You have your diagnosis.
Now what?
Getting diagnosed with ADHD as an adult is a significant moment — one that often brings relief, clarity, and sometimes a flood of questions. One of the most common is: "How do I actually start medication, and what happens next?"
Available after your Diagnostic Package · ₦50,000 per monthly appointment
Your Titration Journey, Step by Step
No surprises. No confusion. This is exactly what happens from your first appointment to finding your stable dose.
The Conversation Before the Prescription
Before any medication is prescribed, your Unmask ADHD clinician will review your full diagnosis and symptom profile, discuss your lifestyle, work demands, and daily challenges, and ask about your medical history — including heart health, blood pressure, sleep, and anxiety.
This is your opportunity to ask everything on your mind.
No question is too small. Medication is a tool — and you deserve to understand how it works before you start.
Full diagnosis review
Symptom profile, ASRS scores, and clinical notes all reviewed together.
Medical history check
Heart health, blood pressure, sleep, and anxiety factors assessed.
Lifestyle discussion
Your work demands, daily life, and personal goals shape the recommendation.
Your questions answered
Bring every concern. Nothing is dismissed.
Choosing the Right Medication
Your doctor will recommend either a stimulant or non-stimulant medication based on your individual profile — your symptom presentation, medical history, lifestyle, and personal preferences all factor into this decision. There is no one-size-fits-all answer, and your clinician will explain the reasoning behind their recommendation clearly.
Stimulant Medications
Fast-acting, well-studied, and effective for most adults with ADHD. Options include methylphenidate-based and amphetamine-based formulations in immediate-release or extended-release forms.
Non-Stimulant Medications
Recommended when stimulants are not appropriate due to heart conditions, anxiety, substance history, or personal preference. Takes longer to build effect but provides steady, consistent coverage.
Starting Low — Your First Month
Your first prescription will always be at the lowest recommended dose. This is intentional. Starting low allows your body and brain to adjust gradually, and helps your clinician identify how you personally respond before any increase is considered.
Your job at this stage
Observe and note how you feel — morning, afternoon, and evening. A simple notes app on your phone works perfectly. You will share this at your first monthly check-in.
What to track daily
Ongoing Monthly Titration Appointments
At Unmask ADHD, titration check-ins are held once every month. Each titration appointment is ₦50,000. These monthly appointments are a dedicated space for you and your clinician to review your progress carefully and make any necessary adjustments.
Review your symptom diary
Your notes from the past month shape the entire discussion.
Assess functional improvement
How is work, focus, relationships, and daily life actually changing?
Evaluate side effects
Anything uncomfortable or unexpected is addressed directly.
Adjust dose if needed
Increases only happen when it's appropriate and safe.
Gradual Dose Increases — Month by Month
If your initial dose is well tolerated but not yet giving you the symptom relief you need, your doctor will increase it gradually at your monthly review. This continues month by month until one of the following happens:
Symptoms well managed
Your functioning has meaningfully improved and your goals are being met.
Maximum dose reached
You've reached the maximum recommended dose for your medication.
Side effects at a dose
A lower dose is maintained or a different medication is considered.
There is no universal "correct" dose — the right dose is the one that works best for you specifically. Most adults reach a stable dose within 3 to 6 months.
Stabilisation — Finding Your Dose
Once you have found a dose that improves your symptoms without causing unacceptable side effects, you enter the stabilisation phase. This typically happens between 3 and 6 months into your titration journey, though it can take longer — particularly with non-stimulants or if a medication switch was needed.
At this point your clinician will confirm your stable dose and formulation, transition you from monthly titration appointments to routine ongoing care reviews, and discuss lifestyle strategies that complement your medication.
At stabilisation, your clinician will:
What If the First Medication Does Not Work?
This is more common than people realise — and it does not mean medication will not help you.
Switch Stimulant Subtypes
From methylphenidate to amphetamine-based, or vice versa.
Try a Non-Stimulant
Atomoxetine or other options for those who can't tolerate stimulants.
Adjust Formulation
From immediate-release to extended-release, or a different delivery method.
Combination Approaches
In some cases, considered alongside lifestyle and coaching strategies.
Finding the right medication can take time.
It is not a failure — it is part of the process. Your clinician will stay with you through every adjustment, for as long as it takes.
Ready to begin your titration journey?
Your diagnostic report is the starting point. From there, your clinician guides every step — at your pace, on your terms.
Titration begins after your diagnostic package is completed.