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Consultant in Clinical Child & Adolescent Psychology

 

Assessment & Therapy Procedures

Initial assessments

Assessments are conducted in  relaxed and friendly settings with comfotrable waiting rooms and facilities such as play areas ( Leicester clinic)  and complementary refreshments. 

The initial assessment sessions are approximately 1 hour long and usually, a further shorther session is needed to complete the assessment. Dr Thorley discusses with families who would like to be present but it is usually helpful for parents and young people to discuss issues together following which, time can be given for individual sessions.

Assessments are only undertaken by Dr Thorley and not junior staff. After the assessment, a formulation/ diagnosis is provded and  a discussion can take place about the therapy or further assessment options as well as the expected number of sessions required.

For the assessment of  neurodevelopmental conditions such as Attention Deficit Hyperactivity Disorder (ADHD), Austistic Spectrum Disorder (ASD) and Learning Difficulties, the assessment process will take longer but not usually involve more than 5 sessions. Frequently information is needed, with consent,  from school to assist with the process. 

Special Note for ADHD and ASD Assessments

Dr Thorley recomends that for ADHD and ASD assessments, the services of colleagues in the NHS Paediatric Services or the Child and Adolescent Mental Health Services (CAMHS) should be sought first. The assessments done privately, cost in the region of 1200 pounds but more importantly, when these conditions are identified, long-term follow-up care is frequently needed which the NHS services are better resourced to provide. Dr Thorley is happy to do the assesssments in cases of long wait times for NHS services or when a second opinion is required. It is however, best to discuss the options first with Dr Thorley or his secretary before making an appointment.

Special Note for matters related to Separation and Divorce

Where mental health and behavioural problems are arising  primarily from contact issues, refrerrals are not accepted. This does not exclude  young people where parents have separated but have mental health problems not causally related to contact issues. If you have any query about such referrals please contact Dr Thorley's secretary to discuss.

Fees

Charges are calculated on a per hourly or pro rata  basis and differ a little between clinics. These rates are available by telephoning the clinics. It is misleading to give an estimated total cost for any assessment and course of therapy because much depends on individual circumstances. Usually, Dr Thorley will provide a fee estimate after the initial assessment session.

Therapeutic strategies

Dr Thorley uses evidence based therapies and where available follows NICE guidlines. An important feature is the use of therapies which will yield good results in the shortest posssible time with an additional focus on relapse prevention. In practice this may mean weekly sessions to start off with but with greater intervals between sessions as the intervention progresses. Generally, for many mental health problems and disorders, resoloution is achieved in between 8 and 10 sessions.

Neuropsychologcal Assessments

Young people up to, and including  the age of 16 years, requiring assessment for brain injury generally  require  3-4  hours  of assessment including a semi-structured interview  and standardized tests of cognitive and neuopychological functioning. Two separate appointments are usually preferable unless clients prefer a single assessment session. Usually, clients are assessed on their own to avoid distraction  and influence, however unintentional from others.