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ADHD Private Assessment in the UK<br><br>When it comes to ADHD There are many possibilities for diagnosis and assessment. Private psychiatric assessments tend to be quicker, as psychiatrists are familiarized with the symptoms of adult ADHD. They are also able to screen for co-morbidities such as anxiety and depression.<br><br>A diagnosis of ADHD can alter your perception your behavior, attitude, and plans. Many people struggle to receive a diagnosis because of the long NHS waiting list.<br><br>Waiting at various times<br><br>Numerous studies have proven that those suffering from ADHD are more likely to have a difficult time in school and at work, and suffer from problems such as anxiety and depression. This could be because these disorders make it difficult for them to control their impulses and pay attention. Therefore, it is essential for individuals to seek a diagnosis and treatment. The NHS is battling with the demand for ADHD assessments and waiting times are lengthy. In some instances patients are required to wait more than one year to get an assessment. This is due to an increase in the demand for services as well as changes in how ADHD is diagnosed.<br><br>In England, adults are now able to obtain an ADHD assessment through the NHS Right to Choose pathway. It is the decision of the GP to decide if they want to use this option, but it's important to be aware of the process. They can also contact their local CCG to determine what the waiting period is.<br><br>The current waiting times for an ADHD diagnosis are very long in the UK and some patients having to wait more than a whole year for a diagnosis. This is a huge issue and the government should introduce an objective to reduce waiting times. It's similar to the three-month timeframe for autism testing that has been successful in other countries.<br><br>Some people opt to go private when it comes to their ADHD assessment. However this can be expensive and not always reliable. BBC Panorama found, for instance, that a few private clinics offered inaccurate diagnoses or prescribed powerful drugs. This is a serious issue that needs to be addressed since it could have severe side consequences.<br><br>Another issue is that the NHS doesn't collect accurate information on ADHD assessment waiting time. It is therefore difficult to know how many people struggle to access services. A man from Manchester was informed by his GP he may be waiting between 12 and 18 months for prescriptions for the ADHD medication Xaggatin. He has a [http://extension.unimagdalena.edu.co/extension/Lists/Contactenos/DispForm.aspx?ID=771033 private adhd assessment uk cost] medical insurance policy and claims that this is unfair.<br><br>Treatment options<br><br>In the UK there are many people who have to wait years for a diagnosis of ADHD. Fortunately, there are ways to accelerate the process and  [https://www.freelegal.ch/index.php?title=5_Killer_Quora_Answers_To_ADHD_Private_Assessment_UK Adhd private assessment uk] avoid lengthy waiting lists. One option is to go to a private ADHD clinic. These clinics provide a quick diagnosis, but they don't prescribe any medication. They may also offer other services to help manage your symptoms.<br><br>You'll meet with a psychiatrist or psychiatric nurse professional for a private ADHD evaluation. They will look at your symptoms and past to determine if you are suffering from ADHD. They may also be looking for co-occurring mental health problems, like anxiety or depression. They will also look at how your symptoms impact your daily life.<br><br>The psychiatrist will apply DSM V criteria to make the diagnosis. They'll also take into consideration how your symptoms have affected your life since your childhood. They may also ask your family to complete questionnaires about your childhood and also to attend your appointment with your doctor. It can be frustrating to have to deal with this kind of request, particularly if you're dealing with an older member of the family who is forgetful or disinclined to label their grown-up children.<br><br>You'll have the option of deciding on the next steps to take following your diagnosis. You'll need to sign a shared-care agreement with your GP when you're ready to start taking medication. The GP will not sign this agreement until you have been properly titrated to a final dose. However, you can try to convince your GP to sign this document if they believe it can improve your treatment and overall quality of life.<br><br>If you're a student, you can ask your school to arrange for an educational psychologist to examine your ADHD. They can give you the results that are sufficient to qualify for reasonable adjustments and the Disabled Students Allowance (DSA). They can also refer you to an ADHD specialist who can prescribe medication.<br><br>Private healthcare professionals must adhere to the same guidelines based on evidence that are used by the NHS. This means they can only diagnose ADHD when a properly-trained and licensed health professional is involved. If your GP is unable to refer you to another doctor it may be worth finding one who will.