Attention Deficit Hyperactivity Disorder (ADHD) can have a significant impact on daily life, affecting attention, emotional regulation, organisation, motivation, and overall wellbeing. For many people, medication plays an important role in managing symptoms but it isn’t the right choice for everyone. In this post, we’ll explore the benefits and disadvantages of ADHD medication, the different types available, why medication may not suit every individual, and what other forms of support can help.
Please note: our service does not prescribe medication, but we can help you explore your options and signpost appropriate support.
The Benefits of ADHD Medication
ADHD medication has been widely researched and is considered one of the most effective evidence-based treatments for managing symptoms. Some key benefits include:
1. Improved Focus and Concentration
For many people, medication helps reduce distractibility and makes it easier to sustain attention on tasks whether at work, school, or home.
2. Better Emotional Regulation
Some individuals experience fewer emotional spikes, improved tolerance for frustration, and greater stability in mood.
3. Increased Productivity and Organisation
Medication can help with task initiation, follow-through, and planning, making daily responsibilities feel more manageable.
4. Reduced Impulsivity
By supporting impulse control, medication may improve relationships, safety, and decision-making.
The Disadvantages and Side Effects
While medication helps many people, it can also come with challenges:
1. Potential Side Effects
Common side effects can include decreased appetite, sleep difficulties, headaches, anxiety, stomach upset, or increased heart rate. These vary from person to person.
2. Trial-and-Error Process
Finding the right medication and dosage often takes time. This can feel frustrating and may require close monitoring from a prescribing clinician.
3. Not Effective for Everyone
Some people do not experience meaningful benefits, or find the side effects outweigh any improvements.
4. Requires Ongoing Management
Regular reviews, adjustments, and follow-up appointments are needed to ensure safety and effectiveness.
Types of ADHD Medication
ADHD medication generally falls into two categories:
1. Stimulant Medications
These are the most commonly prescribed and include methylphenidate-based and amphetamine-based medications. They typically work by increasing dopamine and norepinephrine levels in the brain to improve attention and reduce impulsivity.
2. Non-Stimulant Medications
These may be used when stimulants are unsuitable or ineffective. They work differently in the brain and may have a slower onset of effect but can be beneficial for some individuals.
Your suitability for a medication type depends on your medical history, symptoms, and how your body responds.
Why Medication Isn’t Suitable for Everyone
Medication can be life-changing for some, but not everyone finds it helpful or appropriate. Reasons may include:
- Side effects that are difficult to manage
- Interactions with other medical conditions
- Personal preference to try non-medication approaches first
- Lack of noticeable benefit
- Concerns around long-term use or dependency
It’s important that any decision about medication is made with a qualified prescriber who can offer personalised medical advice.
How Private ADHD Medication Works
For individuals pursuing an ADHD assessment or treatment privately, the process for obtaining medication differs slightly from NHS pathways. Understanding how private prescribing works and what a Shared Care Agreement means can help you make informed decisions.
1. Private Assessment and Diagnosis
After completing a private ADHD assessment with a qualified psychiatrist or specialist, the clinician may recommend medication as part of your treatment plan. If so, they can issue a private prescription if this is part of their service. Portland assessments does not offer this service.
2. Paying for Private Medication
A private prescription must be paid for in full by the patient. Unlike NHS prescriptions, which have a standard charge, private medication costs vary depending on:
- The type of medication
- The dose
- The pharmacy dispensing it
- Ongoing reviews required by the private provider
These costs can add up, especially during the titration phase when doses are adjusted.
3. Ongoing Monitoring
ADHD medication requires careful monitoring usually monthly in the early stages to ensure it’s effective and safe. Private clinicians typically provide this monitoring, which may come with additional fees.
What Is a Shared Care Agreement?
A Shared Care Agreement is an arrangement between a private specialist and an NHS GP that allows a patient to receive their ADHD medication via the NHS reducing costs and enabling the GP to manage repeat prescriptions.
Here’s what it involves:
1. Specialist Responsibility
The private psychiatrist remains responsible for diagnosis, initial prescribing, and stabilising the dose. They provide detailed clinical information to the GP to support safe ongoing care.
2. GP Responsibility
If the GP agrees to the Shared Care Agreement, they will take over the maintenance prescribing once the patient’s dose is stable. This means you can receive your medication at the usual NHS prescription cost.
3. Not Guaranteed
It’s important to know:
- GPs are not obligated to enter into Shared Care Agreements.
- Some surgeries do not accept private ADHD diagnoses.
- Others may have specific protocols or waiting periods before they take over prescribing.
This means that even with a private diagnosis, you may still need to continue privately funded prescriptions if your GP does not agree to shared care.
Why This Matters
For many people, the cost of long-term private medication can be significant. Understanding the shared care process and discussing it with your GP in advance helps avoid unexpected expenses or delays in treatment.
Remember: Our service does not prescribe medication, but we can help you navigate your options, understand the process, and signpost to appropriate support.
Other Forms of Support for ADHD
Medication is just one part of ADHD management. Many people benefit from a combination of strategies tailored to their needs, such as:
1. ADHD Coaching
Coaching focuses on practical tools; time management, planning, routines, and habit-building to support daily functioning.
2. Cognitive Behavioural Therapy (CBT)
CBT can help individuals manage emotional regulation, negative thinking patterns, and stress related to ADHD.
3. Psychoeducation
Understanding how ADHD works can empower individuals to recognise strengths, build coping strategies, and reduce shame or self-criticism.
4. Workplace or Educational Adjustments
Reasonable adjustments, such as flexible deadlines, quiet spaces, or assistive technology, can make a significant difference.
5. Lifestyle Support
Sleep hygiene, exercise, nutrition, and structured routines all play a role in managing symptoms.
We Do Not Prescribe Medication — But We’re Here to Help
Our service does not provide prescriptions or medical management for ADHD medication. However, we can:
- Offer guidance and support as you explore your options
- Provide coaching or therapeutic interventions
- Signpost you to appropriate medical professionals for assessment or prescriptions
- Help you build tools for daily life, whether you choose medication or not
Final Thoughts ADHD medication can be a powerful tool, but it’s not the only one and it’s not right for everyone. A personalised, holistic approach often works best. Whether you’re considering medication, seeking alternatives, or simply looking to understand ADHD better, support is available.