Firstly, read our ADHD Richmond info sheet: The ADHD steps after diagnosis to therapy, interventions & support

Richmond & Kingston Borough Councils operate the SPA service (Single Point of Access) which is the first port of call for post-diagnosis help for ADHD therapies and interventions. Tel: 020 8547 5008 (Monday – Friday, 8.00am to 6.00pm) Out of hours Tel: 020 8770 5000

Treating ADHD often requires medical, educational, behavioural and psychological intervention. This comprehensive approach to treatment is sometimes called “multimodal” and, depending on the age of the individual with ADHD, may include: parent training, medication, skills training, counselling, behavioural therapy, educational supports, education regarding ADHD.

Working closely with health care providers and other professionals, treatment should be tailored to the unique needs of each individual and family to help the patient control symptoms, cope with the disorder, improve overall psychological well-being and manage social relationships

An early diagnosis can make a big difference.

ADHD Family Coaching is available to help you and your child from Achieving for Children in Richmond and Kingston. Please speak to your family support worker or social worker for further details. Or you can email strengthening.families@achievingforchildren.org.uk

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Medications

What do ADHD medications do? In simple terms, they raise the level of norepinephrine within the brain. (Stimulants work by causing the brain to synthesize more norepinephrine; nonstimulants by slowing the rate at which norepinephrine is broken down.) Once the level is where it should be, the brain functions normally, and the individual becomes less hyperactive, inattentive, and/or impulsive.

Medication does not cure ADHD – it can only reduce the difficulties it causes. It can help to control the core symptoms of ADHD i.e. to increase the dopamine or noradrenaline levels in the brain, to help children to be more focused and concentrate better. Doctors recommend that medication is prescribed in conjunction with specialised behaviour management advice for both parents and schools. Education about ADHD enables parents and teachers to give crucial practical and emotional support. Not all affected children need medication. On average the medication dosage should equal 1mg per 1kg of body weight. Consultants, at first, will always offer the local NHS-chosen medications before considering other types e.g. Intuniv which is a 3rd-line treatment

Watch this video

What medications are used to treat ADHD?

Stimulants:
Methylphenidate is most commonly used in the UK to treat ADHD. Its’ brand names include Medikanet, Ritalin, Equasym, Concerta, Matoride and Xenidate. This stimulant drug provides short-lived improvements after each dose. They’re available in liquid form.

You may wish to read this research on methylphenidate and watch this video from YoungMindsUK featuring a boy who takes methylphnidate

Dexamfetamine (brand names include Dexedrine) is also a stimulant and similar in its actions to methylphenidate. It sometimes works when methylphenidate does not. Available in liquid form.

Elvanse capsules contain the active ingredient lisdexamfetamine dimesylate, which is a type of medicine called a stimulant. Lisdexamfetamine is converted into dexamfetamine, which works by affecting some of the natural chemicals that are found in the brain. In particular, it increases the activity of chemicals called dopamine and noradrenaline in areas of the brain that play a part in controlling attention and behaviour.

Non-stimulants:

Intuniv is a long-acting form of guanfacine. It is not a stimulant. However, it may be prescribed in combination with ADHD stimulant medication. It is often prescribed for children who cannot tolerate stimulants, or for parents who prefer not to use stimulants. It’s believed that Intuniv strengthens receptors in the brain, improving memory and attention, reducing distractions, and controlling impulses. It can help reduce symptoms of ADHD. Watch this video

Atomoxetine (which goes by the brand name of Strattera) is a non-stimulant drug. Each dose provides a short-lived improvement which last approximately 24 hours. It is available in liquid form.

There is a wide range of second line drugs that are sometimes used in specialist practice, including Clonidine, certain antidepressants and mood stabilisers.

Listen to this BBC Radio 4 All in the Mind clip about mediation

Are the medications for ADHD addictive?
Dexamfetamine and methylphenidate are controlled drugs and can in theory be abused. However, the low and steady doses used to treat ADHD do not lead to dependence. Research suggests that children with ADHD are somewhat more likely to use illegal drugs, but that the risk actually falls if they are treated with stimulants.

Watch this video with leading ADHD specialist Prof. Peter Hill:

They are very powerful drugs – some are classed as amphetamines – and can carry other health risks.

