Private Adult ADHD Assessment

Dr Josep Vilanova, LMS, MRCPsych, Consultant Psychiatrist. 

With Expertise in treating a wide variety of mental health conditions, including ADHD, depression, anxiety, Personality Disorder, Bipolar Affective Disorders and Schizophrenia.

Dr Vilanova has a particular interest in developmental disorders, like ADHD and Autism, along with mood disorders and anxiety.

Hello, and a warm welcome to Rainbow Medical. I’m a psychiatrist here, with a special focus on Adult Attention Deficit Hyperactivity Disorder (ADHD), and I often meet individuals who are full of questions and sometimes a bit of worry about the ADHD assessment process.

My aim with this guide is to make this journey a bit clearer and to help you feel prepared for what lies ahead in a private ADHD assessment.

ADHD in adults can show up in many different ways, and these can be quite different from the symptoms seen in children. Recognising these signs is a vital first step towards understanding and effectively managing ADHD.

Debunking Myths Surrounding Adult ADHD Before Your Assessment

Before we jump into the assessment details, it’s important to clear up some common myths about adult ADHD. Many people think ADHD is only a childhood condition, but that’s not the case; it can continue into, or even be identified for the first time in, adulthood. Another common misconception is that ADHD is all about being hyperactive. For adults, it often means struggling with time management, organisation, and keeping focused.

Knowing the truth about what ADHD is – and what it isn’t – can give you a clearer view as you start your assessment.

The Duration of an ADHD Assessment

An ADHD assessment is quite thorough and typically takes between four to five hours. This time may vary depending on your individual needs and the complexity of your situation. The assessment includes various steps like filling out screening questionnaires, sometimes undergoing a detailed computer-based screening known as Qb, participating in a structured diagnostic interview called DIVA-5, and discussing your childhood and current symptoms, life experiences, and their impact on your daily life.

Personalising Your Private ADHD Assessment: The Importance of Your Narrative

Here at Rainbow Medical, we really value your personal story. Your experiences, the challenges you face, and how ADHD affects you specifically are central to our assessment.

We aim to understand your symptoms and your whole story to give you a comprehensive evaluation.

Indications You Might Require an ADHD Adult Assessment

You might think about an ADHD assessment if you’re finding persistent difficulties with focusing, organising, and managing your time or if these issues are affecting your work or personal relationships. It’s also worth noting that adult ADHD can exist alongside other mental health conditions, making a thorough assessment essential for a full understanding of your mental health.

The Importance of Receiving an ADHD Assessment as an Adult

Recognising ADHD in adulthood is incredibly important. It can shed light on challenges you’ve faced in the past, enhance your self-understanding, and open ways to manage your symptoms effectively. It also helps to remove any self-doubt or blame you might have felt for struggles that were symptoms of ADHD.

Preparing for Your ADHD Assessment Appointment

To get ready for your assessment, it would be helpful to bring any relevant information about your medical history, academic records, and any previous mental health evaluations.

Take some time to think about the challenges you’re currently facing, how long they’ve been a part of your life, and how they’re affecting different aspects of your daily living. This preparation can really help us make the most of our time together during your assessment.

ADHD Assessment: The Assessors and Their Qualifications

At Rainbow Medical, we’re a tight-knit group of highly qualified professionals, including psychiatrists, clinical psychologists, and specialised ADHD practitioners – all with a warm and caring approach. Each one of us brings a wealth of skills and knowledge, ensuring your assessment is thorough and tailored to your needs.

Our expertise lies in recognising the subtleties of ADHD in adults, making sure we can differentiate it from other conditions that might appear similar.

The Initial Consultation: Anticipated Questions

Your first visit with us is a chance for us to get to know each other. It’s an open space for you to share your story and ask any questions on your mind. We’ll chat about things like your childhood, your journey through school and work, how you manage your emotions, and how you go about your day. Remember, we’re not just focusing on challenges here – we’re keen to hear about your strengths and how you cope with life’s ups and downs.

Psychological Testing and Self-Report in ADHD Assessment?

As part of understanding your unique experience, we might use psychological tests and ask you to share your own reflections. These tools help us get a clearer picture of how ADHD might be affecting different aspects of your life. We often use questionnaires like the Strengths and Difficulties Questionnaire (SDQ) and the Adult ADHD Self-Report Scale (ASRS). To ensure we’re covering all bases, we sometimes include assessments for Autism, as it can often occur alongside ADHD. If we need more detailed information, we might turn to a comprehensive tool called Qb.

