Attention Deficit Hyperactivity-Impulsivity Disorder (ADHD) & (ADD)

Attention Deficit Hyperactivity-Impulsivity Disorder (ADHD) & Attention Deficit Disorder (ADD)  

Difficulties with inattention, focus, concentration, restlessness and impulsive behaviours have far reaching consequences for the child or adult suffering this. This stops them from engaging in education, employment and even relationships. Overall disorganisation of life also eventually affects individuals self-esteem and mood. Such difficulties are usually present in significant degrees in individuals who have ADHD or ADD, both neuro-developmental disorders. We assess people with ADHD or ADD in schools, universities and in a clinical setting where they present
with issues with their mood or behaviour resulting from struggles with ADHD or ADD. Despite an increasing awareness of this disorder, there remains a lack of understanding and recognition of this condition with the result of wrong diagnosis of learning disabilities and labels such as “lazy”,“wont make anything of yourself”.

Assessment and Diagnosis

Assessment and diagnosis is based on NICE guidelines for ADHD. The guideline stipulates best practice for assessing and diagnosis is that it should be made by a specialist healthcare professional with training and expertise in the diagnosis of ADHD.
A full clinical and psycho-social assessment will be undertaken which will include discussion about behaviour and symptoms within the different domains of the person’s everyday life. A full developmental and psychiatric history along with observer reports will also be taken. The individual’s mental state will be recorded. The diagnosis will be comprehensive by using rating scales and observational data. School, university and other educational and employment reports will be requested as these aid building evidence of behaviour and struggles.
The diagnosis will be based on the individual meeting criteria stated within DSM-V and ICD-10. The individual should also show moderate to significant impairment in psychological, familial,social, educational or employment settings. The symptoms have to be pervasive and occurring in two or more settings. As part of the diagnosis, the individuals coexisting conditions, and other circumstances will be considered. Parents for children and partners for adults will be asked to participate in part of the assessment.

The Assessment Process

The assessment comprises psychometric testing and a structured clinical interview with the patient as well as a parent/carer of the patient who can comment on the patient’s childhood development. The interview with the parent/carer can be conducted over the phone or Skype if the parent/carer is unable to attend on the day of the appointment.The assessments process will involve:

  • Testing through completion of psychometric questionnaire

  • Discussion of patient’s struggles guided through structured questions

  • If parent/carer present, discussion of childhood development through a structured questionnaire

The patient will be asked to provide the following:

  • Completed questionnaires which will be emailed when appointment is confirmed

  • School/college reports

  • Any previous psychometric and psychological assessment reports

A comprehensive report outlining the results of the testing process, diagnosis and how the
patient meets/does not meet criteria and treatment recommendations will be provided within a
week of testing.

Jul 2019

By FFCI