Attention-Deficit/Hyperactivity Disorder Follow Up

Initially, monitor on a monthly basis until a consistent optimal response is noted; then every 3 months in the first year of treatment. Subsequent follow-up will depend on the patient's response, adherence to the treatment strategy, and presence of associated conditions. Monitoring is recommended at least twice a year. Monitor treatment outcomes and adverse effects (cardiovascular effects, development of tics or seizures, sexual dysfunction, changes in sleep pattern, worsening behavior, stimulant misuse, and diversion) by gathering information from parents, teachers, and the child. Monitor core symptoms using DSM-5-TR-based attention-deficit/hyperactivity disorder (ADHD) rating scales (eg Vanderbilt ADHD follow-up scales). Re-evaluate the patient when the treatment and management plan do not meet desired outcomes. Reassess the patient at school-leaving age to check for continuity of care into adulthood.