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Adult ADHD

ADHD Treatment for Adults

What is ADHD?

Adult attention-deficit/hyperactivity disorder (ADHD) previously known as ADD, is a mental health disorder with symptoms, including difficulty paying attention, hyperactivity, disorganisation and impulsive behaviour. Although there is still a lot to be understood about ADHD and its related symptoms if left untreated adult ADHD can lead to co-occurring disorders, unstable relationships, depression, poor work performance and low self-esteem and may lead to substance misuse.

ADHD often goes unrecognised throughout childhood. That was especially common in the past when very few people were aware of it. Instead of recognising your symptoms and identifying the real issue, your family, teachers, or others may have labelled you as a goof-off, troublemaker, dreamer, slacker, or just a bad student. Alternately, you may be able to accommodate the symptoms of ADHD when you were still young, only to run into troubles as your responsibilities grew as an adult. The more balls you are now trying to keep in the air—pursuing a career, raising a family, running a household—the higher the demand on your abilities to organise, remain calm and focus. That can be challenging for many people, but if you have ADHD, it can feel almost impossible!

Adult ADHD Symptoms

  • Excessive activity or restlessness
  • Extreme impatience
  • Mood swings and bursts of anger
  • Poor time management skills
  • Frequent mood swings
  • Being forgetful of daily tasks
  • Poor concentrating
  • Difficulty following instructions
  • Excessive talking
  • Constantly fidgeting
  • Frequent intruding/interrupting others
  • Disorganised/trouble prioritising
  • Sleeping problems
  • Anxiety disorders
  • Impulsiveness

HOW DO I KNOW IF I NEED AN EVALUATION FOR ADHD?

Most adults who seek an evaluation for ADHD experience significant problems in one or more areas of living. The following are some of the most common problems:

  • Inconsistent performance in jobs or careers; losing or quitting jobs frequently.
  • History of academic and/or career underachievement.
  • Poor ability to manage day-to-day responsibilities, such as completing household chores, maintenance tasks, paying bills or organising things.
  • Relationship problems due to not completing tasks.
  • Forgetting important things or getting upset easily over minor things.
  • Chronic stress and worry due to failure to accomplish goals and meet responsibilities.
  • Chronic and intense feelings of frustration, guilt or blame.A qualified professional can determine if these problems are due to ADHD, some other cause or a combination of causes. Although some ADHD symptoms are evident since early childhood, some individuals may not experience significant problems until later in life.

Some very bright and talented individuals, for example, are able to compensate for their ADHD symptoms and do not experience significant problems until high school, college or in pursuit of their career. In other cases, parents may have provided a highly protective, structured and supportive environment, minimising the impact of ADHD symptoms until the individual has begun to live independently as a young adult.

Good news is; no matter how overwhelming it feels, the challenges of (ADHD) attention deficit disorder could be beaten. With proper medication and support, you can learn to manage the symptoms of adult ADHD; even turning some of your weaknesses into strengths. It is never too late to turn the difficulties of adult ADHD around and start succeeding on your terms.

It is important to note that individuals diagnosed with ADHD are often six times more prone to substance misuse than those who are not. For those who are unsure if they are living with ADHD, we can gladly give you a comprehensive ADHD assessment along with an accurate evaluation and treatment if required.

WHAT DOES THE ADHD ASSESSMENT INCLUDE?

Based on evidence-based best practices and meeting NICE guidelines. CRL Psychiatry provides a very detailed and fully comprehensive ADHD assessment that includes:

• 60 minutes consultation with the Psychiatrist

• Screening for other common mental health conditions

• Questionnaires and assessments including a Cognitive Functioning Assessment.

• A full psychiatric report after the assessment

• ADHD treatment for adults recommendations

Frequently Asked Questions

What are the key symptoms of ADHD?

The symptoms of ADHD include:

Inattentiveness – inability to concentrate for a long time or finish tasks, disorganisation and forgetfulness.

Hyperactivity – fidgetiness, inability to stay still or restlessness.

Impulsivity – speaking and doing things without thinking about consequences, interrupting other people.

Can ADHD exist with other conditions?