<br><br>Costs<br><br>The cost of an ADHD assessment may be a hurdle for some. However there are methods to cut down on the expenses associated with an ADHD assessment. Some private firms, for instance allow patients to pay in installments for their assessments. This can help patients manage their finances, and reduce financial stress. It is important to remember that the cost of a ADHD assessment does NOT include any treatment.<br><br>The poor quality of NHS ADHD services has been revealed through an BBC Panorama investigation which claimed that some private clinics were over-diagnosing the condition. The investigation also revealed that NHS waiting lists are backed up for ADHD assessments, and that a lot of patients have to pay out of pocket to receive an assessment.<br><br>It is essential to keep in mind that only a healthcare professional with a specificization in ADHD can diagnose ADHD. This includes GPs, consultant psychiatrists and psychologists who specialize in ADHD. It is crucial to keep in mind that a diagnosis from a specialist can only be made by someone who has the required skills, knowledge, and experience.<br><br>For adults, the best way to diagnose ADHD is by seeing an expert psychologist or psychiatrist. This is because they are the only healthcare professionals qualified to prescribe medications for ADHD. They can also offer guidance and support.<br><br>During the [https://lassiter-thorup.blogbright.net/do-not-buy-into-these-trends-about-adhd-assessment-private-1706654031/ adhd private assessment Uk] assessment, your psychiatrist will assess any other medical conditions you may have. The psychiatrist will also determine if you have any history of ADHD in your family. The test will last from 45 to 90 minutes, and can be completed in person or via phone.<br><br>The cost of an ADHD assessment varies based on the service you select. Some providers require a letter of referral from your GP while others do not. Some providers will also sign an agreement for shared care with your GP, so that you can use your NHS prescription charges. Check the terms and conditions before scheduling an appointment. Some will provide a refund if you cancel your appointment.<br><br>Insurance<br><br>Most health insurance companies don't cover private ADHD assessments. Some do, but it's best to read the terms and condition carefully to determine. Aviva, for example has stated in their terms and conditions that they won't cover an ADHD assessment. Some insurers, such as Bupa will pay for ADHD tests. It's worth looking into this prior to booking an appointment.<br><br>A comprehensive ADHD assessment will involve a consultation with a specialist psychiatrist who will assess your medical history. The specialist will create an extensive assessment that can be sent to an GP or a third party such as when you apply for grad school or an employer. In addition, the specialist will also recommend any medication or coping strategies that could aid in managing your symptoms.<br><br>Some companies also provide additional services like telephone support, dietary or lifestyle advice, and follow-up appointments with the same professional. These services, whether you opt for an online clinic or a face-to-face one, can aid you in managing ADHD and improve your life. They are not suitable to all people. Some people may feel uncomfortable and stressful. It is possible that you require antidepressants in order to help ease depression or anxiety.<br><br>Many parents and adults looking for an ADHD diagnosis are stuck on NHS waiting lists for a long time. A private diagnosis can allow your family to receive better treatment faster and make life easier.<br><br>A private ADHD assessment usually involves an hour-long appointment with a psychiatrist who will ask you questions about your symptoms and ask about your medical background. The psychiatrist will then look over your body and take tests to determine if you have the disorder. Your psychiatrist will then recommend treatment options based on results. They might recommend medication or a combination of treatments, including therapy and cognitive therapy for behavioural problems. Certain children may require stimulants to control hyperactivity or impulsiveness. However, they should be monitored for any side effects and weighed against the benefits of taking these drugs.
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ADHD Private Assessment in the UK<br><br>When it comes to ADHD, there are several possibilities for diagnosis and assessment. Private psychiatric assessments are typically quicker and psychiatrists are more familiar with the range of adult ADHD symptoms. They can also screen for co-morbidities, such as anxiety and depression.<br><br>A diagnosis of ADHD can alter your perception as well as your behavior and plans. But, many struggle to be diagnosed because of the clogged NHS waiting lists.