Abstract

Maternal mental health is an important topic because of the high risk of relapse of women with mental illnesses after delivery, poorer obstetric outcomes ([Lewis & Drife, 2004][1]) and the complex clinical issues that arise in prescribing for pregnant or breastfeeding women. The National Institute

Highlights

  • Adult ADHD: the new kid on the block has grown up Knowledge, practices and attitudes towards adult attention-deficit hyperactivity disorder (ADHD) were studied using a semi-structured questionnaire

  • Four clinicians (10%) had actual experience dealing with adult ADHD and two of these had occasional transfer meetings with children and adolescent mental health services (CAMHS)

  • Two clinicians were sceptical about the validity of the diagnosis and another consultant referred to the need for further evidence of treatment efficacy

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Summary

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A postal survey of psychiatric trainees (n=52) based on the Keele rotational scheme in the West Midlands deanery was conducted using a 19-item questionnaire to establish the extent to which the workload and support for trainees comply with the College guidelines (Royal College of Psychiatrists, 2003). Prevalence rates of adult ADHD is estimated at around 4%, which is four times higher than that of schizophrenia and, despite that, in our survey most clinicians (90%) did not have any actual adult ADHD patient contact. This raises the question of whether respondents’ high confidence in diagnosing and prescribing is misguided and whether they have the knowledge and skills to manage adult ADHD

Audit of a perinatal psychiatric clinic
Findings
Responsible medical officers and mental health review tribunals
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