People with ADHD may also experience sleep difficulties, academic underachievement, clumsiness (dyspraxia), temper tantrums, anger outbursts, mood swings and find it hard to socialise. They may also have co-existing conditions (co-morbidity) such as anxiety, depression and other mental health conditions, conduct disorder, oppositional defiance disorder and learning difficulties.

What is the difference between ADD and ADHD?

Although some people still use the old term ADD (coined in 1980 as ‘ADD with or without hyperactivity’), it was changed and simplified in 1987 to just ADHD. The term ADD has technically expired and has been out of use by medical professionals for 30 years.

ADHD was further and better defined in 1994 when three subtypes of ADHD were introduced as follows:

  1. Combined Type: chronic and functionally impairing symptoms of inattention WITH chronic and functionally impairing symptoms of hyperactivity/impulsivity;

  2. Predominantly Inattentive Type: chronic and functionally impairing symptoms of inattention WITHOUT symptoms of chronic and functionally symptoms of hyperactivity/impulsivity;
  3. Predominantly Hyperactive-Impulsive Type: symptoms of chronic and functionally impairing hyperactivity/impulsivity WITHOUT symptoms of chronic and functionally impairing symptoms of inattention.

Whilst there are currently ongoing discussions around redefining the symptoms and subtypes to better reflect an increased understanding and knowledge of the disorder and its impact, there are no new proposals for changing the umbrella term ADHD.

So, in a nutshell, the name ADD has been officially retired for the last 30 years and replaced by the generic and inclusive term ADHD, which includes the Combined Type, the Predominantly Inattentive Type, and the Predominantly Hyperactive/Impulsive Type. We are all ADHD!

Impact of ADHD on family life and relationships?

ADHD can significantly impact family life and relationships with friends (World Federation for Mental Health, 2005.) Parents of children with ADHD need a great deal of support to help them manage their child’s problems. Parents/carers have to manage the day-to-day challenges of living with a child/young person with ADHD.

Parents also have to deal with school problems which are common in these children, with many requiring a statement of special educational needs. Children with ADHD require much more support and guidance than their peers in most of their everyday lives. ADHD is a full-time disorder requiring full-time care. Professionals need to understand the stress and exhaustion that many parents experience the ability to wait or take turns.

