Psychiatry

Mental Health Services Overview

ECC is a private mental health clinic that provides diagnosis and treatment for Adult, Child and Young People’s condition. Our team has highly skilled Consultant Psychiatrists who are equipped to manage a wide range of mental health conditions across all age groups, including children, adults, and older individuals. The Clinic also provides treatment for substance use disorders like opioid dependence, alcohol dependence, diazepam dependence, cocaine misuse etc. We specialize in the assessment and treatment of complex psychiatric disorders, providing expert reports to local authorities, employers, and various organizations as required. Our reports meet NHS standards.

The child Psychiatrists we employ can manage Neurodevelopmental disorders such as ADHD, ASD and other childhood conditions. we subject experts in dealing with Alcohol and related conditions, Addiction to various substances and have a keen interest in Behaviour addiction such as Gambling, Gaming etc.
We assess patients with complex Psychiatric conditions and produce reports to the Local authorities, employers and various organisations as requested.

The Clinic is regulated by the Care Quality Commission (CQC). It was inspected and rated good. The clinic is also compliant with the General Medical Council (GMC) code of good medical practice and with the National Institute for Health and Care Excellence (NICE) Guidelines for diagnosing all mental health conditions. The clinic uses online pharmacy services.

Our Expertise

Adult Psychiatrists

Our Consultant Adult Psychiatrists are proficient in diagnosing and managing a broad spectrum of mental health conditions, including:

  • Mood Disorders: Depression, Anxiety
  • Obsessive-Compulsive Disorder (OCD)
  • Post-Traumatic Stress Disorder (PTSD)
  • Schizophrenia
  • Dementia
  • Learning and Intellectual Disabilities
  • Personality Disorders

Child and Young people Psychiatrists

Our Consultant Child and Young people Psychiatrists are experienced in managing neurodevelopmental disorders, including:

  • Attention-Deficit/Hyperactivity Disorder (ADHD)
  • Autism Spectrum Disorder (ASD)
  • Other developmental and childhood psychiatric conditions
Addiction Psychiatrist

Addiction Psychiatrists

Our Consultant Addictions psychiatrists also offer specialized care for addiction-related conditions such as:

  • Alcohol dependence,
  • Opioid dependence
  • Benzodiazepine dependence
  • Prescribed medication and over the counter medication dependence
  • Any other Substance use
  • Behavioural addictions such as gambling and gaming.

Consultant Psychiatrists

The Consultant Psychiatrists manage all mental health conditions which include Depression, Anxiety, OCD, PTSD, Schizophrenia, Dementia, Learning disabilities/Intellectual Disabilities and Personality disorders.

Child Psychiatrists

The child Psychiatrists we employ can manage Neurodevelopmental disorders such as ADHD, ASD and other childhood conditions.

Addiction Psychiatrist

Addiction Psychiatrists

We expertise in dealing with Alcohol and related conditions, Addiction to various substances and have a keen interest in Behaviour addiction such as Gambling, Gaming etc.

Addiction services

OPIOD Addiction

Dependence on opioid substances such as Heroin or opioids pain killers can be debilitating to one’s wellbeing. Patients often find it difficult to stop using heroin or other opioids on their own. They may find it hard to give up such substances and will need specialist help. We have expertise in managing such situations and offer help biopsychosocially. Foremost we will offer evidence-based medications such as Opioid substitution treatments (OST). These include treatments such as Methadone, Buprenorphine which are highly effective treatments.

Benefits of Opioid substitution treatment (OST)

  • Prevents opiate withdrawals
  • Reduces accidental overdoses
  • Reduces risk of contracting and transmitting infections like Hepatitis B, Hepatitis C and HIV.
  • Improves physical, mental and social well being.
  • Treatment will be managed and led by specialist doctors and therapists.

Opioid Detoxification

Community or Home detoxification usually takes around 4 to 6 weeks. The suitability of such offer is dependent on one’s ability to stop the substances or opioids. This detox regime is planned and understood based on a few factors such as monitoring physical and mental health, determination to give up the drug and support systems in place. There will be an expectation that they will need to take time off work initially for few days and hopefully be able to return to their duties following some stability.

Once the detox starts there will be regular monitoring by a Specialist. The treatment is most effective when nonpharmacological support such as Psychosocial interventions, counselling offered by our Therapists/Psychologists.

Benefits of Home Opioid Detox

  • This carried out confidentially.
  • Save cost on hospital admission.
  • Treatment will be monitored by Specialists.
  • May be offered relapse prevention medications such as Naltrexone

ALCOHOL Addiction

Alcohol dependence is an illness of the brain that causes a compulsion to drink through intense cravings for alcohol and often people lose control. Alcohol addiction has 2 components.

  1. physical dependence
  2. psychological dependence

While the path to addiction varies from person to person, there are five main stages:

1. Occasional use or binge drinking

This usually involves experimentation. If you like the taste or the way alcohol makes you feel, you might choose to drink again. However, at this stage, you can still exert control over your drinking, even if you do drink more than the recommended weekly amount.

2. Alcohol abuse

This stage involves more frequent use of alcohol and you may be drinking more than the recommended amount on a regular basis. At this point, you may be using alcohol to boost your confidence or to alleviate feelings of stress or anxiety. This can lead to a cycle of abuse and an emotional attachment to alcohol.

3. Problem drinking

At this stage, you have developed a problem with alcohol and will be drinking out of habit rather than choice. Your use may be starting to have an impact on other aspects of your life and you might be noticing problems with your moods and sleeping patterns. Nevertheless, you are probably still at the stage where you are enjoying alcohol and believe that it is making your life better.

