Titration, monitoring, and complex cases — a practical framework for prescribers, built for the decisions that don't have a single right answer in the guideline.
Run a defensible baseline work-up before a single dose is written — cardiovascular, growth, and psychiatric screening, done consistently rather than ad hoc.
Titrate stimulants and non-stimulants on a rational schedule, knowing when to hold, when to push, and when slow non-stimulant onset is being mistaken for non-response.
Run monitoring that doesn't quietly degrade into a rushed renewal once a patient looks stable — the same structured review at month one and year three.
Work through side effects and true non-response with a sequence — adherence, diagnosis, alternative agent — instead of jumping straight to a medication switch.
Adjust your approach for anxiety, autism, substance use, and mood disorders sitting alongside ADHD, and hand over shared care and adult transition without the patient falling through the gap.