ADHD Emergency Management Plan

Patient Information

Name: _________________________ Date of Birth: _________________ Emergency Contact: _____________

Regular Treatment Team

• Primary Care Physician: _________________ Phone: _________________
• Psychiatrist: __________________________ Phone: _________________
• Therapist: ____________________________ Phone: _________________

Current Medications

1. Primary ADHD Medication: _________________ Dose: _________________
2. Secondary Medications: ___________________ Dose: _________________

Warning Signs of Crisis

• Severe emotional dysregulation
• Intense impulsivity
• Suicidal thoughts
• Aggressive behavior
• Medication side effects

Emergency Response Steps

1. Immediate Safety Measures

• Remove potential hazards
• Ensure medication compliance
• Use established calming techniques

2. Support System Activation

• Contact primary caregiver
• Notify treatment team
• Implement crisis communication plan

3. Professional Intervention

Call immediately if:

• Suicidal ideation present
• Severe aggression occurs
• Medication reactions emerge

Emergency Contacts

• Emergency Services: 911
• Crisis Hotline: 988
• Poison Control: 1-800-222-1222

Daily Management Strategies

1. Medication schedule
2. Regular sleep routine
3. Stress management techniques
4. Exercise plan
5. Nutrition guidelines

Authorization

Patient Signature: _________________ Date: _________________ Provider Signature: ________________ Date: _________________