ADHD Medication Optimization Blueprint: Inside My Prescriber Decision Guide

This is the ADHD Medication Optimization Blueprint your prescriber never walked you through. Get an inside look at how I actually think through ADHD meds, step by step, with real-world brains.

ADHD medication not working, or only helping halfway? In this LEARNARAMA, I’m taking you inside my ADHD Medication Optimization Blueprint—the decision guide I use every week in clinic to figure out which medication, which pathway, and which dose makes sense for a specific brain.

We run four different ADHD brains through my Dose‑O‑Matic system, guided by the Safety DeLuxe. You’ll see how I decide between methylphenidate vs amphetamine pathways (Ritalin LA, Focalin XR, Adderall XR), when I bail out to a non‑stimulant (Qelbree), and when I add an antidepressant (Wellbutrin XL) to actually fix what’s going on.

If you’re an adult with ADHD trying to make sense of your own meds—or you’re about to start a conversation with your prescriber—this will give you a clear mental model for what “dose optimized” actually looks like.

⏰ Chapters:
0:00 – How ADHD medication optimization really works (overview)
0:46 – Inside the Dose‑O‑Matic & Safety DeLuxe system
1:19 – Test Subject 1: Needs more stimulation (Ritalin → Adderall XR → Focalin XR)
2:38 – Test Subject 2: Too much stimulation → non‑stimulant pathway (Qelbree)
3:34 – Test Subject 3: Stimulant + depression → adding Wellbutrin XL
4:42 – Test Subject 4: Hyperactive presentation and first‑shot optimization
5:40 – What all 4 cases teach us about ADHD medication decisions
6:10 – Are you ready to run your brain through the Dose‑O‑Matic?

👤 About me: I’m Jonathan Murphy, PMHNP‑BC. I specialize in medication management and therapy for adults with ADHD—and I have ADHD myself.
⚠️ This video is for education only and is not personal medical advice. Do not start, stop, or change any medication without talking to your own prescriber.

#adhdselfimprovement #ADHDMedication #AdultADHD #ADHDTreatment

Go ahead and subscribe if you want to receive practical strategies from a Nurse Practitioner that won't sell you short.

My name is Jonathan Murphy, PMHNP-BC. For the past decade I've provided medication management and therapy for adults with ADHD. I also have ADHD myself, but you may have noticed that already.

Traditional ADHD education is incredibly boring, which makes it nearly impossible for people with ADHD to actually learn from it. So I translate what actually works in clinic into YouTube videos that hold your attention.

What you'll find here:

Medication information and optimization strategies
Practical approaches that go beyond medication
Understanding how ADHD overlaps with trauma and autism
Proprietary frameworks (Survival Modality, Reinforcement Matrix, Stimulation Gap)
Patient education for adults who need help and guidance

My clinical work has expanded beyond ADHD to include common comorbidities: autism spectrum disorder, complex PTSD, anxiety, depression, and bipolar disorder. I take a holistic, trauma-informed approach because these conditions often overlap.

DISCLAIMER: Educational content only. Not a substitute for professional mental health treatment or individual clinical advice.

📧 Free resources: https://mailchi.mp/myfocuspath/focus-...
📖 Book "Cheat Codes: An ADHD Transformation Guide": https://www.amazon.com/dp/B0FMJLQKBW
📝 Blog: myfocuspath.blog