ADHD Assessment in the UK
A thorough ADHD evaluation is usually a fairly comprehensive procedure. A psychiatrist will determine if your symptoms are causing significant impairment, and rule out other conditions such as depression or thyroid. They can also request old school records and other evidence to support your claim.
It is essential that the person who is assessing you is an ADHD specialist. This applies to psychiatrists and GPs alike.
Waiting several times
Adults in the UK who require ADHD diagnoses are left waiting years to visit psychiatrists. This is despite the fact that the condition is recognised as an extremely serious mental health condition and that it has significant effects on people's lives. The situation is even worse in some areas, with waiting periods as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is being amplified by the increasing awareness of the condition and a rise in the demand for treatment. NHS services are struggling with demand, and many patients opt to seek treatment from 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 provides an online ADHD assessment and prescriptions for the NHS. The number of adults requesting an assessment has increased dramatically, and is currently exceeding its capacity. Those who choose to go the private route are generally much better off, as 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 anxiety and depression, which can often accompany ADHD.
However, many people are still worried about the quality of private assessments and the potential for them to over-diagnose the illness. The issue came to the public's attention when an BBC Panorama investigation exposed the method by which some private clinics were giving diagnoses without proper procedure. Some have claimed that the program is spreading stigma and stereotyping about those with ADHD.
However, the BBC should be praised for exposing this issue and highlighting the suffering of adults who need an ADHD diagnosis. It's unfortunate that some are forced to seek assistance privately. The NHS should find a way to address this issue. In the meantime, if you think you might be suffering from ADHD You can try a free screening with a charity or take advantage of an assessment by an individual psychiatrist. They are generally less expensive than the NHS however they don't include a prescription.
Second opinion
If you're experiencing symptoms of ADHD It is crucial to get a diagnosis. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, which includes medication. You may also be directed to a psychiatrist for additional treatment. There are a variety of private clinics offering diagnosis and titration services. These clinics have lots of experience working with a broad range adults, including women and men who may suffer from ADHD. They also can screen for co-morbidities like depression and anxiety.
Private ADHD assessments can be expensive however, they are generally much quicker than NHS waiting times. You will typically pay for the initial assessment, and then arrange subsequent appointments if required. 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 certified to evaluate it. Initial appointments usually include clinical interviews as well as rating systems. You will also be asked to complete questionnaires, and you may be referred to further tests like an MRI or EEG.
A private clinic will charge you between PS500 and PS1,200 for an ADHD assessment. The price includes assessment time as well as titration costs. Certain private ADHD assessments offer titration separately from diagnosis, and this can be less expensive. The process of titration takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that a patient waited for three years for an NHS assessment before he went to a clinic in desperation. The BBC investigation exposed a variety of cases in which patients were diagnosed of ADHD that was later withdrawn. This is a serious problem since it can be extremely stressful for patients to have their symptoms misdiagnosed and prescribed medication with adverse consequences.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment as well as titration. The majority of health insurance companies will cover these tests however it is worthwhile to inquire with your insurance company to determine if the policy you have does.
Referral to an expert clinic
If your GP recommends you to a specialist clinic, the specialist will ask you questions and perform an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and determine if they meet the criteria for diagnosis of the condition. They will also look for co-morbidities or other mental health conditions. Most often, these are anxiety and depression. The doctor will then discuss treatment options with you, including medication, if necessary.
During the original source will be asked questions about your family history and the current issues you face at home and at work. They will also inquire about any medications that you are taking. They will then conduct a structured interview, and you must bring an adult friend or relative with you to provide additional information. It typically requires a few sessions for the evaluation to determine an accurate diagnosis. Some clinics provide a full assessment, while others only look for specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny following a Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, while his GP claimed that he did not have ADHD. The BBC argued that the report was an example of "over-diagnosing" by private companies, while doctors can only recommend patients for further investigation or prescribe medication under strict guidelines.
Many doctors will not sign a shared care agreement with the NHS as it is the only way they can refer their patient's treatment to the service following the patient has received a private diagnosis. This is because they feel that they're not experts in ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medication to their patients, which could make it difficult for patients to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment, ask for it. You can determine your estimated waiting time by calling the local mental health clinic or by visiting the Right To Choose site. 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 change your life forever. It aids people in understanding themselves and also their family and friends. It can also help them find the right treatment strategy. It is not always simple to obtain an accurate diagnosis. Especially in the UK, where people are facing long waiting times for an assessment by the NHS. This can be frustrating for many people who are seeking to be diagnosed as having ADHD.
If you are unable to wait, you can refer yourself to an expert psychiatrist for a private evaluation. This will help you save time and also a visit to your GP. This isn't a fast process and can take months but it will give you an accurate diagnosis than the NHS one. You must ensure that the person performing the assessment is either a psychologist or psychiatrist, because they are the sole healthcare professionals in the UK who are qualified to assess ADHD.
A private assessment is likely to consist of a medical interview with a psychiatrist, including questions regarding your mental health and childhood experiences. The doctor will also utilize rating scales and ask questions about your current struggles in work, school, and relationships. They will also discuss any other symptoms you experience which could be indicative of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP, with your permission. They may also prescribe medication if appropriate. They will also help you get other types of support, such as mentorship and support for studying skills. They can also assist with applying for Disabled Student Allowance if are a university student.
It's not a good idea to cut corners however the NHS is overburdened and underfunded. Some people attempt to cut corners using online assessments or private clinics that offer short appointments and little or no clinical expertise. These shortcuts are to be avoided. However, those suffering from ADHD should be seeking a diagnosis even when they can afford it.