ProblemShared was founded to evolve and advance the provision of mind healthcare. We are a community of experienced practitioners and passionate advocates for better access to the highest quality neurodevelopmental and mental health support. By combining the power of tech, data, and clinical excellence, we provide personalised care to better equip individuals and institutions in their mind health journey.
ProblemShared is an online mind health platform. We provide access to the highest quality care for individuals and institutions seeking mental healthcare services or neurodevelopmental assessments and support.
We offer online assessments for attention deficit hyperactivity disorder (ADHD), autism, and specific learning differences such as dyslexia, dyscalculia, and dysgraphia. Our post-diagnostic care service includes psychoeducation groups, educational navigation, talk therapy, and the prescribing of ADHD medication where appropriate.
We are not able to offer treatment in severe or life-threatening situations. If you think you are at risk of harm or at risk of harming others, you should look at the resources available on our IN CASE OF EMERGENCY page, call 999 or go immediately to your local Accident and Emergency department.
We work in partnership with institutions such as the NHS, insurance companies and universities to deliver NICE-informed therapy, neurodevelopmental assessments and post-diagnostic care for adults, children and young people.
ProblemShared is a fully online mind healthcare provider, and does not offer any in-person appointments. If you believe an in-person service would suit you better, you should contact your GP and request a referral to an appropriate provider.
If any of the following statements apply to you, you or your child are not suitable for an online assessment at this time, and should speak to your GP about accessing face-to-face care that better meets your needs:
You/your child are below the age of 7 years old
You/your child are non-verbal and/or selectively mute
You/your child are unable to communicate at conversational level in English
You/your child have a diagnosis of global development delay or an intellectual disability (IQ below 70)
You/your child have a significant visual or hearing impairment which means that you/your child are unable to access online assessments
You/your child are currently psychotic or have recently experienced a psychotic episode (within 3 months)
You/your child are currently deemed to pose a risk to themselves or others and are not under care co-ordination with the local CMHT
You/your child are currently receiving treatment for an active eating disorder, or have been discharged within the last 6 months from a specialist eating disorder clinic
You/your child are currently receiving active medical treatment for drugs or alcohol addiction
You/your child have had a head injury or brain surgery or have a neurological condition which has left you with significant cognitive impairments
You/your child have previously been assessed by the NHS and are seeking a second opinion assessment
You/your child are currently serving a prison sentence, or are on temporary release
You/your child are undergoing a safeguarding investigation and cannot be seen until it has been concluded
You/your child are currently detained in a hospital under the Mental Health Act 1983, or under a community treatment order
You/your child currently serve in the armed forces
You/your child do not have access to a laptop or computer (please note that a tablet which is at least 10” in size and can be propped up to be used hands-free can also be used to access our service, but handheld devices such as mobile phones cannot)
You/your child do not have access to an internet connection in a private place
You/your child are not willing to conduct the assessment with your camera turned on for the duration of the assessment
No, ProblemShared is a private mind healthcare company. However, we are partnered with many NHS trusts, work with psychiatrists and paediatricians who currently hold or have held consultant posts with the NHS, and our founder and CEO is a practising NHS doctor.
Our team of clinicians come from many different professional backgrounds and include nurses, occupational therapists, psychiatrists, psychologists, psychotherapists, paediatricians, social workers, speech and language therapists, and specialist teachers.
They are all highly qualified, accredited by their relevant professional bodies, and follow the codes of conduct drawn from the National Institute for Health and Care Excellence (NICE) guidelines and for SpLD, the SpLD Assessment Standards Committee (SASC).
We are always in pursuit of inclusivity, and see language as a tool to demonstrate respect and understanding for a person’s lived experience. This is why we call ourselves a ‘mind health’ platform.
Neurodiversity is a word coined by sociologist Judy Singer. It refers to the natural diversity of human minds; the unique and varying ways in which human brains are wired, process information, and solve problems.
In this way, neurodiversity is something to celebrate. Mental health challenges may require a ‘solution’, but neurodivergence does not. While neurodivergent people may come to us seeking support with managing their neurodivergence, such as a diagnosis, medication, or counselling, the world needs to adapt to meet their needs – not the other way around.
The care we provide at ProblemShared involves both neurodevelopmental and mental health support. We recognise that these separate practices, when describing them together, require a completely new term.
To be eligible for our service you must have access to an internet connection in a private place.
You must also have access to a laptop or computer with a working webcam, and be willing to have your camera on for the duration of your assessment sessions.
Please note that a tablet which is at least 10” in size and can be propped up and used hands-free can also be used to access the service, but handheld devices such as mobile phones cannot. This is because our clinicians need to see enough of your face and torso throughout the assessment in order to make an accurate diagnosis. Unfortunately, a mobile phone screen does not facilitate this effectively. Furthermore, notifications pinging through on a mobile phone can be distracting and interrupt the assessment.
