ADHD Assessment in the UK
An ADHD assessment is usually an extremely thorough process. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other conditions such as thyroid issues or depression. They might also request old school records or other evidence.
It is crucial that the person performing your assessment is a specialist in ADHD. This is the case for GP's as well as consultant psychiatrists too.
Waiting at various times
Adults in the UK who require ADHD diagnoses are left waiting years to consult psychiatrists. This is despite the fact that ADHD is recognized as an extremely serious mental health condition and that it has major impact on the lives of people. In certain areas waiting times can be as long as four years. The charity ADHD UK called for urgent actions to improve the situation.
The problem is exacerbated 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 providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to opt 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 in parts of the country. It has seen an explosion in the number of adults seeking an assessment, which is currently outpacing its capacity. Private psychiatrists are more knowledgeable in dealing with adults, and are better able to understand the nuances of ADHD. They are also more likely to have experience in managing co-morbidities, such as depression and anxiety, which can often be present in ADHD.
Many people are concerned about the accuracy of private assessments and the potential for them to overdiagnose the illness. private adhd assessment exposed how some private clinics have made diagnoses without following the proper process. Some have accused the program of perpetuating stereotypes and stigmas of those with ADHD.
However, the BBC deserves praise for exposing this issue and highlighting the plight of adults who need an ADHD diagnosis. It's a shame some people have to seek help privately. The NHS must find a way to remedy this situation. If you suspect that you might have ADHD, try a free screening through a charity or pay for a private psychiatrist to assess you. They are usually less expensive than the NHS however they will not provide prescriptions for medication.
Second opinion
If you're struggling with symptoms of ADHD It is essential to get a diagnosis. A correct diagnosis will enable you to take the necessary steps to manage your symptoms, including medication. You could also be directed to a psychiatrist for additional therapy. There are numerous private clinics that offer diagnoses and titration services. These clinics have lots of experience working with a broad range adults, including women and men who might suffer from ADHD. They can also look for co-morbidities, like anxiety and depression.
Private ADHD assessments can be expensive however they are typically more efficient than NHS waiting times. You typically pay for the initial assessment, and then schedule follow-up appointments if needed. If you have insurance, your coverage will likely cover these appointments. These appointments will be conducted by specially trained nurses who have a particular interest in ADHD and are qualified to evaluate it. The initial appointment will normally involve clinical interviews and rating scales. You might also be asked to complete questionnaires and be referred to for further tests, for example, an MRI.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost includes both the assessment time as well as the titration fee. Some private ADHD assessments offer titration apart from diagnosis, and may be cheaper. However, the process of titration can be longer and requires additional appointments.
The BBC's Panorama investigation has revealed that a patient waited for three years for an NHS evaluation, before going to a doctor in desperate need. The BBC investigation exposed a variety of cases where patients were diagnosed of ADHD that was later withdrawn. This is a serious problem, as it can be extremely stressful for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse side effects.
In Scotland, an ADHD assessment costs PS1,335 that includes the initial assessment as well as the titration. The majority of health insurance policies cover these tests. However, it is important to check whether you are covered.
Referral to a specialist clinic
If your GP refers you to an expert clinic, the doctor will ask you questions and perform a clinical 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 check for any co-morbidities (other mental health conditions) that might be present. Most often, these are depression and anxiety. The clinician will discuss with you the options for treatment and medications if needed.
During an assessment the psychiatrist will ask you about your family history as well as current issues at work and home. They will also ask you about any medications that you are 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 require a few sessions to determine a diagnosis. Some clinics will offer an extensive evaluation, whereas others will only test specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny in the wake of a Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics - but his GP insisted that he did not have the condition. The BBC claimed that the story was an example of "over-diagnosis" by private firms. However, GPs are only allowed to refer patients to further examination or prescribe medications in accordance with strict guidelines.
Many GPs are unwilling to sign an agreement for shared care with the NHS. This is the only way for them to transfer the treatment of their patients to the NHS after a private diagnoses. This is due to the fact that they believe that they are not experts in ADHD or psychiatry. Also, GPs should be aware that many private psychiatrists will not prescribe medications, which could make it difficult for patients to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask them to refer you. You can determine your estimated waiting time by calling the local mental health services or by visiting the Right To Choose site. The site lets you choose an online ADHD assessment service that will be provided by the NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can change your life forever. Not only does it help individuals better understand themselves as well as help them and their friends and family better assist them. It can also help them identify the right treatment plan. It is not always simple to determine an accurate diagnosis. In the UK patients 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 cannot wait, you can self-refer to an expert psychiatrist for a private evaluation. This can save you time and also a visit to your GP. It is a long process that can take a few months. However, it will give you more precise diagnoses than those provided by the NHS. It is important to ensure that the person performing your assessment is a psychiatrist or psychologist as they are the only healthcare professionals in the UK who are certified to assess ADHD.
A private assessment will likely consist of a medical interview with a psychiatrist, which will include questions about your mental health and childhood history. The doctor will also utilize rating scales and ask questions about your current struggles with school, at work, and in relationships. They will also talk about any other symptoms you experience which could be indicative of ADHD.
This will produce a comprehensive ADHD assessment report, which the psychiatrist will forward to your GP with your consent. They will also recommend medication if appropriate. They will also assist with other forms of support, including study skills and mentoring. If you are an undergraduate student, they can assist you with applying for Disabled Students Allowance.
It's not a good idea to cut corners however the NHS is overburdened and underfunded. In the end, there are some who try to cut costs through online assessments and private clinics that provide quick appointments, but offer no expertise in clinical practice. These shortcuts are not recommended, but there's no reason why people with ADHD shouldn't seek a diagnostic appointment if they are able to afford it.