Adult ADHD, Autism and Tourette’s Team (AAATT)

Our service offers detailed diagnostic assessments for ADHD, ASD and Asperger’s, as well as post-diagnosis support. We help develop coping strategies for the patient and their families, to promote independent living skills and offer support with further education and employment.

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Type

Adult Services - ADHD & Asperger’s

Hello and welcome to the Adult ADHD, Autism and Tourette’s Team (AAATT)

We are a multidisciplinary service offering detailed diagnosis and follow up interventions for:

Attention Deficit Hyperactivity Disorder (ADHD)
Autistic Spectrum Disorder (ASD) without a learning disability (previously known as Asperger’s Syndrome)
Tourette Syndrome (TS), as well as short-term post-diagnosis support.

Who is this service for? Adults aged 18+ diagnosed or referred for a diagnosis of with ADHD, Autism (without a learning disability) and/or TS.

Address

St. Mary’s Hospital, Kettering, Northamptonshire, NN15 7PW

Map

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How do I register for this service?

Referrals are made to us by GPs or a member of the community mental health team, social services or an appropriate member of staff from a hospital ward or care unit.

Accessibility Information

Disabled access guide can be viewed for this locations here.

Reviews and feedback

We value your feedback in order to help us develop our services and ensure that we're making a difference for you, with you.

If you would like to provide your feedback please take a moment to complete the feedback form .

Who we are and what we do
Our Services

We are a friendly, welcoming non-judgmental service.

We have a highly trained and skilled staff team. Our team is made up of nurses, support workers, psychologists, occupational therapists, assistant psychologists, and admin staff.

We offer diagnostic assessments for Attention Deficit Hyperactivity Disorder (ADHD), Autistic Spectrum Disorder (ASD) without a learning disability (previously known as Asperger's Syndrome), and Tourette Syndrome (TS), as well as short-term post-diagnosis support.

We can offer psychoeducation to help individuals to learn about their diagnosis. We can also offer advice to the individual, their family and/or carers and we can explore coping strategies.

The offer of short-term follow-up support will be based on the individual's own clinical need(s) and service availability.

We also appreciate your feedback - Please click here to provide your feedback on our service

We offer:

Diagnostic assessments for ADHD, Autism, and Tourette Syndrome

Short term 1:1 support

Group support ADHD & Autism

Advice and information about other services

We cannot offer:

Crisis support

Mental Health support

Help with benefits

Learning disability support

We cannot coordinate or manage a person's care

Long term therapy
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What is ADHD?
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that lasts a lifetime. It affects around 3% of adults, even if not diagnosed in childhood. ADHD has different types, based on the main symptoms:

Combined: A mix of inattention and hyperactivity/impulsivity symptoms. (Hyperactivity can mean an individual is very active or easily distracted. Impulsivity means acting without thinking first).

Inattention: Symptoms of inattention are being easily distracted or having difficulty organising tasks.

Hyperactivity/Impulsivity: Symptoms of hyperactivity or impulsivity are fidgetiness and restlessness, being unable to sit still.

Partial remission: This means you may have previously been diagnosed with ADHD but currently have fewer symptoms that don't meet the full criteria.

People without ADHD may also experience some of these symptoms sometimes, but for those with ADHD, these symptoms are more frequent and have a significant impact on daily life.

People with ADHD may also experience mental health difficulties including mood and anxiety issues.

You can watch this short video to learn more.
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- What ADHD support do we offer?
  
  Depending on the person, our ADHD Advice Service or our Comprehensive/ Complex Therapeutic Intervention Pathway may offer the following support:
  
  Psychoeducation - to help individuals with ADHD (and their loved ones) to better understand their condition and develop strategies to manage their ADHD-specific challenges. Psychoeducation can also reduce self-blame and empower individuals to make informed decisions about their care.
  
  ADHD medication - If you wish to consider ADHD medication, you may be offered an assessment appointment and depending on the outcome you will be referred to one of the following pathways:
  
  Non-medical prescriber
  You will be asked to do a physical health check at your GP surgery to ensure it is safe for you to start ADHD medication. You will be supported to find the right dosage for you (known as titration), and you will be monitored with a non-medical prescriber throughout your ADHD medication journey. To find out about the ADHD medication process please go to the Frequently Asked Questions section of this webpage. Once stable on the medication, your care will be transferred back to your GP for continuous monitoring of ADHD medication. Frequent reviews will take place, to support you throughout the process.
  
  Community Mental Health Team
  This team will do your physical health checks with you to ensure it is safe for you to start ADHD medication. You will be supported to find the right dosage for you (known as titration), and you will be monitored by the team throughout your ADHD medication journey. They will offer you all your medication appointments, and any medication queries will be dealt via CMHT.
  
  ADHD Advice Service
  
  Our Advice Service is dedicated to supporting adults (aged 18 and above) with ADHD. This service is led by an experienced Nurse Specialist and Support Worker. Following an initial appointment, you can access personalised advice and online workshops covering various topics, including understanding ADHD, managing anxiety and impulsivity, improving time management, and optimising sleep. The online workshops are typically delivered by an Assistant Psychologist.
  
  Appointments generally take place online, either over the phone or through video calls using Microsoft Teams. In exceptional cases, face-to-face appointments can be arranged at St Mary's Hospital in Kettering with our Nurse Specialist. These can be arranged to accommodate individual needs and preferences.
  
  You can use this service if you:
  
  Have been assessed by our team and their carers
  
  Have a diagnosis of an ADHD
  
  Are 18 years of age and over
  
  Have a Northamptonshire GP.
  
  An initial assessment is needed to ensure the service is suitable for your needs. People who are diagnosed by our team are automatically assessed.
  
  For individuals who are already diagnosed, please visit your GP, and ask to be referred to the Adult ADHD, Autism and Tourette's Team & Asperger's Team. We will need a diagnostic assessment report to be provided to us prior to your appointment. The assessment does not need to have been carried out by our team, however we do require evidence of a comprehensive diagnostic assessment in line with NICE guidelines. If no report is available, you can be referred for a diagnostic assessment by your GP. This can either be via our service or you can speak to your GP about 'Right to Choose'. For anyone living in England and with a registered GP practice in England, you have a right to choose your provider. This may enable you to avoid waiting so long for a diagnosis.
  