For assessments for specific learning differences (SpLD), computer screens must be a minimum of 15” (38 cm) measured diagonally (according to SASC guidance). Headphones should also be used to enable clear audio.
We do not record any of our online sessions. What you say in your session is confidential and remains between you and your clinician. However, if our clinician has any concerns about risk or safeguarding, they may have to discuss the matter with their clinical supervisor, clinical team, or safeguarding lead in order ensure safety. Please note that phone calls with our customer service team are recorded.
If you require accessibility support, please reach out to a member of our team explaining the nature of your requirements. We endeavour to make our service as inclusive as possible, and will do everything in our power to ensure you feel confident and comfortable throughout your journey.
Our clinicians need to see enough of your face and torso throughout the assessment in order to make an accurate diagnosis. Unfortunately, a smartphone screen does not facilitate this effectively. Furthermore, notifications pinging through on a mobile phone can be distracting and interrupt the assessment. Only a laptop, computer, or tablet which is at least 10” in size (for autism and ADHD assessments) or 15" in size (for SpLD) and can be propped up to be used hands-free can be used to access our service.
If you do not have access to any of these devices and are seeking an assessment on behalf of your child, it may be possible to complete the assessment at your child’s school and borrow a school laptop. However, this would be reliant on you asking the school, and checking that you can log onto your ProblemShared client dashboard prior to the session, to help prevent any security issues with firewalls.
Yes. There has been a lot of research into this question and although the majority of it comes from the US, it holds true for the UK as well.
The following resources should give you an idea of the efficacy of telemedicine and counselling when compared to more traditional consultation methods:
Internet-based versus face-to-face cognitive-behavioral intervention for depression: A randomized controlled non-inferiority trial. Wagner, B., Horn, A. and Maercker, A. (2019).
Internet-based and other computerized psychological treatments for adult depression: a meta-analysis. – PubMed – NCBI. online Ncbi.nlm.nih.gov. Bergström, J., Andersson, G., Ljótsson, B., Rück, C., Andréewitch, S., Karlsson, A., Carlbring, P., Andersson, E. and Lindefors, N. (2019).
Internet-versus group-administered cognitive behaviour therapy for panic disorder in a psychiatric setting: a randomised trial. Epstein, R. (2019).
Distance Therapy Comes of Age. Scientific American.
We work in partnership with institutions to deliver talk therapy for individuals who are undergoing their neurodevelopmental assessment journey, and offer support to newly diagnosed individuals, and those navigating their existing conditions.
Our talk therapy practitioners collectively communicate in over 30 languages, including sign language. They can offer a range of therapeutic approaches including CBT, EMDR, DBT, integrative, psychodynamic, and more.
We match individuals to an appropriate practitioner who can offer tailored support for their situation. Your preferences regarding factors such as gender, ethnicity, language, availability and specialism will be taken into account when matching you with a practitioner.
If at any stage in your journey with us it becomes clear that additional mental health support would be beneficial to you, you will be eligible to be referred to the ProblemShared talk therapy service.
As a rule, yes. We believe in continuity of care and will do our best to ensure you see the same practitioner for the duration of your treatment. However, should this for some reason not be possible we will help you find an equally appropriate practitioner and minimise disruption. Many of our practitioners offer free or low cost introductory sessions and you can search for them using our search filters. We also hope that our filters help you identify a practitioner who feels like a good fit for you.
If, however, you meet with a practitioner and do not feel that the relationship is working, you can look through our diverse and extensive community of practitioners and book with a different one. We would encourage you to speak to your practitioner about your concerns first.
1. If you are seeing our university service, please contact them and explain that you wish to have to have talk therapy. They will issue you with a passcode which you will have to enter in order to book a session.
2. If you are a self-pay client, use our filter to find the practitioner that is most appropriate for your situation, and book a session. Should you wish to contact them in advance and discuss any further details, head to their biography to find their email address.
We have a community of over 200 highly qualified practitioners, comprised of therapists, counsellors, ND assessors, psychologists and mental health professionals.
Our practitioners collectively communicate in over 30 languages, including sign language.
They offer a range of therapeutic approaches including cognitive behavioural therapy (CBT), eye movement desensitisation and reprocessing (EMDR), Dialectical behaviour therapy (DBT), integrative therapy, psychodynamic therapy, and many more.
We employ rigorous onboarding criteria to ensure the exceptional quality of our practitioner network.
We carry out continued in-house supervision and hold webinars for ongoing practitioner development.
At a high level, psychiatrists are medical doctors and as such can prescribe medication for mental health conditions – such as, but not limited to, depression, anxiety, ADHD or bipolar disorder. If you are working with a psychiatrist, a lot of the treatment may be focused on medication management.