5. Addiction

After physical dependency comes addiction. At this stage, you are drinking because you have a physical and psychological need to do so, and not for pleasure or because you want to. You will crave alcohol and it will interfere with your ability to enjoy life. It is likely to be having a negative impact on your relationships with others as well as on your health and finances. Even knowing the harm that it is causing, you will not be able to stop. You will be compelled to drink and will be powerless to resist.

4. Physical dependency

At this stage, you have developed a problem with alcohol and will be drinking out of habit rather than choice. Your use may be starting to have an impact on other aspects of your life and you might be noticing problems with your moods and sleeping patterns. Nevertheless, you are probably still at the stage where you are enjoying alcohol and believe that it is making your life better.

ADHD (Attention Deficit Hyperactivity Disorder)

What are the symptoms of ADHD?

ADHD is characterized by symptoms such as:

  • Inattention: Difficulty maintaining focus or staying organized.
  • Hyperactivity: Restlessness and constant movement.
  • Impulsivity: Acting without forethought.

How is the diagnosis of ADHD made?

Diagnosis is based on the DSM-5 or ICD-11 criteria, involving a thorough evaluation of the individual’s symptoms, medical history, and behavioural patterns over time by a qualified healthcare professional.

Can adults have ADHD?

ADHD can persist into adulthood. Many adults are diagnosed later in life after experiencing challenges related to concentration, organization, and impulsivity.

What medications are used to treat ADHD?

Common medications used to treat ADHD include:

  • Stimulants: Methylphenidate (Ritalin, Concerta), Lisdexamfetamine (Vyvanse)
  • Non-Stimulants: Atomoxetine (Strattera), Guanfacine

These medications work by regulating brain chemicals to enhance focus and reduce impulsive behaviour.

How long do ADHD medications take to work?

Immediate-release ADHD medications typically take effect within 30-60 minutes, while modified-release formulations can last up to 12 hours. Your healthcare provider will determine the most appropriate medication and dosage based on your needs.

Can medication for ADHD or Autism be discontinued?

It is essential to consult with your healthcare provider before discontinuing any medication. Abrupt cessation can lead to withdrawal symptoms or a resurgence of unmanaged symptoms. Your provider will guide you through a safe and effective process if changes in medication are necessary.

Criteria and tools used in an autism assessment

An autism diagnosis should be based on the criteria outlined in either the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), or the International Classification of Diseases, 11th Revision (ICD-11), as recommended by the National Institute for Health and Care Excellence (NICE) guidelines.

DSM-5 criteria for autism

According to the DSM-5, the features of ‘autism spectrum disorder’ include:

  • criterion A: persistent deficits in reciprocal social communication and social interaction
  • criterion B: restricted, repetitive patterns of behaviour, interests or activities
  • criterion C: symptoms must be present in the early developmental period
  • criterion D: symptoms cause clinically significant impairment in social, occupational, or other important areas of functioning
  • criterion E: these disturbances are not better explained by intellectual disability or global developmental delay.

The DSM-5 is not published publicly online as this is a purchase-only manual principally designed for clinicians.

ICD-11 criteria for autism

According to the ICD-11, the features of ‘autism spectrum disorder’ include: 

  • persistent deficits in initiating and sustaining social communication and reciprocal social interactions that are outside the range of typical functioning given the person’s age and level of intellectual development
  • persistent restricted, repetitive and inflexible patterns of behaviour, interests, or activities that are clearly atypical or excessive for the person’s age and sociocultural context
  • the onset of the disorder occurs during the developmental period, typically in early childhood
  • note that characteristics might not fully manifest until later in life due to increased social demands
  • characteristics result in significant impairment in personal, family, social, educational, occupational or other important areas.

The ICD-11 is available online; follow this link for the full ICD-11 criteria for autism.

FRQUENTLY ASKED QUESTIONS

It is advisable to speak to your GP and discuss a referral to private a clinic i.eEconsultantclinic. This will help to connect discussions when we request repeat prescriptions from your GP for continuity of care.

The assessment takes place on an online platform we use. Upon agreeing the consultation after necessary paper work we will send a link to your preferred email address. Alternatively, if you prefer a face to face appointments this can also be arranged a suitable location near you by our admin team in our clinic. It is the same process for follow up appointments.

New patient assessment appointments can take up to 2 hours. 

As soon as we receive all your documents, we will offer an appointment as soon as possible at a mutually agreed time. This can be after working hours in the evening or weekends.

The doctor will ask for your photo ID, blood pressure, heart rate, weight and height which will need to be ready before your first appointment depending on the need.

The initial assessment fee includes a detailed report with diagnosis and treatment plan. We can agree the fee for the prescriptions separately.

After you have been informed of the diagnosis, the practitioner/doctor will offer treatment options, then a further appointment can be arranged within 7 days to start treatment and the prescription will be issued immediately.

If you have any concerns during our working hours, please message us on the website. We do not provide an emergency service. If you are in crisis, please call 999 or 111 as appropriate. Please make use of resources listed below.

 

Samaritans – 0161 236 8000 (local call charges apply) or 116 123 (free to call) can also be provide confidential support and are open 24 hours a day.

https://stayingsafe.net/home

https://www.prevent-suicide.org.uk/find-help-now/stay-alive-app/

https://www.mind.org.uk/information-support/guides-to-support-and-services/crisis-services/getting-help-in-a-crisis

If you were diagnosed with a mental illness/disorder in another country, we can assist in  exploring this further and explore what documents/reports you may have .

 

We have a robust and efficient team. Hence we don’t have a waiting list.  We can quickly turn around assessments and treatments and accommodate as per the families’ requests.

Following an initial assessment, individuals may be referred to our titration team for medication management. The titration process is designed to adjust the medication dosage until the optimal therapeutic effect is achieved

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