleepiness makes driving unsafe, do not drive, and get clinical advice.
-
29Sleep
Keep a steady sleep window
Not ratedgeneral health evidenceWrite a brief account of when you feel sleepy, fall asleep and wake, including the effect on your day.
- If sleep problems persist or affect daily life, get assessed.
- Medication changes belong with your prescriber.
-
30Cannabis
Discuss cannabis use openly
Not ratedgeneral health evidencePrepare an appointment request with a clinician or local drug-support service.
- Talk about cannabis alongside your prescribed medicines and other substances.
- This item does not recommend cannabis for ADHD and is not a plan for stopping without supervision.
-
31Safety
Ask about bullying and exclusion
Not ratedADHD evidenceIf something has happened, record the basic facts and prepare a safety-focused conversation with school.
- Seek urgent help for threats or injury.
- Respond to harm whether your child was targeted, harmed others or both.
-
32Dental health
Support your child's tooth care
Not ratedgeneral health evidencePrepare a question for the dentist about brushing difficulties and check when the next visit is due.
Ask a dentist about pain, persistent bleeding, injury or difficulty brushing; supervision and toothpaste use should suit your child's age.
-
33Injury prevention
Check your child's sports helmet
Not ratedgeneral health evidenceWith your child present, check the helmet using the guide and manufacturer's instructions.
- A helmet does not rule out concussion or other injury.
- Get medical advice after a worrying head injury.
-
34Mental health
Notice lasting changes in mood
Not ratedgeneral health evidenceUse those examples to request a conversation with a health professional for yourself or your child.
- This cannot diagnose depression.
- For thoughts of suicide, seek help now: contact a crisis line or helpline in your country, and call your local emergency number if anyone is in immediate danger.
-
35Care planning
Ask for a diagnosis explanation
Guideline advice, not formally gradedADHD evidenceRead the matching NHS guide and turn whatever is unclear into questions for the appointment.
- Use the conversation to understand the diagnosis and your options.
- Treatment decisions should be made for you specifically, with your clinician.
-
36Movement
Add gentle strength work
Not ratedgeneral health evidenceIf suitable, try a few gentle movements from the guide with the recommended support, resting as needed.
Get advice on adapting exercise if illness, injury, balance problems or pain get in the way.
-
37Food
Make regular meals easier
Not ratedADHD evidencePut together a short shopping list for a few easy meals with variety across the day.
Food allergies, swallowing problems, growth worries or an eating disorder need personal dietary advice.
-
38Combined care
Discuss substance risk with your team
Guideline advice, not formally gradedADHD evidenceWrite your questions about joined-up treatment, confidentiality and how the team watches for risk.
- Substance use and prescribing need an assessment of your own situation.
- This finding does not support taking someone else's medicine, taking extra, or tackling substance problems without clinical help.
-
39Nicotine
Ask for help with youth vaping
Not ratedgeneral health evidencePrepare a supportive conversation and, if needed, request advice from your child's clinician.
- If your child uses nicotine, ask their healthcare professional about appropriate support.
- Treatment choices for young people need individual advice.
-
40Sleep
Ask for tailored sleep support
Not ratedADHD evidencePrepare or send an appointment request asking about tailored sleep support.
- Get clinical advice for sleep problems that persist.
- Breathing pauses and marked daytime sleepiness need assessment.
-
41Mental health
Notice worry behind the behaviour
Not ratedADHD evidenceTalk with your child, then prepare a short account of the pattern for their health professional.
- This cannot diagnose anxiety.
- Get prompt help for severe distress, self-harm or major loss of functioning.
-
42Therapy
Ask about parent behaviour training
Very low certaintyADHD evidenceHold a programme's description up against CDC's questions for finding a therapist.
- Look for a trained professional who works with young children.
- Parent training gives you tools and support, and it does not mean you caused your child's ADHD.
-
43Work care
Ask for workplace adjustments
Not ratedADHD evidenceDraft a short support request and work out who at work should receive it.
- Disclosure and workplace rights depend on local rules and your circumstances.
- Ask about confidentiality and share only what the request needs.
-
44Food
Get help for loss-of-control eating
Not ratedgeneral health evidenceBook a GP appointment and write down what you want to tell them.
- Binge eating disorder needs a clinical assessment.
- Don't start a strict diet on your own, because the NHS says dieting during treatment can make binge eating harder to stop.
-
45Medication
Discuss treatment and driving safety
Very low certaintyADHD evidenceWrite a question about driving for your treatment review, and find the official local reporting guidance.
- Do not drive if symptoms or side effects make it unsafe.
- Medication does not guarantee safe driving, so get individual clinical advice and follow local licensing rules.
-
46Parent support
Ask for support for yourself too
Guideline advice, not formally gradedADHD evidenceAsk your health service or an established parent group what support exists for carers.