Alongside talking therapies such as psychology or counselling, psychologists offer counselling and psychotherapy and perform psychological testing for mental ill-health. They are not medical doctors but have a doctoral degree (PhD, PsyD, or EdD) in psychology, which is the study of the mind and human behaviour. Psychologists cannot write prescriptions or perform medical procedures.
Counsellors are mental health professionals who have completed an accredited training which qualifies them to work with people over a short or long term to help them bring about effective change and/or enhance their wellbeing.
Coaches focus on helping people attain their goals in life. They might help you to get motivated, set goals, and hold you to account. Life coaching is not regulated nor offered through our platform at this time.
Once you have chosen your practitioner and have booked an appointment, we will send you a text message and an email with a link to a virtual private meeting room. You should click on this link at the time of your appointment and your practitioner will meet you there.
Should you wish to have a nnother session of talk therapy, you should discuss this with your practitioner towards the end of your session. You can then arrange for a follow-up session at a time that suits you both.
This is an important question, not least because it helps to have some idea of the size of the journey before embarking on it. Still, there is no one-size-fits-all answer. Some people, possibly 30% of those who seek counselling, need as little as three sessions to achieve worthwhile benefits. Others, about 50%, are likely to require an average of eight sessions before they feel notably better.
Each of our practitioners assert their own fees. You can search for a practitioner whose fee is within your budget by heading to the 'Our Practitioners' page of our website. Many practitioners offer free or low-cost introductory sessions.
You can search our practitioners by their session rate, specialism, gender, or the language they speak. Should you find that after a session or two you would like to see a different practitioner, you can take a look at the profiles of our team members and book with someone else.
Yes. Discussing your mental health in any language other than your mother tongue is more difficult and adds to the complexity of what is already a sensitive interaction. Many of our team speak second or even third languages. Check out our team’s biographies and filter your search based on language to help you connect with someone who is able to offer sessions in your preferred language.
We will try our best to accommodate your time preferences. If you message your practitioner, they will try and offer you a choice of alternative times. Please do this more than 48 hours before any session, or you will not be refunded the fee for the session.
Should you cancel more than 48 hours before your appointment, we will refund you the fee for the session. If you cancel less than 48 hours before, or fail to attend, you will be charged the full cost of the session.
No problem! You can either discuss this with your current practitioner, or simply rebook with another one.
Availability is shown on each practitioner's profile. Often you can book an appointment within 24 hours.
Yes, the video conferencing link for your session will work on any device that has a video calling function and a camera.
Head to your ProblemShared dashboard where you should see your sessions with the option to pay next to each one.
Choose your therapist carefully. Feel free to send an email in advance of booking your initial session to a therapist you think may be right for you, so you can get to know them and discuss a potential way forward.
Remember that your therapist is here to help. If you see therapy as a collaboration, this will improve your likelihood of benefitting from it.
Arrange appointments at times that suit you, when you have an uninterrupted hour and will be in a quiet and private space.
Therapy is a confidential process. You must feel free to speak your mind.
Set goals and markers for change. This will help you chart progress and feel in control of the process.
Do any work set by your therapist outside of your sessions, to maximise the time that you have together.
We offer the following neurodevelopmental assessments:
• Autism
• Attention deficit hyperactivity disorder (ADHD)
• Dyslexia
• Dysgraphia (within an SpLD assessment, not with an Occupational Therapist).
• Dyscalculia
Following a diagnosis, you can also access a range of post-diagnostic support services through ProblemShared. These include:
• Psychoeducation group sessions
• The prescribing of ADHD medication where appropriate
• Education navigator
If you require additional mental health support at any stage of your journey, you will be eligible to be referred to the ProblemShared talk therapy service.
The journey to getting a neurodevelopmental assessment can be long and stressful. But ProblemShared makes the whole process accessible and affirming. Here's what you can expect from your journey.
1. Enrolment
First, you need to be referred to our service by your GP. Once this has happened, the individual seeking an assessment (or the parent/caregiver of children and young people) will be sent some digital forms to complete before the assessment can take place.
If you are having an assessment for autism or ADHD, a form will also be sent to someone called your 'informant'. An informant is a person appointed by you, who knows you very well. Your informant should be able to describe any potential signs of a neurodevelopmental condition that you displayed during your childhood, or that you display currently, and how this impacts your functioning. In a child or young person’s case, this can be the parent/caregiver.
These digital forms are designed to provide your clinician with contextual information about any challenges you may be facing, enabling them to spend more time discussing what is important to you during your actual assessment.
Once you have submitted these completed forms to us, you will be added to our wait list for an assessment.
