Atrom Mindcare express ADHD service has been setup to address the need of patients (adults including 18+ students) who would like to have prompt diagnosis and treatment for ADHD.

Our assessments are undertaken by GMC registered Consultant Psychiatrists with CCST (Certificate of Completion of Specialist Training) who have several years of experience,  in NHS and/or private sector of treating ADHD patients.

We offer both face-to-face as well as e-consultation options. In case of face to face, the patient will need to visit our clinic in Epping. For e-consultations, the patient needs to login via our online video consultation link at the appointment time and will be the seen by the Doctor. Please note that the patient needs to be in the UK in order to be eligible for treatment.

ADHD Assessment Details
Your ADHD assessment will be performed by one of our Specialist ADHD Consultant Psychiatrists, either in person or online through our e-consultation platform.
Appointment Duration : Approximately  90 minutes for initial appointment 
You are welcome to bring someone with you to the appointment if you wish.

Duration of follow up appointments for starting reviewing treatment is approximately 30mins.

Pre-Appointment Requirements
Before your appointment, we will ask you to complete some necessary forms and questionnaires online which are needed as a part of your assessment.

Post-Assessment Process
Clinic Letter

• You'll receive a detailed report from your Consultant Psychiatrist within 2 working days of your assessment.
• The report will include diagnosis and treatment plan details.

Medication Treatment Plan
If medication is recommended:

• Baseline Health Checks:
  • Required tests may include blood pressure, pulse, weight, blood tests, ECG, and cardiovascular examination.
  • These can be done at your GP practice and results sent to us.
• Follow-up Appointments:
  • Typically 3-6 appointments to reach the correct dose.
  • Your Consultant will monitor your response, side effects, and physical observations.
  • NICE and GMC guidelines require specialist review after each dose change.
• Shared Care Agreement:
  • Once stable on medication, we can set up an agreement with your GP.
  • Your GP would then require to agree to take over prescribing, converting to NHS prescriptions.

Important Notes:

• Follow-up appointments and private prescriptions incur fees.
• Shared care arrangements are not guaranteed; discuss with your GP in advance. We aim to provide comprehensive care while working towards a cost-effective long-term solution for your treatment.

The NICE Guidelines recommend that a Specialist requires to diagnose ADHD and commence treatment and continue prescribing medication and monitoring treatment until a patient is stable on a steady dose of an ADHD medication.

After this, the guidelines suggest that the GP can take over prescribing and monitoring of side effects under shared care protocol with your Consultant Psychiatrist. The Psychiatrist then requires to do Annual reviews of your need to continue medication, your tolerability and side effects.

Whilst we can draft a shared care Protocol for your GP to agree and implement, Primary Care services in various regions in UK have varying local policies regarding this. Hence it is best to have a conversation with your GP regarding whether they will accept and implement our shared care protocol.

Prescription Process
We cannot issue a prescription during the initial assessment. Diagnosis is confirmed at the initial assessment and tests relevant to you are advised. Before prescribing, you must complete the following tests -

• Blood tests
• ECG (Electrocardiogram)
• Cardiovascular assessment where indicated

These tests help identify any underlying conditions that may affect medication safety.

Follow-Up Appointment

After your test results are available, you will need a follow-up appointment with your consultant to discuss medication options.

Medication will be prescribed at this appointment. Please note that this appointment will incur a charge.

Often symptoms of other conditions overlap with or mimic ADHD symptoms. A diagnostic assessment with an experienced Consultant Psychiatrist will help you make sense of your symptoms in terms of an accurate diagnosis, be it ADHD or alternative conditions - for example, bipolar illness, personality disorders, anxiety & depression etc.  

An accurate diagnosis will help tailor to your needs an evidence-based treatment plan.  

At Atrom Mindcare, our objective is to provide you with a holistic care plan.

We appreciate the need of working professionals and students who cannot always attend during office /school hours. So we offer both evening as well as weekend appointments.

We aim to provide appointments within a week to patients.

The Impact of Untreated ADHD
Unmanaged ADHD can significantly affect various aspects of life:
Academic and Professional Challenges

• Students may struggle with attention, task completion, and learning new material.
• Adults may face difficulties in job performance and career advancement due to focus issues.
  
  

Personal and Social Implications

• High impulsivity can lead to risky decision-making, potentially affecting oneself and others.
• Maintaining healthy relationships can be challenging for those with untreated ADHD. 

The Benefits of Treatment:

 ADHD management can help individuals:

• Overcome daily challenges
• Be more productive in life
• Gain overall fulfilment and peace through reaching their full potential
• Improve overall quality of life

ADHD and Comorbid Conditions
High Prevalence of Co-occurring Disorders is extremely common in ADHD.
ADHD often coexists with other psychiatric conditions. For instance, about 70% of adults with ADHD experience depression at some point in their lives. 

A recent study indicated that more than 90% of patients with ADHD have one or more co-morbidities.

Diagnostic Challenges

• Example: A person diagnosed with depression may still struggle with inattentiveness after treatment.
• This could lead to a subsequent ADHD diagnosis, as ADHD symptoms may have been initially masked by depression.

Common Comorbidities
ADHD frequently co-occurs with:

• Depression
• Anxiety
• Bipolar disorder
• Tourette's syndrome
• Dyslexia
• Sensory processing disorder

People with Personality Disorder and Substance Misuse Disorders can also suffer masked comorbid ADHD.

Understanding these potential comorbidities is crucial for accurate diagnosis and effective treatment planning.

What other conditions can occur with ADHD: ADHD is very commonly co-morbid with a range of other conditions, including Generalised Anxiety, Depression, Social Phobia and Substance Misuse Disorders amongst others. A recent study showed that more than 90% of people with ADHD have at least one other co-morbidity.

Forgetfulness can be a symptom of ADHD.

This symptom often improves with treatment.

You do not need a GP referral for ADHD appointment with Atrom Mindcare. Our express ADHD assessment service allows you to self-refer and book instantly, if you wish.

You will require to complete and submit some questionnaires ahead of your appointment after booking it, to assist with your assessment.