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ADHD Medication Management: A PMHNP’s Guide to Helping You Thrive

A person organizing medication into a daily pill organizer, holding a round pink pill between their fingers.

Managing ADHD doesn’t have to feel overwhelming. As a Psychiatric Mental Health Nurse Practitioner (PMHNP), one of my most important roles is helping people find the right treatment plan—especially when it comes to medication. Here’s what I want you to know if you or a loved one is considering ADHD medication.



What Is ADHD Medication, and How Does It Work?


There are two main types of medications used to treat ADHD:


  1. Stimulants – These are the most common and well-researched. They include medications like Adderall, Jornay, Vyvanse, Ritalin, and Concerta. They work by increasing dopamine and norepinephrine—brain chemicals that help with focus, attention, and impulse control.

  2. Non-stimulants – These include Strattera, Intuniv, and Kapvay. They may be used if stimulants aren’t a good fit due to side effects or other health concerns.



Finding the Right Medication Is a Process


Every brain is different. What works well for one person might not be the best fit for another. As a PMHNP, I take into account:


  • Your age

  • Any other mental or physical health conditions

  • Your daily routine and lifestyle

  • Past experiences with medication

  • Any concerns about side effects or misuse


We usually start low and go slow—beginning with a low dose and adjusting based on your response and any side effects.



Common Side Effects to Watch For


With stimulant medications, some people experience:


  • Trouble sleeping

  • Decreased appetite

  • Increased heart rate or blood pressure

  • Irritability or anxiety (especially as the medication wears off)


Non-stimulants tend to have milder side effects but may take longer to start working.

As your provider, I’ll regularly check in with you to monitor how you’re feeling. Honest communication is key—it helps us fine-tune your treatment plan to meet your needs.



More Than Just Medication


Medication can be life-changing, but it’s just one piece of the puzzle. I often recommend combining medication with:


  • Behavioral therapy

  • Coaching or skills training

  • School or work accommodations

  • Healthy habits like sleep, exercise, and nutrition


This holistic approach gives you the best chance to manage symptoms and succeed in all areas of life.



Safety Tips for ADHD Medication


It is so important to:


  • Take your medication exactly as prescribed

  • Avoiding alcohol or other substances that can interfere

  • Not share your medication with anyone

  • Keep your medication in a safe place, especially if you live with children or others


We’ll also talk about regular follow-ups, usually every month, to track progress and adjust as needed.



Lastly!


ADHD doesn’t play favorites—it can affect anyone, no matter their age, gender, or background. It’s not about how smart, capable, or motivated someone is; it’s simply the way their brain works. While ADHD can look different from person to person, it’s something that shows up across all walks of life.


Managing ADHD is not just about reducing symptoms—it’s about helping you feel more in control, more confident, and more connected to the things that matter most.

If you’re considering ADHD medication or already taking it, know that you’re not alone. I’m here to partner with you every step of the way.



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