What adjustments do you make for ADHD medications during puberty?

I do not make anticipatory changes specifically related to puberty, as each individual is unique. Rather, I regularly meet with parents and tweens during medication reviews to discuss what target symptoms we are treating and how the medication is helping. I provide general guidance that as kids grow...

Puberty doesn't impact how I proceed. Regardless of age, I focus on symptom management.

As with any medication, my adjustments are dictated by the symptoms of the specific patient, not necessarily physiological developmental progress. As with all medications, a trial of tapering off is always preferable, as there are some kids whose form of what we're calling "ADHD" is something they s...