Seek urgent support if you feel unable to keep yourself or your child safe.
-
47School
Keep a conversation with school
Guideline advice, not formally gradedADHD evidencePrepare your child's view, your observation and one question for a teacher or school support lead.
Agree what information may be shared and involve your child in a way that fits their age and understanding.
-
48Information
Check ADHD claims before sharing
Not ratedgeneral health evidenceCompare one claim with the NIMH page and the MedlinePlus checklist before deciding whether to share it.
- A relatable video cannot diagnose ADHD or justify changing treatment.
- Take diagnostic or treatment questions to a qualified clinician.
-
49Sleep
Give screens a bedtime boundary
Not ratedgeneral health evidenceTry the first part of your wind-down with reading or another quiet screen-free activity.
-
50Caffeine
Review caffeine and sleep together
Not ratedgeneral health evidencePrepare a short sleep-and-caffeine note and one question for a clinician or pharmacist.
Use this to prepare for a conversation, especially if you take medicines, are pregnant or have ongoing sleep problems.
-
51Appointments
Ask for appointment text reminders
Moderate certaintygeneral health evidenceConfirm one appointment's details and add the preparation and travel time to your calendar.
-
52Sleep
Ask about restless legs at night
Not ratedgeneral health evidencePrepare a clinical appointment request describing the sleep impact and any other symptoms.
- Ask a clinician about testing and any supplements.
- An overdose of iron can be fatal for a young child, so keep iron products out of their reach.
-
53Workspace
Compare quiet with gentle noise
Moderate certaintyADHD evidenceCompare quiet and gentle noise on similar short tasks, stopping if the sound is uncomfortable.
- Keep the volume low and comfortable.
- Don't mask alarms, traffic or other sounds you need for safety, and stop if the sound causes discomfort.
-
54Driving
Put your phone away before driving
Not ratedgeneral health evidenceWhile parked, check the phone and navigation settings you will use for future journeys.
- Only read or change settings when you're safely parked.
- This routine does not establish that you are fit to drive.
- Follow local licensing rules and any clinical advice given to you.
-
55Study skills
Recall before you reread
Not ratedgeneral health evidenceAnswer a few low-stakes questions, check them and mark what needs another attempt.
-
56Parenting
Share time your child enjoys
Guideline advice, not formally gradedADHD evidenceShare a small activity your child chooses, with the focus on enjoying the time together.
-
57Communication
Choose how to explain your ADHD
Not ratedADHD evidenceUse the NHS conversation guide to prepare what to share, what to ask for and what should stay private.
You do not need to disclose to someone who may use the information to intimidate or harm you.
-
58Peer support
Try a supportive ADHD group
Guideline advice, not formally gradedADHD evidenceCheck moderation and privacy arrangements, then enquire about attending once as a listener.
- Peer support complements professional help.
- Do not follow another member's medication or diagnostic advice.
-
59Task starts
Link a small action to a clear cue
Not ratedgeneral health evidenceWalk through the situation and make the action easier to begin when the cue appears.
-
60Sleep
Ask a clinician about melatonin
Not ratedADHD evidencePrepare your sleep history, medicine list and questions for the specialist appointment.
- For children, melatonin is a decision led by a clinician.
- Discuss side effects, interactions and follow-up.
- This item gives no dosing or self-treatment advice.
-
61Planning
Keep commitments in one calendar
Not ratedADHD evidenceCompare next week's calendar with recent appointment messages and correct any gaps.
-
62Emotions
Treat big feelings as part of ADHD
Not ratedADHD evidenceRead the NHS emotional regulation page and add your examples to the notes for your next review.
- Strong feelings are not always ADHD.
- Seek help promptly for low mood lasting weeks, hopelessness or thoughts of self-harm.
-
63Study skills
Spread study across later revisits
Not ratedgeneral health evidenceReview an earlier topic, check what you recalled and arrange its next revisit.
-
64Task starting
Shrink a task to its first action
Not ratedADHD evidenceBreak one job into a few actions and complete the first manageable part.
-
65Reminders
Plan medication reminders safely
Not ratedgeneral health evidencePrepare a short list of your reminder, recording and safe-storage difficulties for a pharmacist conversation.
- Follow your prescription.
- If you're not sure whether you've taken a dose, or how to store or organise a medicine, ask your pharmacist or prescriber instead of guessing.
- Keep medicines secure and out of children's reach.
- A reminder does not decide what to take.
-
66Organisation
Capture tasks in one place
Not ratedADHD evidenceCollect tasks from one other list, move appointments to your calendar and choose one next action.
-
67Money
Automate a bill you can cover
Not ratedADHD evidenceReview its automatic-payment terms alongside your upcoming balance and other bills.
- Automatic payments can cause fees when there isn't enough money in the account.
