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Speaker 1: We welcome back doctor Laura Phi for morning.

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Speaker 2: Good morning. Look how are you.

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Speaker 1: Oh, it's wonderful to have you back on the wireless

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Speaker 1: I'm great things. Something that has ironically drawn some attention

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Speaker 1: this week. Spotted it on the news Sunday nights, ADHD

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Speaker 1: and a potential shortage of meds. Why don't we start

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Speaker 1: with ADHD itself? What is this?

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Speaker 2: So? ADHD stands for attention deskerit hyperactivity disorder, and it

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Speaker 2: belongs to these neurodevelopmental conditions or neurodiverse conditions, and it

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Speaker 2: sort of affects how the brain regulates attention organization and

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Speaker 2: our impulse control.

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Speaker 1: How's it diagnosed?

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Speaker 2: Oh, it's a very comprehensive assessment that involved lots of

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Speaker 2: things like history taking, looking at school reports, maybe interviewing parents,

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Speaker 2: school teachers. So there's a lot that needs to go

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Speaker 2: into that assessment, and they generally take about and a

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Speaker 2: half to two hours to go through a diagnostic process,

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Speaker 2: also to rule out other conditions that can present quite similar,

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Speaker 2: like anxiety and sleep problems. So it's quite a long assessment.

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Speaker 1: So it's been reported there's a shortage of meds used

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Speaker 1: to treat this. The likes of concert and Teeva. Is

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Speaker 1: this a concern.

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Speaker 2: It's a reflection of a global supply shortage, so New

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Speaker 2: Zealand is impacted by that as well. And the farmac

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Speaker 2: is working to try and provide alternative brands and formulations

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Speaker 2: so patients are encouraged if they do run out of

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Speaker 2: medications not to threat to consult their pharmacist or GP

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Speaker 2: because there are some alternatives that are available.

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Speaker 1: Yeah. Right, it feels like so many more people are

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Speaker 1: being diagnosed with ADHD these days. What's that all about.

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Speaker 1: Do you think it's because it's more there's more known

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Speaker 1: about it, or a doctor's being too liberal with their prescriptions.

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Speaker 2: It's a long as spectrum disorder, which means it sort

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Speaker 2: of varies in symptoms and in severity. And I think

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Speaker 2: it's promssibly a bit of a combination or of the above,

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Speaker 2: that there is more recognition for it, we're talking about

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Speaker 2: it a lot more. I also think it's just how

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Speaker 2: we're living our lives that makes those symptoms possibly stand

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Speaker 2: out more and more severe. So being really busy, having

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Speaker 2: a lot to manage pressure and stress of things that

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Speaker 2: already flare people that have ADHD. But it's a lifelong condition,

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Speaker 2: so you don't just develop ADHD, but they're throughout a lifetime,

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Speaker 2: but it might flare and change over the course of

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Speaker 2: your life in response to things like stress and hormones

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Speaker 2: and those sorts of things. But also I think the

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Speaker 2: increased screen time and lack of sleep don't help in

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Speaker 2: terms of its diagnosis or people that have this that

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Speaker 2: their symptoms may be more severe than they would have

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Speaker 2: been otherwise.

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Speaker 1: Yeah, too, right, something that's changed since we last caught

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Speaker 1: up the government's announced twelve months prescriptions. How does this

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Speaker 1: work if we're already got a prescription that does it

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Speaker 1: automatically extend?

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Speaker 2: No, that's not the default position. The default position is

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Speaker 2: how things are currently and so patients need to be

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Speaker 2: eligible for this, and I think a lot of gps

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Speaker 2: have already been doing this in terms of just drawing

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Speaker 2: people in for a once a year physical review. But

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Speaker 2: we've been in sync with pharmacy prescriptions which have three

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Speaker 2: months long, so people have had to contact us to

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Speaker 2: get another script for their three months. So for people

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Speaker 2: that have really stable long term conditions, what we are

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Speaker 2: now able to do is issue the pharmac there twelve

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Speaker 2: month script. I should still collect that every three months,

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Speaker 2: but it just means that if we are doing those

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Speaker 2: very stable patients with maybe just a couple of medications

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Speaker 2: and we're quite happy that they're safe and really been

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Speaker 2: well looked after anyway, that we can now give them

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Speaker 2: that whole year at once and review them once a

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Speaker 2: year with that twelve month script.

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Speaker 1: Also, the twelve months isn't isn't for everybody.

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Speaker 2: It's not automatic at all, and you need to be eligible.

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Speaker 2: And most practices are doing similar to what we're doing

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Speaker 2: at nexton, which is we need to see you to

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Speaker 2: determine it. That's okay, first catch up, talk about any

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Speaker 2: things that we really want you to look out for

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Speaker 2: because we're not touching bases often, and then we might

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Speaker 2: be happy to issue a twelve month script or a

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Speaker 2: six month script. It might depend.

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Speaker 1: Yeah, god chair, Hey, super quick talking change. Also, since

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Speaker 1: we last caught up, I introduced you as doctor Laura Fifer.

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Speaker 1: Might need to correct myself on that because you've had

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Speaker 1: a pretty major life development.

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Speaker 2: Yes, yes, I did get married over the summer break. Yay. Yeah, yeah,

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Speaker 2: professionally my last name hasn't changed, and that just just

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Speaker 2: just too much effort at this point in time. But yes, no,

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Speaker 2: thank you very much, We had a brilliant day at it,

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Speaker 2: savely and all our vengers were amazing. So great place

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Speaker 2: to get married with Canterbury.

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Speaker 1: I'm sure it looked gorgeous and I caught some of

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Speaker 1: the pictures You looked stunning on Facy there as well.

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Speaker 1: I see you on Facy that your name has changed,

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Speaker 1: so welcome to the club, Missus Coots. Does it feel

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Speaker 1: weird yet?

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Speaker 2: Absolutely done? Yeah? I think you know even little things

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Speaker 2: when you see my initials on my work roster. For

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Speaker 2: a while I had to figure out who this new

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Speaker 2: doctor was working with us, But

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Speaker 1: Well for us, you can remain doctor Laura Phi for

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Speaker 1: wonderful and thanks for the for the ketchup.