2. Assessment
• ADHD Assessment (120 mins) - consultation, followed by a verbal diagnosis session which normally happens on the same day.
• Autism Assessment (60-120 mins) & Informant Interview (180 mins) - these are two separate interviews, or in the case of a child or young person being assessed, there will be the assessment with the child or young person, and then the informant interview without the child or young person. The diagnostic outcome follows in a separate meeting.
• Specific Learning Differences Assessment (180-240 mins with breaks) - these are two sessions conducted by a level 7 SpLD assessor, and a further 45-minute follow-up feedback session. In the case of a child or young person, their parent/guardian may attend.
3. Report
Within 4-6 weeks of your assessment, you will receive a detailed written report complete with recommendations, resources and information about next steps.
4. Post-diagnostic care
Following the completion of your online assessment, you will recieve your diagnosis, and you will be invited to consider your post-diagnostic support options.
These include:
• Psychoeducation group sessions
• Prescribing of ADHD medication, where appropriate
• Education navigator for children and young people
If you require additional mental health support at any stage of your journey, you will be eligible to be referred to the ProblemShared talk therapy service.
The whole assessment process can vary in duration from client to client, but typically it lasts between 2 and 4 months, from your enrolment into our service all the way through to receiving your diagnostic report.
Before your assessment can take place, there are several digital forms that you need to complete. The forms should be filled out by the individual seeking a diagnosis, as well as other people relevant to the assessment process. These people include an appointed individual known as an 'informant', who can provide further information to clinicians that will contribute to an assessment outcome, or in the case of children, their teacher or school representative.
There are many helpful resources to guide you through the process, including support articles and videos that explain how to complete your digital forms, who to choose as your informant, and how to navigate your assessment sessions with confidence.
Your clinician will aim to give you the outcome of your assessment either at the end of your assessment, or later on the same day.
In some more complex cases, this is not possible. If this applies to you, your clinician will explain the reasoning to you, and a further follow-up call will be made to give you the outcome at another time.
Within 4-6 weeks of your having your assessment, you will receive your full diagnostic report, which will clearly show the reasons for our decision about a diagnosis or non-diagnosis. You will also be given some recommendations for support.
If 6 weeks have passed and you have not received your report, please contact help@problemshared.net.
Following the completion of your online assessment, you will receive your diagnosis, and you will be invited to consider your post-diagnostic support options.
These include:
• Psychoeducation group sessions
• Prescribing of ADHD medication, where appropriate
• Education navigator for children and young people
If you require additional mental health support at any stage of your journey, you will be eligible to be referred to the ProblemShared talk therapy service.
ProblemShared aims to provide the tools to those who are newly diagnosed with autism or ADHD to understand their own identity and navigate life following a diagnosis.
Our psychoeducation groups are part of your post-diagnostic support, and are an opportunity to process your emotional response to your diagnosis in a safe, structured environment.
There are 4 weekly 90-minute sessions which allow the opportunity for reflection, discussion and collaboration.
The sessions are grouped by age (parents of children aged 7-12 years, parents of adolescents aged 13-17 years, adults aged 18+), with 8-10 people per group. They cover a variety of topics and are supplemented with other materials, such as webinars, reading materials and signposting to trusted sources of further information.
The sessions are grouped according to age: adults over the age of 18, and parents of our child clients, grouped into parents of 7-11 year olds and parents of 12-17 year olds. Currently we are only able to offer this service to adults and parents, we do not facilitate sessions for the children themselves.
The ProblemShared education navigator service is designed to optimise your child or young person's learning experience within their educational setting.
Neurotypical educational environments can be really challenging for children and young people diagnosed with autism, ADHD, or specific learning differences. Following a child or young person’s neurodevelopmental diagnosis, a fully qualified teacher and Special Educational Needs and Disabilities Coordinator (SENCO) will support you and your family with the implementation of any recommendations made from the assessment into your child or young person’s school environment.
Our education navigator programme is a specialist teaching and advisory service that aims to support neurodivergent students, their families, and their educational settings by providing bespoke recommendations to improve their experience in education. This includes absentee students who experience school anxiety, as well as full-time students.
The term ‘educational settings’ is used since this support is available to those attending private or public schools, colleges, and universities, as well as those who are home-schooled.
Yes. There are many helpful articles and videos available in the Resources section of your client dashboard, and on the ProblemShared website, to support you ahead of your assessment.
You will receive an email with the details of your assessment sessions, including the date and time of each one, and the necessary links to meet your clinician online. You will also be able to see the details of each upcoming assessment session on your ProblemShared client dashboard.