<br><br>Waiting several times<br><br>A number of studies have revealed that those with ADHD are more likely to experience difficult time at the workplace and at school and experience issues like anxiety and depression. This can be due to the fact that these conditions make it more difficult for them to pay attention and control their emotions. It is crucial that people seek diagnosis and treatment. However, the NHS is unable to keep up with the demand for ADHD tests, and waiting for appointments is long. In some cases patients are forced to wait for more than an entire year for a diagnosis. This is due to a rise in demand for services, and also to changes in the method by which ADHD is diagnosed.<br><br>Adults in England can now receive an ADHD assessment through the NHS Right to Choose pathway. It is up to the GP to decide whether they will choose this option, but it's crucial to be aware of the procedure. They should also consult their local CCG about the waiting times.<br><br>In the UK waiting times are lengthy for ADHD diagnoses. Some people have to wait more than a year. This is a major source of concern and the government should look into the introduction of a target to cut down on waiting times. This is similar to the three-month target for autism tests, which has been an enormous success in other countries.<br><br>Some individuals opt to remain private for their ADHD assessment. However this can be expensive and not always reliable. For example a BBC Panorama investigation found that some [http://fen.Gku.an.gx.r.ku.ai8...u.k@Meli.S.a.Ri.c.h4223@beatriz.mcgarvie@okongwu.chisom@andrew.meyer@d.gjfghsdfsdhfgjkdstgdcngighjmj@meng.luc.h.e.n.4@hu.fe.ng.k.Ua.ngniu.bi..uk41@Www.Zanele@silvia.woodw.o.r.t.h@H.att.ie.M.c.d.o.w.e.ll2.56.6.3@burton.rene@s.jd.u.eh.yds.g.524.87.59.68.4@p.ro.to.t.ypezpx.h@trsfcdhf.hfhjf.hdasgsdfhdshshfsh@hu.fe.ng.k.ua.ngniu.bi..uk41@Www.Zanele@silvia.woodw.o.r.t.h@Shasta.ernest@sarahjohnsonw.estbrookbertrew.e.r@hu.fe.ng.k.Ua.ngniu.bi..uk41@Www.Zanele@silvia.woodw.o.r.t.h@i.nsult.i.ngp.a.T.l@okongwu.chisom@www.sybr.eces.si.v.e.x.g.z@leanna.langton@Sus.Ta.i.n.j.ex.k@blank.e.tu.y.z.s@m.i.scbarne.s.w@e.xped.it.io.n.eg.d.g@burton.rene@e.xped.it.io.n.eg.d.g@burton.rene@Gal.EHi.Nt.on78.8.27@dfu.s.m.f.h.u8.645v.nb@WWW.EMEKAOLISA@carlton.theis@silvia.woodw.o.r.t.h@s.jd.u.eh.yds.g.524.87.59.68.4@c.o.nne.c.t.tn.tu@Go.o.gle.email.2.%5C%5Cn1@sarahjohnsonw.estbrookbertrew.e.r@hu.fe.ng.k.Ua.ngniu.bi..uk41@Www.Zanele@silvia.woodw.o.r.t.h@Www.canallatinousa@e.xped.it.io.n.eg.d.g@burton.rene@e.xped.it.io.n.eg.d.g@burton.rene@N.J.Bm.Vgtsi.O.Ekl.A.9.78.6.32.0@sageonsail@wellho.net/test.php?a%5B%5D=%3Ca+href%3Dhttps%3A%2F%2Fclashofcryptos.trade%2Fwiki%2FThe_Ultimate_Glossary_On_Terms_About_How_Much_Is_A_Private_ADHD_Assessment%3Ehow+to+get+a+private+adhd+assessment%3C%2Fa%3E%3Cmeta+http-equiv%3Drefresh+content%3D0%3Burl%3Dhttps%3A%2F%2Fbuketik39.ru%2Fuser%2Fstormarea0%2F+%2F%3E private adult adhd assessment] clinics were handing out inaccurate diagnoses and prescribing powerful drugs. This is a serious problem that needs to be addressed since it could have severe side effects.<br><br>The NHS is unable to gather accurate information about waiting times for ADHD assessments. It is therefore difficult to know how many adults struggle to access services. For instance one man from Manchester was told by his GP that he could be required to wait 12-18 months for a prescription of the ADHD medication Xaggatin. He has an insurance policy that covers private medical expenses and says this is unfair.<br><br>Treatment options<br><br>In the UK there are many people who must wait years for a diagnosis of ADHD. Fortunately, there are ways to accelerate the process and avoid long waiting lists. One option is to go to a [https://www.bing.com/news/apiclick.aspx?%0D%0A%3Cbr%3Eref=FexRss&aid=&url=https://hikvisiondb.webcam/wiki/Whats_The_Most_Important_Myths_About_ADHD_Private_Diagnosis_Cost_UK_Could_Actually_Be_True&cc=cz private assessment adhd] ADHD clinic. These clinics can provide a quick diagnosis, but they don't provide a prescription for medication. However, they may provide other services to assist in managing your symptoms.<br><br>In an individual ADHD assessment, you'll meet with a trained psychiatrist or psychiatric nurse. They will evaluate your symptoms and past to determine if you suffer from ADHD. They might also look for co-occurring mental health issues, such as depression or anxiety. They'll also evaluate the impact of your symptoms on your daily life.<br><br>To determine the cause, the psychiatric professional uses DSM V criteria. They will also examine how your symptoms have affected you since your childhood. They might ask your family members to fill out forms about your childhood or to attend your appointment. It can be frustrating to have to deal with this kind of request, especially when you're dealing older family member who is forgetful or unwilling to label their grown-up child.<br><br>Following your diagnosis, you can decide what steps to take. If you want to take medication, you'll need to go through a shared care agreement with your GP. Typically, doctors won't sign this agreement unless you've been fully titrated to a final dose of medication. You can convince your GP that signing this document will enhance your treatment or improve the quality of life.<br><br>You can ask your school for an educational psychologist's assessment of your ADHD in the case of a student. They will provide the results that are enough to access reasonable adjustments and Disabled Student Allowance (DSA). They can also refer you to an ADHD specialist who can prescribe medication.