ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extensive process. A psychiatrist will determine if your symptoms are causing significant impairment, and will rule out other conditions such as depression or thyroid. They can also request old school reports as well as other evidence.
It is essential that the person who is assessing you is an ADHD expert. This is the case for GP's as well as consultant psychiatrists too.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are left waiting years to see psychiatrists. This is despite the fact that ADHD is recognized as a serious mental health issue and has profound impacts on people's lives. The situation is even worse in certain areas, with waiting periods up to four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is being worsened by the growing awareness of the condition and a rise in the demand for treatments. NHS services are struggling with demand, and many patients opt to seek treatment from private clinics. 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 prescriptions for the NHS. It has seen an explosion in the number of people seeking an assessment, which exceeds its capacity at present. If you choose to go the private route are typically more successful, since private psychiatrists are used to dealing with adults and are more knowledgeable about the specifics of the condition. They are more likely to have experience managing co-morbidities, such as depression and anxiousness that are often associated with ADHD.
However, many people are still worried about the assessment of private patients and their potential to over-diagnose the disease. BBC Panorama exposed how some private clinics were able to diagnose patients without following the correct procedure. Some have accused the programme of stoking stigma and stereotypes against those who suffer from ADHD.
The BBC deserves to be praised, for exposing the issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some are forced to seek assistance privately. The NHS should find a way to remedy this situation. If you suspect you may have ADHD Try a no-cost screening with a charity or pay for a private psychiatrist to assess your. These are usually cheaper than the NHS but they do not come with prescriptions.
Second opinion
It is crucial to seek out a diagnosis if you are suffering from symptoms of ADHD. A correct diagnosis can help you manage your symptoms and also prescribe medications. You could be referred to see a psychiatrist as part of your treatment. Many private clinics provide diagnosis and the ability to adjust. These clinics are typically experienced with the wide range of adults with ADHD as well as women and men. They can also test for co-morbidities such as anxiety and depression.
Private ADHD assessments can be costly however, they are generally more efficient than NHS waiting times. You typically pay for the initial assessment, and then schedule follow-up appointments if necessary. These appointments will be covered by your insurance plan if you have it. These appointments will be handled in a professional way by nurses who are certified and have a particular interest in ADHD. The initial appointment will normally include clinical interviews and rating scales. You could 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 the assessment time as well as titration website costs. Some private ADHD assessments provide titration that is separate from diagnosis and are less expensive. However the process of titration can be longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that a patient waited three years for an NHS assessment, before turning to a doctor in desperate need. The BBC investigation revealed a variety of cases where patients received the diagnosis of ADHD and then removed. This is a serious problem, as it can be very distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse consequences.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment as well as titration. Most health insurance plans offer these tests, but it's important to check with your insurance provider to determine if the policy you have will cover it.
Referral to an expert clinic
If your GP suggests you visit a specialist clinic, the doctor will ask you questions and carry out a clinical assessment. They will determine whether your symptoms are indicative of ADHD, and if they meet the diagnostic criteria. They will also check for any co-morbidities (other mental health conditions) that might be present. These are often 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 and current issues at home and work. They will also inquire about any medications you are taking. They will then conduct a structured interview, and you should bring an adult family member or friend along to provide collateral information. It usually takes a few sessions for the assessment to arrive at a diagnosis. Some clinics offer a comprehensive evaluation, while others will only look at specific symptoms.
Panorama's investigation into the poor treatment of ADHD in the NHS has brought it to the fore. The reporter on the programme was diagnosed with ADHD at three private clinics - but his GP claimed that he was not suffering from the condition. The BBC claimed that the story was a case of "over-diagnosis" by private companies. However doctors are only able to refer patients to further examination or prescribe medications when they adhere to strict guidelines.
Many doctors will not sign a shared care agreement with the NHS as it is the only way that they can refer their patient's treatment to the service following a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medications for their patients, which can make it difficult for patients to get the treatment they need.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask for it. You can determine your estimated waiting time by calling the local mental health service or by visiting the Right To Choose site. The site lets you select an online ADHD assessment service, which will be offered by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. It not only helps people understand themselves better, but it also helps them and their family and friends better help them. It can also help them determine the best treatment strategy. However, obtaining a diagnosis is not always straightforward. Particularly in the UK where patients have to wait for a long time for an assessment from the NHS. This can be a major issue for many people who are seeking to be diagnosed as having ADHD.
If you are unable to wait, it is possible to request a private assessment with a specialist psychiatrist who is experienced. It will help you be able to save time and avoid a trip to your GP. This is a lengthy process that could take months. However, it will give you a more accurate diagnoses than those offered by the NHS. It is important to make sure that the person who is conducting your assessment is psychiatrist or psychologist, as they are the only healthcare professionals in the UK who are certified to determine ADHD.
A private assessment could include a clinical interview conducted by a psychiatrist. Questions will be asked regarding your mental health, childhood experiences and other factors. The doctor will employ rating scales to inquire about your current struggles at work, at school, or in relationships. They will also talk about any other signs you may have that could indicate the presence of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP, with your permission. If needed, they may also prescribe medication. They will also help you access other forms of assistance, like mentorship and support for studying skills. If you're a student, they will assist you with applying for Disabled Students Allowance.
While it is not ideal to make shortcuts, the reality is that NHS services are overloaded and underfunded. Some people try to save money by using online assessments or private clinics with short appointments and little or no medical expertise. These methods are not recommended, but there is no reason why people with ADHD shouldn't seek a diagnostic appointment if they are able to afford it.