  What if I am already diagnosed with ADHD or ADHD and Autism (dual diagnosis)?
  
  If you already have a diagnosis, you may be able to receive short-term support from our team (as above). An appointment would be offered to assess whether we are the best team to support your needs and/or whether there are other services that may be helpful for you.
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  Requesting an ADHD Assessment
  
  The first step in seeking a diagnosis for ADHD is speaking to your GP or other relevant healthcare professional.
  
  If they think you would benefit from an ADHD assessment, you can either be referred to our service, or you can ask for an assessment via "Right to Choose" option. This may mean you avoid waiting so long for a diagnosis. Typically a screening appointment will take place to decide whether an assessment is required. If this is agreed, the person will be added to a waiting list.
  
  Diagnostic assessments typically take a minimum of three hours to complete and may involve more than one appointment. These appointments can take place either online or in person. The assessment process generally includes an exploration of your background, health, developmental history, current difficulties, and symptoms. To ensure a comprehensive evaluation, we ask that, whenever possible, someone who has known you well throughout your life accompanies you to the appointments.
  
  On occasion, we may request additional assessments to better understand how you manage tasks requiring your attention, we might also ask you to complete further questionnaires. Once all relevant information has been collected, we will provide feedback on the diagnostic outcome and potential next steps. Upon completion of this process, a detailed report will be sent to you and any other healthcare professionals involved in your care.
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  Right to Choose
  
  You can choose to obtain your assessment and/or treatment via the 'Right to Choose' pathway OR a privately funded provider.
  
  These options may mean shorter waiting times for a formal diagnosis. However, it is important to note that if you opt for Right to Choose or a privately funded diagnostic assessment, there can be variations in quality. This could potentially impact the timely progression if you later seek further NHS treatment from AAATT.
  
  If that occurs, you may require a diagnosis review to be completed by NHFT AAATT, which is subject to waiting times, currently over 12 months for the review alone. If it is deemed suitable for you to progress to the medication pathway after your diagnostic review, you will then be subject to AAATT medication pathway waiting times , which is currently 12-18 months.
  
  Primarily, this is to ensure robust patient safety and quality measures are maintained within NHFT AAATT's service. Regrettably, a private or Right to Choose diagnosis cannot be used as a leapfrog mechanism to avoid waiting lists for treatment within NHFT. Therefore, if the NHFT AAATT clinician determines further diagnostic steps are required to validate diagnosis, those steps must be followed.
  
  If you wish to explore these options, you can discuss with your GP who will be able to guide you through some of the key considerations in selecting an option that is right for you and your particular circumstances.
  
  If you do opt to choose an alternative route for your diagnosis, please ensure you inform AAAATT who will remove you from our wait list and enable another patient to occupy that place.
  
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- Do I need a formal Diagnosis?
  
  Do I need a formal diagnosis?
  
  A formal diagnosis of ADHD is not always necessary for adults who think they may have ADHD; there are other steps that can be taken to manage symptoms and improve daily functioning.
  
  Self-help strategies: Develop and put in place strategies that work best for you, such as keeping a daily planner, using timers or alarms to stay on task, and practicing mindfulness techniques to improve focus and manage stress.
  
  Support groups: Join online forums, support groups, or local communities focused on ADHD. Sharing experiences, strategies, and resources with others can be helpful and validating.
  
  Workplace adaptations: Even without a formal diagnosis, you can discuss potential adaptations with your employer or supervisor, such as more frequent breaks, a quieter workspace, or adjusted deadlines, to help you succeed at work.
  
  Lifestyle changes: Having a healthy diet, getting regular exercise, and ensuring you get enough sleep can improve overall well-being can significantly help to manage ADHD symptoms.
  
  Mental health support: Many people may also experience anxiety and/or depression. You can speak to your GP about this, call the mental health number 0800 448 0828 or self-refer to Northampton Talking Therapies https://www.nhft.nhs.uk/talkingtherapies/
  
  See our ADHD resources section
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  Benefits of a formal diagnosis
  
  What may be the benefits of pursing a formal diagnosis?
  
  Treatment options: A formal diagnosis can help with access to various treatment options, such as, medication, psychoeducation, and adaptations at work or in educational settings.
  
  Self-understanding: A diagnosis can help individuals better understand their strengths, challenges, and the causes of their difficulties, which can lead to improved self-awareness and self-acceptance.
  
  Validation: A diagnosis can validate an individual's struggles and experiences, which can be emotionally empowering and relieve feelings of self-doubt or blame.
  
  Improved relationships: Understanding the role that ADHD plays in one's life can help improve communication and relationships with family, friends, and partners.
  
  Ultimately, the decision to pursue a formal diagnosis is personal and depends on an individual's needs, circumstances, and preferences. If you believe that ADHD symptoms are causing difficulties in your personal, social, academic, or professional life, and self-help, lifestyle changes etc. are not effective then seeking an ADHD diagnosis may be worthwhile.
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- Medication and Waiting list times
  
  Read more about the current medication supply issues and our current waiting list times for an assessment or treatment.
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  ADHD Medication Referral Process
  
  Starting on ADHD Medication
  
  Referrals must come through by your GP or a professional service and there must be a clinical need, you are not able to self-refer.
  
  You will be required to complete a pre-medical form to ensure it is safe for you to start ADHD medication, which will be reviewed by a Nurse prescriber. If it is not safe at that time to prescribe ADHD medication, you will receive an outcome letter addressing the concern and advising you what to do to safely address the issue, and to reconsider ADHD medication once suitable again. Please note you will not lose your place, and your referral would be backdated. Depending on your current risk, you may be referred to your Community Mental Health Team (CMHT) to support you with your ADHD medication management alongside your mental health.
  
  If ADHD medication is suitable for you, you will be supported to find the right dosage for you (known as titration), and you will be monitored with a non-medical prescriber throughout your ADHD medication journey for up to 16 weeks. Once stable on the medication, your care will be transferred back to your GP for continuous supply of ADHD medication under a completed Shared Care Agreement. Frequent reviews will take place, to support you throughout the process.
  