<br><br>Private healthcare professionals should adhere to the same guidelines based on evidence as those used by the NHS. This means they should only diagnose ADHD with a properly-trained and certified health professional. If your GP will not refer you to a specialist, it might be worthwhile to find one who will.<br><br>Costs<br><br>The cost of an ADHD assessment can be a hurdle for some. However, there are ways to reduce the costs associated with an ADHD assessment. Some private firms, for instance allow patients to pay in installments for their assessments. This can help patients manage their finances and reduce financial stress. It is important to keep in mind that the cost of an ADHD assessment does NOT include any treatment.<br><br>The BBC Panorama investigation revealed that private clinics over-diagnosed ADHD. The investigation also revealed that NHS waiting lists are overflowing with ADHD assessments, and that a lot of people have to pay out-of-pocket to receive an assessment.<br><br>It is important to keep in mind that the diagnosis of ADHD is only done by an expert in healthcare who is trained in ADHD. This includes GPs, consultant psychologists and psychiatrists who specialize in ADHD. It is crucial to remember that a specialist's diagnosis may only be made by a person who has the appropriate skills as well as the knowledge and experience.<br><br>Adults can be diagnosed with ADHD by consulting a psychologist or psychiatrist. This is because they are the only healthcare professionals who are qualified to prescribe medications for ADHD. They also provide guidance and support.<br><br>During an ADHD assessment, the psychiatrist will evaluate your mental health overall and any other conditions you may be suffering from. They will also assess whether you have any family history of ADHD. The assessment typically lasts 45 to 90 minutes. It can be conducted in person or  [http://133.6.219.42/index.php?title=%E5%88%A9%E7%94%A8%E8%80%85:FrankieMolinari adhd private assessment uk] via the phone.<br><br>The cost of an ADHD assessment varies based on the kind of service you choose. Certain providers require a letter of referral from your GP while others don't. Some providers also require an "shared care agreement" with your GP to allow you to benefit from the NHS prescription fee. Be sure to read the terms and conditions before booking an appointment. Some may offer a refund if you cancel your appointment.<br><br>Insurance<br><br>The majority of health insurance companies do not cover private ADHD assessments. However there are some that do and the best way to determine this is to go over the terms and conditions attentively. Aviva, for example is clear in their terms and conditions that they won't cover an ADHD assessment. Other insurers like Bupa do and it's a good idea to check with your provider before booking an appointment.<br><br>A comprehensive ADHD assessment includes a consultation with a psychiatrist who will review your medical history and carry out an exhaustive examination. They will then prepare an exhaustive report that you can send to your GP and any letters sent to third parties, such as an employer or a college. Additionally, the specialist will also suggest any medications or coping strategies that could help you manage your symptoms.<br><br>Some companies also provide additional services, such as phone support, dietary or lifestyle advice, as well as follow-up appointments with the same professional. These services, whether you choose an online clinic or a face-toface one, will aid you in managing ADHD and improve your quality of life. However, they're not for everyone. Some people may find it uncomfortable and stressful. If you suffer from depression or anxiety it is possible to take anti-depressants or other medications to relieve your symptoms.<br><br>Parents and adults who seek an ADHD diagnosis can be sat for many years on the NHS waiting list. However an individual diagnosis can assist you in obtaining better treatment faster and make your family's lives more comfortable.<br><br>A private ADHD assessment usually requires a 45-90 minutes session with a psychiatric who will inquire about your symptoms and your medical background. The psychiatrist will assess you and run tests to determine if you suffer from [http://wellho.net/test.php?a%5B%5D=%3Ca+href%3Dhttps%3A%2F%2Fzhu-olson-2.technetbloggers.de%2F14-savvy-ways-to-spend-leftover-adhd-diagnosis-adults-private-uk-budget%2F%3Eprivate+assessment+Adhd%3C%2Fa%3E%3Cmeta+http-equiv%3Drefresh+content%3D0%3Burl%3Dhttp%3A%2F%2Fwww.stes.tyc.edu.tw%2Fxoops%2Fmodules%2Fprofile%2Fuserinfo.php%3Fuid%3D1171374+%2F%3E adhd private assessment uk]. The psychiatrist will then suggest treatment options based on the results. They may recommend medication or an array of treatments, including therapy and cognitive therapy for behavioural problems. Some children may be prescribed stimulants in order to manage their impulsivity and hyperactivity. They should be monitored for adverse reactions, and the benefits of these drugs should be evaluated against the risks.

