ADHD Medication Titration: How to Navigate the System Without Getting Fired

About this episode

A listener asked how to go from one dose to the next without getting dropped by their prescriber. Jonathan Murphy, PMHNP-BC, breaks down the full titration logic, the system navigation mindset, and why the moment you start negotiating about drugs is the moment you lose. This episode covers why the system wants you to crash out and how not to let it, why your political energy needs to stay outside the appointment, why medication is not the same as using a drug, the difference between the adult starting dose and a dose that is too low, why you never go above the max dose, what horizontal moves are and when to make them, the methylphenidate ladder from Concerta to Ritalin LA to Metadate CD to dexmethylphenidate, why Aptensio is unnecessary, the amphetamine side with Adderall XR and Vyvanse, what to do when the medication stops working (it probably did not), Wellbutrin as an augmenting agent, why symptom language is the only language the system responds to, and why the goal is always all good no bad. The UK video is now live on the Focus Path YouTube channel. https://www.youtube.com/watch?v=A-HsiBNRqlc Send your ADHD questions to @ADHDAuthority on X. Questions answered on the podcas