  What do I need to do before my medication appointment?
  
  You need to be registered with a GP
  
  You will need to have an up-to-date blood pressure, heart rate and weight readings to give to your prescriber at your first consultation appointment
  
  If you have had any recent changes to your physical health or any recent investigations, ensure you have gathered all the information and evidence to give to your prescriber.
  
  How will the consultations take place?
  
  You will be contacted by email or SMS for all your appointments, so it is YOUR responsibility to ensure your contact details are up to date and that you check them regularly.
  
  All of our calls will be from a withheld number, so please be mindful of this.
  
  At your first consultation, the prescriber will go through your pre-medical form, discuss your consent to treatment, discuss the Nurse Disclaimer form, and you will receive an ADHD medication management support leaflet, to read in your own time, to best manage medication efficacy and reduce side effects.
  
  During your first initiation call, the prescriber will discuss with you your safe option of medication, and discuss the titration process, reviews, medication management and expectations.
  
  What happens if I DNA (Do not attend)?
  
  A DNA is classed as less than 48 hours notice of cancellation OR not attending an appointment
  
  If you miss more than two appointments during titration, you will be discharged.
  
  You will not be offered an appointment immediately after missing an appointment unless you have called in 48 hours prior to the appointment. You will have to wait for the next available appointment which may be at least 2 weeks.
  
  The prescriber will NOT be able to write you an emergency prescription in the interim, which means you may be without medication.
  
  Titration
  
  Titration is a method used to minimise potential side effects by gradually introducing a drug and observing how an individual responds to is. In the context of ADHD medication, titration involves starting with a low dose and slowly increasing it over time or, alternatively, reducing the dose to help the individual experience the intended therapeutic benefits while minimising side effects. This controlled process allows healthcare professionals to tailor treatment to the patient's unique needs and tolerance levels.
  
  About the titration process
  
  The titration process can take up to 16 weeks
  
  Prescriptions can only be collected at St Marys Hospital Kettering or Campbell House, Northampton. We are unable to post or send to local GPs or pharmacists.
  
  You MUST provide blood pressure, pulse, and weight measurements at each review. The prescriber will NOT be able to issue a prescription without these readings. This may delay your treatment, dose and you will still be discharged within the 16 weeks even if you have not met your optimal dose.
  
  You must collect your prescription and start the medication within a timely frame.
  
  We are not an emergency service, if you have an urgent query, please ring 111 or contact your GP. For non-urgent queries, you can discuss this further with your prescriber or contact your prescriber through the email you will be provided with at the start of titration, but please note it may take a few days before you get a response.
  
  What happens at discharge?
  
  Once stable on medication, your care will be transferred over to your GP under shared care agreement for continuity of your ADHD medication.
  
  If you are discharged due to non-attendance, the prescriber will discharge you under shared care agreement on the last review dose for safety reasons.
  
  Once you are discharged to your GP, you are no longer under our team and any queries must go to your GP.
  
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  Medication Supply Update
  
  Although ADHD medication supply has stabilised we are unable to guarantee a medication shortage will not take place again. Please follow the SPS website on ADHD medication supply. During medication shortages we will update our website about how to manage without your ADHD medication or sourcing your medication through your pharmacy. As a Trust, we do not hold any stock of ADHD medication, nor do our prescribers, and they have no responsibility or management of the stock supply.
  
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  Which medications are affected
  
  The following medications are in short supply, and at times also showing as 'not available'. However, there are ADHD medications coming into the UK and supply availability is changing all of the time.
  
  1. Methylphenidate:
  
  Equasym XL® 10, 20 and 30 mg capsules
  
  Xaggitin XL® 18 and 36 mg prolonged-release tablets
  
  Concerta XL® 54 mg prolonged-release tablets
  
  Xenidate XL® 27 mg prolonged-release tablets
  
  2. Lisdexamfetamine:
  
  Elvanse® 20mg, 30mg, 40mg, 50mg, 60mg and 70 mg capsules
  
  Elvanse® Adult 30mg, 50mg, and 70 mg capsule
  
  3. Guanfacine:
  
  Intuniv® 1mg, 2mg, 3mg and 4 mg prolonged-release tablets
  
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  Information for children and their parents or carers
  
  What should I do as a patient, parent or carer?
  
  For now, please continue with the medication you/ or your child has been prescribed.
  
  Please order repeat medication from your GP with at least 14 days supply left of medication.
  
  Check with your usual pharmacy if they have the medication or they can order it in when you give the prescription to the GP.
  
  If your pharmacy cannot source your usual medication: -
  
  Contact other local pharmacies to see if they have any available stock
  
  If not, contact your specialist team via 03000 274 000 for a call-back. Monday to Friday 9-5pm
  
  What will happen if the medication my child is taking is not available?
  
  Where medication or a particular strength of medication is not available, your specialist team will discuss other available options with you.
  
  Information for parents and carers - medication at school
  
  If your child is having medication administered at school by staff, it is important to let the school special needs (SEN) team know about the shortages in ADHD medication.
  
  In the event your child attends school and has not taken their ADHD medication, the advice would be to agree a plan with the school SEN team and class teacher to help support your child.
  
  Schools generally like to keep an 'original pack' labelled for the child at school. Due to the current shortages, it may not be possible to provide a separate supply for home and school. The advice would be to share the medication between home and school and agree with the school who the medication should be handed to at the start of the school day and who will hand it back to the parent at the end of the school day.
  
  If you are open to social care, please let your social worker or family support worker know of the shortages.
  
  Please be patient with services as there will be delays in getting changed prescriptions and medication across areas. Specialist services, GPs and community pharmacies are working together to ensure the disruption to the supply of ADHD medication affects patients as little as possible.
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  Waiting times
  
  Thank you for contacting the AAATT service. We appreciate your patience and understanding as we work to provide care for all those waiting for neuro diverse services in Northamptonshire.
  
  Whilst we acknowledge the importance of timely support, please do not contact our service directly regarding your waiting time as we are unable to provide you with a response.
  
