Developing a Management Plan

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The primary goal of an ADHD management plan is to control the core symptoms of inattention, hyperactivity, and impulsivity.1 A multimodal management plan that incorporates a variety of strategies may work best for many patients with ADHD.2

Such a plan may include1-3:

Each management plan should be individualized based on the health care team's assessment of1-2:

  • The chronicity and severity of symptoms
  • The level of functional impairment
  • The presence of coexisting disorders and general health of the patient
  • Each patient's specific needs and desires

Given the complex nature of ADHD, it is important to construct a management plan that1-2:

  • Is comprehensive, involving patients, their families, and health care professionals
  • Is multimodal, potentially utilizing both pharmacologic and nonpharmacologic interventions when appropriate
  • Takes into account that ADHD may be a chronic disorder
  • Specifies appropriate target outcomes
  • Provides a means to monitor progress

References

  1. Subcommittee on Attention-Deficit/Hyperactivity Disorder, Steering Committee on Quality Improvement and Management. ADHD: clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. 2011:128(5):1007-1022, SI1-SI21.
  2. Pliszka S; AACAP Work Group on Quality Issues. Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry. 2007;46(7):894-921.
  3. National Resource Center on AD/HD. What We Know #18: Coaching for Adults With AD/HD. Landover, MD: Children and Adults With Attention-Deficit/Hyperactivity Disorder; 2003. http://help4adhd.org/Portals/0/documents/WWK16. Published December 2003. Accessed April 2016.