The diagnosis need to be confirmed - comprehensive assessment by a psychiatrist (which should have experience in the diagnosis of ADHD) Many problems can mimic ADHD - sleep deprivation, depression, anxiety, poor management of technology, etc.There are some diagnostic interviews recommended/to guide the evaluation, and also some rating scales (e.g. to determine severity/treatment response).Once diagnosis is confirmed, then the correct medication, dose of medication, and dosing schedule should be determined. Methylphenidate 10mg is rather low for an adult - we prescribe medication according to weight and clinical response (I suspect this is where your "lack of response to treatment" may be). Modafinil has limited efficacy... Always remember that management of ADHD is not only pharmacological (medication), but should also include therapy (to assist with emotional regulation, social skills, organizational skills, etc), and lifestyle interventions (e.g. healthy diet and good sleeping routine, regular exercise, avoid substances, and managing technology).
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