RepertoireClinical template workspaceFree Self-Assessment
TicdisorderAnxietyDepressionSleepdifficultyDecreasedoral intakeSyncopeADHD

Behavioral health

ADHD

2 templates in the library cover this condition: ADHD, follow-up and ADHD, initial.

This template hands off to

Tic disorderAnxietyDepression

Comes up in this visit

Sleep difficultyDecreased oral intakeSyncope

Template

ADHD, follow-up

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

MonthChoose anyFirst line

StatusChoose oneFirst line

Rating scalesChoose one

AdherenceChoose one

Side effectsChoose any

Growth and vitalsChoose one

MonitoringChoose any

Side-effect planChoose any

Medication planChoose one

RefillsChoose one

Behavioral and school supportsChoose any

Adolescent counselingChoose any

Additional counselingChoose any

ReferralChoose any

Follow-upChoose one

Closing

Family to call with side effects or concerns before the next visit. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Month-year lead
  • Doing great or doing well or improving or not as well or struggling
  • Parent and teacher rating scales (Vanderbilts) stable or improved or worse or not returned
  • Growth monitoring (stimulants reduce growth velocity)
  • HR and BP monitoring on stimulants
  • Weight down since last visit
  • BP or HR elevated, will recheck
  • Prescription drug monitoring program reviewed
  • Decreased appetite
  • Trouble sleeping
Show 30 more
  • Irritability or moodiness (incl. preschool mood lability)
  • Guanfacine/clonidine somnolence, dizziness, low BP/HR
  • Taper guanfacine/clonidine rather than stopping abruptly
  • Continue current medication and dose
  • Increase dose for persistent symptoms
  • Decrease dose for side effects
  • Switch medication (other stimulant class; ~40% respond to only one class)
  • Add a short-acting afternoon dose
  • Add extended-release guanfacine or clonidine as an adjunct
  • Medication names
  • Continue behavioral therapy
  • Recommended parent training in behavior management
  • Recommended school-skills or organizational training
  • Recommended requesting a 504 plan or IEP evaluation
  • Continue current 504 plan or IEP
  • Safe storage, not sharing medication (diversion)
  • Medication coverage while driving
  • Substance use screening
  • Transition to adult care from about age 14
  • Refer to psychiatry
  • Refer to psychology or therapy
  • Refer to developmental-behavioral pediatrics
  • Follow up in 1 month (after a change)
  • Family education: dose or drug changes may be needed and take a few months; monitor at regular intervals
  • Adherence: daily or school days only or missing doses
  • No chest pain, fainting or palpitations
  • Atomoxetine mood and suicidal-thought monitoring
  • Depression screen reviewed (adolescents)
  • Phone check 1–2 weeks after a dose change
  • Patient agrees with the plan

Used to decide, kept out of the note

  • Pharmacogenetic testing not recommended
  • Unproven treatments (diet, neurofeedback, CBD, eTNS, mindfulness, cognitive training)

Sources

Template

ADHD, initial

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

PresentationChoose oneFirst line

AssessmentChoose one

Co-occurring concerns presentChoose any

Co-occurring concerns absentChoose any

Cardiac historyChoose one

Medication planChoose one

Medication counselingChoose any

School supportsChoose any

Additional planChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling

ADHD is common and treatable, and most children do best with a combination of medication, behavioral supports at home, and supports at school. Finding the right medicine and dose often takes a few adjustments, usually about a week apart. Give the medicine in the morning with breakfast, and store it securely. Recommended supportive care with an emphasis on regular sleep, daily physical activity, regular meals, time with supportive friends and family, consistent routines, and praise for positive behavior. Return precautions given including poor appetite with weight loss, trouble sleeping, mood changes, chest pain, fainting, or a racing heart, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

CounselingNot in the note with these choices

ADHD is common and treatable, and the plan can change as we learn more. Consistent routines, clear expectations, praise for positive behavior, and close communication with the school all help. Recommended supportive care with an emphasis on regular sleep, daily physical activity, regular meals, time with supportive friends and family, and limiting screens before bed. Return precautions given including trouble at school or home that is getting worse, sleep problems, mood changes, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Presentation (combined, inattentive, hyperactive-impulsive)
  • DSM-5 criteria with impairment in 2 settings; parent and teacher information
  • Teacher form missing; not ADHD; possible comorbidities
  • Comorbidity screen: anxiety, depression, learning or language, sleep, tics, ODD
  • Cardiac history before stimulants
  • Medication first-line 6 and older; PTBM first under 6; defer
  • Side-effect counseling
  • 504 plan or IEP
  • PTBM, behavioral therapy, psychology, DBP
  • Follow-up 1 month after starting; 3 months; well check
Show 1 more
  • Titration takes a few adjustments; secure storage

Return precautions in the template

poor appetite with weight losstrouble sleepingmood changeschest painfaintinga racing heart

Sources