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ADHD Assessment at Cardiff General Hospital Despite the COVID-19 pandemic we have been able to provide an effective service to our patients and have piloted new standardised clinical pathways for adult ADHD assessment. This includes the introduction Qb Test as a screening tool for ADHD. It is possible that medical staff have preconceived notions about how someone suffering from ADHD will look like. Prior to your appointment, it can be helpful to familiarise yourselves with the symptoms (traits) of ADHD. What is ADHD assessment? An ADHD assessment is an in-depth examination of the symptoms and their impact on daily life. It is used to determine whether the condition is responsible for the symptoms, and also to determine the best path for treatment. This may include medication, behavioural therapy or Cognitive Behavioural Therapy. The goal is to decrease the inattentive, hyperactive and impulse-driven symptoms of the disorder, and improve the patient's attitudes toward and abilities to manage their daily lives. This will also lessen the anxiety that symptoms can cause and help them reach their potential. The first step is to have an appointment with a psychologist or psychiatrist who has the training and experience of diagnosing ADHD. They will request specific details regarding your symptoms and information on your family history and your medical records. getting an adhd assessment uk will also talk about your social and work environments to determine any factors that may be contributing to symptoms. In addition to the interview with the patient A lot of doctors utilize rating scales and questionnaires to ensure they are collecting data that is standardized. For children, this could include parent and teacher interviews as well as rating scales such as the Vanderbilt or Conners indices. For adults, these are more in-depth and can involve a full psychiatric interview. During the interview during the interview, a doctor will attempt to find out when your symptoms first started and what effect they have on your daily 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. Adults must have this happen in at least two different settings and impact their daily activities. The doctor will also review your medical history to determine if there are other conditions that could be creating symptoms, such as a thyroid disorder or head injury. They will also review your old school records to determine if your symptoms started before turning 12. In some cases they may seek information from people who know you, like friends or family members. They might also request to review any written reports, such as school or work-related progress notes. What are the signs of ADHD? ADHD is a mental disorder that can lead to problems with paying attention and staying organized, as well as difficulty staying focused. It is also known as attention deficit disorder (ADHD). It can cause problems at work, school and in relationships. It can also make it hard to cope with anxiety and depression. ADHD can be caused by a variety of causes, including genetics. To be able to diagnose a child with ADHD it is necessary to show at least six traits or signs that appear over time and are causing significant issues. They may be fidgeting or squirming in their seat and leaving their seat when they're supposed to be seated, having difficulty playing or engaging in leisure activities quietly and often forgetting things, as well as making rash mistakes. Children who are restless or impulsive may also have trouble waiting for their turn, interrupt conversations or games or utter a list of answers before being asked, and steal other people's possessions without asking permission. Adults diagnosed with ADHD have to meet a lower threshold of criteria that is, they need to have five out of nine symptoms during the past six months. During an evaluation, the doctor will ask you about your symptoms and how they affect your life. They will also do psychological tests and examine you. They will also look over your school and employment documents, as well as your history of drug or alcohol use and any mental health issues that may be present in your family. The doctor will also attempt to determine if there are any other issues that could be causing the symptoms you're experiencing, including thyroid issues, mood disorders or learning disabilities. They will also assess whether you have had any head injuries or medical issues that could cause ADHD symptoms such as seizures. You should inform the doctor about any family history of ADHD or any other mental health issues that are in your family. It's recommended to bring any relevant documentation like 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 receive some combination of these therapies, and the best results occur when the multidisciplinary approach is employed. Treatment involves teaching parents how to manage behaviour and provide the structure they need at home as well as educating teachers to spot signs of ADHD in children and encourage more behavioral responses in the classroom. Counseling can also be part of the treatment, which includes family therapy or cognitive behavior therapy. It could also involve marriage counseling or relationship counseling. The first step to treatment is a thorough examination. This includes a thorough evaluation of the patient's health, mood and past ADHD symptoms. It will also ask feedback from friends and relatives and colleagues at work and even teachers. There are many conditions and illnesses that can cause symptoms similar to ADHD. Your doctor will evaluate the symptoms against the criteria and may suggest further examination by a psychiatrist or paediatrician. Stimulants are one of the drugs that can reduce ADHD symptoms. Methylphenidate is the most widely used medicine and it is effective by increasing the activity in parts of the brain that regulate the behavior and attention. It is available in immediate-release tablets that are small doses taken twice or three times daily. It can also be modified-release tablets that release the medication throughout the day. Both forms can increase concentration and focus. It is best to take them as directed by your doctor. People suffering from ADHD often have other mental disorders such as anxiety or depression. These conditions may need to treated in conjunction with ADHD or can complicate the use medication for ADHD. If your child or you is being treated for a condition that is coexisting the treatment for that condition will be integrated into the treatment of the ADHD. Many adults suffering from ADHD benefit from talking therapy, which can include individual and family psychological counseling (psychotherapy). This type of counseling can help you better comprehend how ADHD affects your child or you, and develop strategies to overcome the issues. How can I get an ADHD assessment? Talk with your GP If you think you or your child suffers from ADHD. They should take your concerns seriously and send you to an expert ADHD assessment. Bring your photo ID to the appointment. You will also have to fill out some pre-screening questions before the meeting with your psychiatrist. This is to ensure that the consultation can be held to a certain duration, which helps to ensure that your diagnosis process does not get delayed. It is essential that you complete these forms as fast as possible before the meeting so that your psychiatrist can look over them prior to the start of the consultation. The next step in the process of obtaining an ADHD assessment is to allow the professional to interview you and your child, along with any other adults who spend a lot of time with your child or you. This can include babysitters, teachers and coaches as well as other family members. Your doctor will also inquire regarding your child's symptoms, the history of your child, and their lifestyle. It is essential to be honest and open during the interview so that your specialist understands all the issues and problems that you are facing. It is not unusual to find people suffering from other mental health issues in addition to ADHD So, your doctor will also want to confirm that you do not have any other disorders. After the interviews and questionnaires have been completed, the specialist will write a detailed report of their findings. The report will be sent directly to your GP along with copies for you and your child. You can pay an additional fee to have your doctor provide letters of recommendation for workplaces or schools. It isn't easy for some adults to get diagnosed with ADHD due to the stigma and misinformation that surrounds the disorder. For this reason, it is essential to find a specialist who is skilled in diagnosing adults with ADHD and will help you get the treatment you require. You can also reach out to an ADHD support group or seek recommendations from individuals who have been diagnosed with ADHD.