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ADHD Assessment at Cardiff General Hospital Despite the COVID-19 pandemic we have been able to provide an efficient service to our patients. We have also tested new clinical pathways that are standardised for adult ADHD assessment. I Am Psychiatry includes the introduction of the Qb Test as an ADHD screening tool. Medical professionals can have preconceived notions of what someone suffering from ADHD appears like. It is beneficial to familiarize yourself with the traits (symptoms) of ADHD before your appointment. What is an ADHD assessment? An ADHD assessment is a comprehensive examination of the symptoms and their impact on daily life. It can be used as a tool to determine the root cause of the symptoms and to determine the most effective treatment. This can include behavioural therapy, medication or Cognitive Behavioural Therapy. The goal is to lessen the hyperactive, inattentive, and impulsive symptoms of the disorder, and improve patients' attitudes to and abilities to manage their daily lives. This will also lessen the stress that symptoms cause and allow them to reach their potential. The process begins with an initial interview with a specialist psychiatrist or psychologist who has training and experience in diagnosing ADHD. They will ask for details about your symptoms, as well as information on your family history and your medical records. They will also talk about your work and social life to identify any factors that may contribute to your symptoms. In addition to the patient interview Many doctors will also utilize rating scales and questionnaires to ensure that they are gathering standardized data. For children, this can include teacher and parent interviews and rating scales like the Vanderbilt or Conners indices. Adults will be given more in-depth interviews, which may include a full psychiatric evaluation. During an interview, a doctor will inquire about when your symptoms first started and how they impact 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 happen in two or more environments and interfere with the normal flow of your daily functioning. The doctor will also review your medical history to determine if there are other conditions creating symptoms, such as thyroid disorders or head injury. They will also look at your past school records, to see if any of the symptoms started before age 12. In some cases, they may request information from people who know you, such as friends or family members. They can also ask you to read any reports written by you like school or work-related progress notes. What are the signs and symptoms of ADHD? ADHD is a mental health disorder that causes problems with attention to the task at hand, staying focused and organised. It is also known as attention deficit disorder (ADHD). It can cause problems at school, in the workplace and in relationships. It can make it difficult to deal with depression or anxiety. There are many things that can cause ADHD and depression, such as genetics, issues with the central nerve system during pregnancy or birth or head injuries, drug use, and certain medications. For children to be diagnosed with ADHD the child must exhibit at least six characteristics or symptoms that have been observed in time and cause serious problems. Squirming, fidgeting or leaving their seats even when they should be seated are all symptoms of ADHD. Other signs include forgetting things and making careless errors. Children who are constantly distracted and impulsive may also be trouble waiting for their turn and interrupt conversations or games or utter answers without being asked. Adults who are diagnosed with ADHD must only show five of the nine symptoms in the last six months. In an assessment the doctor will inquire about your symptoms and their impact on your life. They will also assess you and do psychological tests. They might also check your school and work records, as well as your past history of drug and alcohol consumption, and any family-related mental health issues. The doctor will attempt to determine if there are other issues that may be causing your symptoms, like learning disabilities, mood disorders or thyroid problems. They will also check if you've suffered any head injuries or medical issues that could cause ADHD symptoms, such as seizures. Inform your doctor if have any family history of ADHD or any other mental health issues. Bring any relevant documentation, such as old reports or performance evaluations at your workplace to your appointment. What are the treatment options for ADHD? Treatment options are behavioral, educational and psychosocial. The majority of people suffering from ADHD are treated in some combination of these, and the best results are obtained when a multidisciplinary approach to treatment is employed. Treatment includes teaching parents how to manage their children's behavior and create a the structure they need at home. Teachers are also trained to spot ADHD symptoms in children and to encourage greater behavioral responses in the classroom. Counseling is also a component of the treatment plan. This could include family therapy, cognitive behavior therapy, and relationship or marital counseling. The treatment begins with a thorough examination. This includes a thorough evaluation of the person's health, mood and past ADHD symptoms. It will also request feedback from friends, relatives as well as colleagues at work and teachers. There are many ailments and conditions that can cause symptoms that are similar to ADHD. Your GP will compare the symptoms with the criteria, and might refer you to psychiatrists or paediatricians for further assessment. There are many medications that can reduce the symptoms of ADHD such as stimulants. Methylphenidate is the most commonly prescribed drug is effective in increasing brain activity in areas that control behavior and attention. It is available in tablets that release immediately that are tiny doses taken twice or three times daily. It can also be modified-release tablets that release the medication throughout the day. Both forms can improve concentration and focus. It is best to take them as prescribed by your doctor. Many people with ADHD also have other mental health problems such as anxiety or depression. These disorders may need to be treated in conjunction with ADHD or could make it more difficult to treat ADHD. If you or your child is being treated for a coexisting condition the treatment for that condition will be integrated into the treatment of the ADHD. Many people with ADHD benefit from therapy for talking, such as family and individual psychotherapy (psychotherapy). This type of counseling will help you comprehend how ADHD affects your child or yourself, and develop strategies to overcome the challenges. How can I get an ADHD assessment? If you think you or your child might have ADHD The first step is to speak to your GP. They must take your concerns seriously and refer you to a specialist ADHD assessment. Bring your photo ID to the appointment. You will also be required to complete some pre-screening questionnaires 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 the process of diagnosing does not get delayed. It is crucial to complete these forms as quickly as you can prior to the appointment so that your psychiatrist can review them prior to your consultation begins. The expert will then talk to you, your child, and any other adults that spend a lot time with your child or you. This could include babysitters, teachers, coaches, and other family members. Your specialist will ask you about your symptoms, your child's history and lifestyle. It is crucial to be honest and open during the interview to ensure your doctor is aware of all the issues and difficulties you are experiencing. It is not unusual to find people suffering from other mental health conditions in addition to ADHD So, your specialist will also want to confirm whether you are suffering from any other disorders. After the interview and questionnaires are completed, your specialist will write an extensive report on their findings. The report will be sent to your GP, along with copies for you and your child. You can also pay to have your specialist write letters of recommendation for schools or workplaces. It can be difficult for certain adults to get diagnosed with ADHD due to the stigma and misinformation that surrounds the disorder. It is important to find a professional who has experience diagnosing adults with ADHD and who will collaborate with you to get the treatment that you need. You can also try contacting an ADHD support group or asking for recommendations from others who have been diagnosed with ADHD.