Dear Dr,
I am writing to refer a 28-year-old male patient of mine, Mr [Patient's Name], for assessment for the diagnosis and treatment of Attention Deficit Hyperactivity Disorder (ADHD). After a thorough clinical assessment, I believe that Mr. [Patient's Name] meets the criteria for adult ADHD as outlined in NHS guidance for primary care teams in SE London.
Mr [Patient's Name] has been under my care for XX years and, during this time, he reports several symptoms (greater than five symptoms in total) consistent with ADHD in adults that have been present for more than six months. These symptoms include difficulties in focusing, following through on tasks, hyperactivity, forgetfulness, impulsiveness, restlessness, and irritability. Mr [Patient's Name] also reports being easily distracted, struggling with time management, organisation, and completing tasks efficiently.
Many of Mr [Patient's Name]'s symptoms have been present since he was under 12 years old; and have been affecting his daily life and ability to function at work as well as his personal relationships. These symptoms are not due to any other medical or mental health conditions or to alcohol, drug or substance use; and are having a negative impact on his academic and/or occupational roles. The symptoms are present in more than two settings (at home, school, or work; with friends or relatives; and in other activities). He presents evidence that these symptoms either interfere with or reduce the quality of his social, academic, or occupational functioning.
Mr [Patient's Name] currently works as a [OCCUPATION], a role he has held for XX years. He is in a [STABLE] personal relationship and lives in his own home with his partner. He does not report any financial problems that may be affecting his mental health. He completed secondary school education and then attended / did not attend higher education.
Mr [Patient's Name]'s other medical problems include [ADD LIST]. His current medication comprises [ADD LIST]. He has not previously been diagnosed with a mental health condition or received treatment for mental health problems. He does not use any recreational or illicit drugs, and his alcohol consumption is within normal limits (XX Units per week). He is a non-smoker. A recent physical examination identified no abnormalities, with normal blood pressure (XXX/XX) and normal body mass index (XX.X).
Risk Assessment: [Include any historical or current risk history relating to; risk to self, risk to others, self-neglect, vulnerability/exploitation/, safeguarding].
Given the severity and persistence of his symptoms and the impact on his well-being, I believe that a specialist assessment by the ADHD team is necessary. I am confident that your team has the expertise and resources to provide Mr. [Patient's Name] with an accurate diagnosis and an effective treatment plan so that he can manage better in the future.
Thank you for considering this referral. I am available to provide any additional information that may be helpful in the assessment process. I have attached the relevant NHS referral form and Mr [Patient's Name]'s results from the Adult ADHD Self-Report Scale (ASRS-v1.1) Symptom Checklist Please let me know if there is anything else I can do to help with his referral for specialist ADHD assessment.
Yours Sincerely,
[Your Name]
[General Practitioner (GP)]
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