2024年5月28日 (火) 05:02時点における最新版

ADHD Private Assessment in the UK

When it comes to ADHD, there are several possibilities for diagnosis and assessment. Private psychiatric assessments are typically quicker and psychiatrists are more familiar with the range of adult ADHD symptoms. They can also screen for co-morbidities, such as anxiety and depression.

A diagnosis of ADHD can alter your perception as well as your behavior and plans. But, many struggle to be diagnosed because of the clogged NHS waiting lists.

Waiting several times

A number of studies have revealed that those with ADHD are more likely to experience difficult time at the workplace and at school and experience issues like anxiety and depression. This can be due to the fact that these conditions make it more difficult for them to pay attention and control their emotions. It is crucial that people seek diagnosis and treatment. However, the NHS is unable to keep up with the demand for ADHD tests, and waiting for appointments is long. In some cases patients are forced to wait for more than an entire year for a diagnosis. This is due to a rise in demand for services, and also to changes in the method by which ADHD is diagnosed.

Adults in England can now receive an ADHD assessment through the NHS Right to Choose pathway. It is up to the GP to decide whether they will choose this option, but it's crucial to be aware of the procedure. They should also consult their local CCG about the waiting times.

In the UK waiting times are lengthy for ADHD diagnoses. Some people have to wait more than a year. This is a major source of concern and the government should look into the introduction of a target to cut down on waiting times. This is similar to the three-month target for autism tests, which has been an enormous success in other countries.

Some individuals opt to remain private for their ADHD assessment. However this can be expensive and not always reliable. For example a BBC Panorama investigation found that some private adult adhd assessment clinics were handing out inaccurate diagnoses and prescribing powerful drugs. This is a serious problem that needs to be addressed since it could have severe side effects.

The NHS is unable to gather accurate information about waiting times for ADHD assessments. It is therefore difficult to know how many adults struggle to access services. For instance one man from Manchester was told by his GP that he could be required to wait 12-18 months for a prescription of the ADHD medication Xaggatin. He has an insurance policy that covers private medical expenses and says this is unfair.

Treatment options

In the UK there are many people who must wait years for a diagnosis of ADHD. Fortunately, there are ways to accelerate the process and avoid long waiting lists. One option is to go to a private assessment adhd ADHD clinic. These clinics can provide a quick diagnosis, but they don't provide a prescription for medication. However, they may provide other services to assist in managing your symptoms.

In an individual ADHD assessment, you'll meet with a trained psychiatrist or psychiatric nurse. They will evaluate your symptoms and past to determine if you suffer from ADHD. They might also look for co-occurring mental health issues, such as depression or anxiety. They'll also evaluate the impact of your symptoms on your daily life.