  This allows us to dedicate our resources on providing care to those currently being assessed/treated.
  
  Rest assured, you will be contacted by the service when your appointment is ready to be scheduled.
  
  All AAATT referrals are managed in strict date chronological order, and we are unfortunately unable to move a referral up the waiting list so they can be seen quicker.
  
  Critically, AAATT is NOT an urgent or crisis service and is unable to provide direct involvement if you need help relating to your mental health or wellbeing. If you are worried and need advice, please call the 24-hour mental health number on 0800 448 0828 or speak to your GP. If there is an immediate threat to life, please call 999.
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- For Professionals - Supporting Patient Choices
  
  In order to support your patient in making an informed decision about their diagnostic options, you may wish to consider the following:
  
  There are significant variations in diagnostic quality across various providers. Northamptonshire ICB should be able to assist you in determining which providers have achieved positive outcomes. (Please note: The ICB is currently unable to comment on quality. However, once the Accreditation framework is established, they will be able to advise which providers have successfully been accredited after undergoing a thorough due diligence and quality review process.)
  
  Some providers offer diagnosis only or diagnosis and treatment. It is a patient right to opt for post diagnostic treatment to be delivered by providers other than NHFT AAATT.
  
  If a patient opts to choose NHFT for their post diagnostic treatment after receiving their diagnosis by an alternative provider, in order for them to smoothly progress to pharmacological treatment with us, diagnostic reports MUST demonstrate that providers have adhered to current NICE guidelines - Available here Recommendations | Attention deficit hyperactivity disorder: diagnosis and management | Guidance | NICE
  
  Lack of evidence of these guidelines being met, may result in your patient requiring a diagnostic review to be completed by NHFT AAATT, which is subject to waiting times, currently over 12 months for the review alone. If it is deemed suitable for your patient to progress to the medication pathway after their diagnostic review, they will then be subject to AAATT medication pathway waiting times , which is currently 12-18 months.
  
  Primarily, this is to ensure robust patient safety and quality measures are maintained within NHFT AAATT's service. Regrettably, a private or Right to Choose diagnosis cannot be used as a leapfrog mechanism to avoid waiting lists for treatment within NHFT. Therefore, If the NHFT AAATT clinician determines further diagnostic steps are required to validate diagnosis, those steps must be followed.
  
  Patients may not be on both NHFT AAATT and Right to Choose waiting lists at the same time. If your patient decides to opt for an alternative provider than NHFT AAATT, please inform us and we can remove them from our waiting list.
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- ADHD Resources
  
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  Useful Guides
  
  Time management tips [pdf] 854KB
  
  A guide to help you manage your time and organise.
  
  The daily routine for adults with ADHD [pdf] 515KB
  
  Advice on creating yourself a daily routine.
  
  'Making Sense' A guide to living with ADHD
  
  Developed by Nottinghamshire Healthcare NHS Foundation Trust. This comprehensive guide explains what ADHD is, explores peoples experiences, medication, coping strategies and much more.
  
  Sleep and mornings from Attitude website
  
  Racing brains keep many adults with ADHD from falling asleep at night, and restless sleep keeps them from waking up early each morning. Here, learn about good sleep hygiene and daily routines to help your day start off right.
  
  Nutrition, health, and fitness advice from attitude magazine
  
  For adults with ADHD who struggle with intense emotions, poor sleep, body-image challenges, stress, and anxiety. Learn to eat, act, and feel healthier today
  
  Exercise and the ADHD Brain from Attitude website
  
  The Neuroscience of Movement Research shows that physical activity sparks real, positive changes in the brain that increase attention and improve mood.
  
  ADHD and relationships from Attitude website
  
  ADHD can cause misunderstandings, frustrations, and resentments in your closest relationships. But there are ways to build a healthier, happier partnership.
  
  Organise your home from Attitude website
  
  Do you ever wonder why the seemingly simple task of organizing your home feels impossible? It's important to understand that your ADHD brain is largely responsible. These 28 practical tips can help you change your mindset about what an organised home should look like, and encourage you to get started.
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  Websites
  
  Additude
  
  An excellent online magazine for adults, parents and professionals. Includes real life stories, professional resources, tips to increase motivation, and manage time, anti-bullying resources and much more.
  
  ADHD and autism resources from Northamptonshire ICB
  
  NHS Northamptonshire Integrated Care Board (ICB) has created a set of resources to help you better understand and make informed decisions about assessment pathways, medication, and available support services for autism and ADHD.
  
  My ADD Blog
  
  Tara McGillicuddy is an internationally recognized Adult ADD / ADHD Expert. Since 1997 Tara has been providing virtual support and Education to people affected by ADD / ADHD. Her website is comprehensive including stories, support, tips, tools, news and much more.
  
  NHS
  
  Provides and overview of ADHD, it's symptoms, causes, diagnosis and treatment.
  
  Totally ADD
  
  Dedicated to helping adults with Attention Deficit Hyperactivity Disorder (ADD/ADHD) and those affected by it, (family, employers, health professionals, etc.) to liberate themselves from fear, shame, and stigma and create a life they love. Their mission is personal-they are a team of people with ADD or affected by it.
  
  Untapped Brilliance
  
  Author and ADHD coach Jacqueline Sinfield writes about how adults can manage their ADHD in everyday life, from making sense of a new diagnosis to figuring out tips and tricks to use when tasks feel overwhelming. She also has a blog with covering a wide range of topics relating to ADHD.
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  Videos and Youtubers
  
  Ted talk: ADHD sucks but not really
  
  Salif shares a current hypothesis about ADHD's root and an alternative perspective - including several benefits of the condition - regarding how we engage with it in our schools, homes and selves.
  
  Ted talk: ADHD from the inside
  
  Toby Shaw shares personal insights into this world
  
  Ted talk: No Just living but thriving with ADHD
  
  When Angela was first diagnosed with ADHD in 2006, she was told at college that "school just wasn't for some people." Angela explores her journey from initial diagnosis to college graduate, to published author and beyond. Angela shares how she not only is living, but thriving with ADHD.
  