- Check amounts, dates and cancellation terms.
- Automating a bill does not make it affordable.
-
68Movement
Help your child find active fun
Very low certaintyADHD evidenceTry a short, age-appropriate activity together, adjusting the time and effort to your child.
- Choose activities that suit your child's age, health and ability.
- Ask about adaptations if a medical condition limits exercise.
-
69Relationships
Repeat back what you heard
Not ratedgeneral health evidenceTake turns discussing one small disagreement, checking understanding before deciding what comes next.
- Communication exercises are not a solution to coercion or abuse.
- Seek confidential support if you feel unsafe.
-
70Identity
Make room for mixed feelings
Not ratedADHD evidenceRead the post-diagnosis section of the NHS booklet and prepare a conversation with someone you trust.
- Grief-like feelings do not explain every change in mood.
- Seek help for persistent hopelessness, loss of functioning or thoughts of self-harm.
-
71Parenting
Praise a specific effort
Very low certaintyADHD evidenceRead the NHS self-esteem guide and choose one small effort to notice over the next few days.
Praise is support, not a substitute for assessment or a complete parent-training programme.
-
72Stress
Set a limit before overload builds
Not ratedgeneral health evidencePrepare a short conversation about capacity, including what you can offer and the help you need.
Persistent exhaustion, low mood or loss of functioning deserves medical attention rather than assuming it is ADHD burnout.
-
73Attention
Work in short, adjustable blocks
Not ratedADHD evidenceTry one short focus period, a brief break and a check of what helped you stay with the task.
-
74Digital focus
Silence nonessential notifications
Not ratedADHD evidenceTry one quiet task period, then check whether important contacts still reach you.
-
75Planning
Choose your important task first
Not ratedADHD evidenceReview today's commitments, remove an optional task and begin the priority.
-
76Organisation
Give essentials a home
Not ratedADHD evidenceSet homes for a few frequently lost items and rehearse returning them.
-
77Family
Make space for siblings too
Not ratedADHD evidenceUse NHS family resources to plan an age-appropriate explanation or ask about sibling support.
Take threats, injuries or fear between siblings seriously and seek help with keeping everyone safe.
-
78Emotions
Help your child name the feeling
Not ratedADHD evidenceAt a calm moment, discuss an upsetting event and let your child describe their own experience.
Seek professional support if outbursts involve injury, threats or major disruption.
-
79Emotions
Pause before you react
Not ratedADHD evidenceAgree a pause signal and a way to resume difficult conversations with someone you trust.
If you fear you may hurt yourself or someone else, seek urgent help rather than relying on a pause.
-
80Self knowledge
Name your own strengths
Not ratedADHD evidenceAsk a trusted person for an example of a valued contribution, then compare it with your own view.
-
81Routines
Make a short leaving checklist
Not ratedADHD evidenceWalk through the next departure using your list, and reorder any steps that feel awkward.
-
82Money
Put a pause before checkout
Not ratedADHD evidenceMake a list for your next purchase and check it against money already committed to bills.
-
83Time
Make time visible
Not ratedADHD evidenceTry your cue during one short task and check whether you noticed it.
-
84Parenting
Keep boundaries clear and calm
Very low certaintyADHD evidenceDiscuss one rule and a proportionate response with your child, then check that they understand.
- Avoid physical punishment, humiliation or withholding basic needs.
- Ask for professional help if family conflict or aggression is escalating.
-
85Admin
Give paperwork a next action
Not ratedADHD evidenceWork through a small batch using the same action, keep or dispose decisions.
-
86Attention
Park distractions for later
Not ratedADHD evidenceTry one focus block, then review the distraction note at the end.
-
87Self esteem
Answer self-criticism with kindness
Not ratedgeneral health evidenceRead the NHS self-esteem guide and write a kind, balanced reply to one criticism that keeps coming back.
Persistent worthlessness, hopelessness or thoughts of self-harm deserve prompt professional support.
-
88Planning
Review the coming week
Not ratedADHD evidenceReview the coming week, select important next actions and remove a plan that no longer fits.
-
89Digital focus
Block one distracting digital route
Not ratedADHD evidenceTest that limit during one small task and note what still needs to stay accessible.
-
90Time
Check how long tasks really take
Not ratedADHD evidenceCompare an estimate with an observed task duration and update the next calendar slot.
-
91Therapy
Ask for organisational skills training
Very low certaintyADHD evidenceList the main school difficulties, and your questions about staff training, time and review.
- Ask about a trained, structured service before paying for any programme.
- It should fit alongside teaching and the rest of your child's ADHD care.
-
92Organisation
Build a homework packing routine
Very low certaintyADHD evidencePractise gathering and packing the materials together using a short visible list.
