ADHD, or Attention Deficit Hyperactivity Disorder, is a neurodevelopmental condition characterized by difficulties with attention, impulsivity, and hyperactivity. It often begins in childhood and can persist into adulthood, impacting various aspects of daily life including school, work, and relationships. Effective management typically involves a combination of medication, therapy, and lifestyle adjustments.
ADHD Assessment Pathway
An ADHD assessment is conducted over multiple appointments (1-2) in order to obtain a proper evaluation and relevant diagnosis. Further medical appointments are required for treatment and ongoing maintenance and monitoring.
An assessment of ADHD includes, but is not limited to, the following steps -
Clinical assessment of the patient for signs and symptoms including comorbidities and whether alternate conditions might better explain the symptoms a patient is experiencing.
Collateral from a family member, someone who knew the patient prior to the age of 12 years, usually a parent.
Collateral information from teachers, school reports, Paediatricians.
Psychometric testing, including testing by a psychologist.
If a diagnosis of ADHD is not made, as per the criteria under the DSM, an ongoing management plan will be created with the patient, and either Dr Khan will manage the condition/s diagnosed or a letter will be provided to the patient’s GP for ongoing management.
If a diagnosis of ADHD is made, there is no guarantee that stimulants will be prescribed as there are several reasons why a patient might not qualify for stimulant prescriptions. Treatment options will be discussed with the patient by Dr Khan.
In general, there are two types of pharmacological treatment options for management of ADHD. Stimulants vs non-stimulant medications.
If non-stimulant medications are chosen, generally, this requires a further 2-4 follow up reviews (over the next 1-4 months) to optimise treatment and then ongoing follow up to continue to prescribe and monitor as clinically indicated.
If stimulant medications are chosen, generally, this requires closer monitoring of the patient and usually requires a further 4-6 follow up appointments to stabilise a patient on the medication. Once stable on treatment, ongoing follow up to continue to prescribe and monitor response as clinically indicated. As per State regulations, this also necessitates regular blood tests and other investigations.
Please note, that an appointment for ADHD assessment is for an assessment only and there is no guarantee that a diagnosis will be made.