Paediatric ADHD Assessment

Clinician Specialty: Psychiatrist Interview About ADHD Symptoms Inattention Parent reported that the child frequently struggles to sustain attention during homework tasks and often loses belongings. School report indicated difficulty following multi-step instructions and being easily distracted by external stimuli in the classroom. Hyperactivity Parent described the child as constantly on the go, often fidgeting and unable to sit still during meals or quiet activities. School report noted excessive running and climbing when inappropriate, and difficulty engaging in calm play activities. Impulsivity Parent reported frequent interruptions during conversations and blurting out answers before questions are completed. School report mentioned difficulty waiting for turns in games and often acting without considering consequences, leading to minor conflicts with peers. Other The child exhibits a tendency to daydream during lessons and frequently shifts between different activities without completing them. They also show poor organisation skills, often forgetting to bring necessary items for school. Appetite Appetite is generally good, however the child tends to eat very quickly and can be messy. No specific concerns regarding under or overeating were reported. Sleep Difficulty falling asleep, often taking one to two hours to settle down. Wakes frequently during the night and is often tired in the mornings. Parent reports a variable sleep schedule. Autism Symptoms Parent denies any specific autism-related symptoms. The child maintains eye contact, engages in reciprocal conversation, and displays typical social-emotional responses for their age. No repetitive behaviours or restrictive interests were reported by either parent or school. Developmental History Pregnancy Pregnancy was uneventful with no reported complications. Mother had routine antenatal care and delivered at term. Early Development Achieved typical milestones at expected ages. No significant concerns reported regarding early development such as feeding difficulties or unusual crying patterns. Milestones Crawled at 8 months, walked at 14 months, first words at 12 months, and spoke in sentences by 2 years. All within normal developmental ranges. Nursery/Childminder Attended nursery from age 3. Nursery staff noted high energy levels but no significant behavioural concerns or difficulties interacting with peers. Separating from Parents No history of significant separation anxiety. Adapted well to nursery and school environments without prolonged distress upon separation. Play/Interaction with Peers Engaged in imaginative play with peers from an early age. Preferred active games and group activities. Occasionally struggled with turn-taking but generally socialised well. Educational History Currently in Year 5. Academic performance has been inconsistent, with strong abilities in maths but struggles with written tasks and organisation. Has received some in-class support for attention and organisation since Year 3. No formal SEN diagnosis prior to this assessment. Social/Friendship History Has a small group of friends and enjoys playing with them. Occasionally has arguments with friends due to impulsivity, but these are usually resolved quickly. No reports of bullying or social isolation. Family History Father has a diagnosis of ADHD, managed with medication. Maternal aunt has a history of anxiety. No other significant psychiatric or medical history in the immediate family. Past Psychiatric History No previous formal psychiatric diagnoses or treatments. Concerns regarding attention and behaviour were noted by school from Year 2. Medical History No significant medical conditions. Up-to-date with immunisations. No history of serious injuries or hospitalisations. Allergy No known drug or food allergies. The patient occasionally experiences seasonal hay fever, managed with over-the-counter antihistamines. Forensic History No legal or forensic issues reported. Substance Use No history of substance use or alcohol consumption. General Behaviour Generally cheerful and engaging, but can be easily frustrated and has occasional temper outbursts, particularly when tired or overstimulated. Appears to seek novelty and excitement. Family and Peer Relationships Has a good relationship with parents and a younger sibling, though occasional conflicts arise due to competitive play. Generally positive peer relationships, though some friends find their impulsivity challenging at times. Emotional Regulation Struggles with emotional regulation, particularly anger and frustration. Has difficulty calming down once upset and can escalate quickly. Requires parental support to manage strong emotions. Risk and Safeguarding No current risk of harm to self or others reported. No safeguarding concerns identified. Home environment appears supportive and stable.