What is ADHD
Attention Deficit & Hyperactivity Disorder is one of the most common neurodevelopmental disorders in childhood (5 % of school age children). It is usually first diagnosed in childhood and often lasts into adulthood. Children with ADHD may have
- trouble paying attention,
- controlling impulsive behaviours (may act without thinking about what the result will be), or
- be overly active.
ADHD screening
ADHD screening can be suggestive of ADHD but not diagnostic.
Click on the button below and answer the questions to see if your child might be suffering from Attention Deficit Hyperactivity Disorder.
Criteria for ADHD diagnosis
People with ADHD show a persistent pattern of inattention and/or hyperactivity and impulsivity that interferes with functioning or development.
Inattention: Six or more symptoms of inattention for children up to age 16 years, or five or more for adolescents age 17 years and older and adults; symptoms of inattention have been present for at least 6 months, and they are inappropriate for the developmental level:
2. Often has trouble holding attention on tasks or play activities.
3. Often does not seem to listen when spoken to directly.
4. Often does not follow through on instructions and fails to finish schoolwork, chores, or duties in the workplace (e.g., loses focus, side-tracked).
5. Often has trouble organizing tasks and activities.
6. Often avoids, dislikes, or is reluctant to do tasks that require mental effort over a long period of time (such as schoolwork or homework).
7. Often loses things necessary for tasks and activities (e.g. school materials, pencils, books, tools, wallets, keys, paperwork, eyeglasses, mobile telephones).
8. Is often easily distracted
9. Is often forgetful in daily activities.
Hyperactivity and Impulsivity: Six or more symptoms of hyperactivity-impulsivity for children up to age 16 years, or five or more for adolescents age 17 years and older and adults; symptoms of hyperactivity-impulsivity have been present for at least 6 months to an extent that is disruptive and inappropriate for the person’s developmental level:
1. Often fidgets with or taps hands or feet, or squirms in seat.
2. Often leaves seat in situations when remaining seated is expected.
3. Often runs about or climbs in situations where it is not appropriate (adolescents or adults may be limited to feeling restless).
4. Often unable to play or take part in leisure activities quietly.
5. Is often “on the go” acting as if “driven by a motor”.
6. Often talks excessively.
7. Often blurts out an answer before a question has been completed.
8. Often has trouble waiting their turn.
9. Often interrupts or intrudes on others (e.g., butts into conversations or games)
In addition, the following conditions must be met:
1. Several inattentive or hyperactive-impulsive symptoms were present before age 12 years.
2. Several symptoms are present in two or more settings, (such as at home, school or work; with friends or relatives; in other activities).
3. There is clear evidence that the symptoms interfere with, or reduce the quality of, social, school, or work functioning.
4. The symptoms are not better explained by another mental disorder (such as a mood disorder, anxiety disorder, dissociative disorder, or a personality disorder). The symptoms do not happen only during the course of schizophrenia or another psychotic disorder.
Because symptoms can change over time, the presentation may change over time as well.
ADHD Assessment process
- Pre-assessment pack sent to home and school
- Full developmental and medical history to exclude any cause according to NICE guidelines
- ADHD DMS V history
- Use only authentic and validated psychometric tests
- ADHD School report
- QB test (depends on your package)
- Feedback to parents with management strategies
- Follow up in 3 months to ensure optimisation of medication and achieving Shared Care Agreement.
How is our ADHD assessment different?
- Consultant Led
- QB test (depends on your package)
- Only validated Psychometric tests
- Psychoeducation in depth (non-medication approach)
- Prescribing medication if needed
- Support till we achieve shared care with NHS
QB Test (Quantified Behavioural Test)
QB Test is designed to objectively measure the three core ADHD symptoms (inattention, impulsivity and hyperactivity)- QB Test has been supported by over 35 studies and 23 years of research and development
- FDA approved
- Over 10,000 clinicians in 13 countries to assess hundreds of thousands of people each year
- QB Test helped with clinical decision making and a more efficient diagnosis, and required fewer consultations
- QB Test is a CE-marked class I medical device, and there are plans for UK Conformity Assessed (UKCA) marking by 2024 (NICE).
- For more information ( www.qbtech.com/adhd-tests/qbtest/ )
What does it mean to have a diagnosis?.
A diagnosis will explain the difficulties your child is experiencing. ADHD impacts a young person’s life throughout.
It results in
- underachievement
- social difficulties
- risk taking behaviour (trying dangerous stuff)
- job opportunities
- occupational difficulties.
It enables parents, clinicians and educators to better support the young person.
The earlier a young person gets help the better the outcome be.
Working with the NHS & Education.
- Continued care is important for children with ADHD. Therefore, we work with our NHS and education colleagues.
- We encourage you to go back to the local ADHD NHS service for continued care and we work with our NHS colleagues.
- Teacher feedback is crucial in the treatment and sharing report is important in the management of ADHD.
Follow up
- We offer follow in three months after the diagnosis and initiation of medication (depends on your package)
- Optimize the treatment and at that point we will organise a shared care with your GP.
- We will ask your GP to make a referral so the young person can be followed by local NHS service every six months.
- You are welcome to have regular follow up with us but that will be your choice.
ADHD medications.
There are a number of medicines licensed for use in ADHD. Following are the common ones.
- Methylphenidate (short and long acting)
- Lisdexamfetamine
- Dexamfetamine
- Atomoxetine
- Guanfacine