Assignment task: David, a 10-year-old returns with his mother for a routine follow-up visit with his psychiatric mental health nurse practitioner. He was diagnosed 2 years ago with ADHD and is currently being treated with Adderall XR 20 mg once daily every morning at 7 am. David's teacher reports David's behavior is well controlled during the day. His mother reports difficulty getting David to complete any afternoon tasks or assignments after school. David's rules include no playtime until he has completed his homework. Instead of completing his homework, David plays with a music app in his room. David's mom is concerned his afternoon behaviors will start to impact his daytime behavior and his grades. She asks you "what are my options?"
1. Based on your exam today, and your knowledge of ADHD pharmacology, what will you recommend?
2. What are your goals of pharmacotherapy for David?
3. What non-drug therapies will you recommend?