ADHD Assessment in the UK
An ADHD assessment is usually a pretty thorough procedure. A psychiatrist will determine if your symptoms cause significant impairment and will rule out other illnesses, such as thyroid or depression. They might also request old school reports or other evidence to back up their claims.
It is essential that the person who is conducting your assessment is a specialist in ADHD. This is true for GP's and consultant psychiatrists alike.
Waiting several times
Adults in the UK who need an ADHD diagnoses are left waiting years to visit psychiatrists for years. This is despite the fact that the condition is recognised as a serious mental health disorder and that it has major effects on people's lives. In some areas, waiting times can be as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The issue is made worse by the increasing awareness of this condition and the rising demand for treatment. NHS services are struggling with the demand and many patients decide to seek treatment from private clinics. The Right to Choose scheme has made it easier for patients to choose private healthcare providers.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in various parts of the country. The number of adults who want an assessment has grown exponentially, and is currently exceeding the capacity of the service. If you choose to go the private route are generally much better off, as private psychiatrists are accustomed to dealing with adults and are more familiar with the nuances of the condition. They are more likely to have experience in managing co-morbidities, such as depression and anxiousness, which can often accompany ADHD.
However, many are still concerned about the assessment of private patients and their potential to over-diagnose the condition. BBC Panorama exposed how some private clinics made diagnoses without following the correct procedure. Some have even claimed that the program is promoting stigma and stereotyping against people with ADHD.
However, the BBC deserves praise for exposing this problem and highlighting the dire situation of adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek assistance privately. The NHS should come up with a solution to address this issue. If you suspect you might have ADHD, try a free screening through a charity or pay for a private psychiatrist to assess your. They are generally less expensive than the NHS but they do not come with a prescription.
Second opinion
It is important to seek a diagnosis if you're experiencing symptoms of ADHD. A clear diagnosis will allow you to take the necessary steps to manage your symptoms, which includes medication. You could be referred to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and adjustment. These clinics have a lot of experience with a wide spectrum of adults, including women and men, who may suffer from ADHD. They can also test for co-morbidities like anxiety and depression.
Private ADHD assessments can be expensive however they are typically much quicker than NHS waiting times. You will typically pay for the initial assessment, and then arrange follow-up appointments if necessary. If you are insured, your coverage will likely cover these appointments. These appointments are conducted by trained nurses who have a particular interest in ADHD and are able to assess it. Initial appointments usually include clinical interviews as well as rating systems. You could be asked to fill out questionnaires and be referred to for further tests, such as an MRI.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes both assessment time as well as the cost of titration. Certain private ADHD assessments offer titration separate from diagnosis, and may be less expensive. However, the process of titration takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that a patient waited for three years for an NHS assessment before he went to a clinic in desperation. The BBC investigation revealed a number of instances where patients were given a diagnosis of ADHD which was later cancelled. This is a serious issue, as it can be very distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse negative side effects.
In Scotland, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the adjustment. Most health insurance plans cover these assessments however it is worth checking with your insurer to see if your policy will cover it.
Referral to a specialist clinic
If your GP suggests a specialist clinic, the doctor will ask questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and if they match the diagnostic criteria. They will also search for co-morbidities, or other mental health conditions. They are typically anxiety and depression. The doctor will discuss with you the options for treatment and medications if needed.
During the assessment you will be asked questions about your family background as well as your current issues at home and work. They will also ask you about any medications you are taking. The interview will be organized and you may bring along a friend or relative to help you through the process. The test will typically require several sessions to determine the diagnosis. Some clinics provide a full assessment, while others only look for specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny in the wake of an Panorama investigation. The reporter on the programme was diagnosed with ADHD at three private clinics - but his GP claimed that he didn't have the condition. The BBC said that the report was an instance of "over-diagnosing" by private companies, but doctors can only recommend patients for further investigation or prescribe medication under strict guidelines.
Many GPs refuse to sign an agreement to share treatment with the NHS. This is the only way for them to transfer the patient's care to the NHS after a private diagnosis. They feel they are not experts on ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medications, which could make it difficult for patients to receive the care they require.
Request your GP to refer you for an ADHD evaluation in the event that they haven't yet. You can find out the estimated wait time by calling your local mental health clinic or by visiting the Right To Choose website. The site lets you select an online ADHD Assessment service that will be provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. Not only does it help people understand themselves better and their needs, but it also helps them and read more their family and friends better assist them. In addition, it could help them find a good treatment plan. However, obtaining a diagnosis is not always straightforward. In the UK, people have to wait for a long period of time for an NHS assessment. This can be frustrating for many people who are seeking to be diagnosed as having ADHD.
If you're not able to wait, it is possible to request an appointment with a specialist psychiatrist who is experienced. This will help you save time and also a visit to your GP. It is not an easy procedure and could take months however, it will provide you with an accurate diagnosis than the NHS one. It is important to ensure that the person conducting the assessment is either a psychologist or psychiatrist, since they are the only healthcare professionals in the UK who are qualified to diagnose ADHD.
A private evaluation will likely include a clinical interview with a psychiatrist, including questions about your mental health and childhood history. The doctor will also utilize rating scales and ask about your current struggles with work, school, and relationships. They will also address any other signs you may have that might indicate the presence of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP, with your permission. If appropriate, they will also prescribe medication. They can also assist you in obtaining other forms of help, like study skills and mentoring. If you're students, they will also help you apply for Disabled Students Allowance.
While it is not ideal to cut corners but the reality is that NHS services are overwhelmed and underfunded. In the end, there are people who try to cut the line by using online assessments and private clinics that offer quick appointments, but offer no expertise in clinical practice. These shortcuts are not recommended, but there is no reason why people suffering from ADHD should not seek a diagnostic appointment if they are able to afford it.