The long-term effects of stimulants on young, developing brains are still not fully known and children and adults with existing heart conditions are at risk of heart attacks if they take stimulant medications. Stimulants can also trigger or exacerbate hostility, aggression, anxiety, depression and paranoia – anyone with a personal or family history of suicide, depression or bi-polar disorder is at very high risk and should be closely monitored.

The reported side effects of stimulant medication for ADHD/ADD include some of the problems for which they are prescribed. They include: restlessness, difficulty sleeping, irritability and mood swings, depression, loss of appetite, headaches, upset stomach, dizziness, racing heartbeat and tics. For these reasons, stimulant medication should only be prescribed to children who have been professionally assessed and diagnosed by an expert, and should be reviewed regularly.

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Non-medical ways of managing ADHD include exercise, healthy diet, sleep management and behavioural therapies. Read on …

123 magic

ADHD Richmond partners with Achieving for Children to produce excellent 123 Magic Parenting courses . The NICE guidelines say you should attend these courses alongside any other treatments your child may be receiving.

.Register your interest with this Parenting_Self_Referral_Form_Sept_14__1_  or contact Karen Williams on 020 8547 6965 or 07771 974388 . Ask her too about upcoming evening sessions

AfC Parenting Support

Read the AFC_Parenting_courses_booklet_-_May_2015_FINAL___1_

Watch this video from the man who created 123 Magic

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Emotional Health Service: Tier 2 CAHMS Service offers an early response to children and young people experiencing poor emotional well being and mild-moderate mental health issues. Find out more They provide Art Psychotherapy and CBT (Cognitive Behaviour Therapy) – a type of talking therapy that attempts to change how people think (cognitive) and what they do (behavioural). CBT can be sought for serious anxiety, depression, sleeping issues connected to ADHD.

You may download this free eBook on Cognitive Behaviour Intervention  and this free Workbook from Pesky Gnats or try this online payable course from Brave Online and here is our friend, Dr Jade Smith’s, book on Adapting CBT for Children with ADHD Find a therapist and our friends at The Effra Clinic and Nicola Ryan offer CBT

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SLT photo

Speech & Language Therapy can help ADHD children and young people with Attention and listening; coping with instructions; communicating appropriate for their age; social interaction and play. Read this: Speech and language therapy for children and young people in Richmond – information for parents

Social Communication Assessment Team (SCAT)                                                                  provides a service  children aged 0 to 5 years who have social communication difficulties and who may also have unusual patterns of behaviour. In addition we see older children with social communication difficulties who have additional needs such as a learning difficulty. Older children and young people aged up to 18 are seen by the CAMHS Team. Watch this video and see the ADHD and social skills – Dr Lax Pericall slides from our Talk on Social Skills. Contact Richmond Paediatric Speech and Language Therapy Department

Contact Richmond  Tel: 020 8973 3512  or for Kingston Tel: 020 8274 7814 or 020 8339 8074 Private therapists can be found at The Association of Speech and Language Therapists in Independent Practice or I CAN which reaches out to parents, practitioners and the children with speech and language difficulties.

Independent SaLT practitioners can be found @ http://www.helpwithtalking.com/Find-a–SLT

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Occupational Therapy benefit children with ADHD –  with sensory skills, physical coordination, organization, controlling energy levels, hyperactivity, working out anger and aggression, improving focus, handwriting, social skills, time management.

Visit the Units for Richmond and Kingston

For independent services visit: https://www.cotss-ip.org.uk

Find out how OT can help your ADHD child here

Here are the Richmond ADHD & OT Website Slides from our Talk on Occupational Therapy by Samantha Platt and Sandra Newbery

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Your child needs to move; try this resource for active learning developed by the BBC

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The Family Information Service offers free and impartial advice and information for parents and carers of children & adults aged 0 to 25 years with special education needs or disabilities FIS_Leaflet__Jan_18

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Dietary advice for ADHD (NICE guidelines 2018)

  • a balanced diet, good nutrition and regular exercise is stressed
  • elimination of artificial colouring and additives from the diet is NOT advised
  • if foods or drinks appear to influence hyperactive behaviour as part of the clinical assessment of ADHD:
    • keep a diary of food and drinks taken and ADHD behaviour
    • if the diary supports a relationship, offer referral to a dietitian
    • ensure management is undertaken by professionals, parent, carer and YP
  • dietary fatty acid supplementation is NOT advised
  • there is no evidence about the long-term effectiveness or potential harms of a ‘few food’ diet and only limited evidence of short-term benefits

 

