ADHD is a condition characterised by the three “core” symptoms of hyperactivity, inattention and impulsivity. Some children may be predominantly hyperactive and impulsive and some may be predominantly inattentive. ADHD affects around 5% of school age children in the UK. When considering the diagnosis, the symptoms must be present in two or more settings (usually home and school) and have a significant impact on the child’s life such as their social, emotional, psychological and educational functioning when compared to children who do not have ADHD.
ADHD in children often co-exists with other conditions such as Autism Spectrum Disorder, conduct problems, anxiety, depression, learning difficulties (including dyslexia) and difficulties with coordination and movement (dyspraxia or “DCD”).
If ADHD is not diagnosed and treated it can go on to have serious effects on a child’s social and emotional wellbeing, underachievement at school and cause significant family stress and disruption.
We offer the following ADHD assessments for children at the Centre:
ADHD Diagnostic Package
This assessment is carried out by two health professionals, one of our Clinical or Educational Psychologists and one of our Child and Adolescent Psychiatrists. Information from school will be collected and evaluated prior to the assessment, including Conners questionnaires. These questionnaires are specifically designed to look for the key features of ADHD and also assess the possibility of other “co-existing” conditions which may be present. A thorough developmental history and interview with the parents/carers is carried out, as well as a QB Check (a computerised assessment for ADHD). We also complete a detailed cognitive assessment for your child, to look for any specific learning difficulties. If a diagnosis of ADHD is made, a full explanation will be given and advice regarding further management, including medication, which can be started on the same day.
A full written report is produced for all patients.
Cost of ADHD assessment £1450
Combined ADHD & Autism Diagnostic Package
In view of the fact that ADHD and Autism often overlap with other conditions, we also offer this more comprehensive package which would be recommended for children who may have more complex difficulties. The assessment is carried out by two clinicians, one of whom will be a Child and Adolescent Psychiatrist. Prior to the appointment, questionnaires will be sent out to home and school and as much information as possible is gained from other sources. These screening questionnaires are scored in advance of the appointment and are useful tools for assessing the possibility of ADHD, Autism and a number of other related conditions which may “co-exist” with ADHD and autism.
The assessment itself takes around three and a half to four hours and includes an ADOS-2, developmental history, QB Check and a cognitive assessment. The cognitive assessment measures intellectual ability and includes assessment of comprehension, reasoning, working memory and processing speed. Difficulties in some of these areas are sometimes seen in children with ADHD/Autism and if identified, measures can be put into place in school to help your child. The ADOS-2 (Autism Diagnostic Observation Schedule) is a semi-structured assessment of communication, social interaction and play (or imaginative use of materials) carried out with your child, and the developmental history is a structured interview with parents, concentrating on early development and current behaviours. QB Check is a computerised test which adds to the ADHD part of the assessment.
We will also explore other possible diagnoses that may have been highlighted or observed. Feedback is given at the end of the session and a comprehensive report is produced with a detailed explanation of the findings and future recommendations. A follow-up session is also included, in order for you to go through the report and ask any questions.
Cost of Assessment £2400
If children receive a diagnosis of ADHD they will be given a number of treatment options. If a decision is made to start medication at the time of the assessment, we will arrange a follow-up appointment one month later. If a decision is made to start medication at a later date, another appointment may be required prior to issuing a prescription. If your GP is able to share your care with us once medication is stabilised, the frequency of further follow-up appointments will depend upon the complexity of the case and parental request.
Cost of a follow-up appointment £225 (£325 with QB Test)
New patient appointments
We appreciate that some patients may already have a diagnosis of ADHD but would like to visit the clinic for a second opinion or advice regarding management/medication. In these cases we would attempt to gather as much information as possible from your GP or consultant and offer a longer appointment in order to thoroughly review all of the information before offering advice.
Cost of a new patient appointment £325-£495 (60/90 minutes)
QB Check is a computerised assessment lasting 15-20 minutes and is an aid to the diagnosis of ADHD. The child is asked to respond as quickly and accurately as possible to certain shapes appearing on a computer screen by pressing the spacebar on a computer keyboard. As they perform the task, a camera located above the computer screen records their activity during the assessment.
The assessment is able to record movement, rating levels of hyperactivity, as well as readings which give an indication of the degree of inattention and impulsivity. It has been shown to be a very accurate assessment for ADHD when used in addition to the clinical interview and can also be used to assess response to treatment.
Cost of a QB Check plus written report £295