Attention Deficit Hyperactivity Disorder (ADHD)
What is ADHD?
ADHD stands for Attention Deficit Hyperactivity Disorder.
ADHD is a lifespan condition that impacts upon people to varying degrees throughout their lives. The way in which ADHD impacts upon a person may change during their lifetime. ADHD is a spectrum of traits and there are many variables and complexities and every child with ADHD is different. ADHD is associated with other neurodevelopmental conditions such as autism, dyslexia, dyspraxia and Tourette’s.
What does it look like?
Officially, ADHD is recognised to have three core characteristics:
Inattention, Impulsivity and Hyperactivity although in reality it is a lot more complex and broader than this:
- Examples of inattention in children include short attention span and easily distracted, difficulties listening and following out instructions, appearing forgetful and losing things, not learning for mistakes and unable to stick to tasks that are boring or time-consuming.
- Examples of impulsivity and hyperactivity include not able to sit still/fidgeting/excessive movements, unable to wait their turn, little or no sense of danger, acting without thinking, excessive talking, struggling in situations where there is an expectation to be calm or quiet.
- Hyperactivity is not always external and visible. It can be internal and described as racing, constant, chaotic thoughts, 'busy and noisy brain'.
Other common features are difficulties / differences in self-regulating in how we think and process information, feel (emotions) and behave, referred to as executive functions.
Girls with ADHD
- Girls tend to be overlooked and diagnosed later than boys, because their ADHD traits tend not to fit the ADHD stereotypeand can appear to be more subtle.
- Girls with ADHD who are presenting with attention differences or difficulties are often seen as daydreamers.
- Girls presenting with hyperactive-impulsive symptoms may be seen as being a chatterbox, described as 'scatterbrain', bossy, being a perfectionist, over-emotional or even “hormonal", difficulties maintaining friendships, excessively hair twirling, picking nails or skin. Will often describe constant racing thoughts and feelings of anxiety.
- Girls often compensate for any difficulties that they are experiencing by masking their ADHD and the longer their ADHD is unrecognised the increased risk for low mood, anxiety and depression, especially during teenager years.
However, it is important to stress that ADHD is a pattern of both strengths and challenges. This will make some environments easy to deal with and other environments more difficult. School can be one aspect of childhood that children with ADHD find more challenging than their peers.
For example, some of the strengths associated with ADHD include:
- Inattention: Eager for stimulation, drives imagination, creativity, innovation, and invention.
- Impulsivity: Curiosity, enquiring mind.
- Hyperactivity: Drive, energy, enthusiasm, and ambition.
- Others may include ability to hyper-focus, lateral thinking Visual memory and the ability to think in pictures and see patterns in complex information,quick wit, and humour.
An ADHD journey often begins with a lightbulb moment. For some families, this may be when a teacher explains the difficulties a child may be having in class. For others, it may be when you become aware that your child may struggle and need assistance in ways that their peers don’t, especially in school. For others, it may be watching something on television, reading an article, a social media post or becoming aware of someone you know being diagnosed with ADHD, that prompts your lightbulb moment.
Whatever your journey, when you have decided to know whether your child has ADHD or not, due to its complexity an ADHD assessment requires expertise in child neurodevelopment.
Regarding costs, please note that assessments for ADHD and other neurodevelopmental conditions are very time and resource intensive. These conditions overlap in many cases and require significant expertise in assessment.
At Ghosh Medical we have Dr Rashad Nawaz. He is a Consultant Paediatrician with a long and broad experience of child health and development and now specialising in ADHD and neurodevelopmental conditions. Dr Nawaz follows NICE guidance on ADHD assessment and applies a holistic approach, seeing every child as a whole rather than a single symptom to be treated.
Dr Nawaz views ADHD within the context of the neurodiversity paradigm and the natural diversity in how children's brains work and function with the endless possibilities and untapped potential each one possesses, rather than something that is 'puzzling', 'piece missing' or needs 'fixing'.
He is keen on working with parents and professionals in providing the right evidence-based support and strategies, and occasionally medication, to help children learn how to navigate their own unique and powerful minds, transforming potential chaos into a symphony of productivity and innovation.
Dr Nawaz’s assessment and report are comprehensive, holistic, and fully compliant with standards set by NICE and expected by local NHS services.
Read feedback on Dr Nawaz at https://www.iwantgreatcare.org/doctors/dr-rashad-nawaz
ADHD Assessment Process
The age referral criteria is between 6 to 18 years.
- If you want to go ahead with a formal ADHD assessment, then this will require gathering as much information as possible about your child before seeing Dr Nawaz in clinic. This will include detailed health, development and learning need questionnaires to be completed by parent and teacher and a QbTest. These will be shared and booked when you call.
- The assessment will consider and evaluate factors such as family / schooling / lifestyle/ health and co-existing conditions on your child. This holistic and detailed neurodevelopmental assessment is vitally important because, although getting a timely diagnosis of ADHD is important, it is also crucial that a child or young person isn’t wrongly diagnosed with ADHD. As such, an ADHD assessment is not a simple or tick box exercise and should never be diagnosed on the basis of just a behavioural checklist.