As part of our pre-assessment process we look at any pre-existing conditions a client might have, and ensure that these would not impact our ability to assess for autism in an online environment. If at any point during the assessment the clinician feels that there may be other explanations for behaviours reported or observed, this would be taken to a multi-disciplinary meeting, and a plan would formulated about the next steps required before a diagnosis would be given.
An informant is a person nominated by you to provide further information to our clinicians that will contribute to your assessment.
They should be able to describe any potential signs of a neurodevelopmental condition that you displayed during your childhood, or that you display currently, and how this impacts your functioning.
An informant preferably should be someone who has known you since your early childhood, such as a parent/caregiver or sibling. If this is not possible, a long-term partner, close friend, or colleague can be your informant.
The informant process is different depending on which neurodevelopmental condition you are being assessed for.
Autism
Firstly, they need to complete a detailed Informant Questionnaire. This questionnaire will gather important details about your early childhood, developmental milestones, medical and educational history, social characteristics, and neurodivergent traits. You will need to download the Informant Questionnaire from your ProblemShared dashboard and send it to your informant to complete. When they are finished, they can send it back to you to re-upload onto your client dashboard with the rest of your pre-assessment forms.
Secondly, they need to attend an Informant Interview, which will last approximately 3 hours. This interview will take place via the ProblemShared secure online platform. You can attend this interview alongside your informant if you wish to, but you do not have to be present. This session is an opportunity for your clinician to gather more detailed information about your childhood, developmental history, and daily challenges, helping to guide their diagnosis.
ADHD
Your informant needs to complete an Informant Questionnaire as part of the assessment process. This questionnaire will gather important details about your childhood, developmental milestones, medical and educational history, social characteristics, and neurodivergent traits, and how these have impacted your functioning.
Here is an overview of what your informant will be expected to do:
• The Informant Questionnaire can be accessed from the pre-assessment forms page of your ProblemShared dashboard. You will need to download it and email it to your chosen informant.
• Once your informant has completed the Informant Questionnaire, they should send it back to you to re-upload onto your client dashboard with the rest of your pre-assessment forms.
SpLD
Assessments for specific learning differences do not require an informant.
ProblemShared is registered with the CQC. The CQC monitor and inspect health and social care organisations that provide any regulated activity. As such, ProblemShared's neurodevelopmental service is regulated, monitored and inspected by the CQC.
Our counsellors are all members of regulatory bodies and follow best practice guidelines set by those regulatory bodies. Furthermore, they must adhere to a code of conduct drawn from the requirements of professional psychotherapy bodies.
ProblemShared do not record any of their online sessions. What you say in your session is confidential and remains between you and your clinician. However, if the clinician has any concerns about risk or safeguarding, they may have to discuss the matter with their clinical supervisor, clinical team, or safeguarding lead in order ensure safety. Please note that phone calls with the ProblemShared customer service team are recorded.
We take your data privacy and data security extremely seriously and have in place a robust and comprehensive information governance framework with the aim of ensuring data security and that all personal information is handled correctly. Our Privacy Policy is available to read at the footer of this website.
We are also registered with the Information Commissioner’s Office, an independent regulatory authority set up to safeguard individual's data privacy rights.
Yes. ProblemShared bring together a network of UK-registered mind health professionals and have a rigorous accreditation checking policy in place to ensure that all of our practitioners are vetted. We are CQC-registered, and our clinical governance framework is the foundation that ensures that our clients are kept safe. As part of this, we ensure that staff who are employed by us in the provision of a regulated activity receive appropiate support, training and professional development, supervision and appraisal as is necessary to enable them to carry out the duties they are employed to perform.
ProblemShared only use psychiatrists and paediatricians who currently hold or have held consultant posts with the NHS. They must be on the General Medical Council (GMC)’s specialist register, and are also fully insured. All helathcare professionals employed by ProblemShared are registered with their prospective regulatory professioanal bodies such as NMC and HCPC and SASC.
We also hold our counsellors to similar account. They must be members of an accredited industry body, have undergone DBS checks, and are all fully insured.
We welcome any and all feedback. You can email us at help@problemshared.net with any comments or issues you might have, including as much information as possible, and we will be in touch.
You can review our full complaints policy at the footer of their website for more details [insert link].
We have high standards of care delivery at ProblemShared and really hope you never have cause to make a complaint. However, if you do, you can let us know via email, letter or phone call.
We aim to resolve complaints as quickly as possible. All complaints are logged and formal complaints are investigated.
We provide a gold-standard digital platform, are fully GDPR-compliant, committed to data protection, and our IT systems are fully Cyber Essentials accredited (cert. c8c44ea1-273c-48e8-8906-13e3a63fde84). ProblemShared is registered with the ICO, number: ZB567803.
ProblemShared meets the standards of the NHS Data Security and Protection Toolkit (“DSPT”) at: https://www.dsptoolkit.nhs.uk/OrganisationSearch/P6O4T.
