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ADHD and Autism in Children and Adolescents

ADHD and ASD in Children and Adolescents

in Children and Adolescents

At Oasis Psychological Services we run multi-disciplinary clinics and offer comprehensive Autism Spectrum Disorder (ASD) and Attention Deficit Hyperactivity Disorder (ADHD) assessments as according to National Institute for Health and Care Excellence (NICE).

Neurodevelopmental disorders, such as ASD and ADHD, require a multi-disciplinary approach, specialist assessments and diagnostic tools in order to capture the complexity of these lifelong developmental conditions.

Our Neurodevelopmental Team have worked for many years in both the NHS and Private Sector supporting children, adolescents, families and schools and are experts in both the assessment and treatment of ASD and ADHD.

We specialise in the following services:

Pre-Diagnostic Consultation Service

You may concerns about your child's social and emotional development for some time. Or their school teachers have raised concerns about their interaction with others, their short attention span, difficulties concentrating and so on. 

If you are unsure about the nature of their child’s difficulties and prefer to seek advice on whether or not to pursue a full ASD and/or ADHD diagnostic assessment, we offer an initial psychological consultation with one of our clinical psychologists.

This will help clarify whether to pursue a full diagnostic assessment or whether there are other reasons that could explain your child's difficulties.

Full Diagnostic Assessment Service

An in-depth diagnostic assessment can be required without the initial consultation when there is enough evidence from both home and school environments.

We follow the National Institute for Health and Care Excellence (NICE) standard guidelines  for all our assessments. 

 

ASD Assessment Process

Before the Assessment

Parents/carers will be asked to fill in some questionnaires and scales prior to the assessment. School staff are very important in helping us to understand how your child/young person functions in their school life.

Therefore, with your permission we will also send the teacher and/or SENCo some questionnaires to fill in and seek additional information about your child’s strengths and weaknesses.

What Will Happen during the Assessment?

The assessment clinics are held at Oasis Psychological Services consulting room in Ashford. We are happy to provide home visits if this is felt to be more appropriate to your child’s needs.

Dr Floriana Reinikis, Consultant Clinical Psychologist, and Jan Mount, Highly Specialist Speech and Language Therapist, are very experienced in assessing, diagnosing and working with children and young people with ASD in the NHS and independent practice. Floriana has been working in the NHS and private practice for almost 20 years and Jan for over 35 years. Floriana and Jan are boht trained in the relevant diagnostic tools (ADI-R, 3Di, ADOS-2). They also have current DBS clearance.

Floriana meets with the parents/carers to complete the ADI-R, a detailed developmental history used to assess ASD in both children and adults. This session can take about 2 hours. 

Jan meets separately with the child/young person to carry out the ADOS-2, which is a semi-structured, standardised assessment of communication, social interaction, play and restrictive and repetitive behaviours. This takes about 90 minutes.

What Happens After the Assessment?

Parents/carers and the child/young person will be offered a 1-hour follow-up appointment with Dr Reinikis within 2-3 weeks from the assessment session to share the assessments’ outcomes and conclusions and discuss the recommendations.

Most of the times it is possible to reach a definite conclusion about whether a child/young person has autism spectrum disorder. Sometime individuals show the full set of traits and meet the criteria for a diagnosis.

Other times, they show only some features of autism, or there is little current impact on their daily functioning. In such cases, it is useful to describe their difficulty in social communication without giving a formal diagnosis.

A full report is given at the follow-up appointment.

Treatment Options for ASD and ADHD

Children and young people with ASD and ADHD may present with additional psychological difficulties, such has anxiety, low mood, social anxiety, obsessive compulsive disorder, emotional dysregulation, behavioural difficulties and so on.

 

As every person and family are unique, at Oasis Psychological Services we aim to provide a flexible yet individualised treatment approach that works best for you and your child/young person. This may include one or more of the following:

Social skills training

Communication skills training

Cognitive Behavioural Therapy

Compassion Focused Therapy

Acceptance and Commitment Therapy

Interpersonal Therapy

Parenting support training

School support

ADHD Assessment Process

Before the Assessment

Parents/carers will be asked to fill in some questionnaires and scales prior to the assessment. School staff are very important in helping us to understand how your child/young person functions in their school life.

Therefore, with your permission we will also send the teacher and/or SENCo some questionnaires to fill in and seek additional information about your child’s strengths and weaknesses.

What Will Happen during the Assessment?

The assessment clinics are at Oasis Psychological Services consulting room in Ashford.

A Consultant Child and Adolescent Psychiatrist meets with the child/young person and the parents/carers for a specialist assessment, which will include:

  • A physical examination
  • A series of interview with the child/young person and the parent/carer
  • Interviews, reports or questionnaires from teachers.

At the end of the assessment, the Consultant Psychiatrist will discuss with the parents/carers and child/young person the outcomes and recommendations and possible diagnosis when full criteria are met.

A full report will be sent to the parents/carers within two weeks of the initial assessment.

What Happens After the Assessment?

Medication and psychological support for the young person and the family are mostly recommended for managing ADHD.

The Consultant Psychiatrist will discuss the option of medication in details with you and your child and explain the implications and guidelines for follow-ups.

Other treatment options recommended include Talking Therapies, such as CBT, parenting advice and school support. Oasis Psychological Services are happy to provide these and formulate the best treatment package for you and your child.