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ADHD Assessment at Cardiff General Hospital Despite the COVID-19 epidemic, we remain committed to providing an effective service for our patients. We have also piloted new clinical pathways that are standardised for adult ADHD assessment. This includes the introduction of the Qb Test as a screening tool for ADHD. Medical professionals may have preconceived notions of what someone with ADHD appears like. Prior to your appointment, it can be helpful to know the signs (traits) of ADHD. What is ADHD assessment? An ADHD assessment is an in-depth review of the symptoms, and how they impact on daily life. It can be used to determine if the condition is causing the symptoms, and also to determine the best method of treatment. This can include medication or Cognitive Behavioural therapy. The aim is to reduce the hyperactive, inattentive, and impulsive symptoms of the disorder and to improve patients' attitudes to and abilities to manage their day to day lives. This will also lessen the anxiety that symptoms cause and allow them to achieve their full potential. The first step is to schedule an interview with a psychiatrist or psychologist who has experience and training in diagnosing ADHD. They will want to know the details of your symptoms, as well as your family history and medical records. They will also talk about your workplace and social environments to determine if there are any other factors that could be contributing to your symptoms. In addition to the patient interview, many doctors will use questionnaires and rating scales to ensure that they are collecting standardized data. For children, this can include teacher and parent interviews and rating scales such as the Vanderbilt or Conners indexes. For adults, these will be more detailed and could include an entire psychiatric assessment. During the interview in the consultation, a doctor will try to find out the time when your symptoms first began and the impact they have on your life. In order to make a diagnosis, they will need to see that you have at least six symptoms of ADHD (inattention or hyperactivity/impulsivity) over the last six months. For adults, this must occur in two or more settings and get in the way of your daily functioning. The doctor will also examine your medical background to determine if there are other conditions the cause of your symptoms, like an thyroid disorder or head injury. They will also examine your school records from the past, to see if any of the symptoms started before 12. In some instances, they might ask for details from people whom you know, for example relatives or friends. They can also ask to see any written reports like notes from school or work. What are the signs and symptoms of ADHD? ADHD is a mental health disorder that causes difficulties with attention to the task at hand, staying focused and organized. It is often called attention deficit hyperactivity disorder (ADHD). It can cause difficulties at school, in the workplace and in relationships. It can make it difficult to cope with anxiety or depression. ADHD can be caused by a range of causes that include genetics. Children must show at least six of the symptoms or traits that persist over time and cause serious problems in order to be diagnosed as ADHD. They may be fidgeting or squirming in their seats and leaving their seat when they should sit down, having trouble playing or doing leisure activities in a quiet manner and often forgetting things, as well as making rash mistakes. Children who are agitated and impulsive also have difficulty waiting for their turn to play, interrupt conversations or games, or blurt out answers without being asked. Adults who are diagnosed with ADHD need to show only five of the nine symptoms over the past six months. During an assessment, the doctor will inquire about your symptoms and how they affect your life. They will also assess you and conduct psychological tests. They might also check your school and employment records, as well as your past history of alcohol or drug usage and any mental health issues within your family. The doctor will rule out other conditions that could be causing your symptoms, such as mood disorders, learning disabilities or thyroid problems. They will also check if you've had any head injuries or medical conditions that may cause ADHD symptoms such as seizures. Inform your doctor if have an extended family history of ADHD, or any other mental health problems. Bring any relevant documentation like old reports or performance evaluations at your workplace, to your appointment. What are the treatment options for ADHD? Treatment options include psychological, educational and behavioral. The majority of people suffering from ADHD receive a combination of these therapies, and the best results occur when a multidisciplinary approach is used. Treatment involves teaching parents to manage their children's behavior and provide structure at home. Teachers are also trained to recognize ADHD symptoms in children and to encourage more behavioral responses in the classroom. Counseling may also be a part of the treatment, which includes family therapy or cognitive therapy. It could also include marriage counseling or relationship counseling. Treatment starts with a thorough assessment. This involves a thorough analysis of a person's health, mood and past ADHD symptoms. It also seeks feedback from friends and relatives as well as colleagues at work and teachers. There are a myriad of ailments and conditions that can cause symptoms similar to ADHD. Your doctor will evaluate the symptoms with the criteria, and may refer you to psychiatrists or paediatricians to conduct a further evaluation. There are many medications that can aid in reducing the symptoms of ADHD such as stimulants. Methylphenidate, the most commonly prescribed medication is effective in increasing brain activity in areas that control behavior and attention. It is available in tablets that release immediately, which are small doses taken three or twice times daily. Also, it is modified-release tablets that release the medication throughout the day. Both forms can improve concentration and focus. It is recommended to only take them as directed by your doctor. People with ADHD frequently suffer from mental disorders like anxiety or depression. These may need to be treated in conjunction with the ADHD, or they may complicate the use of medication for ADHD. If you or your child is being treated for a condition that is coexisting the treatment for that condition will be integrated into the treatment for ADHD. Many people with ADHD benefit from talk therapy, which includes individual and family psychological counseling (psychotherapy). This type of therapy can help you understand how ADHD affects your child or yourself and devise strategies for coping with the challenges. How can I get an ADHD evaluation? If you think that you or your child might have ADHD The first step is to talk to your GP. They must take your concerns seriously and refer you to a specialist ADHD evaluation. Bring your photo ID to the appointment. You will be asked to complete some pre-screening questionnaires prior to meeting with your psychiatrist. This will ensure that the consultation is conducted on time and that your diagnosis process doesn't get delayed. You should complete these forms as soon as you can, so that your psychiatrist has time to review them. The next step of getting an ADHD assessment is to allow the professional to interview you and your child, along with any other adults who spend a significant amount of time with you or your child. This can include teachers, babysitters and coaches as well as other family members. Your doctor will inquire about your symptoms, your child's history and lifestyle. adhd assessment uk free www.iampsychiatry.com is essential to be open and honest during the interview so that your specialist can be aware of all the issues and problems you are experiencing. It is not unusual for people to suffer from other mental disorders in addition to ADHD. Your specialist will want to ensure that you are not suffering from any other issues. After the interview and questionnaires have been completed, the specialist will prepare an extensive report based on their findings. The report will be delivered to your GP, along with copies for both you and your child. If you wish, your specialist can also offer recommendation letters to schools or workplaces for an additional fee. It can be difficult for certain adults to recognize ADHD because of the stigma and misinformation surrounding the disorder. It is essential to find a specialist who has expertise in diagnosing adults with ADHD and will work with you in order to receive the treatment you require. You can also join an ADHD support group, or ask for recommendations from individuals who have been diagnosed with ADHD.