-
93Sleep
Get some morning daylight
Not ratedgeneral health evidenceTry a short morning outing at a pace and duration that suit you.
This means normal daylight, not looking at the sun or using a light therapy device.
-
94Task starts
Pair a small task with a reward
Not ratedADHD evidenceTry one small step, acknowledge finishing it and use the reward you chose.
-
95Hormones
Bring cycle patterns to your clinician
Not ratedgeneral health evidencePrepare questions for a clinician using any cycle and symptom information you already have.
- Do not use cycle timing to change medicines yourself.
- Seek help for severe symptoms without waiting to finish a diary.
-
96Stress
Practise gentle calming breaths
Not ratedgeneral health evidenceRead the guide, practise for five comfortable minutes and identify a calm time to practise again.
- Do not assume new chest pain, faintness or severe breathlessness is stress.
- Seek medical help.
-
97Emotions
Check a hurtful message before replying
Not ratedgeneral health evidenceRead the NHS communication guide and discuss one misunderstanding with the person if it feels safe.
- Do not use an RSD label to diagnose yourself or excuse another person's abuse.
- Seek help for severe or persistent distress.
-
98Mindfulness
Try mindfulness gently
Very low certaintyADHD evidenceRead the NHS mindfulness guide, try a brief exercise and notice whether it feels helpful or distressing.
- Mindfulness is not helpful for everyone.
- Stop if it worsens distress, and discuss persistent symptoms with a clinician.
-
99Supplements
Check omega 3 claims before buying
Low certaintyADHD evidenceRead the Cochrane summary and prepare questions about likely benefit, cost and safety.
- Discuss supplements with a clinician or pharmacist, especially alongside medicines.
- This is an evidence review, not a recommendation to self-treat.
-
100Friendships
Practise friendship without pressure
Very low certaintyADHD evidenceDiscuss a recent social situation, practise one option and ask whether it feels useful to your child.
Do not promise that social skills training will reliably improve ADHD or friendships; the evidence is very uncertain.
Nothing fits this length yet.
30 minutes
Ordered by expected benefit for everyone. Add a few facts and this reorders for you. 17 have a 30 minute version
-
19Movement
Build activity you enjoy
Not ratedgeneral health evidenceTake a longer comfortable activity session if it fits your ability; shorter bouts still count.
If a condition, pain or disability affects exercise, ask a clinician how to adapt it.
-
55Study skills
Recall before you reread
Not ratedgeneral health evidenceStudy one small topic using repeated recall and correction, then schedule a later revisit.
-
61Planning
Keep commitments in one calendar
Not ratedADHD evidenceBring active dated commitments into one calendar view and check for travel or preparation clashes.
-
63Study skills
Spread study across later revisits
Not ratedgeneral health evidenceSplit one upcoming topic into small sessions across the time available before your deadline.
-
64Task starting
Shrink a task to its first action
Not ratedADHD evidenceWork through a short sequence, pausing to make each next step concrete.
-
66Organisation
Capture tasks in one place
Not ratedADHD evidenceConsolidate your currently active task lists, leaving old archives alone; test whether the new inbox is easy to reopen.
-
67Money
Automate a bill you can cover
Not ratedADHD evidenceIf it fits your budget, set up one payment, save the terms and arrange a check after the first withdrawal.
- Automatic payments can cause fees when there isn't enough money in the account.
- Check amounts, dates and cancellation terms.
- Automating a bill does not make it affordable.
-
68Movement
Help your child find active fun
Very low certaintyADHD evidenceExplore an accessible activity session or outdoor play opportunity your child wants to try.
- Choose activities that suit your child's age, health and ability.
- Ask about adaptations if a medical condition limits exercise.
-
73Attention
Work in short, adjustable blocks
Not ratedADHD evidenceRun a work and break cycle that fits within half an hour, then adjust the next cycle.
-
75Planning
Choose your important task first
Not ratedADHD evidenceProtect one work block for the priority, then check whether the next step is clear.
-
76Organisation
Give essentials a home
Not ratedADHD evidenceWalk through your arrival and departure routine and simplify any awkward return step.
-
83Time
Make time visible
Not ratedADHD evidenceObserve a routine with a visible clock and change only the cue that was easy to miss.
-
85Admin
Give paperwork a next action
Not ratedADHD evidenceClear current incoming papers and make only the simple folders you actually need.
-
86Attention
Park distractions for later
Not ratedADHD evidenceUse the note through a work and break cycle and keep only the entries that still need action.
-
88Planning
Review the coming week
Not ratedADHD evidenceComplete the weekly check and use the remaining time to start one preparation task.
-
90Time
Check how long tasks really take
Not ratedADHD evidenceObserve one routine from preparation to finish and identify the overlooked transition.
-
92Organisation
Build a homework packing routine
Very low certaintyADHD evidenceTry the routine with a real task and remove steps that add effort without helping.