  Ted talks: This is what it is really like to live with ADHD
  
  At 32, Jessica McCabe's ADHD brought her to the darkest point of her life thus far. At 34, she was thriving both personally and professionally, producing a successful Youtube channel about living with ADHD. In this deeply personal talk, Jessica describes how she turned things around through community and education
  
  How to ADHD
  
  A central hub for ADHD education based on the YouTube Channel How to ADHD by Jessica McCabe.
  
  Totally ADD
  
  An independent site for adults dealing with ADHD. Top experts, presented with wit, wisdom, & hope. Their goal is to free everyone from the fear, shame, and stigma that can accompany this often misunderstood and misdiagnosed disorder.
  
  Attention Talk Video
  
  The leading site for self-help talk show content focusing on ADHD, including managing symptoms of attention deficit disorder.
  
  ADHD reWired
  
  Hosted by Eric Tivers a licensed clinical social worker, coach, podcaster, speaker, consultant, and entrepreneur. ADHD reWired podcast, is a weekly audio program where he talks about his own experiences living with ADHD and he invite guests and experts to share their stories, science and strategies.
  
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  Apps
  
  A list of helpful apps from attitude magazine
  
  NHS Apps Library
  
  List of all NHS reviewed apps not just ASD/ADHD
  
  Anti-Stress
  
  Are you waiting for something and you need a diversion? Are you furious with someone? Do you need distraction from study? Open Antistress app and choose one of 50 options to pick up and play. Hear the sound of a bamboo chime, play with wooden boxes, swipe gently your finger in the water, tap buttons, draw with chalks and so on! Available for free on android and IOS.
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  Book list
  
  Thriving with Adult ADHD: Skills to Strengthen Executive Functioning - by Phil Boissiere
  
  This book offers a toolbox of practical, evidence-based exercises to build this mental skill set and take control of ADHD.
  
  From managing common distractions at work to regulating emotions with family and friends, these strategies target symptoms that impact home, work, and personal life.
  
  When an Adult You Love Has ADHD: Professional Advice for Parents, Partners, and Siblings - by Russell A. Barkley
  
  The author explains what ADHD is and how you can tell if your loved one may have it. He shows how to support your loved one and uses real-life examples to answer questions. It has been a helpful book for many people who are committed to supporting a loved one with ADHD.
  
  A Radical Guide for Women with ADHD: Embrace Neurodiversity, Live Boldy, and Break Through Barriers - by Sari Solden and Michelle Frank
  
  This is the first step by step guided workbook for women with ADHD designed to break the cycle of negative self-talk and develop your individual strengths. The book draws from cognitive behavioural therapies, mindfulness-based practices, and psychoeducation approaches and is based in the latest research to help individuals with ADHD live fulfilling, empowered lives.
  
  Taking Charge of Adult ADHD - by Russell A. Barkley
  
  Step-by-step strategies for managing symptoms and reducing their harmful impact. Includes hands-on self-assessment tools and skills-building exercises, plus clear answers to frequently asked questions about medications and other treatments. Specific techniques are presented for overcoming challenges in critical areas where people often struggle-work, finances, relationships, and more.
  
  Smart But Stuck: Emotions in Teens and Adults with ADHD - by Thomas E. Brown
  
  Dr. Brown highlights the role that emotions play in this complex disorder. He explains why even very bright people with ADHD get stuck because they can focus well on some tasks that interest them, but often can't focus adequately on other important tasks and relationships. The book examines the crucial role of emotions in the daily functioning of those living with ADHD
  
  The book describes strategies and treatments for getting "unstuck" to move on to a more rewarding and productive life.
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  Dual Diagnosis Resources
  
  Factsheet about the co-occurance of ADHD and Autism from CHADD
  
  Flying Under the Radar as an Autistic Adult With ADHD
  
  A short article written by a woman who was diagnosed with ADHD and autism spectrum disorder as an adult describes how she dealt with a late diagnosis.
  
  Adult ADHD and Autism Link: Symptoms and Treatment
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- Frequently Asked Questions FAQs
  
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  FAQs and further support
  
  Find answers to commonly asked questions about our service
  
  What happens if I DNA (Did/do not attend) my appointment?
  
  A DNA is classed as less than 24hours notice or not attending an appointment
  
  If you miss more than two appointments during titration, you will be discharged.
  
  You will not be offered an appointment immediately after missing an appointment unless you have called in 24 hours prior to the appointment. You will have to wait for the next available appointment which will be at least 2 weeks.
  
  The prescriber will NOT be able to write you an emergency prescription in the interim, which means you will be without medication.
  
  About the titration process
  
  The titration process can take up to 12 weeks
  
  Prescriptions can only be collected at St Mary's Hospital, Kettering or Campbell House, Northampton. We are unable to post or send to local GP or pharmacist.
  
  You MUST provide a blood pressure, pulse, and weight at each review. The prescriber will NOT be able to increase without these readings. Therefore, you will go without medication, and you will still be discharged within the 12 weeks even if you have not met your optimal dose.
  
  You must collect your prescription and start the medication within a timely frame.
  
  We are not an emergency service, If you are having any side effects please seek further support via your GP or 111. If it is non urgent you will need to await your next review.
  
  What support can I access while waiting for medication
  
  If you are open to the advice service you will be able to attend psychosocial interventions in the interim, please be mindful that this support is for ADHD symptoms only. If you need mental health support, please contact your GP or the Mental health integrated Hub.
  
  Can I self-refer for medication, if I already have an ADHD diagnosis and/or want a medication review.
  
  No you are unable to self-refer for medication. Your GP can re-refer to us if a clinical need is indicated.
  
  What do I need to do before my medication appointment?
  
  You need to be registered with a GP and you must attend a Physical health assessment with you GP. It is YOUR responsibility to book this appointment with your GP
  
  Physical health checks that are required prior to starting medication are: Blood pressure, Pulse rate, BMI, weight, Height. We also require a medical summary.
  
  How will the consultations take place?
  
  You will be contacted by email or SMS for all your appointments, so it is YOUR responsibility to ensure your contact details and email address is up to date.
  
  All our calls will be from a withheld number, so please be mindful of this.
  
  What happens once I'm discharged from the service?
  
