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Dr Chakraborty offers assessment and treatment for most psychiatric disorders and other mental health conditions.
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Anxiety Depression Self-harm MENTALHEALTH CONDITIONSTREATED DrChakrabortyoffersassessmentand treatmentformostpsychiatricdisordersand othermentalhealthconditionsexperiencedby youngpeoplefromherpracticeatthePriory WellbeingCentreinOxford,including: Obsessivecompulsivedisorder (OCD) Psychosis Motorandvocalticsdisorders Sleepingdifficulties Attentionde cithyperactive disorder(ADHD) BipolarDisorder SchoolRefusal. Shealsooffersassessmentofautisticspectrum disorder(ASD)andmanagementof associatedanxiety,depressionandchallenging behaviour.
HOWASSESSMENTAND TREATMENTWORK Psychiatricdisorders Attentiondeficit hyperactive disorder Autisticspectrumdisorder Combinedassessmentand treatmentforASDandADHD Reviewappointments
PSYCHIATRIC DISORDERS Aninitialassessmenttypicallytakesbetweenonetooneanda halfhoursbutcanvary,dependingonindividualcircumstances.It includesconversationwithparents,usuallyinthepresenceofthe youngpersoninordertokeepthingstransparent.Ialsotalkwith theyoungperson,eitherwithorwithoutparentspresent, dependingontheyoungperson’sageandpreference.Ithen discusswithparentsandtheyoungpersonmyrecommendations forthebestwayforward,includingpsychologicalsupportand/or medication.IftraitsassociatedwithADHDorASDareidentified,a follow-onassessmentfortheseconditionsisrecommended.A prescriptionisprovidedattheappointmentiftheyoungpersonis commencedonmedication,unlessthereareunderlyinghealth conditionsthatrequirefurtherexamination/investigations,or baselineinvestigationsarerequiredbeforeprescribingthe medication.Areportontheassessmentfindingsisprovided followingtheinitial appointment.
ATTENTIONDEFICITHYPERACTIVE DISORDER Priortoassessment,somewrittennarrativeinformationfrom parentsandfromtheyoungperson’sschool/collegeis requestedviasuppliedsemi-structuredforms.Inaddition,in maybenecessaryforparents,school/collegestaffand,where oldenough,theyoungpersontocompletesupplied screeningquestionnaires.Theassessmentappointment typicallytakesbetweenoneandahalftotwohours,though canvary,dependingonindividualcircumstances.Thesession involvesconversationwithparentsandtheyoungperson aboutcurrentdifficulties,aswellasbackgroundinformation, includingearlydevelopment.Ifadiagnosisisreached, treatmentoptionsarediscussed,includingbehaviouraland environmentalstrategiesforparentsandteachers,and medication.Familiesareprovidedwithvarioussourcesof furtherinformation,includingliteratureonthedisorderand usefulwebsites.Shouldmedicationberecommended, abrief physicalexaminationisconductedandaprescriptionis usuallyissuedonthesameday,unlessthereareunderlying healthconditionsthatrequirefurther examination/investigations.Areportontheassessment findingsisprovidedfollowingtheappointment.
AUTISTICSPECTRUMDISORDER Priortoassessment,somewrittennarrativeinformationfromparentsandtheyoungperson’sschool/collegeisrequestedviasuppliedsemi-structuredforms.Itmayalsobenecessaryforparents,school/collegestaffand,whereoldenough,theyoungpersontocompletesuppliedscreeningquestionnaires.Theassessmentprocessrequiresthree appointments.Adevelopmentalhistorysessionforparentstodiscusswithmetheyoungperson’searlydevelopmentandcurrentbehaviours,whichcantakebetweenonetooneand a halfhours.IfIhavenotmettheyoungpersonpreviously,wealsomeetbriefly at thisappointment.Theyoungpersonattendsasessionwithoneofmycolleaguestocompleteastructuredplay-basedassessmentforautism,knownastheAutismDiagnosticObservationSchedule(ADOS).Thistakesuptooneandahalfhours.Afollow-upappointmentwithmetodiscusstheoutcome of assessment andmyrecommendations,whichcan take uptohalfanhour.Ialsoprovideinformationaboutthedisorder,aswellasotherusefulresources.PleasenotethatanadditionalinitialpsychiatricassessmentmayberequiredpriortoassessmentforASDforcasesreferredviaprivatemedicalinsurance.Thismayalsobenecessaryforself-fundingparentsifthereferralisnotsufficientlyclearabouttheyoungperson’ssymptoms,orifthereareassociatedissuessuchasanxiety,depressionorchallengingbehaviourwhichneedtobe addressedbeforeanassessmentforASDcanbeconsidered.
COMBINEDASSESSMENTAND TREATMENTFORASDANDADHD ThisissimilartoanassessmentforASD,exceptthat thedevelopmentalhistoryappointmentmay sometimestakeuptotwohours.Ifadiagnosisis reached,wediscusstreatmentoptions,including behaviouralandenvironmentalstrategiesforparents andteachers,andmedication.Writteninformation aboutthedisordersandotherusefulresourcesare provided.Shouldmedicationberecommended,a briefphysicalexaminationisconductedatthefollow- upappointment.Aprescriptionistypicallyissuedon thesamedayunlessthereareunderlyinghealth conditionsthatrequirefurther examination/investigations.Areportonthe assessmentfindingsisprovidedafterthefollow-up appointment.AswithanASDassessment,aninitial psychiatricassessmentmightberequiredinadvance forparticularcases.
REVIEWAPPOINTMENTS Thepurposeofthesesessionsistoreviewmentalstate and/ormedicationaspartofongoingtreatmentforany oftheaforementionedconditions.Theyusuallytakea maximumofhalfanhour.
Thanks! Doyouhaveanyquestions? rashmi@drrashmichakraborty.co.uk07779302298 https://drrashmichakraborty.co.uk/ :https://www.linkedin.com/in/rashmi-chakraborty-231175196