ADHD doc wanted

cathy01

Hi, as many of you may know I’m involved in ADHD groups around North County Dublin.
A problem we have come up with is finding a doctor that will continue prescribing treatment for young people age 18, with medication. Now some GPS do but some dont.Some feel that its a psychiatrists job and some dont.There is no black and white with this, and before anyone starts saying how do I know, did I look into it YES I DID.
We have even offered training to local GP by a child psychiatrist in ADHD but no, some think they cant, but as far as I know, legally they can threat, it is up to them, so anyway...my question, does anyone know of a GP that can prescribe and threat a adult with ADHD, one that has been treated by say the mater CAMHS for years but once they turn 18 they fall into the black hole, of nothing ness.

Thanks,Cathy

RobFowl

The difficulty here Cathy is the usual drugs for ADHD are licensed to be prescribed only by psychiatrists/paediatricians (on specialist register).
GPs or indeed any other doctors are not supposed to prescribe them and their insurance can be affected if they do (Indemnity companies may decline to cover them if there is a problem).
Sorry thats no help but I will look into it in more detail if you like.

cathy01

Thanks robf I have found some GPS are happy to prescribe medication once the diagnosis is made by a psychiatric doctor . This is leaving many teens with no after care . Community psychiatric services do t for the bill they say they are not qualified . gP say its not their field either so where can teens go. In Dublin city centre there are services in the mater but some people attend GP so how do we know which GP can and who can't help. Thanks for replying :-)

magicherbs

Looks to me like the paediatrician should write to the psychiatrist and transfer his supervision to his care. The psychiatrist should prescribe the first dose of medication if he feels fit and instruct the gp to continue while the psych reviews periodically.

either there is no continuity of care or no psychiatrist, or the pysch team the medications are not appropriate.

cathy01

magicherbs wrote: »

Looks to me like the paediatrician should write to the psychiatrist (There is none )and transfer his supervision to his care. The psychiatrist should prescribe the first dose of medication if he feels fit and instruct the gp (GP are not always happy to do this)to continue while the psych reviews periodically.

either there is no continuity of care or no psychiatrist, or the pysch team the medications are not appropriate.

Its crazy.If your an adult with ADHD there are NO services for you.

magicherbs

cathy01 wrote: »

Its crazy.If your an adult with ADHD there are NO services for you.

that's terrible
what does the paediatrician say?

cathy01

Honest, they asked me?
What we have had to do was get letters from old psychairt saying this medication works please contine with it and BEG Gp to follow up with the medication.CRAZY I know.

cathy01

RobFowl wrote: »

The difficulty here Cathy is the usual drugs for ADHD are licensed to be prescribed only by psychiatrists/paediatricians (on specialist register).
GPs or indeed any other doctors are not supposed to prescribe them and their insurance can be affected if they do (Indemnity companies may decline to cover them if there is a problem).
Sorry thats no help but I will look into it in more detail if you like.

Sorry RobFowl, it would be great if you could look into it.Thanks,Cathy

cathy01

cathy01 wrote: »

Sorry RobFowl, it would be great if you could look into it.Thanks,Cathy

Any luck RobFowl ???

RobFowl

cathy01 wrote: »

Any luck RobFowl ???

There is a private option but based in the Midlands, waiting for the HSE to comment locally and will be at a meeting with them next week.
PM me if you want to chat sometime.

cathy01

On sent st pays do outreach via the Dean clinic just so you know.