Navigating ADHD medication prescriptions can feel complex, so here's a step-by-step guide to help you through the process with your GP:
1️⃣ Initial Appointment
Start by booking a consultation with your regular GP to discuss your medical history, concerns, and suitability for an ADHD assessment. Your GP will consider your symptoms and overall health to determine whether further evaluation by a specialist is needed.
2️⃣ Specialist Referral
If clinically appropriate, your GP will refer you to an ADHD psychiatrist for a 291 assessment.
This is a specialized evaluation where the psychiatrist will:
- Review your medical and psychological history.
- Discuss your current symptoms and how they impact your daily life.
- Perform structured assessments to determine whether ADHD is the correct diagnosis.
⚠️ Please note that the psychiatrist may not always diagnose ADHD or recommend medication. They might identify other factors influencing your symptoms or suggest alternative management strategies.
Wait times for 291 assessments vary based on availability and whether you choose in-person or telehealth consultations.
3️⃣ 291 Assessment Completion
Once the assessment is complete, the psychiatrist will send your GP a detailed report, including:
- Their findings and whether a diagnosis of ADHD is confirmed.
- Recommendations for treatment, including potential medications if deemed suitable.
- A letter authorizing your GP to prescribe specific medications under their direction.
If the psychiatrist does not diagnose ADHD or consider medication appropriate, they will provide alternative recommendations to address your concerns.
4️⃣ Permit Application
If ADHD medications are recommended, your GP will apply to the Department of Health for a special Schedule 8 medication permit to prescribe these drugs.
💡 What is a Schedule 8 Medication?
Schedule 8 (S8) medications are controlled drugs regulated due to their potential for dependency and misuse. They include many ADHD medications, which are prescribed under strict guidelines to ensure safe and appropriate use.
5️⃣ Final Consultation & Prescription
Once the permit is approved, you’ll book a follow-up with your GP to:
- Discuss the psychiatrist’s recommendations.
- Receive your prescription.
- Begin medication trials to find the right dose and medication for your needs.
This process may require several reviews to fine-tune your treatment plan. Your GP will also advise on the frequency of appointments needed for repeat prescriptions.
💊 Important Notes
- ADHD medications are highly regulated (Schedule 8 drugs). GPs cannot provide extended repeats without regular reviews.
- Only the GP who applies for the permit can prescribe your medications (and in cases where your GP is unavailable, a colleague at the same practice), so it’s crucial to work with your long-term regular GP.
- Plan appointments ahead to avoid running out of medication, as delays in permits or reviews can impact your prescription timeline.
If you have any questions about this process, our team is here to support you every step of the way! 💙