I am a medical doctor working as a consultant psychiatrist in the NHS and private sector. I have extensive experience in assessment and management of common mental illnesses and developmental disorders like ADHD and autism.
Mental illness is extremely common and far more prevalent than most people realise. This kind of illness therefore ranks alongside cardiovascular disorders and cancer as one of the nation’s biggest health problems.
I am a staunch supporter and implementer of a holistic approach in mental health care. I am of the view to provide support that looks at the whole person, not just their mental health needs. The support should also consider service user`s physical, emotional, social and spiritual wellbeing alongside psychiatric medications.
I assess, diagnose and treat any types of mental health conditions of anyone aged 14 and above. The most common conditions I have developed experience are as below:
Obsessive-compulsive disorder (OCD)
Post-traumatic stress disorder (PTSD)
Developmental Disorders (ADHD, Autism...etc)
Schizophrenia and delusional disorders
Dementia and Alzheimer’s disease
Eating disorders, such as anorexia and bulimia
IMPORTANT NOTICE BEFORE BOOKING AN ASSESSMENT:
The diagnosis and treatment plan are individualised for each case. While I will take your requests into consideration, it's important to note that my advice is based on my assessment and examination. It's not possible to "order" specific results such as a particular diagnosis or treatment, as they are determined through a comprehensive evaluation process.
FAQs ABOUT ADHD AND AUTISM ASSESSMENTS
- The assessment is a comprehensive one that will investigate ADHD and Autism but at the same time all other possible differential conditions. This means that Dr Yahli will reach an opinion about any possible condition that may describe your problems.
- You will receive some forms to complete before the assessment.
- 90 minutes assessment includes the time Dr Yahli spends for reviewing your forms too. This means sometimes one to one conversation may take shorter or longer than 90mins, Dr Yahli will not charge you anything for that.
- Dr Yahli will provide you a report after each assessment and review that you can share with your GP. This will take up to 6 weeks. Any urgent request can be considered. You need to read your report and then share with your GP if you want.
- Dr Yahli can discharge your care to your GP at any stage if you want him to do so. He can recommend your GP to do follow up reviews. However, Dr Yahli cannot guarantee that your GP will agree to do that. Each GP has a different way of approaching these recommendations regarding ADHD and autism management. Please discuss this with your GP before booking a private assessment.
- There is no clinical difference between videocall assessment and in person assessment. Dr Yahli may still ask for a in person assessment if need be.
- In some cases, particularly for teenagers, more than one assessment slot may be required to reach a conclusion.
- If Dr Yahli thinks of prescribing a medication for you, you may need medication reviews during the titration (a period of gradual dose increase to reach an optimal treatment dose for a medication). This may mean a monthly or fortnightly reviews. The fee for each follow up/review is £260. The number of reviews vary from case to case. It is usually between 1 to 3 reviews for a medication change is not needed.
- Dr Yahli may ask you to do physical health checks prior to issuing a prescription. This varies from case to case. If there is no history of heart conditions in the family then the tests required are - blood pressure, height, weight, pulse. If there is a history of heart conditions in your family the tests required are - blood pressure, height, weight, pulse, bloods and an ECG. You can do those tests via your GP or privately.
- The first prescription is included with the cost of the assessment.
- Prescriptions take roughly 7 days to be processed. I will post it to the pharmacy service we work with. The cost of the medication may take up to £120. This is not paid to us. It will be paid to the pharmacy upon your communication and agreement with the pharmacist.
- Dr Yahli will explain the side effects and share a leaflet when issuing a prescription. If you have questions about side-effects, mood changes, dose changes or changing medications after the start of the treatment, you ask them at a follow-up appointment. Please do not ask these questions in-between appointments over messages as these are not always seen by Dr Yahli.
- Dr Yahli will not change dosage or medication type without discussing it first at a follow-up appointment.
- After the titration and necessary reviews, there is an option to request a prescription outside appointment on this profile which is £65. This is not an appointment or discussion. Discussions about dose changes, side effects or medication changes will not be provided with this service - these must be discussed at a medication review appointment.
- New patients will complete a lengthy self report, a relative form and a school form for teenagers You must allocate time to complete these forms. The relative form must be completed ideally by a parent, if not possible it could be an older sibling who will know a lot about your past history between age of 5 and 12.
- An existing patient will need to complete a medication review form analysing the good and side effects of the medication you take.
- All forms would be sent to you at least 6 hours prior to your assessment.
QUESTIONS ABOUT SHARED CARE AGREEMENT
- You should discuss this with your GP FIRST if you want to consider shared care agreement in future. This is something your GP will need to provisionally agree with you and let you to book the private assessment. Please read details below.
- Shared care agreements allow general practitioners (GPs) to take over the prescribing of specialist medications (likely stimulants), initiated by specialists, for the convenience of patients. However, this can only occur once the medication dosage has been stabilised. In this case, I can refer you to your GP only when you reached the stable dose.
- Once you are transferred to your GP, your GP signs the prescription and so holds the legal responsibility for prescribing, however you still remain under my care and should undergo an regular review with me.
- If you are discharged from my care, the shared care agreement no longer applies, and you GP cannot or may not prescribe the medication.
- In cases where your GPs lack the necessary monitoring information required for the specialist medication or have concerns about non-adherence, they reserve the right to decline prescribing it. This measure ensures the safety of the patients. It is the patient's responsibility to attend monitoring appointments as requested.
- If you wish to decrease the dosage or discontinue the medication, you should directly discuss this with me.
These guidelines align with the guidance provided by the General Medical Council (GMC), NHS England, and the British Medical Association (BMA).