ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive procedure. A psychiatrist will evaluate whether your symptoms are causing significant impairment, and also rule out other conditions like depression or thyroid problems. They can also request old school records and other supporting evidence.
It is crucial that the person carrying out your assessment is an expert in ADHD. This applies to both GPs and psychiatrists.
Waiting at various times
In the UK adults who require an ADHD diagnosis are left waiting for years for an appointment with psychiatrists. The condition is classified as a serious mental disorder that has an enormous impact on the daily lives of people. The situation is even worse in certain areas, with waiting periods up to four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is made worse by the increasing awareness of the condition and the growing demand for treatment. NHS services are struggling to meet demand, and many patients opt to seek treatment from private clinics. This has been facilitated by the recent introduction of the Right to Choose scheme, which allows patients to choose for private healthcare from any provider.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS across the country. The number of adults who want an assessment has exploded and is currently over the capacity of the service. People who opt to take the private route are typically more successful, since 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 managing co-morbidities, such as depression and anxiousness that are often associated with ADHD.
Many people are concerned about the quality of private assessments and the possibility for them to overdiagnose the condition. The issue was brought to the public's attention when a BBC Panorama investigation exposed the method by which some private clinics were granting diagnoses without due process. Some have accused the program of propagating stigma and stereotypes about those with ADHD.
However, the BBC should be commended for exposing this problem and highlighting the suffering of adults who require an ADHD diagnosis. It's a shame some people have to seek help privately. The NHS must find a way to remedy this situation. In the meantime, if you suspect you might be suffering from ADHD, you can try an assessment for free with a charity, or request an assessment from a private psychiatrist. These are typically less expensive than the NHS however they don't include prescriptions.
Second opinion
If you're struggling with symptoms of ADHD It is essential to be diagnosed. A correct diagnosis will enable you to make the appropriate steps to manage your symptoms, which includes medication. You may be referred to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and adjustment. These clinics have plenty of experience with a wide range adults, including women and men, who may suffer from ADHD. They can also screen for co-morbidities such as depression and anxiety.
Private ADHD assessments can be costly, but they are usually much quicker than NHS waiting times. You will typically pay for the initial assessment, and then make follow-up appointments if needed. These appointments are covered by your insurance plan if you have it. These appointments will be conducted by trained nurses with a particular interest in ADHD and are qualified to assess the condition. Initial appointments typically involve clinical interviews and rating systems. You will also be required to complete questionnaires and you could be referred to additional tests, such as an MRI or EEG.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost includes both assessment time and titration fees. Certain private ADHD assessments offer titration separately from diagnosis, and this may be cheaper. Titration process takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years to receive an NHS evaluation, before going to a doctor in desperate need. The BBC investigation revealed a number instances where patients were given a diagnosis of ADHD and then taken off. This is a serious problem, as it can be very distressing for patients to be incorrectly diagnosed and prescribed medication that has adverse side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment and titration. The majority of health insurance companies offer these tests but it's worth checking with your insurer to determine if the policy you have covers them.
Referral to an expert clinic
If your GP refers you to a specialist clinic, the doctor will ask you questions and carry out an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD, and if they match the criteria for diagnosis. They will also check for any co-morbidities (other mental health conditions) that might be present. These include anxiety and depression. The doctor will then discuss the treatment options with you, including medication, if necessary.
During the examination, you will be asked about your family background and current problems at home and work. They will also ask about any medications you are taking. The interview will be structured and you can bring an adult or a relative to help you understand the information. It typically requires a few sessions for the evaluation to arrive at an accurate diagnosis. Some clinics will provide a comprehensive evaluation, while others will focus on specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny after a Panorama investigation. The undercover reporter was diagnosed with ADHD in three private clinics, while his GP claimed he didn't have ADHD. The BBC claimed that the story was an example of "over-diagnosing" by private companies, but GPs are only able to refer patients to further investigations or prescribe medication in accordance with strict guidelines.
Many GPs are unwilling to sign an agreement to share treatment with the NHS. This is the only way they can transfer the treatment of their patients to the NHS following a private diagnosis. They believe they aren't experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists will not prescribe medications, which could make it difficult for their patients to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment, ask them to refer you. You can determine the estimated wait time by calling the local mental health services or using the Right To Choose website. The site lets you select an online ADHD assessment service that will be provided by the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can be life changing. It not only helps individuals understand themselves better and their needs, but it also helps them as well as their family and friends better help them. In addition, it could aid them in determining a suitable treatment plan. However, obtaining an assessment isn't always straightforward. In the UK, people have to wait for a long period of time for an NHS assessment. This can be frustrating for those looking to be diagnosed as having ADHD.
If you can't wait, you can self-refer to psychiatrists who specialize in private assessment. You will reduce time and avoid having to go to your GP. It is a long process that could take months. However, it will give you an accurate diagnosis than the ones offered by the NHS. You should ensure that the person performing the assessment is either psychiatrist or psychologist, as they are the only healthcare professionals in the UK who are certified to assess ADHD.
A private assessment could include a clinical interview conducted by a psychiatrist. The doctor will ask questions about your mental health, childhood experiences and other factors. The doctor will use rating scales to ask about your current challenges at work, in school or in relationships. They will also address any other symptoms you have that could indicate the presence of ADHD.
private adhd assessment adults will then send an extensive ADHD report to your GP with your permission. They will also offer medication if appropriate. They can also assist you to get other types of assistance, like mentoring and study skills support. If you are a student, they will also help you apply for Disabled Students Allowance.
While it is not ideal to take short cuts but the reality is that NHS services are overwhelmed and underfunded. Some people try to cut corners using online assessments or private clinics that offer quick appointments and lack of expert clinical knowledge. These shortcuts should be avoided. However, those with ADHD should still seek a diagnosis if they can afford it.