ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will assess whether your symptoms cause significant impairment, and also rule out other conditions like thyroid issues or depression. They can also request old school records and other evidence to support your claim.
It is vital that the person assessing you is an ADHD specialist. This is true for GP's and consultant psychiatrists too.
Waiting at various times
In the UK adults who require an ADHD diagnosis are waiting for years for an appointment with a psychiatrist. The condition is classified as a serious mental disorder that has a significant impact on the daily lives of people. The situation is even worse in certain regions, with waiting times up to four years. The charity ADHD UK called for urgent action to help improve the situation.
The issue is made worse by the increasing awareness of this condition and the increasing demand for treatment. NHS services are struggling to keep pace with the demand, and many patients are opting to seek treatment through private healthcare providers. The Right to Choose scheme has made it easier for patients to pick 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 seeking an assessment has grown exponentially and is currently over its capacity. If you choose to go the private route are generally more successful, since private psychiatrists are accustomed 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, like anxiety and depression that are frequently present with ADHD.
However, many are still concerned about the quality of private assessments and the risk of them over-diagnosing the condition. The issue was brought to the public's attention after an BBC Panorama investigation exposed the ways in which private clinics were giving diagnoses without due process. Some have accused the program of perpetuating stereotypes and stigmas of those with ADHD.
However the BBC should be commended for exposing the issue and highlighting the dire situation of adults who need an ADHD diagnosis. It's unfortunate that some are forced to seek assistance privately. The NHS must find a way to remedy this situation. In the meantime, if you think you may have ADHD, you can try the free test offered by a charity or request an assessment from an individual psychiatrist. These are typically less expensive than the NHS but they do not come with a prescription.
Second opinion
It is crucial to seek a diagnosis if you're experiencing symptoms of ADHD. An accurate diagnosis will allow you to make the appropriate steps to manage your symptoms, which includes medication. You may be directed to a psychiatrist for additional treatment. Many private clinics provide diagnosis and the ability to adjust. These clinics have plenty of experience with a wide spectrum of adults, including women and men, who may suffer from ADHD. They are also able to look for co-morbidities, like anxiety and depression.
Private ADHD assessments are costly however the waiting times for NHS services are much longer. Typically, you pay for a first assessment and then have follow-up appointments as needed. These appointments will be covered by your insurance if you have it. These appointments will be performed in a professional manner by nurses who are certified and have a specific interest in ADHD. private adhd assessment adults will usually include clinical interviews and rating scales. You could also be required to complete questionnaires and be referred to for further tests, like 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 and titration fees. Certain private ADHD assessments provide titration that is separate from diagnosis, and may be cheaper. Titration process takes longer and requires more appointments.
The quality of private ADHD assessments is under scrutiny following the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before turning to a private clinic in desperation. The BBC investigation revealed a number instances where patients were given the diagnosis of ADHD, which was later taken off. This is a serious problem, as it can be extremely distressing for patients to be wrongly diagnosed and prescribed medications with adverse consequences.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the titration. Most health insurers will cover these tests but it's important to check with your insurance provider to determine if your policy does.
Referral to an expert clinic
If your GP suggests a specialist clinic, the doctor will ask you questions and perform an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD, and if they meet the criteria for diagnosing. They will also search for co-morbidities, or other mental health conditions. These include depression and anxiety. The doctor will then discuss the treatment options with you, including medication if appropriate.
During the test during the assessment, you will be asked questions about your family background and your current issues at home and work. They will also inquire about any medications that you're taking. They will then conduct a formal interview, and you must bring an experienced person or relative along to provide any additional information. The examination will typically require a few sessions to establish an accurate diagnosis. Some clinics will provide an extensive evaluation, whereas others will only look at specific symptoms.
Panorama's investigation into the inadequate provision of ADHD services in the NHS has brought it to the fore. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, but his doctor said that he did not have ADHD. The BBC said that the report was an instance of "over-diagnosing" by private companies, while GPs are only able to recommend patients for further investigation or prescribe medication under strict guidelines.
Many GPs refuse to sign a contract for shared healthcare with the NHS. This is the only way for them to transfer the treatment of their patients to the NHS after a private diagnoses. They believe they aren't experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which could make it difficult for them to receive the treatment they need.
Request your GP to refer you for an ADHD assessment in the event that they haven't yet. You should be able to determine the estimated waiting time by calling your local mental health clinic, or by using the Right To Choose website. The site lets you select an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can change your life forever. It aids people in understanding their own behavior and that of their family and friends. In addition, it could aid them in determining a suitable treatment plan. However, obtaining an assessment isn't always straightforward. Especially in the UK, where people have to wait for a long time for an assessment from the NHS. This can be a problem for many people who are trying to determine if they are having ADHD.
If you're unable to wait, it is possible to request an appointment with a specialist psychiatrist who is experienced. It will help you reduce time and avoid a visit to your GP. This isn't a fast process and can take months, but it will provide you with a more accurate diagnosis than the NHS one. You must make sure that the person who is conducting your test is either psychiatrist or psychologist, because they are the sole healthcare professionals in the UK that are qualified to assess ADHD.
A private assessment may include an interview with psychiatrist. There will be questions regarding your mental health, your childhood history and other aspects. The doctor will use rating scales to ask about your current struggles at work, at school or in relationships. The doctor will also address other signs that may be indicative of ADHD.
This will produce an extensive ADHD assessment report that the psychiatrist will forward to your GP with your consent. If needed, they may prescribe medication. They can also assist you to get other types of support, including mentorship and support for studying skills. If you are a student, they will assist you with applying for Disabled Students Allowance.
While it's not the best idea to make shortcuts, the reality is that NHS services are overloaded and underfunded. Some people attempt to cut corners by using online assessments or private clinics that offer short appointments and lack of clinical expertise. These methods should be avoided, however there's no reason to think that people with ADHD should not seek a diagnosis appointment if they are able to afford it.