How ADHD Structured Diagnostic Interviews Operate

A key part of our assessment is the DIVA-5 interview, which follows the symptom criteria from the DSM-5 manual. During this chat, we’ll ask you (and ideally someone who knows you well) to share how you experience certain ADHD symptoms. This conversation is so important because it helps us understand not just the symptoms, but how they play out in your real life.

Utilising Interviews to Comprehend ADHD Symptoms

And then there’s the heart of our assessment – a conversation with you, and sometimes with your loved ones. This is where we put together all the pieces, understanding how ADHD touches different parts of your life. It’s a chance for us to see the world through your eyes and tailor our support to fit you perfectly.

Workplace Performance and ADHD: Assessors’ Considerations

We know that the workplace can sometimes be a challenging environment, especially for adults with ADHD. We’ll talk about how you manage your day-to-day work tasks. This includes looking at your organisational skills, how you manage your time, your ability to meet deadlines, and how you interact with colleagues.

Understanding these areas helps us see the impact of ADHD on your work life, and think together about ways to make your work experience more rewarding and less stressful.

The Critical Nature of Assessing Executive Functioning

Executive functioning is key in understanding ADHD. This includes how you plan and organise things, remember instructions, and manage tasks. We know that difficulties in these areas are common in ADHD and can affect more than just your work life.

Using a range of tools and observations, we’ll get a good sense of these skills, helping us to fully understand your cognitive strengths and challenges.

Observations of Behaviour: What Assessors Seek

During our ADHD assessment, we’ll observe various behaviours. We’ll look for things like restlessness, how well you can keep focused in conversations, your impulsivity, and how you handle your emotions. This isn’t just about spotting the challenges; it’s also about recognising the unique ways you’ve developed to manage these symptoms.

Evaluating Coexisting Conditions During ADHD Assessment

It’s quite common for ADHD to be accompanied by other conditions, such as anxiety, depression, or autism. We’ll explore your mental health history and current symptoms to understand how they might be interacting with your ADHD. This comprehensive view is crucial in creating a holistic approach to your care and support.

The Importance of Substance Use Evaluations in ADHD Diagnoses

We also consider how substance use might be part of the picture. Sometimes, individuals with ADHD might use substances as a way to cope with their symptoms. We’ll talk about your history and current use of substances, be it alcohol, medications, or anything else.

This conversation is essential for us to understand all the factors that might be contributing to your experiences and to ensure we’re looking after your overall well-being.

Discussing Historical and Current Treatments and Medications

Lastly, we’ll discuss any treatments and medications you’ve tried in the past, including those for ADHD or other mental health conditions. It’s important for us to know what’s been helpful and what hasn’t. This helps us think together about the most effective ways to support you moving forward.

Advocating for Yourself Throughout the ADHD Assessment Process

A really important part of your assessment journey is advocating for yourself. This is your path, and your voice is crucial every step of the way. Don’t hesitate to share your thoughts, ask any questions that pop into your mind, and give us honest feedback.

Please feel free to ask if there’s anything you’re unsure about, whether it’s a part of the assessment or your treatment plan. We’re here to make things clear and comfortable for you.

Considerations of Privacy, Confidentiality, and Ethics in ADHD Assessments

Here at Rainbow Medical, we deeply respect your privacy and confidentiality and adhere strictly to ethical standards. Be assured that your personal details, assessment outcomes, and everything we discuss are kept in strict confidence, shared only with your consent and as necessary by law. Our foremost priority is your safety, well-being, and respecting your dignity and rights.

Understanding the Contents of the Assessment Report

After we complete your assessment, you’ll receive a detailed report. This will include everything we’ve observed, ADHD test results, and any diagnoses. The report will also suggest treatment plans or strategies for management. It’s really important that you understand this report fully, so please do talk to us about any part of it that might not be clear.

The Purpose and Importance of Follow-Up Sessions

Our journey doesn’t end with the assessment. Follow-up sessions are a vital part of the process. These meetings allow us to see how you’re getting on, tweak your treatment plan if needed, and continue to support you. It’s also a wonderful time for you to share how you’re feeling about the treatment and any hurdles you’re facing and celebrate your progress.

