ADHD Assessment in the UK
A thorough ADHD assessment is generally an extremely thorough process. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other disorders like depression or thyroid. They may also request old school records and other evidence to support your claim.
It is crucial that the person who is assessing you is an ADHD specialist. This is true for GP's and consultants as well.
Waiting times
Adults in the UK who need an ADHD diagnosis are left waiting years to see psychiatrists. The condition is acknowledged as a serious mental disorder that can have a significant impact on people's daily lives. The situation is worse in certain areas, with waiting periods as high as four years. The charity ADHD UK called for urgent actions to improve the situation.
The problem is made worse by the increasing awareness of the condition and the rising demand for treatment. NHS services are struggling to keep pace with the demand, and a large number of patients are choosing to seek treatment through private providers. The Right to Choose scheme has made it easier for patients to select private healthcare providers.
Psychiatry UK is one such service that offers an online ADHD assessment and prescriptions for the NHS. It has seen a surge in the number of adults seeking an assessment, which is currently outpacing its capacity. If you choose to go the private route are generally much better off, as private psychiatrists are used to dealing with adults and will be more knowledgeable about the specifics of the condition. They are also more likely to be experienced in managing co-morbidities, such as depression and anxiety which are often associated with ADHD.
Many people are concerned about the accuracy of private assessments and the possibility for them to misdiagnose the disease. The issue was brought to the attention of the public when a BBC Panorama investigation exposed the method by which some private clinics were granting diagnoses without proper procedure. Some have claimed that the program is perpetuating stereotypes and stigmas of 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 unfortunate that some of those who need this help are being forced to seek it privately, and the NHS needs to work out ways to address the issue. In the meantime, if you suspect you might be suffering from ADHD, you can try an assessment for free with a charity or take advantage of an assessment by private psychiatrists. These are typically cheaper than the NHS however they will not issue a prescription for medication.
Second opinion
It is essential to seek a diagnosis if you are suffering from symptoms of ADHD. A clear diagnosis will allow you to take steps to manage your symptoms, which includes medication. You could be advised to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and adjustment. These clinics are typically familiar with the vast range of adults who may have ADHD, including both genders. They are also able to screen for co-morbidities, like anxiety and depression.
Private ADHD assessments can be costly however, they are generally much quicker than NHS waiting times. Typically, you'll pay for an initial assessment and then be able to schedule follow-up appointments if needed. These appointments are covered by your insurance plan if you have it. These appointments will be conducted by specially trained nurses who have a particular interest in ADHD and are qualified to assess it. Initial appointments usually involve clinical interviews and rating systems. You will also be required to complete questionnaires and you might be referred for additional tests, such as an MRI or EEG.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The price includes both the assessment time and the titration fee. Some private ADHD assessments offer titration separate from diagnosis here and can be less expensive. Titration process takes longer and requires appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient had spent three years waiting for an NHS assessment before deciding to go to an unofficial clinic in desperate need. The BBC investigation exposed a number of cases where patients received a diagnosis of ADHD but were later taken off. This is a serious issue because it can be extremely distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse 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 worthwhile to inquire with your insurance company to see if your policy covers them.
Referral to a specialist clinic
If your GP recommends a specialist clinic, the doctor will ask questions and conduct an evaluation of your clinical condition. They will assess whether your symptoms are a sign of ADHD and if they meet the criteria for diagnosing the condition. They will also check for any co-morbidities (other mental health issues) that may be present. Most often, these are anxiety and depression. The clinician will discuss with you the options for treatment, including medication if necessary.
During an assessment the psychiatrist will ask you about your family history and current issues at home and at work. They will also inquire about any medications you're taking. The interview will be planned and you can bring along a friend or relative to help you understand the information. The test will typically take a few sessions to reach an accurate diagnosis. Some clinics provide a full examination, while others only test for specific symptoms.
Panorama's investigation into the inadequate service offered to patients with ADHD in the NHS has brought it to the fore. 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-diagnosis" by private firms. However, GPs are only allowed to refer patients for further examination or prescribe medications in accordance with strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS, which is the only way that they can refer their patient's treatment to the hospital after the patient has received a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. GPs should also note that many private psychiatrists will not prescribe medications, which could make it difficult for their patients to receive the treatment they require.
Ask your GP to refer you to an ADHD evaluation if they haven't already. You can determine your estimated waiting time either by calling your local mental health service or by visiting the Right To Choose site. The site lets you select an online ADHD Assessment service that is provided by NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can have a profound impact on your life. It aids people in understanding themselves and also their family and friends. In addition, it could aid them in determining a suitable treatment plan. However, getting a diagnosis is not always easy. Especially in the UK where people are waiting for long periods for an assessment from the NHS. This can be frustrating for many people who are looking to be diagnosed as having ADHD.
If you're not able to wait, it's possible to self-refer for an assessment in private with an experienced specialist psychiatrist. This will save you time and the hassle of visiting your GP. This is a lengthy process that could take months. However, it will give you an accurate diagnosis than those provided by the NHS. It is crucial to make sure that the person who conducts your assessment is a psychiatrist or psychologist because they are the only healthcare professionals competent to diagnose ADHD in the UK.
A private assessment may include an interview with a clinical psychologist or psychiatrist. The doctor will ask questions regarding your mental health, your childhood history and other factors. The doctor will utilize rating scales to inquire about your struggles at work, in school or in relationships. The doctor will also address other symptoms that could be indicative of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. If necessary, they'll prescribe medication. They can also assist you to find other ways of support, such as mentorship and support for studying skills. They can also assist you in submitting for Disabled Student Allowance if are a student at a university.
It's not a good idea to cut corners however, the NHS is overburdened and underfunded. Some people try to cut corners by using online assessments or private clinics that offer quick appointments and little or no expert clinical knowledge. These shortcuts should be avoided. However, those suffering from ADHD should still seek out a diagnosis as long as they are able to afford it.