Full Article at Cardiff General Hospital
Despite the COVID-19 pandemic we have remained committed to providing an effective service to our patients. We have also tested new standardised clinical pathways for adult ADHD assessment. This includes the introduction of the Qb Test as an ADHD screening tool.
It is possible that medical staff have preconceived notions about what someone suffering from ADHD will appear like. It can help to familiarise yourself with the traits (symptoms) of ADHD prior to your appointment.
What is ADHD assessment?
An ADHD assessment is an in-depth examination of the symptoms and how they impact on daily life. It can be used to identify the cause of the symptoms and determine the most effective treatment. This may include behavioural therapy, medication or Cognitive Behavioural Therapy. The aim is to reduce inattentiveness, hyperactivity and impulsiveness of the disorder, improve attitudes and abilities to manage day-to-day life, and decrease the hyperactivity, impulsiveness, and inattention symptoms. This will also help to reduce the distress caused by symptoms and help them to reach their full potential.
The process begins with an initial interview with an expert psychiatrist or psychologist who has the training and experience to diagnose ADHD. They will ask you for specific details regarding your symptoms, as well as details regarding your family history and medical records. adhd assessment glasgow will also review your workplace and social environments to identify any factors which could be contributing to your symptoms.
A lot of doctors use questionnaires and ratings scales in addition to the interview with the patient to ensure that they are gathering standard data. This could include parent-teacher interviews and rating scales like the Vanderbilt and Conners indexes for children. Adults will have more in-depth interviews, which could include a complete psycho-psychiatric assessment.
During an interview, a doctor will ask you when your symptoms first started and how they affect 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 environments and interfere with the normal flow of your daily functioning.
The doctor will also look over your medical history to determine if there are other conditions that may be causing symptoms, such thyroid disorders or head injury. They will also look over your school records from the past to determine if the symptoms began before turning 12. In some cases they may seek information from those who know you, such as relatives or friends. They might also request to review any written reports like school or work progress notes.
What are the signs of ADHD?
ADHD is a mental disorder that can cause difficulties in paying attention and staying organized, as well as difficulty focusing. It is also known as attention deficit disorder (ADHD). It can cause issues at school, work and in relationships. It can also make it difficult to manage anxiety and depression. There are how to get assessed for adhd that can cause ADHD and depression, such as genetics, issues with the central nerve system during pregnancy or birth, head injuries, substance use and some medicines.
For a child to be diagnosed with ADHD the child must exhibit at least six characteristics or symptoms that have been observed in time and cause significant issues. Squirming, fidgeting, or stepping out of their seats when they should be sitting are all signs of ADHD. Other symptoms include forgetting things or making mistakes. Children who are restless or impulsive might be unable to wait for their turn, interrupt conversations or games or utter a list of answers prior to being asked and even take things from other people without asking permission.
Adults who are diagnosed with ADHD need to meet the criteria for ADHD at a lower level, as they only need to have five out of nine symptoms during the past six months. In an assessment, the doctor asks you about your symptoms and the impact on your life. They will also examine you and do psychological tests. They might also check your school and employment records, as well your history of drug or alcohol use and any mental health issues that may be present in your family.
The doctor will try to rule out other issues that may be causing your symptoms, like mood disorders, learning disabilities or thyroid issues. They will also determine if you have suffered any head injuries or medical conditions that may affect ADHD symptoms, like seizures. You should tell the doctor about any family history of ADHD or any other mental health issues in your family. It's recommended to bring any relevant documents, such as performance evaluations from your work place or old report cards, with you to your appointment.
What are the treatment options for ADHD?
Treatment options include psychosocial, educational, and behavioral. The majority of people suffering from ADHD are treated in a combination, and the most effective results are obtained by a multidisciplinary treatment method is used. Treatment includes teaching parents how to manage their behaviour and provide the structure they need at home as well as educating teachers to identify signs of ADHD in children and encourage more behavioural responses in the classroom. Counseling may also be part of the treatment, including family therapy or cognitive behavior therapy. It may also include marital counseling or relationship counseling.
The treatment begins with a thorough examination. This includes a thorough evaluation of a person's health, mood, and previous ADHD symptoms. It will also ask for feedback from relatives, friends as well as colleagues at work and teachers.
There are a variety of ailments and conditions that can cause symptoms that are similar to ADHD. Your GP will check the symptoms against the criteria and may refer you for further assessment by a psychiatrist or paediatrician.
There are several medicines that can help to reduce the symptoms of ADHD such as stimulants. Methylphenidate is the most commonly prescribed drug is a stimulant that increases brain activity in the areas that regulate behavior and attention. It is available as tablets that release immediately (small doses taken up to three times daily) or as modified-release tablets that are released throughout the day. Both forms can increase concentration and focus. You should only take them as prescribed by your physician.
People suffering from ADHD often have other mental disorders, such as depression or anxiety. These conditions may require treatment in conjunction with the ADHD, or they may interfere with the use of medications for ADHD. If you or your children are being treated for co-existing conditions, the treatment will be integrated into the treatment of ADHD.
Many adults with ADHD benefit from talking therapy like family therapy and individual psychotherapy (psychotherapy). This type of therapy will help you comprehend how ADHD affects your child or you, and develop strategies to deal with the challenges.
How do I get an ADHD evaluation?
Talk with your GP if you suspect that you or your child suffers from ADHD. They should be attentive to your concerns and recommend an expert ADHD assessment.
If you are attending your appointment, make sure you have a photo ID. You will be asked to fill out some pre-screening questions prior to meeting with your psychiatrist. This will ensure that your consultation runs on schedule and that the process of diagnosing you doesn't get delayed. It is important that you complete these forms as fast as possible before the meeting so that your psychiatrist is able to review them prior to the start of the consultation.
The next step of getting an ADHD assessment is for the expert to interview you and your child, as well as any other adults who spend a significant amount of time with you or your child. This could include teachers, babysitters and coaches as well as other family members. Your specialist will ask you about your symptoms, your child's past, and your lifestyle.
It is crucial to be honest and open during the interview so that your doctor can understand all issues and difficulties you are facing. It is not uncommon to find people suffering from other mental health issues in addition to ADHD This is why your doctor will also want to confirm whether you are suffering from any other issues.
After the interview and questionnaires are completed, your specialist prepares a comprehensive report based on their findings. The report will be sent directly to your GP along with copies for you and your child. If you wish, your specialist can also send recommendations to workplaces or schools for an additional fee.
Some adults may find it difficult to get diagnosed with ADHD due to the stigma and confusion regarding the disorder. Because of this, it is important to find a doctor who is skilled in diagnosing adults suffering from ADHD and who will work with you to get the treatment you need. You can also reach out to an ADHD support group or ask for recommendations from those who have been diagnosed with ADHD.