Can I be at university or have advanced degrees and still have ADHD?
ADHD impacts our lives in different ways and to different levels. Being at university or having advanced degrees should not be a hindrance to seeking and getting a referral to an ADHD specialist.
I did well in school. Does that mean I don’t have ADHD?
No. It is possible to do well in school and to have ADHD. It may mean that you worked very hard in school, and possibly harder than your peers.
What can I do if my GP refuses to write a referral to an adult ADHD specialist?
You don’t need to ask for a referrak from your GP; we are a priavte service and accepts self reffered patients, however, we will still liaise with your GP for your care plan. Also remember, GP’s are not qualified to assess for ADHD, all they need to see from you is a valid reason for them to request a referral to an adult ADHD specialist and a list of the symptoms should do that. By refusing to make the referral, the GP is in effect assessing you for ADHD and then telling you that you don’t have it. Only a trained and qualified adult ADHD psychiatrist can assess patients for ADHD.
What will I need to take with me when I see an adult ADHD specialist?
● Any of the following would be helpful: school reports, exam reports, and written comments from family and friends.
● It would also be helpful to take the list of symptoms (you could also ask family members and friends to provide their prospective.
● If you feel up to it, you could write under each symptom, a description of how it has affected your life.
Do you offer any discounts or payment plans?
We are unable to offer payment plans or discounts. Full payment for all appointments is taken at the point of booking.
Where are the appointments held?
All appointments can be in person or virtual, conducted by phone or video consultation.
I don’t know if I can use video conferencing, what do I do?
Usually, you will only need a smart phone, iPad/tablet device or a computer. If you are not sure if you have the right equipment, please contact us for advice. You do not need any special software or app; you will receive a link by text which opens in your internet browser.
How long are the appointments? How many appointments will I have?
The amount and length of appointments will vary depending on the individual. Usually, you will have an initial triage appointment with the care coordinator which can last up to 30 minutes. Appointments with the psychiatrist usually takes 60 minutes.
What happens if I cannot attend an appointment?
Please ensure you contact us as soon as possible prior to the appointment time so that we can make alternative arrangements. If you do not let us know beforehand, we will class this as “Did Not Attend”. If you subsequently do not attend another appointment, you may be discharged from the service as non-attendance delays other patients.
I am hearing impaired/English is not my first language, how will this work?
We have solutions available to us which ensure that your communication needs are met. Please contact us so that we can make the appropriate arrangements.
What is a neuropsychological assessment?
It consists of a variety of tests, both spoken and written, that will help give the doctor an accurate description of such cognitive skills as memory, concentration, language, interpretation, and problem-solving abilities. These assessments are usually given by a clinical neuropsychologist who is working with the ADHD specialist.
What happens if I get diagnosed with ADHD by a specialist?
You should be given an appropriate written treatment plan, a comprehensive assessment report, information and support for your family and/or carers, and regular follow-up monitoring. In addition, your GP and local Community Mental Health Team (if appropriate) should be given recommendations regarding the management and treatment of your ADHD symptoms.
Who will know about my involvement with the service?
All your information is kept confidential unless there is a risk of harm to yourself, or others and we need to involve other services. Your GP surgery will receive a letter confirming whether you have received a diagnosis. We will not share information with any other parties without your express consent.
What will happen after the assessment?
Following your assessment we will send you, via secure email, a detailed report from your Psychiatrist, outlining any diagnosis and treatment plan details. We will aim to send this within 2 weeks of your assessment.
Medication info:
• If your treatment plan recommends a trial of medication then we will outline any baseline health checks that are required (such as blood pressure, pulse, weight, blood tests, ECG, cardiovascular examination) that can be booked with your GP practice and returned to us for your consultant to review before your 1st follow up appointment is offered*.

• If you are initiated on a medication trial, then you will usually require in average between 3-6 follow-up appointments to reach the correct dose. NICE and GMC guidelines recommend a review by a specialist after each dose titration for safe prescribing practice.

• During the follow-up appointment, your doctor will monitor your response to treatment, any adverse side effects, physical observations (BP, pulse and weight). We will communicate with your GP informing them of your progress as per GMC guidelines on safe prescribing.

*Clients will be required to pay for follow-up appointments and private prescriptions fees during this time.

• Once you are established on a stable medication regime, then we can set up a shared care agreement with your GP, if they are willing to accept this. We have standard protocol documents for this procedure.

• At this stage, your GP would then take over the prescribing of any medication. This would mean that your prescription would then become an NHS prescription and charged at their lower, standard rate.

* Please note we cannot guarantee a Share Care arrangement with your GP, but most of our clients that go down the medication route do end up on a shared care. We would suggest you discuss this with your GP in advance*

Will I get a prescription at the assessment?
No, we are unable to issue prescriptions at the assessment appointment. Before being able to prescribe we will require you to have some blood tests, ECG and a cardiovascular assessment done before we can prescribe. These are to check for any underlying conditions which may contraindicate.

Any medication we can prescribe and for your clinical safety, in accordance with NICE and GMC guidelines. Once the test results are back you will need a follow-up appointment with your consultant to start you on medication. This follow-up appointment is chargeable.

Can I take my ADHD medications abroad?
● Some ADHD medications are controlled drugs so for these you will need to apply for a personal export licence if you are going abroad for more than 3 months and will be carrying more than 3 months supply. You should apply for this licence at least 10 working days before your travel date. A list of controlled drugs can be found on the Home Office website.

● If you are going abroad for less than 3 months and will be taking less than 3 months supply, you will not need a personal import licence. However, some countries may have their own import regulations for controlled prescription medications so you should check with the embassy or embassies of the country or countries that you are travelling to or through.

● The Home Office recommends that you also get a letter from your prescribing doctor which will confirm your name, travel itinerary, names of prescribing controlled drugs, dosages, and total amounts of each that you will be carrying. It is also a good idea to take a similar letter for any other medications you are taking which are not controlled drugs.

