What is titration, and why doesn't the doctor just give me the right dose?

Titration in ADHD care is the stepwise process of starting a medicine at a relatively low dose and adjusting it over time while watching symptoms, side effects, and day-to-day function. There is not a single right dose known in advance for every adult, which is why a clinician may not open with a high target milligram figure. CAMH adult ADHD pharmacotherapy writing describes starting low and stopping titration when target symptoms improve, rather than pushing the dose higher just to see if more helps. If the change is persistent, distressing, or affecting daily functioning, bring a brief timeline to the prescribing clinician rather than changing the dose independently. References: https://www.camh.ca/en/professionals/treating-conditions-and-disorders/adult-adhd/adult-adhd---treatment/adult-adhd---pharmacotherapy https://www.caddra.ca/wp-content/uploads/Canadian-ADHD-Practice-Guidelines-4.1-January-6-2021.pdf