Attention deficit disorders are highly hereditary conditions that cause low levels of dopamine in the brain. Dopamine is a neurotransmitter that when released in the brain facilitates sustained focus while remaining calm. In the ADHD brain, neurons do not release enough dopamine and, as a consequence, those affected by this condition tend to rely excessively on noradrenaline. Like dopamine, noradrenaline is a neurotransmitter that helps to maintain focus on tasks. However, noradrenaline is also causing significant problems when released in large quantities for prolonged periods of time. When noradrenaline levels are low, people with ADHD tend to feel unmotivated and lethargic, conversely high concentrations of noradrenaline cause irritability, anxiety and people tend to self-medicate with alcohol, cannabis, sedatives and binge eating to counteract the effects of noradrenaline. In the long term, chronic high levels of noradrenaline cause mental and physical exhaustion. In adults, ADHD is a much more elaborate disorder than in children and often the problem is related to controlling impulses and developing self-regulation. This self-control impairment affects an adult's ability not just to perform tasks, but also to determine when they need to be done. ADHD also has negative consequences for the development of a normal personality. Teachers and parents may make incorrect assumptions about the behaviour and attitude of a child with ADHD, and may provide them with frequent and erroneous negative feedback. Rejection and frustration are commonly reported. The more intelligent inattentive children may realise on some level that they are somehow different internally from their peers. However, they are also likely to accept and internalise the continuous negative feedback, creating a negative self-image that becomes self-reinforcing. If these children progress into adulthood untreated, their inattentiveness, ongoing frustrations, and poor self-image frequently create numerous and severe problems maintaining healthy relationships, succeeding in secondary schooling or studies, or succeeding in their career. These problems can compound frustrations and low self-esteem, and will often lead to the development of associated disorders such as anxiety, depression, addiction, and eating disorder. Stimulants increase the levels of dopamine in the brain and are first line treatment for ADHD. In the majority of cases have a positive effect also on mood and anxiety, especially when combined with cognitive and behavioural therapies.
This is a 2hrs assessment consisting of: Part 1 - personal and family history, neurodevelopmental history, DIVA-5 assessment of current and childhood ADHD symptoms. Part 2 - discussion of diagnosis and care plan, private prescription of stimulants, management of other conditions, and advise on transition to NHS care. Cost £900