We are not currently offering CYP autism assessments to clients who live in Northern Ireland due to the fact that South Eastern Health and Social Care Trust have written to ProblemShared (and all private providers) informing us that they will no longer accept remote autism assessments for CYP. Since then, the Trust has informed us that this position is also being taken by Health and Social Care Northern Ireland (HSC-NI).
For this reason, we will not be conducting CYP autism assessments for those that live in Northern Ireland until further notice. This is due to the fact that it may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
We follow all the appropriate NICE guidelines to conduct their robust online autism assessments and they stand by their clinical diagnoses. ProblemShared cannot control if a Trust decides not to recognise the online assessment as valid.
Currently, ProblemShared are not conducting CYP autism assessments for those that live in Northern Ireland until further notice. This is due to the fact that it may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
Yes. We are conducting online autism assessments for adults (18yrs +) who live in Northern Ireland. However, the client enters into the process with full transparency that their Trust may not recognise the online assessment diagnosis, which may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
Yes. We are conducting online ADHD assessments for children and young people that live in Northern Ireland. However, we are urging clients to gain a shared care agreement (the ongoing care provided by a GP for a client following the completion of the ProblemShared medication pathway) from their GP before they enter into the process. The client also needs to be aware that the online diagnosis may not be recognised by their Trust which may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
Yes. We are conducting online ADHD assessments for adults (18yrs +) who live in Northern Ireland. However, we are urging clients to gain a shared care agreement (the ongoing care provided by a GP for a client following the completion of the ProblemShared medication pathway) from their GP before they enter into the process. The client also needs to be aware that the online diagnosis may not be recognised by their Trust, which may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
There are currently extremely long wait lists in Northern Ireland for ADHD assessments. We believe that it is our duty of care to continue to offer the option of online assessment, as long as the client is equipped with the knowledge that their Trust may not recognise the online assessment diagnosis, which may severely limit the client’s ability to access post-diagnostic support from the NHS or other state institutions.
Yes.
If you are diagnosed with ADHD following your assessment, one option that can be very useful is medication. If you choose to trial medication, our team of expert prescribers will discuss medication options with you.
We understand that it can be overwhelming when considering medication, and this why your prescribing team will work closely with you to monitor your progress. They will be on hand to help facilitate your goals, find the best treatment available for your situation, and work with you to solve any issues that may arise throughout the process.
There are two main groups of medication; stimulants and non-stimulants. They work by increasing levels of certain naturally occurring chemicals in the brain.
• Stimulant medications (methylphenidate and lisdexamfetamine) work for a range of different durations. Depending on your requirements, the specialist in charge of your care will explore with you which may be better suited for you. Advice on how to take your medication will also be given to you.
• Non-stimulants (atomoxetine) must be taken every day for them to work, but they have the advantage of not wearing off.
It is not possible to predict how you will respond to any medication, but all are proven to be both safe and effective. Prescribing decisions are made with you. Your prescribing team will recommend medication based on the outcome of your assessment information, especially relating to your medical history, and the medical history of your family.
If you have any doubts or questions about medication, it is important that you raise them with your prescribing team, who will listen to you and help you understand your options.
Your prescribing team may need to try a few different medications to find the one which is right for you.
Most people have success with stimulant medication, and this is why the National Institute for Health and Care Excellence (NICE) recommends it as an option for managing ADHD.
There are times when individuals may not respond to medication in the way their prescribing team had hoped. The titration period is where your prescribing team monitor your response to medication and make changes depending on your feedback about any side effects or benefits of the medication. Your prescribing team will guide you through the process, taking your lead along the way, and will help to keep your expectations realistic.
Titration is the process of safely stabilising a person on medication to establish the most suitable type and dosage of medication, which has maximum benefits with minimal side effects.
You will be seen by your prescriber every 3-4 weeks until you reach a stable dose of medication. This process usually takes 12 to 16 weeks, but at times it can take longer than this.
As per the National Institute for Health and Care Excellence (NICE) guidelines, all medication for ADHD should only be initiated by a healthcare professional with training and expertise in diagnosing and managing ADHD.
Our ADHD medication service is run by a team of highly qualified clinicians who will look at your individual prescribing needs. All clinicians working at ProblemShared have met a high standard of competency before facilitating the care of their clients. They are all fully qualified, certified by their relevant professional bodies, and follow NICE guidelines, which are evidence-based recommendations for the health and social care sector.
The monitoring of blood pressure and heart rate is a requirement of the safe prescribing of ADHD medications.
Once you have reached a stable dosage of medication, we will write to your GP requesting that they accept you into shared care and take on responsibility for your ongoing prescribing. If they agree to take over, all following prescriptions will be issued by your GP practice, on an NHS prescription form, and the cost will be the same as any other prescription medication you receive from your GP.
