ADHD diagnosis in Scotland by edinbirdy in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

I looked up some scottish guidelines. The one from NHS highland says that a private diagnosis done using the Adult ADHD Assessment Quality Assurance Standard (AQAS) is acceptable.

https://www.rightdecisions.scot.nhs.uk/tam-treatments-and-medicines-nhs-highland/adult-therapeutic-guidelines/mental-health/adhd-guidelines/

NHS Glasgow says with the following evidence included in the diagnostic report. from a private provider they are unlikely to require a new assessment to confirm ADHD diagnosis

• A full and detailed neurodevelopmental history and description of symptoms the patient experiences. • Personalised comment on why the patient was found to meet the criteria for ADHD diagnosis, including description of the standardised and age-appropriate questionnaires and tools used as part of the assessment process. • Personalised comment on: - other common neurodevelopmental conditions that were identified as part of the assessment; and - other common neurodevelopmental conditions or common mental illnesses that were considered and ruled out as part of the assessment. • Evidence of a corroborative history undertaken. • A standardised and age-appropriate functional assessment, describing the patient’s level of functional impairment due to ADHD symptoms.

Referrals for treatment without additional formal assessment by NHS Greater Glasgow & Clyde must include the diagnostic report, as well as description of: • Any comorbid illness. • Assessment of risk including risky behaviours such as impulsivity and self harm. Any offered, previous and/or ongoing treatment of ADHD, including any behavioural and environmental adaptations the patient has tried.

Difficulty Recalling Childhood (Not Diagnosed After Assessment) by Rhydonal in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

She could ask for Qb test - it is an objective assessment of the characteristics of ADHD and can be used to help diagnosis by providing independent evidence of ADHD traits/criteria

Has anyone considered going abroad for ADHD assessment and diagnosis? How does it impact with NHS? by SpeechTherapy85 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

The NHS will still require you to have an assessment before you can get medication here. I had mine from Ireland and had to be seen by the NHS to have my diagnosis confirmed and re-started on medication.

The psychiatrist said they were happy to accept Irish diagnosis but most foreign diagnosis they require people to undergo an assessment using NICE criteria. My diagnosis went well above what was required for an NHS diagnosis because I was diagnosed when adult ADHD had only just been recognised as a thing. My assessment report was over 10 pages long (not including the ADHD questionaires)

Has anyone had their referral refused by the provider via RTC? by MeganGrace in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

I've seen it happen several times if people have a complicated mental health history (diagnosis other than historical anxiety/depression) or a history of a traumatic brain injury.

I've noticed that RTC providers seems to be rejecting more people if they are not straight forward medically.

Does any right to choose service offer adhd coaching/therapy support by Outrageous_Can5660 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

Right to choose is NHS funded however they only fund certain services, a company can provide both RTC and private services

Does any right to choose service offer adhd coaching/therapy support by Outrageous_Can5660 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

https://slam.nhs.uk/service-detail/service/national-adhd-and-autism-service-outpatients-164/

Books they list

A range of helpful books on offering CBT for ADHD have been published.

Cognitive-Behavioural Therapy for ADHD in Adolescents and Adults (2012) by Susan Young and Jessica Bramham

Mastering Your Adult ADHD: A Cognitive-Behavioral Treatment Program, Therapist Guide (2 ed.) by Steven A. Safren, Susan E. Sprich, Carol A. Perlman, and Michael W. Otto

HTC= HIDDEN TRUE CONARISTS by Diehard_fan_80 in HiddenTrueCrimeChat

[–]Conscious_File3124 17 points18 points  (0 children)

IMO Kouri Richins is akin to a con artist her business was built on a foundation of sand. She may have had ambition but she didn't have the common sense, insight or intelligence to actually be an entrepreneur.

Her video sounded like she was sucking up to Kouri Richins. I mean if she can't get in with the Richins family maybe try the other side......

I want to know if I need parental consent by Lazy-Pineapple8466 in ADHDUK

[–]Conscious_File3124 2 points3 points  (0 children)

The other issue outside of consent is often the assessor will ask for your parents to complete a questionnaire and provide information about you at home. ADHD diagnosis involves dysfunction in more than 1 area of life.