● You would normally carry the letter in your hand luggage with the medications, but these days it would be wise to check with your carrier before your travel date to make sure that you will be allowed to carry the entire amount in your hand luggage.

● You can download an application form for the personal export licence and see a list of contacts for embassies and consulates on the Home Office website.

What do you mean by controlled drugs?
● These are drugs/medications which fall under the Misuse of Drugs Act (this means that the government believes that these are drugs/medications which are likely to be abused). Under this act, the drugs are arranged into 3 classes (A, B and C) and each class has a different level of penalty for possessing and dealing the drugs. For example, Ecstasy is a Class A drug which means that if you are caught possessing it you could get up to 7 years in prison, or an unlimited fine or both. If you are caught dealing Ecstasy, you could get up to life in prison or an unlimited fine, or both.

● Unfortunately for us, Methylphenidate (Ritalin, Concerta, Equasym, & Medikinet) and Dexedrine are both categorised as Class B drugs which means anyone caught possessing them (illegally without a prescription) could get up to 5 years in prison or an unlimited fine or both. Anyone caught dealing Methylphenidate and Dexedrine could get up to 14 years in prison or an unlimited fine or both. There is a bit more information on the Home Office website.

Will my diagnosis be recognised by education setting / work /GP’s?
As the diagnosis is done by a GMC registered Psychiatrist specialising in ADHD there is no reason why this will not be recognised by an education setting, college, work or your GP.
Can I take my letter to my GP, and will they prescribe?
Most GPs are willing to prescribe ADHD medication, however, they normally require you to be started on your medication by your private consultant. Once you are settled on a medication and dose, we can then ask your GP to take over prescribing under a Share Care Agreement. Under the terms of the Share Care Agreement, you would need to come back to the ADHD Centre for a review every 6 months.
Shared Care Agreement:
• Once a Shared Care Agreement has been set up, your Consultant Psychiatrist will still be responsible for monitoring your ongoing treatment and you will be required to have 6 monthly follow up review appointments with your Consultant Psychiatrist as part of the Shared Care Agreement.

• You can transfer your care at any point in full to NHS services, if these are available in your area. You are advised to discuss this directly with your GP.

• Please note we cannot guarantee a Share Care arrangement with your GP, but most of our clients that go down the medication route do end up on a shared care. We would suggest you discuss this with your GP in advance

Can I / How can I contact my consultant outside of appointments?
If you have any questions or queries for your consultant, please email info@ciconiarecovery.com and they will see your email and get back to you via email.
I’ve been diagnosed with ADHD do I have to notify DVLA?
Yes, you do.
Who will I speak to when I call?

Experienced mental health workers who are compassionate, experienced and knowledgeable about mental health issues, they will be happy to take your call and discuss all your queries in a discreet and confidential manner. 

How much does treatment cost?

At CRL Psychiatry we endeavour to keep our costs as low as possible whilst at the same time continuing to provide high-quality care. The cost of treatment varies depending on the level of care needed and the length of the treatment plan required. The best way to ascertain this cost would be to speak to one of our experienced mental health workers to determine what treatment plan will be the most effective for you in achieving your desired goals.

Does insurance cover adult ADHD assessment or treatment?

Yes, most private health insurance companies cover the assessment treatment, you will have to check your policy to see if you qualify.

Does insurance cover mental health treatment?

Some private health insurance companies cover the assessment and treatment, you will have to check your policy to see if you qualify.

Are your staff qualified?

All CRL Psychiatry staff are qualified for their specific roles with many years of experience working in the mental health field. In addition, all our staff are always up to date with all their relevant training and registrations.

Do you treat trauma?

Yes, our staff are specially trained in trauma, grief/loss and attachment, we know very well the negative impact these can have on someone’s mental health which can then trigger alcohol/drug misuse and other negative behavioural health challenges. Among our treatment approaches to trauma is EMDR therapy which is very effective in easing and treating PTSD.

We provide ADHD treatment for adults. Our clinical team is happy to answer any questions or concerns that you may have. Simply click the button below and get in touch.

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