  Once stable on medication, your care will be transferred over to your GP under shared care agreement for continuity of your ADHD medication.
  
  If you are discharged due to non-attendance, the prescriber will discharge you under shared care agreement on the last review dose for safety reasons.
  
  Once you are discharged to your GP, you are no longer under our team therefore any queries must go to your GP.
  
  Where else can I get support?
  
  There is a range of support available in the county.
  
  Citizens Advice Bureau
  
  This charity offers confidential advice online, over the phone, and in person, for free in the following areas:
  
  Benefits, Employment, Debt and Money, Consumer , Housing, Family. Law and Courts, Immigration, and Health.
  
  This service is for people who need advice free, confidential information and advice to assist them with money, legal, consumer and other difficulties (mentioned above).
  
  How to access this free service: You can access the service online on the Citizens advice bureau website, over the phone, or in person.
  
  Community mental health adult- early intervention [N'STEP]
  
  A team of consultants, clinical psychologists, community mental health nurses, occupational therapists, support time and recovery workers (STAR), employment specialists and peer support workers.
  
  This countywide early intervention service incorporates low dose anti-psychotic medication, psycho-education, medication management, cognitive behavioural therapy, family intervention and relapse prevention.
  
  This service is for people aged between 14-34 years who are experiencing their first episode of psychosis.
  
  How to access this free service: Speak to your GP for a referral
  
  Spectrum Club
  
  Spectrum is a coffee morning for autistic adults.
  
  People who attend the group have gained confidence in socialising with others, whilst also discussing their interests.
  
  Tea, coffee, juice and biscuits is provided. It's a chance to improve your socialising skills and meet other people on the autism spectrum.
  
  This service is for adults with any autism diagnosis.
  
  How to access this free service: No need to book, you can just drop in. Held at Rooftop Arts Centre, 9 Chisholm House, Queens Square, Corby, Northamptonshire NN17 1PD.
  
  When: Every Thursday from 11.00am until 1.00pm
  
  TRACK NN (employment support)
  
  TRACK NN support autistic people to access employment through training, support services and creating opportunities.
  
  Thee work with businesses to ensure their workplaces are accessible to autistic people, they provide training to ensure that colleagues are aware of autism and making sure that any barriers to employment are removed.
  
  How to access this free service:  You can access Track NN online or contact Thomas Telephone: 07545354265 / Email: thomas@track.org.uk
  
  Employment And Disability Service (EADS)
  
  Helping people living with a disability or difficulties with their mental health to enter into the work place for the first time, or after a break.
  
  They offer career guidance, support finding work (e.g. CV'S, confidence, work experience etc.) and help to keep people in the workplace once they've been successful.
  
  This service is for adults with disabilities and/or mental health and/or neurodevelopmental conditions.
  
  How to access this free service: Access the Olympus Care Services website
  
  Keep Safe Card
  
  View mediaA card for people with disabilities who feel vulnerable in the community. It encourages people to report crime, makes people aware of their personal space and encourages people to seek help if they need it. There are lots of places in Northamptonshire that are keep safe places (will have logos outside) where staff have been trained around this scheme and ways they can help.
  
  This service is for anyone in Northamptonshire who may have a disability or illness which makes them feel vulnerable when out and about.
  
  How to access this service:  Visit the Keep Safe Card website or phone: 01604 888963
  
  Mayday Trust
  
  Provides support for people experiencing difficult times in their lives. Mayday also provides housing in Northamptonshire, Oxford and Westminster through their Housing Transitions Service.
  
  This service is for adults who are in a transition period, such as leaving care, or supported accommodation, stopping drug or alcohol use, coming out of prison or psychiatric hospital.
  
  How to access this service: Visit the Mayday Trust website for more information
  
  Mind - mental health charity
  
  A wide range of mental health support across the county. Each Local Mind is an independent charity run by local people, for local people [free of charge]
  
  This service is for: Anyone experiencing a mental health problem.
  
  How to access this free service:  Visit the Mind website for more information
  
  National Autistic Society
  
  The National Autistic Society (NAS) is a British charity for autistic people. The purpose of the organisation is to improve the lives of autistic people in the United Kingdom.
  
  In addition to a wide range of adult and children's services for autistic people located across the UK, the charity has an Autism Helpline open 5 days a week, a range of products for professionals working with autistics and a campaigning function.
  
  This service is for:  People with Autism, their families, carers and professionals across the UK
  
  How to access this service: Visit the National Autistic Society website or telephone the helpline: 0808 800 4104
  
  The NAS online community is a discussion forum for autistic people, their families and other wider networks. It's free to join and a great way to share experiences and advice.
  
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Autism without a Learning Disability
Autism is a lifelong developmental disorder that affects around 1 in 100 people. People experience autism in different ways and see, hear, and feel the world differently to other people. Like everyone, every autistic person has their own unique strengths and challenges.

An autistic person may wonder why they are 'different' and feel their social differences mean people don't always understand them. Autism may affect people in different ways and may not be obvious to others.

The term Autism Spectrum Disorder Condition (ASD) is a collective term for people who have diagnoses like Childhood Autism or Asperger's Syndrome. Autistic people have average or above average intelligence.

Autism can mean a person is likely to experience differences with communication, and social interaction, repetitive behaviours/thinking, routines, and interests. These have a noticeable impact on daily life.

An autistic person may experience differences such as:

Finding social interactions very confusing

Struggling with social imagination and find it difficult to always work out how the other person is thinking or feeling

Challenges in developing and maintaining relationships

Having particular interests and focusing on these intensely

Some people may find they notice small details more than others

Having strong preference or need for routine and find it difficult to adjust to change

May be perceived by others as being rude or blunt when not meaning to come across this way

Individuals may take on too much or too little sensory information such as sound, smell, taste/texture, and/or touch.

An autistic individual may also experience mental health difficulties including mood and anxiety issues.

Having a diagnosis can be helpful in supporting a person to understand themselves, the impact of their autistic spectrum diagnoses, as well as gaining support.

For more information about autism please visit these websites:

NHS information about autism

National Autistic Society
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- Getting an Autism Diagnosis
  
  The first step to receiving a diagnosis of autism is speaking to your GP or other relevant healthcare professional.
  