To determine the cause, the psychiatric professional uses DSM V criteria. They will also examine how your symptoms have affected you since your childhood. They might ask your family members to fill out forms about your childhood or to attend your appointment. It can be frustrating to have to deal with this kind of request, especially when you're dealing older family member who is forgetful or unwilling to label their grown-up child.

Following your diagnosis, you can decide what steps to take. If you want to take medication, you'll need to go through a shared care agreement with your GP. Typically, doctors won't sign this agreement unless you've been fully titrated to a final dose of medication. You can convince your GP that signing this document will enhance your treatment or improve the quality of life.

You can ask your school for an educational psychologist's assessment of your ADHD in the case of a student. They will provide the results that are enough to access reasonable adjustments and Disabled Student Allowance (DSA). They can also refer you to an ADHD specialist who can prescribe medication.

Private healthcare professionals should adhere to the same guidelines based on evidence as those used by the NHS. This means they should only diagnose ADHD with a properly-trained and certified health professional. If your GP will not refer you to a specialist, it might be worthwhile to find one who will.

Costs

The cost of an ADHD assessment can be a hurdle for some. However, there are ways to reduce the costs associated with an ADHD assessment. Some private firms, for instance allow patients to pay in installments for their assessments. This can help patients manage their finances and reduce financial stress. It is important to keep in mind that the cost of an ADHD assessment does NOT include any treatment.

The BBC Panorama investigation revealed that private clinics over-diagnosed ADHD. The investigation also revealed that NHS waiting lists are overflowing with ADHD assessments, and that a lot of people have to pay out-of-pocket to receive an assessment.

It is important to keep in mind that the diagnosis of ADHD is only done by an expert in healthcare who is trained in ADHD. This includes GPs, consultant psychologists and psychiatrists who specialize in ADHD. It is crucial to remember that a specialist's diagnosis may only be made by a person who has the appropriate skills as well as the knowledge and experience.

Adults can be diagnosed with ADHD by consulting a psychologist or psychiatrist. This is because they are the only healthcare professionals who are qualified to prescribe medications for ADHD. They also provide guidance and support.

During an ADHD assessment, the psychiatrist will evaluate your mental health overall and any other conditions you may be suffering from. They will also assess whether you have any family history of ADHD. The assessment typically lasts 45 to 90 minutes. It can be conducted in person or adhd private assessment uk via the phone.

The cost of an ADHD assessment varies based on the kind of service you choose. Certain providers require a letter of referral from your GP while others don't. Some providers also require an "shared care agreement" with your GP to allow you to benefit from the NHS prescription fee. Be sure to read the terms and conditions before booking an appointment. Some may offer a refund if you cancel your appointment.

Insurance

The majority of health insurance companies do not cover private ADHD assessments. However there are some that do and the best way to determine this is to go over the terms and conditions attentively. Aviva, for example is clear in their terms and conditions that they won't cover an ADHD assessment. Other insurers like Bupa do and it's a good idea to check with your provider before booking an appointment.

A comprehensive ADHD assessment includes a consultation with a psychiatrist who will review your medical history and carry out an exhaustive examination. They will then prepare an exhaustive report that you can send to your GP and any letters sent to third parties, such as an employer or a college. Additionally, the specialist will also suggest any medications or coping strategies that could help you manage your symptoms.

Some companies also provide additional services, such as phone support, dietary or lifestyle advice, as well as follow-up appointments with the same professional. These services, whether you choose an online clinic or a face-toface one, will aid you in managing ADHD and improve your quality of life. However, they're not for everyone. Some people may find it uncomfortable and stressful. If you suffer from depression or anxiety it is possible to take anti-depressants or other medications to relieve your symptoms.

Parents and adults who seek an ADHD diagnosis can be sat for many years on the NHS waiting list. However an individual diagnosis can assist you in obtaining better treatment faster and make your family's lives more comfortable.

A private ADHD assessment usually requires a 45-90 minutes session with a psychiatric who will inquire about your symptoms and your medical background. The psychiatrist will assess you and run tests to determine if you suffer from adhd private assessment uk. The psychiatrist will then suggest treatment options based on the results. They may recommend medication or an array of treatments, including therapy and cognitive therapy for behavioural problems. Some children may be prescribed stimulants in order to manage their impulsivity and hyperactivity. They should be monitored for adverse reactions, and the benefits of these drugs should be evaluated against the risks.