ADHD Clinic

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ADHD Clinic 2017-09-26T13:48:03+00:00

The ADHD Clinic at Gunzburg & Associates

Are you worried about your child having ADHD? Has the teacher expressed concerns to you? Does your child get anxious about school or have difficulty staying focused? Has someone suggested to get your child tested? Many families go through these worries and wonder about getting their child tested for attention challenges, but are reluctant because of the cost and time involved.

The ADHD Clinic addresses this dilemma: we will work to identify the causes of your child’s challenges and determine whether he/she has ADHD without the additional costs and time of unnecessary testing. We streamline the process of diagnosing attention challenges without losing the integrity of the diagnosis.

The Clinic process takes a few hours  from start to finish, and includes an in-depth interview, a computer-based assessment in the initial session, and then a follow-up feedback session with a final report that identifies whether there are attention challenges and their cause as well as providing appropriate recommendations.

We mainly work with children and adolescents who are typically struggling in school, at home, and with their peer relationships, and there is a question about their ability to sustain focus for everyday tasks. Many times, attention challenges can be at the center of other daily problems including difficulty with impulse control (e.g., interrupting and blurting out), following everyday routines (e.g., like getting ready for school), remembering important information, being organized and keeping on top of everyday life.

We also work with adults who may not realize they have ADHD, but experience daily frustration with many aspects of busy modern lives, such as: losing tracking of things, being disorganized, procrastinating and/or feeling unable to be productive, difficulty with work and personal relationships (often to do with other people getting frustrated by the impact of attention challenges) and impulsive (often sensation seeking) behaviors that can be dangerous.

It can be hard to distinguish between attention challenges and other learning or emotional problems (like anxiety and depression). For many children, adolescents and adults, the judgment of whether they have ADHD is made by either a brief 10-minute meeting with the primary care doctor and filling in some questionnaires or a full neuropsychological assessment and evaluations that take many hours and cost a lot of money.

The ADHD Clinic takes the middle path by using state of the art evidence-based tools for assessing ADHD as well as a full in-depth intake interview to ascertain whether an individual has attention challenges and then provide a basic report which can then be taken to a healthcare provider or educational establishment with appropriate recommendations.

This means a more efficient, faster, accurate and cheaper process for identifying attention challenges.

We use clinical judgement based on many years of experience, questionnaire data and computer-based tests to identify whether a person may have attention challenges.

For children in elementary school:
For children of elementary age, we use a slightly different process that takes more time. We prefer to meet initially with parents to get a full scope of the challenges, and then to discuss the next steps in the assessment process. For many children, we will advise a school observation before we meet with them, especially if the school has expressed concerns that have led parents to have an assessment. We believe that a school observation is a natural setting to understand what is happening for the child academically, socially and emotionally. In our experience, we have found that it is better to do a school observation before meeting the child so they are not aware of being observed. This is a key part of having a successful observation.

The next step will be to continue with the ADHD Clinic process, by bringing the child with parent(s) to meet with us and take the computer-based assessment. We work hard to make the child comfortable, by playing games and chatting about their daily lives at home and school. Most children enjoy the process and see it as a fun experience.

For adolescents:
With adolescents, we meet with the adolescent and the parents to get a full description of the learning, emotional and social challenges. This is followed by the completion of questionnaires (often, prior to the initial meeting) by parents and the adolescent. Finally, we administer a computer-based assessment that measures sustained attention. This process takes about 2-3 hours.

For adults:
With adults, we will meet for an initial intake, and if relevant, we encourage the partner to attend so as to get their perspective. Again, questionnaires are completed and the computer-based task administered. This process takes about 2-3 hours.

Based on the information collected, we will then write a short report that describes the challenges and provides the appropriate diagnosis, as well as initial recommendations. Then we will meet for a feedback session to discuss the results and provide consultation about what to do next.

It is possible that the assessment does not find challenges that meet criteria for any diagnosable problem, and in these cases there will be discussion about whether further assessment is needed.

But for most cases, there are three possible outcomes:

  1. ADHD is identified, and appropriate interventions are recommended, that typically include consulting with a medical doctor about whether a medication approach would be helpful.
  2. Some other learning challenge is present and requires more clarification, which would best be done with a more thorough neuropsychological evaluation (please note that if you decide to continue the evaluation with us, the cost of the initial assessment is deducted from the cost of the full neuropsychological evaluation).
  3. An emotional disorder (such as anxiety or depression) is identified and appropriate interventions are recommended, including therapy.
For most people, the ADHD Clinic Assessment should be sufficient to help make decisions about the appropriate treatment approach to deal with the challenges of having ADHD. However, the assessment is not the same as a full neuropsychological evaluation with an in depth assessment of different areas of cognitive functioning. When relevant, we will advise certain patients to undertake a fuller evaluation in order to properly determine underlying cognitive and emotional challenges.

Remember, it is possible that there is insufficient information from the process to make an accurate diagnosis and that further assessment and investigation is needed. We work hard to make the process transparent and to explain the way we reach conclusions so that you can make the best decisions for you and/or your child.

We provide free telephone consultations to parents and individuals to make sure that the ADHD Clinic will meet their needs and to agree on what approach to take to assess the presenting challenges. We would encourage you to email us at info@gunzburgandassociates.com to arrange time to talk about the ADHD Clinic and your needs. Alternatively, you can call us on 301.652.1638.

The team at the ADHD Clinic are all part of Gunzburg & Associates and are dedicated to helping children, adolescents and adults who struggle with attention challenges, as well as any co-occurring diagnoses or presenting issues. What we all share in common is an understanding of the educational environment and a passion for helping students to thrive in the school setting and grow to their potential.

Abram Sterne has a PhD from the University of Cambridge in the field of literacy and language development, and a second doctorate in clinical psychology from University College, London.  Dr. Sterne is licensed to practice clinical psychology in Maryland, Virginia and New York, and has been working with children, adolescents and their families with different mental health issues for more than 15 years.

Joel Gunzburg, a licensed clinical social worker, has been working extensively with children, adolescents, and their families in both the public and independent school sectors, since 2003. He has provided clinical interventions on both the individual and group level to include ADHD support, and currently serves as the school counselor and Director of Learning Support at the British International School of Washington.

Katherine Ross has worked in educational settings since 2011 – with parents, families, students, teachers, and school administrators – and specializes in helping young students and adolescents struggling with executive function management and/or ADHD, as well as any co-occurring difficulties such as anxiety and depression.

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