Neurodevelopmental Assessment
​Initial screenings to start within 7 days
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Assessments approximately 2-6 weeks to start dependent on mutual availability
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I am able to refer you to a medical prescriber for ADHD medication after assessment as I am an authorised assessor and my assessments and report are accepted on a treatment pathway. Please be careful of assessments that do not offer a pathway to treatment after diagnosis, or where assessments don't meet the guidelines for acceptance elsewhere.
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I do not offer assessments for anyone under the age of 18​​
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Attention-deficit hyperactivity disorder (ADHD)
ADHD is a neurodevelopmental disorder, which means that it is lifelong, and it is characterised by difficulty with attention, impulsivity, and hyperactivity. It is a common condition that affects both children and adults, and it can have a significant impact on an individual's ability to function in school, work, and social situations.
Symptoms of ADHD can vary in severity and can present differently in different individuals. Some common symptoms of ADHD include:
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Difficulty with sustained attention and focus
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Impulsivity and difficulty waiting turns or queuing.
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Hyperactivity and restlessness
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Disorganisation and difficulty with time management
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Difficulty following through on tasks and completing assignments.
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Difficulty with social interactions and relationships
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Difficulty managing emotions
Diagnosing adult attention-deficit/hyperactivity disorder (ADHD) can be challenging, as the symptoms of ADHD can vary in severity and can present differently in different individuals. In addition, many adults with ADHD may not have received a diagnosis during childhood and may not recognise that they have ADHD until later in life. I have found that especially for an older generation, ADHD wasn’t known about and so was not commonly recognised.
Some comments that I often hear are that people do not feel or appear hyperactive and it is important to know that isn't always present in ADHD as there are three subtypes of ADHD:
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Inattentive type: This subtype is characterised by difficulty with attention and organisation but does not include hyperactivity or impulsivity.
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Hyperactive/impulsive type: This subtype is characterised by hyperactivity and impulsivity but does not include difficulty with attention.
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Combined type: This subtype is characterised by all three symptoms of ADHD: difficulty with attention, hyperactivity, and impulsivity.
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There has been an increase in the awareness of ADHD and we have definitely seen an increase in the diagnosis of the condition, particularly after COVID and we know that changes in the way that people manage their condition can make symptoms more apparent.
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ADHD should only be diagnosed by a healthcare professional, such as a doctor or psychologist, who has received specific training on the assessment and diagnosis of the condition. I have received specific training in the assessment and diagnosis of ADHD with UKAAN (UK Adult ADHD Network) and I use a recognised structured interview approach recognised worldwide together with psychometric measures, a new technological innovation called QB-check and my clinical judgement. I will start by taking a history of your life and your physical and medical history to try and rule out any other conditions that may be causing your problems.
I may ask your friends or family members about your symptoms and how they have impacted your functioning and get an idea of how you were impacted in childhood that you might not remember.
It is important to know that I do not prescribe medication for ADHD but if after assessment we agree that this might be beneficial, I can refer you on to a professional who is able to prescribe.
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Please see my fees page for details of the cost of assessment which includes an assessment letter and feedback session. Please be wary of practitioners who do NOT offer a full screening and assessment process and do not used MDT or supervision to validate your assessment as this might mean your diagnosis is not accepted elsewhere.
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Do The NHS Accept Private ADHD Assessments?
The NHS in the UK generally accepts private ADHD assessments as long as they are carried out in line with the National Institute of Care and Excellence (NICE) guidance and the private assessment must adhere to the same requirements and standards for diagnosing set out by the NHS. Mine does.
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I use a multidisciplinary Team: Conducted by a team of qualified professionals with expertise in adult ADHD.
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Standardised Tools: Utilise evidence-based and standardised assessment tools for a thorough evaluation.
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Developmental and Social History: Consider your developmental history and behaviour across various social contexts.
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Collaborative Approach: Involve you, your family, and relevant professionals to provide a comprehensive understanding.
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Compassionate Environment: I am dedicated to creating a supportive and understanding environment where you feel comfortable discussing your experiences.
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Personalised Approach: Recognising the uniqueness of each individual, my assessments are tailored to address your specific needs and goals.​
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I am committed to conducting thorough assessments in a supportive and compassionate environment. My goal is to empower individuals and families with the knowledge and resources needed to navigate the unique journey of neurodevelopmental conditions.
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After a diagnosis I can offer ADHD coaching to look at adaptations for work or strategies to help with daily living that might be impacted by your ADHD. These sessions are charged at my normal hourly rate. I am also able to offer ADHD training for businesses to help you understand employees and how to adapt the workplace for better productivity and all round wellbeing.​
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If you would like to discuss the possibility of screening and assessment for ADHD then please get in touch.​
Autism Spectrum Disorder (ASD)
ASD is a neurodevelopmental condition that manifests in a range of challenges related to social interaction, communication, and behaviour. Autism is a lifelong condition, and its impact can vary widely from person to person. It is characterised by a spectrum, meaning that individuals with autism may display a wide variety of strengths and difficulties. Here are some common difficulties associated with autism:
Social Interaction Challenges:
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Difficulty in understanding social cues and non-verbal communication.
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Challenges in forming and maintaining relationships.
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Limited interest in or understanding of peer relationships.
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Communication Difficulties:
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Delayed language development in some individuals.
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Difficulty in initiating or sustaining conversations.
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Literal interpretation of language, leading to challenges in understanding metaphors or sarcasm.
Repetitive Behaviours:
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Engagement in repetitive movements or activities, such as hand-flapping, rocking, or spinning objects.
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Resistance to changes in routines or environments.
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Sensory Sensitivities:
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Heightened sensitivities or aversions to sensory stimuli, such as lights, sounds, textures, or smells.