- Depending on evidence gathered and complexity, Dr Nawaz will then aim to give his opinion on diagnosis at that first appointment. However, in some cases, a second or third appointment may be required if Dr Nawaz requires additional information or assessments, for example psychology, psychiatry, speech/language therapist and occupational therapist.
- If diagnosed with ADHD, Dr Nawaz will then tailor a treatment plan to your child's specific needs. Not all children with ADHD require medication but if indicated and agreed, Dr Nawaz will then issue a personalised prescription for your child's medication.
- If, however, you just wanted to discuss the possibility of ADHD and any other concerns, then the first step will be booking an appointment with Dr Nawaz. At this point there is no commitment to further assessments or tests.
- Dr Nawaz and the team understand that there is no 'one size fits all' solution for supporting children with ADHD, and that's why we are committed to making sure every step of the process puts your child and their needs front and centre, with a unique, tailored patient led approach.
- Dr Nawaz is also happy to see young people with an established diagnosis of ADHD that now wish to considermedication. However, please note that Dr Nawaz will need to ensure the diagnosis is valid first by interviewing you and your child in clinic and reviewing all the primary assessment reports.
- Dr Nawaz is also happy to see children for screening assessments for autism, dyspraxia as well as other concerns regarding development and behaviour.
Qb Testing For ADHD In Liverpool
The QbTest is the industry standard screening test for ADHD. It is a 20-minute computer test that measures the three core symptoms of ADHD: hyperactivity, inattention and impulsivity. The QbTest reduces delays in the diagnostic process, lowers the chances of an over or under diagnosis, and minimises the possibility of age or gender bias, so you can access better treatment faster.
Why get a stand-alone QbTest in Liverpool?
- A QbTest cannot be used alone to diagnose or exclude ADHD, this requires a formal holistic assessment by an experienced clinician. However, a QbTest is very good in indicating whether ADHD is likely or not. A QbTest, may then help you to decide whether to go ahead for a formal ADHD assessment with Dr Nawaz.
- Alternatively, you may simply want a QbTest for yourself, or to take to your NHS GP to be referred to a specialist locally. As Dr Nawaz doesn't see adult patients, this may be something for you if you're looking for a diagnosis later in life. However, if you are booking a QbTest for a child, we strongly recommend seeing Dr Nawaz for your follow up. Not only is he one of the best paediatricians in the country, but the continuity of care from seeing the same clinician from start to finish will provide faster, higher quality treatment and minimise the risks of a misdiagnosis or receiving the wrong treatment.
|ADHD Paediatric Face To Face Assessment||£900.00|
|ADHD Face To Face General Consult (No Assessment)||£450.00|
|ADHD Medication Titration Appointment||£150.00|
|ADHD Review Appointment (Every 4-6 Months)||£350.00|
|ADHD Face To Face Appointment (With Diagnosis Done Elsewhere)||£450.00|
|Autism Screening Assessment||£450.00|
See what patients have to say about Dr Nawaz!
"We met Dr Nawaz after a referral from the ADHD foundation for my 12 year old. Dr Nawaz has a very calm demeanour and put us at ease straight away.
He directed his questions to my daughter and whilst she was quieter than usual because of the nature of the appointment, I could see that she wasn’t anxious and she replied fully providing lots of information. There was plenty of time, we never felt rushed, and lots of opportunity to ask questions.
It was a positive experience and the follow up report arrived promptly and with lots of useful information."
"I would 100% recommend Dr Nawaz. My son had already been diagnosed with ADHD and was receiving medication when we went to see Dr Nawaz.
What struck me most was the way Dr Nawaz was able to speak to my son, clearly explaining what ADHD meant and, importantly, what it did not mean. He was calm, kind and totally reassuring.
We both came away from the consultation with a much better understanding of the condition, and a much better understanding of available options."
"We could not have asked for a better service. He was professional, courteous and supportive and provided the clarity as well as a route forward.
We could not recommend him enough.
A credit to his profession."
"I would highly recommend Dr Nawaz, he has been so very supportive with our daughter.
We first met Dr Nawaz in October and he listens, show compassion, was very professional and understanding. After being in a very dark place while we fought for an answer Dr Nawaz was our light at the end of a very dark tunnel. Once diagnosed Dr Nawaz continued to support us when our local service were unable to, he offered guidance and advice, groups we could join and was always available.
We wholeheartedly thank Dr Nawaz for the professional help and advice, for listening, supporting and giving our daughter back the confidence in herself."
"I would not hesitate to recommend Dr Nawaz.
He’s very knowledgeable about ADHD, he’s patient, caring and really listens. He is not in a rush and gives you the time you need. He’s provided sound advice and has carefully worked with us to find the best medication and signposted us to other support he recommends will assist.
He also kindly spoke to our son’s school and provided recommendations for school."
Do you think your child might have ADHD? If you are unsure, book a consultation today for expert help and guidance.
- A convenient and effective way for you to access private health care services when you need it.
- We can tailor your treatment to your needs
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