Items to Bring to Your ADHD Assessment Session

To help us get a full picture, it would be great if you could bring along:

  • List of Current Medications: Any prescription meds, over-the-counter drugs, and supplements you’re taking.
  • Medical Records: Particularly any that relate to mental health.
  • Academic or Work Reports: Anything that shows how you’ve been doing at school or work.
  • Personal Notes: Thoughts on symptoms, challenges, or concerns you’d like to talk about.
  • Questions: A list of any questions or things you’d like to discuss during the assessment.

 

Remember, our goal isn’t just to diagnose ADHD, but to really understand you as a whole person and create a treatment plan that’s just right for you.

At Rainbow Medical, we’re committed to being with you every step of the way, offering guidance, care, and expertise to help you manage ADHD in the best way possible.

Assessing Attention During the ADHD Assessment

Attention difficulties are a key part of ADHD. During our time together, we’ll gently evaluate different aspects of your attention, like how well you can focus on tasks and how easily you might get distracted.

Evaluation of Time Management and Organisational Skills

ADHD can often make it tricky to manage time and stay organised. Perhaps you find keeping track of appointments or deadlines a bit challenging, or maybe keeping things tidy feels overwhelming. We’ll talk about these areas, possibly using some everyday examples, to understand how these challenges affect your life.

The Role of Emotional Regulation in ADHD Assessments

Managing emotions can be a lesser-known challenge of ADHD. It might mean experiencing mood swings, feeling easily frustrated, or sometimes feeling a bit overwhelmed. We’ll explore how you handle these emotions and what coping strategies you use, helping us understand how ADHD might be influencing your emotional world.

Distinguishing ADHD from Mood Disorders by Assessors

Sometimes, the symptoms of ADHD and mood disorders can look quite similar. We’ll take a careful look at how long you’ve been experiencing symptoms, when they started, and how consistent they’ve been. This involves a thoughtful review of your mental health history and any current symptoms to make sure we’re getting the full picture.

The Significance of Leisure Activities and Interests in ADHD Diagnosis

Your hobbies and interests can tell us a lot about ADHD. We’ll talk about how you engage in your leisure activities, especially those that require focus or organisation. This can help us see how ADHD symptoms might show up in more relaxed or unstructured parts of your life.

The Connection Between ADHD and Dietary Patterns

There’s some interesting research out there about how diet might relate to ADHD symptoms. Depending on your symptoms, we may need to talk about your eating habits to see if certain types of food seem to affect how you feel. This isn’t about pointing to diet as the main cause or solution, but rather understanding it as part of your overall well-being.

The Adoption of Technology in ADHD Assessments

Technology has a growing role in ADHD assessments. We use online questionnaires and symptom-tracking apps, and when we need more information, we may use computerised tasks to look at different cognitive functions. This helps make the assessment process more interactive and engaging.

Confronting Potential Outcomes: ADHD Diagnosis or Otherwise?

At the end of our assessment, we’ll discuss the outcomes together. If it leads to an ADHD diagnosis, we’ll talk through a comprehensive plan to manage it, which could include medication, therapy, and lifestyle changes. If ADHD doesn’t seem to be the explanation, we’ll explore other possibilities and offer the right guidance and support.

Conclusion

Going through an ADHD assessment is all about gaining a deeper understanding of yourself. Whether it’s navigating through attention challenges, organising struggles, emotional ups and downs, or separating ADHD from other conditions, it’s a journey towards clarity and discovering strategies to enrich your life.

At Rainbow Medical, we take a holistic view. This means we consider every part of your life, from work and play to diet and technology use. We know everyone’s experience is unique, so our assessments and treatments are tailored just for you.

In closing, if you’re thinking about an adult ADHD assessment, see it as a positive step towards self-understanding and empowerment.

Regardless of the outcome, this process can give you valuable insights into your mental health and well-being.

Our team at Rainbow Medical is here to support you every step of the way with expertise, care, and dedication to your overall health and happiness.

Thank you for joining us on this guide. I hope it’s been helpful and comforting, giving you a clear idea of what to expect from your private ADHD assessment.

Remember, you’re not alone on this journey; we’re here to help whenever you need us.