ADHD (Attention Deficit and Hyperactivity Disorder) and ADD (Attention Deficit Disorder).
ADHD is a clinical syndrome defined in the DSM-IV and ICD-10 (hyperkinetic disorder) by high levels of hyperactive, impulsive and inattentive behaviours beginning in early childhood, persistent over time, pervasive across situations and leading to clinically significant impairments.
The disorder is common in the population with prevalence estimates in the UK around 3-4%. Follow-up studies of ADHD in children find that the disorder frequently persists into adult life, with around 15% retaining the full diagnosis by the age of 25 years, and a further 50% in ‘partial remission’ with some of the symptoms persisting and leading to continued impairments in daily life.
How do I know if I need an evaluation for ADHD?
Most adults who seek an evaluation for ADHD experience significant problems in one or more areas of living. Some of the most common problems include:
- Inconsistent performance in jobs or careers; losing or quitting jobs frequently
- A history of academic and/or career underachievement
- Poor ability to manage day-to-day responsibilities (e.g., completing household chores or maintenance tasks, paying bills, organizing things)
- Relationship problems due to not completing tasks, forgetting important things, or getting upset easily over minor things
- Chronic stress and worry due to failure to accomplish goals and meet responsibilities
- Chronic and intense feelings of frustration, guilt, or blame
The treatment of adult ADHD/ADD involves medication, psycho-education, coaching and in some cases psychological therapy such as Cognitive Behavioural Therapy (CBT). We can refer you to a therapist if necessary. Medication for this syndrome is effective in alleviating most symptoms and can make a big difference in daily functioning. There is increasing evidence that treatment can help in preventing the development of substance abuse disorders. All Anchor Psychiatry Group Consultants are able to prescribe medication used for ADHD/ADD, including controlled drugs prescriptions (like Methylphenidate). The assessment will include a clear treatment advice and treatment plan that you should discuss with your GP. The clinic will provide further support and guidance to your GP regarding long-term treatment.
There are two main treatment options for ADHD/ADD.
1. Stimulant medication: the main drugs are Methylphenidate, Lis-Dexamfetamine and Dexamfetamine.
2. Non-stimulant medication: the most commonly used drug is Atomoxetine.
Further detailed medication information can be obtained through the following link to the National Resource Centre on ADHD (based in the US) http://www.help4adhd.org/documents/WWK10.pdf
Further information can be obtained through the following link http://www.rcpsych.ac.uk/expertadvice/problemsdisorders/adhdinadults.aspx
Patient information for Guanfacine can be obtained through the following link http://www.drugs.com/cons/guanfacine.html
Psychological Therapy for ADHD
Woodlands Consulting and Therapy
Woodlands Consulting and Therapy Ltd (WCT) is an independent psychology practice run by Marilyn Sher. Marilyn is a Consultant Clinical and Forensic Psychologist and has been in private practice since January 2008. WCT offers a range of assessments and therapies to children, adolescents and adults, including those requiring psychological therapy to help manage symptoms relating to ADHD. Marilyn Sher is registered with all the main private healthcare insurers, such as BUPA, AXA PPP, AVIVA and Vitality Health. Please see the WCT website for more information
Coaching – Rebecca Champ, ADHD Psychotherapist & Coach
Since 2008, Rebecca has been coaching adults and couples living with ADHD, and in 2010 she received her diploma in Contemporary Psychotherapy. Offering both face-to-face and online services, her work takes an Integrative approach; combining person-centred therapy principles with techniques in goal setting, organisation, and time management. Having ADHD herself, Rebecca offers a unique perspective: one that places personal growth, self worth and individual potential of clients at its heart.
Rebecca has worked very closely with the Cambridgeshire Adult ADHD Clinic, raising awareness for a need for local services. She supports students with learning disabilities at the University of Cambridge, and has done work in the community with the homeless. She is a member of the Expert Advisory Board for the UK Adult ADHD Network (UKAAN), and is an active speaker on the Lived Experience of ADHD.