Nothing fits this length yet.
A plan
Ordered by expected benefit for everyone. Add a few facts and this reorders for you. 58 have a plan that takes weeks
-
1Medication
Discuss methylphenidate for your child
High certaintyADHD evidencePrepare a medication discussion
- Agree the problems treatment should address.
- Discuss suitability and monitoring with the clinician.
- Bring feedback from your child and school to the planned review.
- Only a qualified prescriber can decide whether methylphenidate suits your child.
- The estimate is for school age children and does not apply to preschoolers.
-
2Medication
Discuss methylphenidate as an adult
High certaintyADHD evidenceDiscuss an individual treatment trial
- Bring goals and relevant health information.
- Ask the clinician about suitability, alternatives and follow-up.
- Review changes in functioning and adverse effects together.
- Whether it suits you, and the prescribing, are decisions for a qualified clinician.
- Bring your health history and every medicine you take, including ones bought without a prescription.
-
3Assessment
Request your child's ADHD assessment
Guideline advice, not formally gradedADHD evidenceBuild a shared picture
- Describe concerns to your child's clinician.
- Gather input from school and include your child's perspective.
- Agree the assessment and interim support plan.
- A qualified clinician should tell ADHD apart from normal developmental variation and other conditions.
- Assessment routes differ between countries.
-
4Assessment
Ask for an adult ADHD assessment
Guideline advice, not formally gradedADHD evidencePrepare for assessment
- Identify the difficulties affecting your life.
- Request an assessment through your local care pathway.
- Bring available history and ask about next steps.
- An online screener cannot confirm ADHD.
- A qualified clinician has to weigh your symptoms, impairment and other possible causes.
-
5Monitoring
Plan titration with your clinician
Guideline advice, not formally gradedADHD evidenceMake reviews informative
- Agree treatment goals and a simple way to report changes.
- Provide the requested feedback during clinician-led titration.
- Review benefit, adverse effects and the next monitoring plan.
- The prescriber directs every medication change.
- Report worrying effects promptly instead of waiting for the next routine review.
-
6Medication
Ask about amphetamine alternatives
Moderate certaintyADHD evidenceReview the need for an alternative
- Summarise the current treatment experience.
- Ask the clinician whether a different stimulant is appropriate.
- Agree how the chosen plan will be monitored.
- These are clinician-led alternatives, not interchangeable medicines.
- Appetite, sleep and cardiovascular effects need review; the youth estimate does not describe adult efficacy.
-
7Medication
Ask about atomoxetine as an adult
High certaintyADHD evidenceExplore a nonstimulant option
- Review previous treatment and current needs.
- Ask about suitability and realistic expectations.
- Agree a clinician-led monitoring and review plan.
- A clinician should decide whether it suits you, check interactions and plan monitoring.
- This adult estimate cannot be assumed to apply to children or to every outcome.
-
8Assessment
Prepare a medication safety review
Guideline advice, not formally gradedADHD evidencePrepare the safety information
- Gather medicines and relevant health history.
- Share the information at the clinician's assessment.
- Confirm required checks and the monitoring plan.
- A qualified prescriber decides whether treatment suits you and which tests are needed.
- A normal screening result does not replace follow-up, and new symptoms still need reporting.
-
9Monitoring
Book your treatment review
Guideline advice, not formally gradedADHD evidenceKeep care current
- Confirm who provides your full treatment review.
- Bring treatment feedback and changed circumstances.
- Record the agreed plan and next review date.
- New problems or side effects mean an earlier review, not a wait.
- Medication decisions belong with your prescriber.
-
10Combined care
Ask for anxiety and depression care
Guideline advice, not formally gradedADHD evidenceConnect the care plans
- Raise persistent mood or anxiety symptoms.
- Ask for assessment, treatment or an appropriate referral.
- Agree who coordinates care and how progress will be reviewed.
- If you or your child has thoughts of suicide or is in immediate danger, help is available now: contact local emergency services or a crisis line.
- New severe mood changes need prompt clinical assessment, including review of current medicines.
-
11Medication
Ask about alpha-2 nonstimulant options
High certaintyADHD evidenceCompare the option with your child's needs
- Summarise previous treatment and relevant health history.
- Discuss the specific medicine and monitoring with the specialist.
- Agree how your child will report benefits and adverse effects.
- A specialist must choose and supervise the medicine, and in the UK clonidine is used only on tertiary specialist advice.
- Plan any change, stopping included, with the prescriber, because stopping suddenly can raise blood pressure.
-
12School care
Request a school support plan
Guideline advice, not formally gradedADHD evidenceAgree support that can be reviewed
- Request a meeting or assessment through the school's process.
- Agree specific help and who will provide it.
- Review whether the support improves access and participation.
