Slide 1 of 11
Slide 1 - When ADHD Treatment Doesn’t Work
When ADHD Treatment Doesn’t Work
A Structured Clinical Approach & Safe Discharge Planning
---
Photo by Martha Dominguez de Gouveia on Unsplash
When ADHD Treatment Doesn’t Work: Structured Clinical & Safe
Generated from prompt:
I've shared my slides. I want to enhance these, the layout, images etc. to make it look better.
This presentation provides a structured clinical approach to managing adult ADHD patients with inadequate treatment response, including a 6-step assessment workflow, non-pharmacological strategies, and safe discharge planning within clinic constraint
March 25, 202611 slides
Slide 2 of 11
Slide 2 - Agenda
- Clinical Context & Objectives
- The "Inadequate Response" Challenge
- Structured Assessment Workflow
- Non-Pharmacological Strategies
- Effective Discharge Planning
- Take-Home Messages & References
---
Photo by Martha Dominguez de Gouveia on Unsplash
Slide 3 of 11
Slide 3 - Clinical Overview
1
Clinical Context
Understanding the scope and limitations of ADHD treatment in our clinic.
---
Photo by Bret Kavanaugh on Unsplash
Slide 4 of 11
Slide 4 - Clinical Context & Constraints
Adult ADHD Scope
- Affects 2-4% of the population.
- Stimulants work for 70-80%.
- 20-40% face partial/no response or intolerable side effects.
- Common presentations: partial benefit, side effects, functional impairment.
Clinic Constraints
- Licensed for medication prescribing only.
- Cannot provide CBT or psychotherapy.
- Must emphasize: efficient identification, safe prescribing, clear discharge plans.
Slide 5 of 11
Slide 5 - Management Strategy
2
Structured Management Workflow
A systematic 6-step approach to assessing and managing poor treatment outcomes.
---
Photo by Bret Kavanaugh on Unsplash
Slide 6 of 11
Slide 6 - Clinical Management Workflow
| Step | Action | Key Consideration |
|---|---|---|
| 1. Diagnose | Verify ADHD diagnosis accuracy | Childhood onset & impairment across settings? |
| 2. Adherence | Check dosing & expectations | Consistent dosing & realistic goals? |
| 3. Optimise | Review dose & duration | Adequate trial for medication? |
| 4. Switch | Rotate medication class | Try both stimulant types & atomoxetine |
| 5. Comorbidities | Screen for other issues | Anxiety, depression, sleep, autism, etc. |
| 6. Physical | Review health factors | Sleep, substance use, medical conditions |
Slide 7 of 11
Slide 7 - Supporting Patients
3
Non-Pharmacological Strategies
Comprehensive support beyond medication.
---
Photo by Bret Kavanaugh on Unsplash
Slide 8 of 11
Slide 8 - Non-Pharmacological Strategies
💤 Sleep Hygiene Fixed sleep schedule, reduce screen use, limit caffeine.
🧠 CBT Improves organisation, time management, reduces symptoms.
🎯 ADHD Coaching Goal-focused, accountability, task completion.
🏃 Exercise Improves executive function, mood, dopamine.
📱 Digital Tools Apps for task management & focus tracking.
⚖️ DBT Skills Useful for emotional dysregulation & distress.
Slide 9 of 11
Slide 9 - Active Discharge Strategy
4
Discharge Planning
Ensuring a safe, structured exit from clinic care.
---
Photo by Martha Dominguez de Gouveia on Unsplash
Slide 10 of 11
Slide 10 - Supporting Patients at Discharge
- Explain reasons for stopping treatment clearly.
- Provide personalized strategy recommendations.
- Signpost to relevant NHS or private services.
- Coordinate care via GP communication.
- Ensure safety netting and provide emergency contact instructions.
Slide 11 of 11
Slide 11 - Conclusion
Thank You & Any Questions?
Active management ensures better patient outcomes.
---
Photo by Arturo Esparza on Unsplash
Discover More Presentations
Explore thousands of AI-generated presentations for inspiration
Powered by AI
Create Your Own Presentation
Generate professional presentations in seconds with Karaf's AI. Customize this presentation or start from scratch.