Dr Matthew Fealey
MBChB, MRCPsych, Dip Systemic Psychotherapy
MBChB, Sheffield University School of Medicine 1998
MRCPsych, Royal College of Psychiatry 2008
Dip Systemic Psychotherapy, Tavistock and Portman NHS Foundation Trust 2011
I am a Consultant Child and Adolescent Psychiatrist working in the NHS for Hampshire CAMHS. I graduated from Sheffield University medical school in 1998 and began training in Psychiatry in 1999. I worked in adult psychiatry for 8 years before completing my higher training in child and adolescent psychiatry and I have been an NHS consultant since 2011.
My Work is with under 18’s doing:
- Autism and ADHD assessment and diagnosis
- Assessment, diagnosis and treatment of mood disorders
Many parents that I see are concerned about their child’s development and are worried that they may have ADHD or that they be on the autistic spectrum. I meet with the family and young person to do an initial assessment and if the diagnosis is clear we can discuss the best way forward. For both ADHD and autism further information will be needed to make a diagnosis such as feedback from the school or further assessments such as an ADOS and ADI, which are used to formally diagnose an autistic spectrum condition. We have a specific care pathway available for an autism assessment which is in keeping with national guidelines on best practice from NICE (the National Institute of Clinical Excellence). If a diagnosis of ADHD is made we will also discuss the treatment options available which may be with medication or I will refer to a colleague for other support. I will then monitor the response to the medication and make adjustments as necessary.
As a psychiatrist I also work with young people in their teens struggling with their mood or anxiety. There may be changes in your child’s behaviour that are concerning you or that their relationship to you as parents or to their friends has changed. They may be self-harming or having suicidal thoughts and you want to get help for them. I will meet with you and your child, then will spend time with the young person separately. Once we have a shared understanding of the problem we can look at the options available to help. We would always recommend psychological therapies first for treatment but sometimes the problem is so severe that medication is required in addition or the young person does not feel ready to talk to someone but will consider medication. I will then review progress with you as treatment proceeds and work closely with psychologist colleagues to provide a collaborative approach to the problem.