This process can vary slightly between our partner contracts. You will be sent a detailed Medication Guide before starting the medication pathway which will explain any contract-specific nuances to you.
Shared care is the transfer of your ongoing prescribing from a specialist (ProblemShared) to your GP, where this is suitable and in your best interest.
When you are first referred to ProblemShared, you will receive an email inviting you to sign up and complete some intake information. Please create an account using the email address we have contacted you on.
Once you have logged in, you will see a ‘Complete Intake’ button, which will take you to an intake form where you can provide some pre-assessment information. After you have provided this information you will be invited to an introductory call with a member of our team, who will talk you through the next stage of the process.
Your ProblemShared dashboard is a digital space wherer you can keep track of everything to do with your care. From your dashboard, you can access your pre-assessment forms, the date and time of your assessment and post-diagnostic support sessions, and a range of useful resources to guide you through your client journey.
From your client dashboard, you can watch some helpful support videos to guide you through the process of completing your forms. If you are having problems with your forms after watching the videos, please contact our customer service team at help@problemshared.net or call 0203 835 2900.
You can access services at ProblemShared from the age of 7 years.
We do not currently offer neurodevelopmental assessments for children below the age of 7. It is our responsibility to ensure safe and comfortable environments for their clients and practitioners, and to ensure we deliver accurate assessments that clients can trust.
Accurately diagnosing children under the age of 7 with ADHD through remote assessments is incredibly challenging, as symptoms of ADHD can be difficult to distinguish from normal developmental behaviours in very young children.
For autism assessments, research has shown that children under the age of 7 respond more effectively to play-based autism observation assessments, which cannot practically be hosted online.
In relation to specific learning differences, children under the age of 7 are still undergoing significant developmental changes, including language acquisition and literacy skills. It can be difficult to distinguish between typical developmental variations and signs of dyslexia at this young age.
With this in mind, and in the interest of creating comfortable environments for their clients and giving their practitioners the best chance of producing an accurate diagnosis, we do not offer online assessments for children under the age of 7.
If you are 16 years old and do not wish for your parent or caregiver to be present or play a part in your assessment process, we would need to assess your capacity to make decisions regarding your care for yourself. If you are deemed to be Gillick competent and have the understanding and maturity to fully understand what is involved, then we could proceed without your parent or caregiver's involvement.
However, in this case we would still wish to speak with someone who knows you well in order to gain some contextual information ahead of your assessment.
Please be aware that we ask for an informant to provide additional information as part of the assessment process, and this is usually a parent or caregiver with specific knowledge of your early years and development. Not having this information may mean that it is not possible to conclude your assessment.
Furthermore, if you were to require medication following an ADHD assessment, we would request that your parent or caregiver are part of any discussion about the medication and would be reluctant to initiate medication without their prior knowledge.
'Gillick competence' refers to a young person under the age of 16 with the capacity and maturity to make any relevant decision, particularly regarding medical treatment. Children who are 16 years old and over can be expected to have capacity to consent to treatment. Children who are younger than this may be mature enough to decide for themselves and not want their parents involved, which will require you to consider whether they are Gillick competent.
Yes, they can. Starting medication does not exclude your child from accessing the other post-diagnostic services that we offer.
For example, the ProblemShared education navigator service could be incredibly beneficial for your situation. This is where a fully qualified teacher and Special Educational Needs and Disabilities Coordinator (SENCO) will support you and your family with the implementation of any recommendations made from the assessment into your child’s school environment.
Once your child has received a diagnosis for a neurodevelopmental condition, they are eligible to access the ProblemShared education navigator service as part of their post-diagnostic support.
The education navigator programme is a specialist teaching and advisory service that aims to support neurodivergent students, their families, and their educational settings by providing bespoke recommendations to improve their experience in education. This includes absentee students who experience school anxiety, as well as full-time students.
The term ‘educational settings’ is used since this support is available to those attending private or public schools, colleges, and universities, as well as those who are home-schooled.
Before the education navigator process properly begins, you can request an optional introductory call with one of our team. They will take you through the process and answer any questions you may have at this stage. This session is not clinical in nature and should only take around 15 minutes.
To officially get the process started, you will need to complete a few forms. These include a school consent form, a parental consent form, a one-page profile completed by you, or in the case of clients under the age of 16, your child with your support, and finally, an online questionnaire. This questionnaire allows your clinician to focus our attention on the most important challenges you or your child currently face in their education setting.
Once you have submitted your completed files, one of our experienced education navigators will meet with you, or you and your child, to understand your diagnosis.
Child-age clients are not expected to attend this session, but we do request that their parent or caregiver brings their completed One Page Profile to the meeting to ensure that their child’s voice is represented.
