Autistic Spectrum Conditions

We specialise in providing compassionate, comprehensive care for individuals with autism.

What is autism?

Autism, also known as Autism Spectrum Disorder (ASD), is a developmental disorder characterized by differences in social interaction, communication, and behavior. It is called a "spectrum" disorder because it encompasses a wide range of symptoms and severity levels. Individuals with autism may have difficulties with social skills, such as understanding social cues and forming relationships, and may engage in repetitive behaviors or have restricted interests. They might also experience challenges with communication, ranging from delayed speech development to difficulties in understanding and using language effectively. The exact causes of autism are not fully understood, but it is believed to result from a combination of genetic and environmental factors. Autism is typically diagnosed in early childhood, although some people may not receive a diagnosis until later in life. With appropriate support and interventions, individuals with autism can lead fulfilling lives.

What causes autism?

The exact causes of autism, or Autism Spectrum Disorder (ASD), are not fully understood, but it is thought to result from a combination of genetic and environmental factors. Genetic research indicates that multiple genes may contribute to the risk of autism, affecting brain development and function. Environmental influences, such as prenatal exposure to certain infections or chemicals, complications during birth, and advanced parental age, may also play a role. Neurobiological studies reveal differences in brain structure and connectivity that could impact social and behavioral functions. Overall, autism is a complex condition with no single known cause, and ongoing research aims to further elucidate the interplay of these factors.

Diagnosing autism

The process typically begins with a detailed developmental history and clinical interview, where the psychiatrist gathers information from parents or caregivers about the child's early development, behavior, and social interactions. This includes assessing milestones such as language development, social skills, and repetitive behaviours.

Our assessments take place over 2 x 1 hour consultations and involve assessment by a consultant psychiatrist experienced in the diagnosis of autism.

These appointments involve a clinical interview including a full developmental, family and medical history. You will also be asked to complete a series of questionnaires. Where appropriate an interview with someone who knows you well (preferably someone who knew you when you were a child- this can be done by telephone), may be conducted. At the end of the assessment process you will be given the opportunity to discuss the diagnosis and will receive a full report detailing the assessment and conclusions.

A letter conforming a diagnosis can be arranged for employers/ universities.

If we think there is a different reason or additional reasons you are having difficulties, we will discuss this with you and offer advice and/or signposting to potential sources of support and/or for additional assessment.

Treatment of Autistic Spectrum Conditions

There is no treatment for ASC. Most individuals however find a diagnosis very helpful in allowing them and others to understand their areas of strength and weakness.

As a consequence a diagnosis of ASC in adulthood can be transformative.

Rates of anxiety and depression can be higher in adults with ASC and our team can help diagnose and optimise treatment of any associated mental health conditions.

There are also higher rates of other ADHD. Our consultant psychiatrists are skilled in assessing, diagnosing and treating this condition.

Your journey

Referral

We accept self referrals although would prefer to receive referrals from your GP or other healthcare provider, outlining relevant clinical background.

Your first assessment

You can choose to meet your doctor in person at our consulting room in Edinburgh's New Town; or by secure video call from the comfort of your own home. Our initial appointments last one hour. This will afford you plenty of time to discuss your current difficulties and your goals for treatment. We will spend the final 15 minutes discussing our formulation and treatment options. You will subsequently receive a copy of your assessment letter and treatment plan (by secure email). If you have multiple or complex issues a further assessment appointment may be required, this will be discussed with you at the start of the appointment.

Follow up

Subsequent 30 minute follow up appointments will usually be carried out by video consultation (face to face is also possible) and will be more focused on medication titration and symptom review.

Our clinical team

Dr John Ferguson
MBChB BsCMed Sci (neuroscience) MRCPsych

Dr. Ferguson is a Consultant Psychiatrist with extensive experience and a deep commitment to patient care. His journey began with a dual degree in Medicine and Neuroscience from the University of Aberdeen, driven by a fascination with consciousness and the brain. Drawn to psychiatry for its focus on understanding patients' lives, he commenced his training in Edinburgh in the early 2000s.

Throughout his career, Dr. Ferguson has remained dedicated to both public and private practice, specializing in mood disorders, neurodevelopmental conditions, and sports psychiatry. His personal connection to mood disorders and ADHD motivates him to provide the best possible care, aiming for full recovery for his patients.

Beyond psychiatry, Dr. Ferguson enjoys open water swimming, chess, and mindfulness. He resides in East Lothian with his family and beloved dog, Maisie.

Dr David Crocker
MBBS, BSc (Hons) PgDip IDEWM & MRCPsych

Dr David Crocker studied Medicine at King’s College London, where he soon developed a fascination with the mind and an appreciation of the fundamental importance of mental health in peoples lives. After graduating in 2013, he completed his early years as a doctor in Cornwall, before undertaking training in expedition medicine.

He moved to Edinburgh in 2018 to undertake core training in psychiatry, and in the ensuing years he gained extensive experience of psychiatric practice in various settings. He successfully qualified as a Member of the Royal College of Psychiatry in 2022.

David has a family history of ADHD and recognises first-hand how difficult it can be to feel heard, with this often poorly understood and under diagnosed condition. He prides himself on being a good listener and having a non-judgemental and personalised approach. He lives in Edinburgh and enjoys mountaineering, racquet sports, and spending time with his dog Winston.

Fees

New patient psychiatric assessment (one hour) - £350

Follow up consultation (30 mins) Consultant - £170

Private prescription - £25

Private controlled drug prescription - £30

All payments must be made at the time of booking by card payment.

Cancellation Policy

We operate a strict cancellation policy for appointments. Cancellations made within 48 hours of the appointment will be charged the full rate. Failure to attend appointments will also be charged the full rate. Cancellations can be made by emailing admin@edinburghadultpsychiatry.co.uk or phoning 0131 364 4758