ADHD Treatment Plan

Diagnosis: [Diagnosis as stated by the clinician including condition name and ICD-10 code] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Do not invent or infer a diagnosis. Include ICD-10 code in brackets after diagnosis if stated.) Medication: [Medications including name, dosage, and frequency] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write as a list.) Physical Parameters: [Physical parameters including date of reading if available, heart rate in bpm, and blood pressure in mmHg] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write as a list.) [Current weight in kg] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Management Plan: 1. [Baseline physical parameter instructions] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. If heart rate has not been provided or if the patient has been advised to send it in, state "(patient name) will send in (his / her / their) baseline heart rate." If blood pressure has not been provided or if the patient has been advised to send it in, state "(patient name) will send in (his / her / their) baseline BP." If pre-treatment weight has not been provided or if the patient has been advised to send it in, state "(patient name) will send in (his / her / their) pre-treatment weight.") 2. [Recommended titration regimen including medication name, starting dose, escalation steps, and prescription method] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in bullet points. State whether prescription was "given to patient" or "via Pharmacierge" as appropriate.) 3. [University support letter] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. If university is mentioned, state "_I will send (patient name) a supporting letter for university_.") 4. [Information sharing regarding medication, serotonin syndrome, or ADHD resources] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. If discussed, state "I will share information on (medication / serotonin syndrome / ADHD resources).") 5. [Any additional management plan items] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in short bullet points.) Recommendations for Primary Care: [Specific guidance for the GP regarding ongoing care, monitoring, or coordination] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in short bullet points.) Follow-Up: [Planned follow-up appointment details and timeline] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. State "but (patient name) can bring this forward if (he / she / they) has / have any concerns.") [Repeat prescription link, out of hours support statement, and crisis support lines including clinic name, NHS line, Samaritans, SANEline, National Suicide Prevention Helpline, CALM, Shout, and emergency services] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write each support line on a new line.) **Review:** [Opening statement including clinician's meeting with the patient, appointment modality, date, DIVA-5 assessment outcome, ADHD diagnosis subtype confirmed, and scores in inattentive and hyperactive domains] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. If appointment was in person use "at [clinic name]"; if via video use "via video link". Write in full sentences.) [Patient's specific concerns, feelings regarding the diagnosis, and hopes for treatment outcome] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Discussion of mood or pre-existing mental health difficulties] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Relevant medical history or specific medical discussion including but not limited to OCD, tics, blood pressure, heart disease, palpitations, seizures, or epilepsy] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Discussion of treatment options including non-pharmacological strategies and pharmacological options, relative effectiveness of medication classes, and rationale for trialling medication] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in paragraphs of full sentences.) [Discussion of how stimulants assist with focus, task initiation, emotional regulation, and their limitations, as well as the role of non-pharmacological strategies] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Patient's decision to trial medication and name of stimulant medication chosen] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Discussion of side effects to monitor including headaches, appetite suppression and weight loss, sleep disturbance, palpitations, and raised blood pressure, risk of lowered mood, potential for mania or psychosis, advice to monitor mood changes and stop medication if concerned, recommendation to have breakfast before taking medication, advice regarding a high-protein diet, and guidance to avoid caffeine, alcohol, and recreational drugs] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Discussion of interactions with other medications and any additional aspects to monitor such as serotonin syndrome] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. If the patient is not taking any other medications, state "(patient name) is not taking any other medications that might interact with the (stimulant medication to be started)". Write in full sentences.) [Discussion of risks associated with stimulant medication in pregnancy, contraception, and prenatal planning] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Recommendation regarding future pregnancy planning and stimulant use, including advice to discuss with the patient's doctor] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [DVLA notification advice stating that the patient only needs to inform the DVLA if they feel the medication or condition is affecting their ability to drive safely] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.) [Mental state examination findings including engagement, speech, affect, mood, discussion of suicidal ideation, hopelessness, or self-harm, presence or absence of affective or psychotic symptoms, and capacity assessment] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely. Write in full sentences.)