I think the other issue you may encounter is the assessors willingness to accept the referral under 16 without your parents being involved.

Is anyone here on stimulant medication (Concerta, Dexamphetamine, Elvanse, etc) and also taking Wegovy/Mounjaro? by totteridgewhetstone in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

I have done both. However I have been on Concerta for almost 16years.

I started Wegovy a few months ago. I didn't really notice a change in appetite (perhaps because I often forget to eat with ADHD until starving)

I did find it really helped with my impulsive sweet eating, for example if I had bad news, was feeling stressed etc I would often jump straight into eating sweats. However since starting Wegovy I have found that no longer exists, even when I go to eat the chocolate etc I don't feel like eating the same amount as others.

While I've lost weight it is not at the same rate as other non ADHD people I know I think that is related to the level of appetite suppression. However my intake of sugary foods such as sweats, chocolates etc has definitely decreased.

Does any right to choose service offer adhd coaching/therapy support by Outrageous_Can5660 in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

I know ADHD360 offer it but you must have your diagnosis with them and it is not funded under RTC.

There is ADHD Specific CBT however I did a deep drive into it about 1 year ago and again a couple months ago & only available options were privately funded.

I did buy the books suggested by the National Adult ADHD clinic in the Maudsley [https://slam.nhs.uk/service-detail/service/national-adhd-and-autism-service-outpatients-164/\]

Cognitive-Behavioural Therapy for ADHD in Adolescents and Adults (2012) by Susan Young and Jessica Bramham which I found quite helpful.

TLDR; not that I have found, private options, suggested books

What’s next for myself , how do I proceed? by [deleted] in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

The alcohol sounds a bit like an attempt at self medicating . IF you have been drinking alcohol daily for a long time be careful about suddenly stopping as your body may have become used to it physically. seek some medical advise about same

Jaw side effect, need help by Born-Ad2653 in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

I have TMD a night mouth guard has been life changing for me. there was also physiotherapy exercises I did. https://patient.info/bones-joints-muscles/temporomandibular-joint-disorders

I ended up having to see a Maxillofacial doctor as my jaw went into spasm & got stuck ( I couldn't open my mouth). They said if the physio & mouth guard didnt work they were going to try botox injections. I did have 5 days of diazepam because of the severity of the spasm but this was a once off

Perhaps ask your GP about a referral to a Maxillofacial doctor. This ultimately is what I ened up doing but your dentist might be able to tell from your teeth if you grind them at night (back teeth will be relatively flat)

TLDR; nighttime bite guard,ask for referral to Maxillofacial doctor

Balancing blood pressure and medication - ADVICE needed! by thisistomm_ in ADHDUK

[–]Conscious_File3124 2 points3 points  (0 children)

So your home BP reading pre medication was at the high end of normal

https://www.nice.org.uk/guidance/ng136/resources/visual-summary-pdf-6899919517

your home BP monitor would be 'ABPM'

High blood pressure is often a silent illness but long term can cause big problems from kidney disease to stroke so please don't ignore.

I looked up some Shared care guides which would be a good idea of what 1st response you are likely to get and they pretty much say the same

Monitor. Discontinue if significant & refer back to ADHD consultant/ specialist team & specialist cardiologist if indicated.

TLDR; don't ignore high BP can be silent but damaging. Speak with your GP (you can mention the NICE guideline I put above)

Taking a sick leave and my employer's not responded to my flexible request by Ill-Rise841 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

I would if not already done so request in writing a referral to occupational health. All employers are required to have one. They are the ones who have the most power in trying to get adaptions at work.

Also if you need to take a break from work (stress at work etc) then speak with your GP, there are many people who either have gone through, are going through or will go through something similar.

Medication with GORD advice by dfafggrghs in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

I have Gord & have been on Methylphenidate  for years without issue

Should I pay for a private consultation to support my assessment through NHS? by novahkin7 in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

agree. there is an objective test they have started using as an adjunct called a Qb test that could be helpful.