- Eligibility and legal procedures vary by country and school system.
- An ADHD diagnosis does not automatically decide which plan or adjustments a child gets.
-
13Therapy
Ask about CBT adapted for adult ADHD
Moderate certaintyADHD evidenceFind an appropriate therapy fit
- Ask for ADHD-focused CBT options.
- Discuss goals, format and practical barriers with the therapist.
- Review whether sessions and practice are helping your chosen goals.
- Choose a qualified therapist and keep therapy connected to the rest of your care.
- CBT does not require you to change medication yourself.
-
14Monitoring
Arrange pulse and blood pressure checks
Guideline advice, not formally gradedADHD evidenceKeep monitoring connected to prescribing
- Confirm the monitoring service and schedule.
- Attend the arranged checks and report relevant symptoms.
- Make sure the prescriber receives the results.
- New chest pain, fainting or significant palpitations need prompt medical assessment.
- A clinician should interpret readings and decide whether further tests are needed.
-
15Assessment
Ask about coexisting conditions
Guideline advice, not formally gradedADHD evidenceCheck the whole picture
- Describe concerns beyond core ADHD symptoms.
- Ask which screening or assessment is appropriate.
- Include confirmed needs in the shared support plan.
- Screening results need a clinician to interpret them.
- ADHD, autism, learning conditions and tics can occur together, and none of them should be diagnosed or ruled out from a checklist alone.
-
17Monitoring
Arrange your child's growth checks
Guideline advice, not formally gradedADHD evidenceFollow the growth trend
- Confirm the measurement schedule with the prescriber.
- Bring measurements and appetite concerns to review.
- Ask the clinician to explain the growth chart and next steps.
- A clinician should read the growth chart and decide how treatment responds to it.
- Raise appetite or growth worries without changing the medication yourself.
-
18Medication
Plan a pregnancy medication review
Not ratedgeneral health evidenceMake a coordinated pregnancy plan
- Tell the prescriber about pregnancy plans or pregnancy.
- Review medicine-specific evidence and your support needs.
- Agree which team coordinates treatment and monitoring.
- Contact your prescriber promptly about pregnancy or plans for one.
- Medication decisions need a review of your own situation, and nothing here tells you to change treatment.
-
19Movement
Build activity you enjoy
Not ratedgeneral health evidenceBuild from what works
- Choose a manageable starting activity.
- Repeat it on days that fit your life.
- Gradually add time toward the weekly recommendation.
If a condition, pain or disability affects exercise, ask a clinician how to adapt it.
-
22Care planning
Plan the move to adult ADHD care
Guideline advice, not formally gradedADHD evidencePrepare a connected handover
- Raise transition planning with the current team.
- Include the young person's goals and prepare the care summary.
- Confirm the receiving service and ongoing responsibilities.
- Referral rules and ages differ by service and country.
- Confirm with the clinical teams who carries on prescribing and monitoring.
-
25Food
Ask for an appetite eating plan
Not ratedADHD evidencePrepare a food review
- Describe the appetite change and foods currently accepted.
- Agree a tailored eating plan with the care team.
- Review whether intake and growth concerns improve.
- Weight loss or growth worries need a clinical review.
- Any change to medicines or their timing must be agreed with the prescriber.
-
28Assessment
Ask for a sleep problem assessment
Not ratedADHD evidenceArrange the right sleep assessment
- Describe sleep and daytime symptoms.
- Ask about medicine effects and signs of a separate sleep disorder.
- Follow the agreed assessment or referral pathway.
- Ongoing sleepiness, pauses in breathing or gasping need medical assessment.
- If sleepiness makes driving unsafe, do not drive, and get clinical advice.
-
29Sleep
Keep a steady sleep window
Not ratedgeneral health evidenceMake sleep timing workable
- Choose a realistic sleep window.
- Try keeping the timing similar across the week.
- Bring persistent difficulty to a clinician.
- If sleep problems persist or affect daily life, get assessed.
- Medication changes belong with your prescriber.
-
35Care planning
Ask for a diagnosis explanation
Guideline advice, not formally gradedADHD evidenceTurn information into a care decision
- Ask what the diagnosis means in your situation.
- Discuss treatment and support choices in manageable chunks.
- Keep a short written account of the agreed next step.
- Use the conversation to understand the diagnosis and your options.
- Treatment decisions should be made for you specifically, with your clinician.
-
36Movement
Add gentle strength work
Not ratedgeneral health evidenceBuild a manageable strength habit
- Choose suitable exercises and support.
- Practise comfortable movements without rushing.
- Gradually build toward the weekly recommendation.
Get advice on adapting exercise if illness, injury, balance problems or pain get in the way.
-
38Combined care
Discuss substance risk with your team
Guideline advice, not formally gradedADHD evidenceMake substance risk part of care
- Share the relevant history with the prescriber.
