ADHD Assessment in the UK
An ADHD assessment is usually a pretty thorough procedure. A psychiatrist will determine if your symptoms are causing significant impairment, and also rule out other conditions, such as depression or thyroid problems. They might also request old school reports or other supporting evidence.
It is vital that the person who is assessing you is an ADHD expert. This is true for both GPs and psychiatrists.
Waiting at various times
Adults in the UK who need an ADHD diagnoses are left waiting years to visit psychiatrists. The condition is recognized as a serious mental disorder that can have a significant impact on people's daily lives. In some areas, waiting times can be as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The issue is made worse by the increasing awareness of this condition as well as the increasing demand for treatment. NHS services are struggling with demand, and many patients opt to take care of themselves through private providers. The Right to Choose scheme has made it easier for patients to choose private health providers.
Psychiatry UK is one such service that offers an online ADHD assessment and medications for the NHS. The number of adults who want an assessment has increased dramatically and is currently surpassing the capacity of the service. Private psychiatrists are more knowledgeable in dealing with adults and are better equipped to comprehend the nuances of ADHD. They are also more likely to have experience in managing co-morbidities, like anxiety and depression that are frequently present with ADHD.
However, many are still concerned about the assessment of private patients and their potential to over-diagnose the illness. The issue was brought to the attention of the public when a BBC Panorama investigation exposed the method by which some private clinics were giving diagnoses without proper process. Some have claimed that the program is spreading stigma and stereotyping about those with ADHD.
The BBC should be commended however, for exposing this issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some people who require this help are being required to seek it privately, and the NHS should come up with ways to deal with the issue. In the meantime, if you suspect you might have ADHD You can try an assessment for free with a charity or request an assessment from private psychiatrists. These are usually cheaper than the NHS but they do not come with a prescription.
Second opinion
It is essential to seek a diagnosis if you're experiencing symptoms of ADHD. A correct diagnosis will help you manage your symptoms and take medications. You could be directed to a psychiatrist for additional treatment. Many private clinics provide diagnosis and adjustment. These clinics have a lot of experience with a wide spectrum of adults, including men and women, who may be suffering from ADHD. They also screen for co-morbidities, such as depression and anxiety.
Private ADHD assessments are expensive, but the wait times for NHS services are significantly longer. Typically, you will pay for a first assessment, and then follow-up appointments if needed. If you are insured, your coverage will likely cover these appointments. These appointments will be conducted by trained nurses with a particular interest in ADHD and are certified to assess it. The initial appointment will usually involve clinical interviews and rating scales. You could also be asked to fill out questionnaires and be referred to for further tests, like an MRI.
You can expect to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost includes both assessment time and the titration fee. Some private ADHD assessments provide titration separate from diagnosis, and this can be cheaper. Titration process takes longer and requires more appointments.
The BBC's Panorama investigation has revealed that a patient waited for three years for an NHS assessment before he went to a doctor in desperate need. The BBC investigation revealed a variety of instances in which patients received a diagnosis of ADHD and then taken off. This is a serious issue, as it can be extremely stressful for patients to have their symptoms wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland, the cost of an ADHD assessment is PS1,335 and includes the initial assessment as well as titration. Most health insurance policies cover these assessments. However, it is worthwhile to verify whether you are covered.
Referral to an expert clinic
If your GP suggests you visit a specialist clinic, the doctor will ask you questions and perform an assessment. They will assess whether your symptoms are a sign of ADHD and determine if they meet the criteria for diagnosis of the condition. They will also assess for any co-morbidities (other mental health conditions) that might be present. Most often, these are anxiety and depression. The clinician will discuss with you the treatment options, including medication if necessary.
During the examination during the assessment, you will be asked about your family background as well as the current issues you face at home and at work. They will also inquire about any medications that you are taking. The interview will be organized and you may bring your family member or friend to help you understand the information. The assessment will usually require a few sessions to establish the diagnosis. Some clinics provide a full assessment, while others only look for specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny after a Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics, but his GP claimed that he did not have the condition. The BBC claimed that the story was a case of "over-diagnosis" by private firms. However, GPs are only allowed to refer patients website for further investigation or prescribe medication in accordance with strict guidelines.
Many doctors are reluctant to sign an agreement for shared treatment with the NHS. This is the only way to transfer the patient's care to the NHS following a private diagnosis. This is due to the fact that they believe that they are not experts in ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which could make it difficult for patients to receive the treatment they require.
If your GP hasn't recommended you for an ADHD assessment request them to do so. You can determine the estimated waiting time by calling your local mental health clinic or by visiting the Right To Choose website. The site allows you to choose an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can be life changing. Not only does it help people understand themselves better and their needs, but it also helps them as well as their family and friends better assist them. It also assists them to determine the best treatment strategy. It's not always easy to determine an accurate diagnosis. In the UK patients have to wait for a long time to receive an NHS assessment. This can be a problem for many people who are looking to be diagnosed as having ADHD.
If you can't wait, you can self-refer to an expert psychiatrist for a private evaluation. You will save time and avoid having to go to your GP. This is a lengthy process that can take a few months. However, it will give you an accurate diagnosis than the ones provided by the NHS. It is essential to ensure that the person who conducts your assessment is a psychiatrist or psychologist since they are the only healthcare professionals who are competent to diagnose ADHD in the UK.
A private evaluation will likely consist of a medical interview with a psychiatrist. This will include questions regarding your mental health and your childhood history. The doctor will also use rating scales and ask about your current struggles in work, school, and relationships. They will also talk about any other symptoms you experience that could indicate the presence of ADHD.
This will produce a comprehensive ADHD assessment report, which the psychiatrist will send to your GP with your permission. If needed, they may also prescribe medication. They can also assist with other forms of support, including study skills and mentoring. If you are students, they will also help you apply for Disabled Students Allowance.
It's not a good idea to cut corners however, the NHS is overwhelmed and underfunded. Some people attempt to save money by using online assessments or private clinics that offer fast appointments but with lack of medical expertise. These shortcuts are to be avoided. However, those with ADHD should still seek out a diagnosis when they can afford it.