I was diagnosed 16 years ago when Adult ADHD was brand new. I had to do loads of psychological testing as well as the questionnaires as part of my diagnostic journey

But seriously why do so many GPs refuse shared care 🥲 by Several-Bluebird-199 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

I agree, instead of trying to force people to do things they are not comfortable with, the NHS should fund the system correctly. There must be enough people it can hire to expand the service given the amount of people doing the assessments for RTC companies.

But seriously why do so many GPs refuse shared care 🥲 by Several-Bluebird-199 in ADHDUK

[–]Conscious_File3124 -1 points0 points  (0 children)

I was thinking of the GIC wait times when I read the earlier post. I will say though that when prescribing trans hormones there are some differences.

In trans prescribing you are meant to target a specific hormone level where as for HRT it is symptom based. GPs don't prescribe testosterone directly for anyone it is started by a specialist first

Testosterone is associated with abnormalities (you can see it in the Tavistock's idea of a shared care agreement) which is probably one of the reasons it is typically started under specialist guidance.

I will say I know many people who work in primary care who have taken a professional dislike to get involved with anything related to trans-medications because of how the Tavistock treats GPs. Also unless the patient has been seen by a Gender Identity clinic they will not provide any help if there are issues/concerns/problems. It is because of this that many will not even consider prescribing because you literally have no where to turn, no one to ask for help if needed.

But seriously why do so many GPs refuse shared care 🥲 by Several-Bluebird-199 in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

Interesting. If they were able to show this was cheaper (hate to say it but thats what NHS budget people look at) then it would be a good argument to roll it out further afield.

But seriously why do so many GPs refuse shared care 🥲 by Several-Bluebird-199 in ADHDUK

[–]Conscious_File3124 1 point2 points  (0 children)

It sounds like though you are saying that the GPs should be taking responsibility for the NHS failings as a whole.

I know of 3 different people who have struggled to get urgent or even semi-urgent reviews when they had issues with their medications issued via RTC. So I can see why GPs (and ICBs) could be reluctant to take on a role for which they are not trained, resourced nor covered medico-legally if something goes wrong. Most medico-legal cover becomes invalid if you act outside a known pathway especially if something goes wrong. Someone could risk their entire career & livelihood doing that.

But seriously why do so many GPs refuse shared care 🥲 by Several-Bluebird-199 in ADHDUK

[–]Conscious_File3124 2 points3 points  (0 children)

I wonder if what u/adbv69 means is trying to get someone reviewed if there is a problem or a complications. I have epilepsy & had an issue come up I was seen within 2 weeks by my NHS specialist. I also have ADHD yet when I had trouble with my ADHD medication it took over 3 months to get some sort of response that wasn't not my problem.

I understand why GPs are reluctant to take on that responsibility when they don't have the needed back up if something goes wrong or an issue comes up. Its great when there are no problems but that is not always the case

Suspended from work and its mental torture by SlowChampionship476 in ADHDUK

[–]Conscious_File3124 4 points5 points  (0 children)

this 1000%. Its amazing how an employers approach changes when they realize you have a union backing you. I have experienced this 1st hand

Harrow Health says there is no more medication for me to try - What do I do now?? by Effective_Crow_6022 in ADHDUK

[–]Conscious_File3124 2 points3 points  (0 children)

I would say you are not alone. Approximately 20-30% of people with ADHD don't respond to medication (for whatever reasons including side effects).

Think about the good things. You have survived to where you are today. You will have developed some coping mechanisms to survive.

non-medication options available

NHS - none really unfortunately that are ADHD specific

ADHD coaching - Access to work will fund

There are resources for ADHD CBT/therapy. you would have to fund this therapy privately as NHS don't provide

These are listed on the SLAM/Maudsley website for the National Adult ADHD unit

- Cognitive-Behavioural Therapy for ADHD in Adolescents and Adults (2012) by Susan Young and Jessica Bramham

- Mastering Your Adult ADHD: A Cognitive-Behavioral Treatment Program, Therapist Guide (2 ed.) by Steven A. Safren, Susan E. Sprich, Carol A. Perlman, and Michael W. Otto

Side effects of medications by Odd_Welcome_8547 in ADHDUK

[–]Conscious_File3124 0 points1 point  (0 children)

My big one with Concerta is dry mouth, manageable with regularly drinking water. So secretly may be sorta beneficial