ADHD Management - Medical Clinic South Yarra Toorak Prahran Melbourne - One Point Medical - GP Doctors in Prahran servicing South Yarra, Toorak, Armadale and East Malvern

ADHD Management at One Point Medical

Attention deficit hyperactivity disorder (ADHD) is a lifelong, inherited behavioural condition which includes poor concentration, distractibility and restlessness. It is often associated with other psychiatric problems such as depression, anxiety and addictions which can have a major impact on quality of life.

However, having ADHD is not necessarily just a negative thing as it is also commonly associated with personality traits and talents, which we value in our society. People with ADHD are often creative, lateral thinking, high energy, driven individuals, who can hyper-focus and entertain. They are often the leaders or “movers and shakers” who generate and value new ideas, who take risks and who drive us forward in our society.

The World Health Organization estimated in 2013 that ADHD affects about 39 million people. It is one of the most inherited and most common psychiatric conditions.

Although reports indicate that ADHD affects 2.5%–5% of adults in the general population, and 5%–7% of children, fewer than one in five adults with ADHD are currently diagnosed and/or treated. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195639/)

DSM-V

The official classification is found in the Diagnostic and Statistical Manual of Psychiatry version five (DSM-V). There are three subtypes of ADHD.

1. Inattentive ADHD – mostly has difficulty focusing, easily distracted, day-dreamy, procrastinating, forgetful and disorganised.

2. Hyperactive ADHD – mostly restless, fidgety, driven, jumping from task to task, impulsive, loud, demanding, energetic and impatient.

3. Combined type ADHD – symptoms of both inattention and hyperactivity-impulsivity.

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What are some of the symptoms of ADHD?

Symptoms that suggest ADHD include the following :

  • Appears not to listen
  • Fails to complete tasks
  • Is in constant motion
  • Easily distracted
  • Often loses or forgets things
  • Is restless and can’t sit still
  • Makes careless mistakes

How does One Point Medical assess ADHD?

Your One Point Medical doctor will require you to complete a Loffty self-assessment online. Loffty is the world’s most comprehensive mental health self-assessment tool that helps psychologists, GPs and other mental health specialists diagnose, treat and monitor you’re your ADHD more effectively. Loffty generates more detailed information, more quickly to help our GPs make more accurate and more timely diagnoses. They can then make better informed treatment decisions which lead to you getting better, faster.

Your One Point Medical doctor will also take a complete medical history to check for other conditions. A full life history will include questions about your childhood, adolescence, drug & alcohol, relationships, education, work, forensic and family history. An appropriate physical examination, including blood pressure, weight and height will also be completed.

After this a differential diagnosis will be formulated and may be tested with the use of investigations which could include blood and urine tests or quantum EEG.

A Loffty mental health treatment plan is then prepared by your GP including the relevant psychiatric symptoms, possible diagnoses, graphed severity ratings, aims and goals of treatment, patient responsibilities and modes of treatment.

The diagnosis will be confirmed with a second opinion from a specialist psychiatrist who has expertise in attention problems.

A second meeting will then discuss which modes of treatment which may be suitable. These will include possible referral to a psychologist with expertise in attention problems, possible referral to an ADHD coach or drug & alcohol service, discussion about exercise, diet and possible supplements. Detailed discussion about medication including expected positive effects, side effects, interactions, housekeeping and travel. Discussion will also focus on the neuroanatomy and patho-physiology of ADHD and how the patient has come to experience the problems that they have encountered in their life and how treatment will assist in turning these problems around.

Your doctor will carefully monitor your response to treatment by meeting, initially in one to two weeks, then monthly and finally three monthly on an ongoing basis to assist in making sure you get the very best outcomes possible. Our follow-up process will include repeat Loffty self-assessments to assess the clinical response and modification of treatment if required. The specialist psychiatrist will review the response in twelve months and thereafter every two years but will be on hand as part of the team to offer assistance at any time as required.

Does diagnosis differ when determining the presence of ADHD in Adults?

As ADHD is a genetic condition which starts in childhood. Determining whether an adult has ADHD requires similar but more comprehensive assessment which takes into account conditions that develop post childhood such as bipolar disorder and others. Often a diagnosis in a child, will lead to investigation of the family history with the possibility of uncovering the diagnosis in a parent. At other times an adult will seek help for depression, anxiety, addictions or symptoms co-morbid with ADHD and then have their ADHD discovered.

Other than inattention and/or impulsiveness symptoms, adults with ADHD may have other issues that they are seeking help for, including:

  • Anxiety
  • Chronic lateness and forgetfulness
  • Difficulty finishing a task
  • Difficulty controlling behaviour
  • Employment problems
  • Low self-esteem
  • Poor organisational skills
  • Restlessness
  • Short temper

An adult must have persistent, current symptoms that date to childhood to be diagnosed with ADHD.

Is ADHD inherited?

There is a strong genetic link with ADHD supported by extensive genetic testing and a large body of literature including twin studies. It has been suggested that ADHD is one of the most inheritable conditions in Psychiatry. If one parent has ADHD there is a one in four chance that their child will have it and a one in two chance if both parents have ADHD.

What does it mean if I have ADHD?

If the difficulties associated with ADHD are not managed appropriately, they can lead to social, emotional, physical, financial, forensic, academic and occupational problems. It is all about quality of life, mitigating risk and achieving your potential. Management is a course your doctor will pursue to ensure the best possible results for you or your child with ADHD.

What conditions can accompany ADHD?

ADHD is characteristically accompanied by other conditions. The following are a few examples:

  • Learning Difficulties
  • Tourette Syndrome
  • Anxiety and depression
  • Bipolar disorder
  • Drug and alcohol problems

What conditions can mimic ADHD or cause ADHD-like behaviour?

  • Anxiety
  • Depression
  • Bipolar disorder
  • Recent major life changes
  • Other major life stresses
  • Sleep problems
  • Thyroid problems
  • Undetected seizures
  • Brain Injury
  • Chemical toxicity

Category A rating

One Point Medical has received a category A rating on accreditation, demonstrating its commitment to quality and safety within the practice.

More information can be found here.