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Over- or under-reactivity to sensory input
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Difficulty with Transitions:
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Challenges in transitioning from one activity or environment to another.
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A need for predictability and routine.
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Special Interests:
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Intense focus on specific topics or activities, often to the exclusion of other interests.
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Difficulty in shifting attention away from preferred topics.
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Executive Functioning Challenges:
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Difficulty with organisation, planning, and time management.
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Challenges in initiating and completing tasks independently.
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Emotional Regulation:
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Difficulty in recognising and regulating emotions.
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Heightened anxiety or difficulty coping with stress.
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Motor Coordination Challenges:
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Some individuals may experience difficulties with motor coordination or fine and gross motor skills.
Difficulty Understanding Social Norms:
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Limited understanding of societal norms and expectations in social situations.
It's crucial to recognise that individuals with autism also possess strengths and unique abilities. While challenges can impact daily life, many individuals with autism thrive when provided with appropriate support, understanding, and accommodations. Early intervention, tailored therapies, and a supportive environment can contribute significantly to the well-being and development of individuals with autism.
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An autism assessment is a thorough and systematic process designed to understand an individual's unique strengths and challenges related to autism spectrum disorders. The assessment aims to provide clarity and valuable insights into various aspects of an individual's behaviour, communication, and social interaction.
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Here is an overview of what an autism assessment might entail:
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Comprehensive Interviews: In-depth discussions with individuals and their families to gather information about developmental history, social interactions, communication patterns, and behavioural characteristics.
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Behavioural Observations: Systematic observations of the individual in different settings to understand how they navigate social situations, handle sensory stimuli, and engage in repetitive behaviours.
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Standardised Assessments: The use of standardised tools and questionnaires to assess specific aspects of behaviour, communication, and social skills. These tools provide quantifiable data for a more objective evaluation.
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Rainbow Psychological Services Ltd use reliable and standardised assessments for autism diagnosis to be able to make a diagnosis. There are several reputable autism assessment tools and structures commonly used for adults. The best assessment depends on individual needs, the level of support required, and the specific focus of the evaluation. Dr Rainbow uses a series of screening questionnaires and gathers information about you now and when you were developing and she is also trained to conduct the following:-
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Autism Diagnostic Observation Schedule (ADOS-2): The ADOS-2, is a structured assessment that gets to the core of understanding how individuals interact socially, communicate, engage, and imaginative use of materials. The ADOS-2 has been shown in research studies to be accurate and dependable and defining individuals who might meet the diagnostic criteria for autism.
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The Autism Comorbidity Interview for Adults (ACIA) is a specialised diagnostic tool designed to identify autism and co-occurring conditions, providing a comprehensive understanding of an individual's neurodivergent profile.
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Autism Diagnostic Interview-Revised (ADI-R): The ADI-R is a comprehensive interview conducted with a knowledgeable informant (e.g., a family member or caregiver) to gather information about an individual’s early development and current behaviour related to autism symptoms.
The choice of assessment may depend on the individual’s specific characteristics and needs.
Collaboration with Professionals:
Collaboration with a multidisciplinary team of professionals, such as psychologists, psychiatrists, and speech and language therapists, to gain a comprehensive understanding of the individual's strengths and challenges.
Feedback and Discussion:
A detailed feedback session where assessment findings are shared with the individual and their family if they wish. This discussion aims to provide insights, answer questions, and discuss potential pathways for support and development.
Benefits of Autism Assessment: I offer hear the words 'what's in a label, why get a diagnosis'?
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Personalised Support: Tailored recommendations and strategies based on the individual's unique profile, promoting personalized and effective support.
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Clarity and Understanding: Provides a clear understanding of an individual's strengths and challenges, fostering self-awareness and enhancing communication within families and support networks.
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Access to Resources: Helps individuals and families connect with relevant resources, services, and communities that can provide ongoing support.
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Navigating Life Transitions: Assessments are particularly beneficial during key life transitions, such as starting school, entering the workforce, or transitioning to adulthood, providing guidance for these significant milestones.
Do The NHS Accept Private Autism Assessments?
The NHS in the UK generally accepts private autism assessments as long as they are carried out in line with the National Institute of Care and Excellence (NICE) guidance and the private adult autism assessment must adhere to the same requirements and standards for diagnosing set out by the NHS.
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I am committed to conducting thorough autism assessments in a supportive and compassionate environment. My goal is to empower individuals and families with the knowledge and resources needed to navigate the unique journey of autism. My comprehensive assessments follow the guidelines set forth by the National Institute for Health and Care Excellence (NICE), ensuring a thorough and evidence-based evaluation which includes.
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The use of a multidisciplinary Team: Conducted by a team of qualified professionals with expertise in adult autism.
-
Standardised Tools: Utilise evidence-based and standardised assessment tools for a thorough evaluation.
-
Developmental and Social History: Consider your developmental history and behaviour across various social contexts.
-
Collaborative Approach: Involve you, your family, and relevant professionals to provide a comprehensive understanding.
-
Compassionate Environment: I am dedicated to creating a supportive and understanding environment where you feel comfortable discussing your experiences.
-
Personalised Approach: Recognising the uniqueness of each individual, my assessments are tailored to address your specific needs and goals.
​
Please be wary of practitioners who do NOT offer a full screening and assessment process and do not used MDT or supervision to validate your assessment as this might mean your diagnosis is not accepted elsewhere.
​After a diagnosis, I can offer ASD coaching to look at adaptations for work or strategies to help with daily living that might be impacted by your ASD. These sessions are charged at my normal hourly rate. I am also able to offer ASD training for businesses to help you understand employees and how to adapt the workplace for better productivity and all round wellbeing.
​
If you would like to discuss screening and assessment for ASD then please get in touch.