  If they think you would benefit from our service, a screening appointment will take place initially to determine whether an assessment is required. If this is agreed the person will be added to our waiting list.
  
  The diagnostic process typically includes 3 face to face or video appointments with a diagnostician. Prior to this, questionnaires need to be completed by the person.
  
  Appointment 1 - Semi-structured interview based on responses from the pre-appointment questionnaires.
  
  Appointment 2 - Where possible someone who has known the person well in childhood will attend to discuss childhood.
  
  Appointment 3 - Feedback will be provided on the outcome of the assessment and possible follow up options.
  
  Depending on the person's needs an additional 1:1 follow-up appointment with a clinician from our team may be offered. Some people that we assess do meet the criteria for a diagnosis, while others do not. In either case we will discuss the information that we have collected during the assessment and discuss the different sources of further support that may be available to you.
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- Autism support that we offer
  
  Depending on the persons needs we can offer short-term interventions relating their autism diagnosis. Psychoeducation is a key element to this treatment. This is to enable the person and/or their family/caregivers to better understand their diagnosis and develop helpful strategies for associated challenges. Other areas that can be addressed include independent living skills, social communication, and reasonable adjustments at work/education. This part of the service is led by a small team of Specialist Occupational Therapists.
  
  Autism Advice Service
  
  We run a virtual Advice Service for adults (18 upwards) with autism diagnoses (without a learning disability i.e., Asperger's), their family, friends and/or carers. This service offers advice on topics, such as understanding autism, social communication sensory differences, problem solving, routine development, budgeting and other daily activities as well as relevant groups and workshops. This service is based on the telephone and/or on video.
  
  The service is open to people who:
  
  Have been assessed by the adult ADHD, Autism and Tourette's Team and their carers.
  
  Have a diagnosis of an Autism Spectrum Disorder without a diagnosed Learning Disability.
  
  Are 18 years of age and over.
  
  Have a Northamptonshire GP.
  
  An initial assessment is required to ensure the service is suitable for you. People who are diagnosed by our team are automatically assessed.
  
  For individuals who are already diagnosed, please visit your GP and ask to be referred to the Adult Autism and Tourette's Team. We will need a diagnostic assessment report to be provided to us prior to your appointment. The assessment does not need to have been carried out by our team, however we do require evidence of a comprehensive diagnostic assessment in line with NICE guidelines. If no report is available, you can be referred for a diagnostic assessment with our team by your GP.
  
  What if I am already diagnosed with Autism or ADHD and Autism (dual diagnosis)?
  
  If you already have a diagnosis, you may be able to receive short-term support from our team (as above). An appointment would be offered to assess whether we are the best team to support your needs.
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- Autism resources
  
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  Guides and websites
  
  Autism, a guide following diagnosis
  
  Autism and anxiety guide [pdf] 515KB
  
  Time management tips [pdf] 854KB
  
  Nice Guidelines
  
  This guideline covers diagnosing and managing suspected or confirmed autism spectrum disorder (autism, Asperger's syndrome and atypical autism) in people aged 18 and over.
  
  National Autistic Society - What is Autism?
  
  Text and video explaining what Autism is, how it can affect individuals, information about diagnosis, the different names for autism and much more
  
  Autism Act 2009
  
  This legislation includes statutory guidance, duties and recommendations for service providers and Government departments across areas including employment, welfare, criminal justice, transport and education services.
  
  NHS website - autism information
  
  Zero Suicide Alliance: Autism and Suicide Awareness Training
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  Blogs
  
  The Aspergian - an autistic blogger collective
  
  Musings of an Aspie
  
  Cynthia Kims blog provides a wide-range of information about Asperger's, including areas such as, adult diagnosis, marriage, motherhood, sensory processing and acceptance
  
  The Name of the Rose
  
  Well written blog by the Mum of a teenage girl with Asperger's
  
  VisualVox
  
  50ish autistic blogger writing about life
  
  A Journey through Autism
  
  Ethan Hirschberg, an autistic teenager
  
  Paginated Thoughts
  
  A blog from Kit Mead, which discusses autism, mental health and LGBTQ+ issues
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  Videos and Youtubers
  
  Agony Autie
  
  Excellent autistic speaker and advocate
  
  Amythest Schraber
  
  Autistic speaker and activist
  
  Neurodivergent
  
  Discussing issues related to autism and neurodiversity
  
  Rebel Ellen Jones
  
  Autistic musician and campaigner
  
  Deam Beadle- autistic speaker and singer https://www.youtube.com/user/DeanBeadleuk
  
  Ted Talks
  
  TED is a nonprofit devoted to spreading ideas, usually in the form of short, videoed talks (18 minutes or less). TED covers almost all topics in more than 100 languages.
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  Books
  
  Nerdy, Shy, and Socially Inappropriate: A User Guide to an Asperger Life - by Cynthia Kim
  
  Cynthia Kims book is refreshing, honest and witty. It is filled with personal stories and lots of useful advice and tips on a wide range of topics, such as social communication, relationships, parenting, growing up undiagnosed, sensory differences and acceptance. Cynthia also has a blog, 'Musings of an Aspie'. This insightful book could be helpful for anyone trying to gain greater insight into autism and anyone looking for clear and concise practical advice.
  
  Look Me in the Eye: My Life with Asperger's - by John Elder Robison
  
  Warm and engaging personal account which is at once heart-breaking, inspiring and funny. His life is a testament to the fact that a life with Asperger's can be as rich as anyone else's - despite the challenges.
  
  Odd Girl Out: An Autistic Woman in a Neurotypical World - by Laura James
  
  Laura James found out that she was autistic as an adult, after she had forged a career for herself, married twice and raised four children. This book tracks the year of Laura's life after she receives a definitive diagnosis from her doctor, as she learns that 'different' doesn't need to mean 'less' and how there is a place for all of us, and it's never too late to find it.
  
  The Autistic Brain - by Temple Grandin
  
  Temple Grandin offers her own experience as an autistic person alongside discoveries about the autistic brain, as well as genetic research. She also highlights sensory differences as well as treating autism symptom by symptom, rather than with an umbrella diagnosis.
  