- Agree whether coordinated specialist support is needed.
- Review risks and contact arrangements as circumstances change.
- Substance use and prescribing need an assessment of your own situation.
- This finding does not support taking someone else's medicine, taking extra, or tackling substance problems without clinical help.
-
40Sleep
Ask for tailored sleep support
Not ratedADHD evidencePrepare for a sleep review
- Describe the main difficulty and current sleep pattern.
- Agree a tailored plan with the clinician.
- Review what changes and what remains difficult.
- Get clinical advice for sleep problems that persist.
- Breathing pauses and marked daytime sleepiness need assessment.
-
42Therapy
Ask about parent behaviour training
Very low certaintyADHD evidenceFind a suitable training programme
- Ask for an appropriate programme or referral.
- Discuss goals, attendance barriers and the training format.
- Review progress with the therapist and adjust the support together.
- Look for a trained professional who works with young children.
- Parent training gives you tools and support, and it does not mean you caused your child's ADHD.
-
43Work care
Ask for workplace adjustments
Not ratedADHD evidenceMake a focused adjustment request
- Identify a specific work barrier.
- Discuss a suitable adjustment and relevant confidentiality.
- Review whether the agreed change helps.
- Disclosure and workplace rights depend on local rules and your circumstances.
- Ask about confidentiality and share only what the request needs.
-
44Food
Get help for loss-of-control eating
Not ratedgeneral health evidenceGet from notice to support
- Keep a short note of binges and how you felt for a week or two.
- Take the notes to a GP appointment, with a friend if that helps.
- Ask about guided self-help or an eating disorder referral.
- Binge eating disorder needs a clinical assessment.
- Don't start a strict diet on your own, because the NHS says dieting during treatment can make binge eating harder to stop.
-
45Medication
Discuss treatment and driving safety
Very low certaintyADHD evidenceInclude driving in the clinical review
- Describe driving-related difficulties and treatment effects.
- Ask the clinician about fitness to drive in your situation.
- Follow the agreed safety plan and local licensing requirements.
- Do not drive if symptoms or side effects make it unsafe.
- Medication does not guarantee safe driving, so get individual clinical advice and follow local licensing rules.
-
51Appointments
Ask for appointment text reminders
Moderate certaintygeneral health evidenceMake reminders actionable
- Check contact details with one service.
- Enable its reminder option if available.
- Turn incoming reminders into a practical attendance plan.
-
53Workspace
Compare quiet with gentle noise
Moderate certaintyADHD evidenceFind a workable sound setting
- Try a quieter baseline.
- If wanted, compare gentle white or pink noise.
- Keep the setting that supports your task without discomfort.
- Keep the volume low and comfortable.
- Don't mask alarms, traffic or other sounds you need for safety, and stop if the sound causes discomfort.
-
54Driving
Put your phone away before driving
Not ratedgeneral health evidenceMake distraction checks routine
- Choose a phone location before driving.
- Set the route and silence optional alerts before moving.
- Use the same preparation for the next journey.
- Only read or change settings when you're safely parked.
- This routine does not establish that you are fit to drive.
- Follow local licensing rules and any clinical advice given to you.
-
55Study skills
Recall before you reread
Not ratedgeneral health evidenceGive study a feedback loop
- Turn one small topic into checkable questions.
- Practise recalling answers and correcting mistakes.
- Revisit the questions that still need work.
-
59Task starts
Link a small action to a clear cue
Not ratedgeneral health evidenceTest one cue and action
- Choose an action that matters to you.
- Attach it to a clear cue and rehearse.
- Revise the plan after seeing what actually happens.
-
61Planning
Keep commitments in one calendar
Not ratedADHD evidenceBuild a trusted calendar
- Enter new commitments immediately.
- Pair a calendar check with an existing daily routine.
- Review whether missed events need clearer details or better reminders.
-
63Study skills
Spread study across later revisits
Not ratedgeneral health evidenceReturn before the deadline
- Choose a small amount of material.
- Schedule and complete a later revisit.
- Adjust the next interval using what you remembered.
-
64Task starting
Shrink a task to its first action
Not ratedADHD evidenceMake one stuck task approachable
- Replace the vague task with a visible action.
- Try that action and resize it if necessary.
- Reuse the approach on the next task that stalls.
-
65Reminders
Plan medication reminders safely
Not ratedgeneral health evidencePrepare a safe reminder discussion
- Identify where the current routine becomes unclear.
- Bring the prescription instructions and your questions to the pharmacist.
- Agree how reminders, records and secure storage will work together.
- Follow your prescription.
- If you're not sure whether you've taken a dose, or how to store or organise a medicine, ask your pharmacist or prescriber instead of guessing.
- Keep medicines secure and out of children's reach.
- A reminder does not decide what to take.
