ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will determine whether your symptoms cause significant impairment and will rule out other disorders like depression or thyroid. They can also request old school records and other supporting evidence.
It is crucial that the person who is assessing you is an ADHD expert. This is true for psychiatrists and GPs alike.
Waiting several times
In the UK adults who require an ADHD diagnosis are waiting for years for an appointment with a psychiatrist. This is despite the fact that ADHD is recognized as a serious mental health disorder and that it has major impacts on people's lives. The situation is more difficult in some regions, with waiting times up to four years. The charity ADHD UK called for urgent actions to improve the situation.
The issue is made worse by the increasing awareness of the condition and the rising demand for treatment. NHS services are struggling to keep pace with the demand, and a large number of patients are opting to seek treatment from private providers. This has been made easier by the recent introduction of the Right to Choose scheme, which allows patients to select 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. The number of adults requesting an assessment has exploded, and is currently exceeding its capacity. Private psychiatrists are more knowledgeable in dealing with adults, and are better able to comprehend the nuances of ADHD. They are more likely to have experience managing co-morbidities such as anxiety and depression, which can often accompany ADHD.
Many are still worried about the quality of private assessments and the possibility for them to overdiagnose a disease. The issue was brought to the public's attention after an BBC Panorama investigation exposed the ways in which private clinics were granting diagnoses without proper procedure. Some have claimed that the program is propagating stigma and stereotypes about people suffering from ADHD.
The BBC should be commended, however, for exposing the issue and highlighting the adults who require an ADHD diagnosis. It's unfortunate that some have to seek help privately. The NHS must find a way to remedy this situation. If you suspect that you may have ADHD Try a no-cost screening with an organization or charity, or pay for an appointment with a private psychiatrist who will assess you. These are usually cheaper than the NHS but do not include a prescription.
Second opinion
It is crucial to seek out a diagnosis if you are experiencing symptoms of ADHD. A correct diagnosis can assist you in managing your symptoms and take medications. You could be referred to a psychiatrist for additional treatment. There are a variety of private clinics offering diagnosis and titration services. These clinics have a lot of experience working with a broad range of adults, both women and men, who may be suffering from ADHD. They are also able to look for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be expensive, but they are usually more efficient than NHS waiting times. You will typically pay for the initial assessment, and then arrange follow-up appointments if needed. These appointments will be covered by your insurance plan if you have it. These appointments will be conducted by specially trained nurses who have a special interest in ADHD and are qualified to evaluate the condition. The initial appointment will typically include clinical interviews and rating scales. You will also be asked to complete questionnaires and you might be referred for further tests such as an MRI or EEG.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The price includes both the assessment time as well as the cost of titration. Certain private ADHD assessments offer titration apart from diagnosis and are cheaper. However the process of titration takes longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment before he went to a clinic in desperation. The BBC investigation highlighted a number of instances where patients were diagnosed of ADHD which was later removed. This is a serious issue, as it can be very distressing 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 the titration. The majority of health insurance companies will cover these tests but it's worthwhile to inquire with your insurance company to determine if the policy you have does.
Referral to an expert clinic
If your GP recommends a specialist clinic the clinician will ask you questions and perform a clinical evaluation. They will assess whether your symptoms are indicative of ADHD and if they meet the diagnostic criteria for the condition. They will also search for co-morbidities, or any other mental health conditions. These include anxiety and depression. The doctor will discuss with you the treatment options that are available, including medication if required.
During an assessment the psychiatrist will ask you about your family history and current issues at home and at 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 additional information. The examination will typically require several sessions to determine an accurate diagnosis. Some clinics offer an entire evaluation, while others will only look at specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny in the wake of an Panorama investigation. The undercover reporter on the show was diagnosed with ADHD in three private clinics, while his GP claimed he didn't have ADHD. The BBC claimed that the story was an example of "over-diagnosis" by private companies. However, GPs are only allowed to refer patients for further examination or prescribe medication when they adhere to 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 diagnosis. They believe they aren't experts on ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medication, which could make it difficult for patients to receive the treatment they require.
Request your GP to refer you for an ADHD assessment in the event that they haven't yet. You can find out your estimated waiting time either by calling the local mental health service or using the Right To Choose site. The site allows you select an online ADHD assessment service that will be provided by NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can be life changing. Not only does it help individuals better understand themselves as well as help them and their friends and family better assist them. In addition, it could assist them in finding a suitable treatment strategy. It's not always easy to get an assessment. In the UK people must wait for a long period of time for an NHS assessment. This can cause frustration for those who wish to be diagnosed with ADHD.
If you're unable to wait, it is possible to self-refer for an appointment with a specialist psychiatrist who is experienced. You'll be able to save time and avoid having to go to your GP. It is not an easy procedure and could take months, but it will give you an accurate diagnosis than the NHS one. It is important to ensure that the person performing the assessment is either psychiatrist or psychologist, since they are the only healthcare professionals in the UK who are certified to determine ADHD.
A private evaluation could involve an interview with psychiatrist. Questions will be asked about your mental health, childhood history and other aspects. The doctor will use rating scales to ask about your struggles at work, in school or in relationships. The doctor will also address other signs that may be indicative of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. They will also offer medications if they are needed. They will also help you find other ways of support, such as mentorship and support for studying skills. If you are an undergraduate student, they can assist you with applying for Disabled Students Allowance.
While it's not ideal to cut corners read more but the reality is that NHS services are overloaded and underfunded. Some people attempt to save money by using online assessments or private clinics that offer quick appointments and little or no medical expertise. These methods should be avoided. However, those with ADHD should be seeking a diagnosis even if they can afford it.