During the session, your appointed education navigator will learn more about your or your child’s current education setting and home environment, and explore the effect of any steps that may have already been taken to improve the experience. If adolescents or young adults prefer to attend their appointment alone, we ask that a parent remains nearby, as your education navigator will need to seek their parental viewpoint as well.
Next, your education navigator will engage with you or your child’s education provider separately to understand the challenges they face and the support they can offer. This will be either an online meeting or, if the education setting cannot meet with us, through a comprehensive questionnaire. Your education navigator will also research the school and local authority to understand what support is available in your area.
Once this is complete, your education navigator will talk you through the support available to you locally and within the education setting, and how best to access it. A written report including recommendations, resources, and next steps is then shared with you within 28 days of the session.
Clients between the ages of 7 to 19 years old, as well as higher education students up to the age of 22, can get full access to the ProblemShared education navigation support programme, as long as they are not also in full-time employment. The programme is designed to optimise the learning experience within your or your child’s educational setting.
This service is available to those attending private or public schools, colleges, and universities, as well as those who are home-schooled.
The service isn’t solely aimed at those who are facing profound challenges in their educational setting – even those looking for small optimisations are eligible.
Our team are all fully qualified SENCOs and specialist teachers with years of experience supporting neurodivergent students in neurotypical education settings.
The job of our education navigators is to understand how to optimise an educational setting to best suit you or your child’s needs. They work in partnership with the school or educator to understand what support is achievable given their staff or budget constraints, offering their bespoke and expert guidance to create the best achievable environment for you or your child to thrive in.
The child doesn't need to attend the feedback session but is very welcome to.
Depending on your child’s age, it might help for them to think about some of the things that are currently feeling tricky about home or school life, that have led up to this assessment. We want to hear their story, from their perspective. It can help to write things down ahead of time so that your child can get their thoughts in order, and have some context prepared for their clinician when asked about their experiences, so they don't feel on the spot.
The assessment itself will hopefully feel like a conversation as opposed to an interview. The assessing clinician may ask your child to complete some activities or games with them, or they may just sit and talk together. It is not a test and should not feel like one.
If your young person requires breaks or to move about, then please be reassured that this is perfectly fine, and we welcome any needed movement. We also really like it when children bring their favourite toys or items of interest to show us.
Depending on your child’s age, it may be easier for us to talk with them alone, or it may be that your child wishes to have you present.
It can be useful for young people and their families to remember that they may feel better able to freely talk without anyone else there. We will take the lead in the conversation with the child or young person, and help them to feel as comfortable as possible. We can then speak with yourself as their parent or guardian separately, to gather your perspective.
If you do wish to be with your child during the assessment, you are welcome to sit next to them if it's comfortable. We know it can be difficult to sit back and not intervene, especially when you know your child is nervous. However, we ask that when a question is directed to your child, please try to let them answer first.
We know that being online can be a slight barrier to some young people, and they may find it difficult to engage with a person who is not physically in the room. Please be reassured that if your young person needs to move about, do something else whilst talking to us, or come and go throughout the assessment, then we will accommodate this as much as we can within the realms of clinical necessity.
We’ve broken down our assessment process into steps to make it a bit easier to understand. Here's what you can expect from your journey.
1. Enrolment
First, you/your child need to be referred to our service by your GP. Once this has happened, the individual seeking an assessment (or the parent/caregiver of children and young people) will be sent some digital forms to complete before the assessment can take place. In the case of assessments for children, their education provider (school, college etc.) will also need to complete some digital forms.
These digital forms are designed to provide your clinician with contextual information about any challenges you may be facing, enabling them to spend more time discussing what is important to you during your actual assessment.
Once you have submitted these completed forms to us, you will be added to our wait list for an assessment. Please note that we cannot add you to our wait list until all pre-assessment forms have been received.
2. Assessment
In the assessment session, one of our clinicians will meet with you/your child and a parent or guardian where appropriate. The diagnostic outcome will be given on the same day if possible.
3. Report
Within 4-6 weeks of your assessment, you will receive a detailed written report complete with recommendations, resources, and information about next steps.
4. Post-diagnostic care
Following the completion of your online assessment, you will receive your diagnosis, and you will be invited to consider your post-diagnostic support options.
ProblemShared can deliver post-diagnostic care to our clients who are diagnosed with ADHD or autism, if these services are supported by their NHS service, university, or insurance provider.
Your clinician may be able to tell you/your child the result of your assessment within the same day. In some more complex cases, this is not possible. If this applies to you, your clinician will explain the reasoning to you, and a further follow-up call will be made to give you the outcome at another time. Occasionally we may require further information in order to provide the outcome of the assessment.