Video: Nutrition and ADHD talk (22 Nov 2017) by Deborah Colson of Thinking Nutrition


Neurofeedback: this treatment is valued by those who have tried it. Here’s our video of Dr Neil Rutterford at our July 2015 meeting:

Our thanks to Dr Neil Rutterford for his excellent Talk to our group on  7 July.  Watch this video, check out his company here and see his PowerPoint: Dr Neil Rutterford – LANC – pp


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Challenging behaviours: here are some information leaflets which will guide you to some best practice: Sheets 1   2   3


achipp

Private #ADHD #child #psychologists in Richmond, Kingston & London areas – The Association of Child Psychologists in Private Practice  …


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Counselling Directory may point you towards independent professional support

UKCP

Find a psychotherapist here

 


BMJ

Listen this British Medical Journal audio on treatment


CaptureThe Department for Education and Department of Health have a resource called ‘MindEd’ for concerned children and their families to seek help. Search for ADHD on the  link

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The NHS website has some useful information

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For Parents     

As your child’s role model and most important source of strength, it is vital that you live a healthy life. If you are overtired or have simply run out of patience, you risk losing sight of the structure and support you have so carefully set up for your child with ADHD. Having a child with ADHD is highly stressful and exhausting. One of the most important things to remember in bringing up & supporting a child with ADHD is that you don’t have to do it alone. Talk to your child’s doctors, therapists, teachers and ADHD Richmond & Kingston. Seek support. Accept help but discuss honestly how best to care for your child. Take breaks. Eat well, exercise, and find ways to reduce stress, whether it means taking a nightly bath or practicing morning meditation. If you do get sick, acknowledge it and get help. Here is some support for you:

Carers: Richmond Carers Centre – 12 weeks of free, one-to-one counselling for carers registered with Richmond Carers Centre. Counsellors are either fully qualified volunteers or students on placements. All students are fully supervised by their college or university  www.richmondcarers.orgTel: 020 8867 2380 info@richmondcarers.org and Kingston Carers Network Tel: 020 3031 2757 info@kingstoncarers.org.uk

Counselling: Express CIC in Surbiton offers a service for Richmond & Kingston parents and carers of children or adults with any additional needs (including ADHD) Email: counselling@expresscic.org.uk

Live Well Richmond is a free health improvement service available to anyone over the age of 16 who either lives or is registered with a GP in Richmond. It offers free help and advice to help you develop a healthy lifestyle and improve your health and wellbeing. Tel: 0208 487 1745 Email: info@livewellrichmond.org.uk

Parenting courses                                                                                                                                

Parent training programmes are essential part of understanding ADHD. The NICE guidelines say you should attend these courses, alongside any other treatments your child may be receiving. ADHD Richmond & Kingston partners with Achieving for Children to produce excellent 123 Magic Parenting courses if your child is between 2-13 yrs.  Register your interest with this Parenting_Self_Referral_Form_Sept_14__1_

They are free of charge and we recommend both parents attend, even if it’s on separate occasions.

You’ll learn hope to cope with ADHD; what we know about the cause; and how children feel about the condition. There are 6 workshops in all and by the end you will have met a group of parents who are dealing with exactly the same types of issues relating to the condition. Contact Karen Williams Tel: 0208 5476965 or 07771 974388 Email: karen.williams@achievingforchildren.org.uk

Post-diagnosis sessions                                                                                                                        

ADHD Richmond & Kingston has been awarded an NHS contract to provide, to Richmond & Kingston parents of children with ADHD, free post-diagnosis information sessions. Our ADHD advisor, Val Ivens, runs them with our co-founder, Gill Sears. Book your place via communications@adhdrichmond.org

1:1 clinics are offered by ADHD Richmond & Kingston e: communications@adhdrichmond.org

Richmond Wellbeing Service is a free and confidential service for local people who experience depression, anxiety, sadness, anger, extreme shyness, obsessive behaviour, phobias, relationship difficulties or other psychological issues. It offers group workshops, counselling, self-help courses, a range of talking therapies and computer-based therapies. The service is run through a partnership between East London NHS Foundation Trust and Richmond Borough MIND. Contact: NHS Richmond Wellbeing Service Richmond Royal Hospital, Kew Foot Road, Richmond upon Thames, TW9 2TE Tel: 020 8548 5550 / 020 3513 3266 http://www.nhs.uk/Services/clinics/Overview/DefaultView.aspx?id=103378