ADHD Assessment at Cardiff General Hospital
Despite the COVID-19 pandemic we have remained committed to providing an effective service for our patients. We have also tested 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 professionals have preconceived notions about how an individual who suffers from ADHD will appear like. Before your appointment, it can be helpful to be familiar with the symptoms (traits) of ADHD.
What is an ADHD assessment?
An ADHD assessment is an in-depth examination of the symptoms and how they affect everyday life. It is used to determine whether the condition is responsible for the symptoms, and to determine the best course of treatment. This could include medications or Cognitive Behavioural therapy. The aim is to reduce inattention, hyperactivity, and impulsiveness of the disorder, increase attitudes and abilities to manage day-to-day life, and lessen the impulsiveness, hyperactivity and inattentiveness symptoms. This can also reduce the distress that symptoms create and help them reach their potential.
website link is to have an appointment with a psychiatrist or psychologist who has the training and experience of diagnosing ADHD. They will ask you for details about your symptoms as well as details about your family history and medical records. They will also talk about your work and social environment to determine if there are any factors that may be contributing to your symptoms.
Many doctors use questionnaires and ratings scales in addition to the interview with the patient to ensure they are collecting standard information. For children, this may include teacher and parent interviews and rating scales such as the Vanderbilt or Conners indexes. For adults, these are more detailed and could include a full psychiatric interview.
During the interview, a doctor will try to find out the time when your symptoms first began, and what impact 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 should experience this in at least two settings and affect their daily functioning.
The doctor will also look at your medical history and look for other conditions that might be causing the symptoms, such as thyroid issues or head injury. They will also review your previous school records to determine if any of the symptoms started before age 12. In some instances, they might seek details from people whom you know, for example family members or friends. They might also request to review any written reports like school or work-related progress notes.
What are the symptoms of ADHD?
ADHD is mental health condition that causes difficulties with paying attention, staying focused and being organised. It is also called attention deficit disorder (ADHD). It can lead to difficulties at school, in the workplace and in relationships. It can also make it difficult to deal with depression and anxiety. ADHD can be caused by a range of factors that include genetics.
Children must exhibit at least six of the symptoms or traits that persist over time and cause significant problems in order to be identified as ADHD. Squirming, fidgeting, or stepping out of their seats when they are supposed to be sitting are all signs of ADHD. Other signs include ignoring things or making mistakes. Children who are agitated and impulsive also be unable to wait for their turn, interrupt games or conversations or utter answers without being asked.
Adults who are diagnosed with ADHD need to meet an upper threshold of criteria that is, they need to show five of nine symptoms during the last six months. In an assessment the doctor will inquire about your symptoms and the impact on your life. They will also assess you and do psychological tests. They may also look at your work and school documents as well as your past history of drug and alcohol consumption, and any family mental health issues.
The doctor will attempt to rule out other illnesses that could be contributing to your symptoms, like mood disorders, learning disabilities or thyroid issues. They will also determine if you've had any head injuries or other medical problems that can influence ADHD symptoms like seizures. It is important to inform your doctor about any family history of ADHD or any other mental health issues that are in your family. Bring any relevant documentation such as old report cards or performance assessments at your workplace, to your appointment.
What are the treatment options for ADHD?
Treatment options include behavioral, educational and psychosocial. The majority of people suffering from ADHD receive a mix of these therapies, and the most effective results are achieved when a multidisciplinary approach is used. Treatment involves teaching parents how to manage behaviour and provide the structure they need at home, as well as training teachers to spot signs of ADHD in children and encourage more behavioural responses in the classroom. Counseling is also a part of the treatment, such as family therapy or cognitive behavioral therapy. It could also involve marital counseling or relationship counseling.
Treatment begins with a thorough evaluation. This looks at a person's current and in the case of an adult, past health issues, mood and history of ADHD symptoms. It will also ask for feedback from friends, relatives, work colleagues and teachers.
Some adults might not meet the criteria for a diagnosis, and there are many illnesses and conditions that can cause similar symptoms to those of ADHD. Your physician will be able to compare your symptoms with the criteria, and might refer you to psychiatrists or paediatricians for further evaluation.
There are many medications that can help to reduce the symptoms of ADHD, including stimulants. Methylphenidate is the most commonly prescribed medicine is a stimulant that increases brain activity in the areas that control attention and behavior. It is available as immediate-release tablets (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. It is recommended to only use them in accordance with the prescriptions of your doctor.
People suffering from ADHD often have other mental disorders such as anxiety or depression. These may require treatment alongside the ADHD, or they may interfere with the use of medications for ADHD. If you or your children are being treated for co-existing issues, the treatment will be integrated into the treatment of ADHD.
Many people with ADHD also benefit from talk therapy, including individual and family counseling (psychotherapy). This type of therapy will help you comprehend how ADHD affects your child or you, and develop strategies to overcome the difficulties.
How can I get an ADHD assessment?
If you think you or your child might be suffering from ADHD the first step is to speak to your GP. They should take your concerns seriously and refer you for a specialist ADHD assessment.
Bring your photo ID to the appointment. You will also have to complete some pre-screening questionnaires prior to your appointment with your psychiatrist. This is to ensure that the consultation can be kept to duration, which will help to ensure that your diagnosis process does not get delayed. It is crucial to complete these forms as quickly as possible before the meeting so that your psychiatrist can look over them before the consultation starts.
The expert will then interview you, your child and any other adults that spend a lot time with you or your kid. This could include teachers, babysitters and coaches and other family members. Your specialist will also inquire about your the child's symptoms, their history, and lifestyle.
It is essential to be honest and open during the interview, to ensure that your doctor can comprehend all the issues and problems you're experiencing. It is not unusual to find people suffering from other mental health issues in addition to ADHD This is why your specialist will also need to ensure that you do not have any other issues.
After the interview and questionnaires are completed, your specialist prepares an extensive report on their findings. The report will be delivered directly to your GP together with copies for you and your child. You can also pay to have your specialist write letters of recommendation for workplaces or schools.
It isn't easy for some adults to recognize ADHD because of the stigma and misinformation surrounding the disorder. It is essential to find an expert who is experienced in diagnosing adults with ADHD, and who will work with you in order to get the treatment that you need. You may also consider contacting an ADHD support group or seeking recommendations from other individuals who have received diagnoses of ADHD.