Keep Track of ADHD Medication

When beginning a new ADHD medication or a different dosage of medication, it can be difficult to notice changes unless you actively think of them. Using the chart below can help keep track of how your ADHD medication is working and/or giving you side effects.

Medication name:                               Dose:
ADHD Symptom

Day 1

Day 2

Day 3

Day 4

Impulsivity Rating (1-3) Rating (1-3) Rating (1-3) Rating (1-3)
Distractibility
Procrastination
Trouble Focusing
Restlessness
Rating: 1- not improved, 2-slightly improved, 3-significantly improved

Contact Dr. Gordon for help with your ADHD. We have treatment and solutions available online, by phone, and in our offices.

written by:
 Brianna Malinowski, 
Jay Gordon, Ph.D

Ratey, N. A. (2008). The disorganized mind: Coaching your ADHD brain to take control of your time, tasks, and talents. New York: St. Martin’s Griffin.

Pathways Neuropsychology

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