-
66Organisation
Capture tasks in one place
Not ratedADHD evidenceMake capture easy to repeat
- Use one inbox for new tasks.
- Check it at the same daily cue.
- Remove a capture step if you keep avoiding it.
-
67Money
Automate a bill you can cover
Not ratedADHD evidenceAutomate with visibility
- Choose one predictable and affordable bill.
- Check terms and payment timing before authorising it.
- Confirm the first payment and keep balance alerts useful.
- Automatic payments can cause fees when there isn't enough money in the account.
- Check amounts, dates and cancellation terms.
- Automating a bill does not make it affordable.
-
68Movement
Help your child find active fun
Very low certaintyADHD evidenceFind a repeatable activity
- Choose an enjoyable activity that fits your child's abilities.
- Try a short session with suitable supervision.
- Repeat and build gradually if your child likes it.
- Discuss persistent difficulties with the clinician rather than treating exercise as a cure.
- Choose activities that suit your child's age, health and ability.
- Ask about adaptations if a medical condition limits exercise.
-
73Attention
Work in short, adjustable blocks
Not ratedADHD evidenceFind a workable rhythm
- Try a short block on one task.
- Notice when attention drifts and adjust the duration.
- Keep the rhythm only if it helps you start or return.
-
74Digital focus
Silence nonessential notifications
Not ratedADHD evidenceKeep the useful alerts
- Remove one frequent optional interruption.
- Test urgent-contact exceptions.
- Keep the settings that help your actual tasks.
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75Planning
Choose your important task first
Not ratedADHD evidencePractise choosing before starting
- Select one priority at your daily check.
- Begin a small part before optional tasks.
- Review what displaced it and adjust tomorrow's plan.
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76Organisation
Give essentials a home
Not ratedADHD evidenceMake one location reliable
- Give one frequently lost item a home.
- Practise returning it after use.
- Add another item only when the first location works.
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81Routines
Make a short leaving checklist
Not ratedADHD evidenceBuild one reliable transition
- Choose one departure routine.
- Try a short visible list for that routine.
- Keep useful prompts and remove extra instructions.
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82Money
Put a pause before checkout
Not ratedADHD evidenceCreate a useful checkout pause
- Identify one route into unplanned spending.
- Add a small barrier and use a purchase list.
- Keep the barrier only if it helps you make the choices you wanted.
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83Time
Make time visible
Not ratedADHD evidenceTest one time cue
- Choose one difficult transition.
- Try a visible or audible cue.
- Keep, move or remove it according to what happened.
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85Admin
Give paperwork a next action
Not ratedADHD evidenceKeep current papers moving
- Establish one incoming place.
- Process a small batch into actions or storage.
- Repeat at a regular cue and simplify unused folders.
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86Attention
Park distractions for later
Not ratedADHD evidencePractise returning
- Put a capture note beside one task.
- Record side thoughts briefly during a work block.
- Review them at the stopping point and schedule only what matters.
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88Planning
Review the coming week
Not ratedADHD evidenceKeep the review small
- Check only the next few days.
- Add a task inbox check if that is manageable.
- Keep a weekly slot, shortening it when it becomes a barrier.
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89Digital focus
Block one distracting digital route
Not ratedADHD evidenceTest a useful barrier
- Identify one recurring digital detour.
- Try a limited block during one task.
- Keep, adjust or remove the barrier based on what happened.
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90Time
Check how long tasks really take
Not ratedADHD evidenceReplace a guess with useful data
- Measure one familiar task.
- Check it on another ordinary day.
- Plan using the observed range and leave some room.
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91Therapy
Ask for organisational skills training
Very low certaintyADHD evidenceAssess whether the programme fits
- Describe the school problem to the support team.
- Ask about a trained programme and agree one goal.
- Review progress and workload with the child and staff.
- Ask about a trained, structured service before paying for any programme.
- It should fit alongside teaching and the rest of your child's ADHD care.
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92Organisation
Build a homework packing routine
Very low certaintyADHD evidencePractise one materials routine
- Choose one recurring materials problem together.
- Give the needed items a home and practise the sequence.
- Review which prompt helps and simplify the rest.
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94Task starts
Pair a small task with a reward
Not ratedADHD evidenceMake starting worth noticing
- Pick one achievable action.
- Pair completion with a modest reward or specific praise.
- Adjust the action or reward if it does not help.
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95Hormones
Bring cycle patterns to your clinician
Not ratedgeneral health evidenceRecord enough to discuss
- Choose a few symptoms that affect daily life.
- Make brief entries across cycles when feasible.
- Bring the pattern, including exceptions, to the appointment.
- Do not use cycle timing to change medicines yourself.
- Seek help for severe symptoms without waiting to finish a diary.
Nothing fits this length yet.
- 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.