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‘A diagnosis can sweep away guilt’: the delicate art of treating ADHD

For children with ADHD, getting the help they need depends on being correctly diagnosed. As a doctor, I have seen how tricky and frustrating a process that can be

Late last summer, in the waiting room of a children’s mental health clinic, I found Daniel, a softly spoken 16-year-old boy, flanked by his parents. He had been referred to the clinic for an assessment for attention deficit hyperactivity disorder (ADHD). As we took our seats on the plastic sofas in the consulting room, I asked him to tell me about the difficulties he was having. Tentatively, his gaze not leaving the floor, he started talking about school, about how he was finding it impossible to focus and would daydream for hours at a time. His exam results were beginning to show it too, his parents explained, and ADHD seemed to run in the family. They wanted to know more about any medication that could help.

I had just begun a six-month placement working as a junior doctor in the clinic’s ADHD team. Doctors often take a temporary post before they formally apply to train in a speciality. Since medical school I had always imagined I would become a psychiatrist, but I wanted to be sure I was making the right choice.

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