Transcranial Magnetic Stimulation (TMS)

You can download a copy of our patient handbook with further details about our pathway here.
Table of Contents
Referral ProcessScreeningTreatmentMaintenanceFAQs
You can download a copy of our patient handbook with further details about our pathway here.

ADHD Assessment

Referral Options

We accept referrals via the following routes. Once your referral has been processed and accepted, you will be contacted by phone or letter to book your appointment.

Insurance

Insurance referral - Please check with your insurance provider for further details.

NHS

NHS referral- Please discuss with your GP who can email your referral to referrals@optimisehcg.co.uk.

Private

Self-referral
Telephone 0800 844 5257
Email private@optimisehcg.co.uk

Other referral (from a private healthcare provider)
Referral should be sent to private@optimisehcg.co.uk

Pre-Assessment

Questionnaires

The below questionnaires are scored ahead of the clinical interview;

WEISS    |    AQ-10    |    ASRS    |    BAARS IV                    PHQ-9    |    GAD-7    |    MADRS

Appointments will not proceed without all questionnaires returned and completed by the correct person. For example, BAARS have to be completed by a significantly older family member who can recall the historical behaviours of the patient.

Informant

An informant who has known you since childhood must be present at one if not both of your appointments. This should be a parent or a significantly older sibling. If you are unable to attend with an informant, please make the clinic aware at your earliest opportunity and please note, this could impact on whether a diagnostic conclusion can be reached

Assessment & Diagnosis

Appointment
Structured
questionnaire-based assessment
Clinical Interview
Length of Appointment
60-90 mins
60-90 mins
Appointment type
Virtual
Virtual or face-to face
Appointment
Length of Appointment
Appointment type
Structured
questionnaire-based assessment
60-90 mins
Virtual
Clinical Interview
60-90 mins
Virtual or face-to face

You have not been diagnosed with ADHD

If you do not receive a diagnosis, you will be discharged from our ADHD service back to the care of your GP.

Recommendations or further signposting may be included within your report if applicable. If you are under our service for any other assessment, this discharge will not affect any other assessments and only relates to the ADHD pathway.

A diagnosis of ADHD is made

If you do receive a diagnosis of ADHD, you will be offered a post-diagnostic appointment to discuss resources that may help you with your symptoms. If you would like to medication options a further appointment will be required with our titration team.

Please see treatment section for more details.

Treatment

You will be booked an initial appointment to discuss medication options and take your blood pressure, pulse and weight readings.

If your physical observations are within range, a prescription will be issued. However, if they are not within range, your doctor may request further readings or investigations prior to commencing medication.

Appointments are required every 4-6 weeks. We estimate around 3-4 appointments will be required.

Shared Care

Shared Care is when two healthcare providers share the care of a patient under guidelines set out in a “shared care agreement”.

When you are considered optimised on your medication at your review, we will initiate shared care with your GP. This means that we will ask your GP to take over the prescribing of your medication and we continue to see you annually.

Your GP can write to us to request an earlier appointment if required.

Annual Reviews

Annual reviews are required once optimised on medication. These appointments are mandatory and must be attended to continue under shared care.

Shared Care Rejections

If your GP rejects your shared care, Optimise will continue to issue your prescriptions. You will be asked to provide observations every 6 months and attend a review annually.