  Autism and Asperger Syndrome in Adults - by Luke Beardon
  
  There are many hugely intelligent, insightful, kind, caring, loyal, skilled autistic individuals. This book presents an overview of autism and Asperger syndrome in adults, for individuals with autism and Asperger's syndrome and their families and friends.
  
  Very Late Diagnosis of Asperger Syndrome (Autism Spectrum Disorder): How Seeking a Diagnosis in Adulthood Can Change Your Life - by Philip Wylie
  
  This book discusses the process, the pros and cons, and the after-effects of receiving an autism diagnosis in adulthood.
  
  Outlining the likely stages of the journey to diagnosis, this book looks at what the individual may go through as they become aware of their Asperger characteristics and as they seek pre-assessment and diagnosis, as well as common reactions upon receiving a diagnosis - from depression and anger to relief and self-acceptance. Combining practical guidance with advice from personal experience and interviews and correspondence with specialists in the field, the book discusses if and when to disclose to family, friends and employers, how to seek appropriate support services, and how to use the self-knowledge gained through diagnosis to live well in the future
  
  "That's Not Right!": My Life Living with Asperger's by Alex Manners
  
  Alex Manners was diagnosed with Asperger's syndrome in 2007 when he was ten years old. He writes candidly about his life experiences, and in particular he articulates well the issues within the UK's education system. This book provides invaluable information for parents, families, friends, teachers plus anyone else affected. The book documents how the Manners family fought to overcome the ignorance and misunderstandings in the system, and offers practical, usable advice for anyone else in similar circumstances.
  
  Alex is an inspirational young man and also has his own website
  
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  Relationship resources
  
  Relationship resources
  
  Disclaimer: The views are those expressed by the author and may not necessarily reflect that of the ADHD and Asperger's Team.
  
  Communication and Social Isolation - National Autistic Society
  
  This article offers information about conversations, making friends and socialising, telling people you're autistic, and where to find out more.
  
  Loneliness isn't inevitable - a guide to making new friends as an adult by The Guardian Newspaper
  
  This article tells the story of four people and how they developed their friendships, with tips and advice from psychologist Linda Blair.
  
  The Asperger Love Guide: A Practical Guide for Adults with Asperger's Syndrome to Seeking, Establishing and Maintaining Successful Relationship by Genevieve Edmonds & Dean Worton
  
  This book breaks down the social, emotional and practical aspects of relationships.
  
  Asperger Syndrome & Social Relationships by Genevieve Edmonds and Luke Beardon
  
  This book offers advice and support for people with Asperger's Syndrome, written by individuals who have Asperger's Syndrome.
  
  The Other Half of Asperger Syndrome (Autism Spectrum Disorder): A Guide to Living in an Intimate Relationship with a Partner who is on the Autism Spectrum by Maxine Aston
  
  This book offers information and advice for the partners of people with Asperger's Syndrome, and includes strategies for dealing with relationship challenges, including intimacy, communication, and social difficulties.
  
  Marriage & Lasting Relationships with Asperger's Syndrome (Autistic Spectrum Disorder) Successful Strategies for Couples or Counselors by Eva A Mendes
  
  This book offers counselling strategies for long-term couples who have Asperger's Syndrome.This book explores common challenges including diagnosis, mental health, sexual compatibility, sensory needs, executive functioning, theory of mind, communication, and co-parenting.
  
  Troubleshooting Relationships on the Autism Spectrum: A User's Guide to Resolving Relationship Problems by Ashley Stanford
  
  This book tackles common relationship difficulties with a practical troubleshooting approach, including strategies and guidance. The book includes bulleted lists, summaries, scripts and example scenarios. This book covers communication, executive functioning, mindblindness, attachment, intimacy, co-habiting, and raising a family.
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  Autism friendly Christmas
  
  Preparing for Christmas Autism Friendly.pdf [pdf] 342KB
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What is Tourette Syndrome?
Tourette syndrome (TS) is a neurological disorder characterized by repetitive, involuntary movements and vocalisations (sounds) called tics.

The early symptoms are typically noticed first in childhood and the tics could be either simple sudden, brief, repetitive movements or sounds e.g., eye blinking, facial grimacing, shoulder shrugging; throat-clearing or complex e.g., facial grimacing combined with a head twist and a shoulder shrug. Tics come and go over time, varying in type, frequency, location, and severity.

Many people with TS often experience additional developmental difficulties that often cause more challenges than the tics themselves. Although TS can be lifelong, most people experience their worst tic symptoms in their early teens, with improvement occurring in the late teens and continuing into adulthood.
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- Getting a Tourette Syndrome Diagnosis
  
  The first step to receiving a diagnosis for Tourette's is speaking to your GP or other relevant healthcare professional.
  
  If they think you would benefit from our service, a screening appointment will take place initially to determine whether an assessment is required. If this is agreed the person will be added to the waiting list. The diagnostic process typically includes 1 video or face to face appointment with a diagnostician.
  
  The appointment will include a semi-structured interview relating to past and presence of tics. Often, we can give you feedback at the end of the appointment with regards to the outcome of the assessment, and possible follow up options. If medication is appropriate and something the person wishes to explore, we will direct you to the appropriate service.
  
  If possible, it is helpful to bring someone with you who has known you since you were a child i.e. parent or carer. This is to provide additional background information about your childhood.
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- Tourettes support that we offer
  
  Support options may include behavioural interventions, or advice about other services.
  
  What if I am already diagnosed with Tourette's?
  
  If you already have a diagnosis, you may be able to receive short-term support from our team (as above). An appointment would be offered to assess whether we are the best team to support your needs.
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- Tourettes Resources
  
  NHS information about Tourette's, symptoms and treatments
  
  NHS Tourette's syndrome
  
  The UK's leading support and research charity for people with Tourette Syndrome and their families
  
  Tourette's Action
  
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Adult ADHD, Autism and Tourettes Team (AAATT)

Search the NHFT website

Mental health, learning disability and autism services

Mental health, learning disability and autism services

Mental health, learning disability and autism services

Mental health, learning disability and autism services