ADHD Assessment in the UK
An ADHD evaluation is typically an extremely thorough process. A psychiatrist will determine if your symptoms are causing significant impairment and rule out other illnesses like thyroid issues or depression. They might also request older school reports or other evidence.
It is important that the person carrying out your assessment is a specialist in ADHD. This applies to both GPs and psychiatrists.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to visit a psychiatrist. This is despite the fact that ADHD is recognised as a serious mental health issue and has profound effects on people's lives. The situation is worse in some areas, with waiting times as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is being exacerbated by a growing awareness of the condition, as well as an increase in the demand for treatment. NHS services are struggling to meet the demand and many patients decide to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to pick private health providers.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS across the country. It has seen a surge in the number of adults who seek an assessment, which is currently outpacing its capacity. Those who choose to go the private route are usually much better served, as private psychiatrists are used to dealing with adults and are more familiar with the nuances of the condition. They are more likely to be experienced in managing co-morbidities, such as anxiety and depression that are often associated with ADHD.
Many people are still worried about the quality of private assessments and the potential for them to overdiagnose a illness. The issue was brought to the public's attention after an BBC Panorama investigation exposed the method by which some private clinics were awarding diagnoses without proper procedure. Some have even accused the programme of stoking stigma and stereotypes against those who suffer from 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 should find a way to fix this problem. In the meantime, if you suspect you might be suffering from ADHD You can take advantage of a free screening with a charity or pay for an assessment from an individual psychiatrist. These are typically less expensive than the NHS but they do not come with prescriptions.
Second opinion
It is essential to seek a diagnosis when you're experiencing symptoms of ADHD. A correct diagnosis will aid in managing your symptoms and prescribe medications. You may be referred to see a psychiatrist as part of your treatment. Many private clinics provide diagnosis and the ability to adjust. These clinics have plenty of experience working with a broad range of adults, both women and men who may suffer from ADHD. They are also able to look for co-morbidities, like anxiety and depression.
Private ADHD assessments can be costly however, they are generally more efficient than NHS waiting times. Typically, you pay for the initial assessment and then be able to schedule follow-up appointments if needed. These appointments are covered by your insurance plan if you have it. These appointments will be conducted by specially trained nurses with a particular interest in ADHD and are able to evaluate it. Initial appointments typically involve clinical interviews and rating systems. You may also be asked to answer questionnaires, and you may be referred to additional tests, such as an MRI or EEG.
You can expect to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost includes both assessment time as well as the cost of titration. Certain private ADHD assessments offer titration separate from diagnosis and can be cheaper. 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 for three years for an NHS evaluation, before going to a clinic in desperation. The BBC investigation exposed a variety of cases where patients were given a diagnosis of ADHD that was later withdrawn. This is a serious problem because it can be very distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment and the titration. The majority of health insurance companies offer these tests however it is important to check with your insurance provider to see if your policy does.
Referral to a specialist clinic
If your GP recommends you to a specialist clinic, the clinician will ask you questions and perform a clinical assessment. They will determine whether your symptoms are indicative of ADHD and determine if they meet the criteria for diagnosis of the condition. They will also check for co-morbidities, or other mental health conditions. These include depression and anxiety. The doctor will go over 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 work. They will also inquire about any medications you are taking. The interview will be organized and you may bring your family member or friend to assist you through the process. It usually requires a few sessions for the evaluation to arrive at the diagnosis. Some clinics offer a complete assessment, and others will only look for specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny following a Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics - but his doctor insisted that he did not have the condition. The BBC claimed that the story was an instance of "over-diagnosing" by private firms, however doctors can only refer patients to further investigations or prescribe medication under strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS as it is the only way they can transfer their patient's care to the hospital following an individual diagnosis. They feel they are not experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication to their patients, which can make it difficult for patients to receive the treatment they need.
Ask your GP to refer you to an ADHD evaluation in the more info event that they haven't yet. You can find out your estimated waiting time by calling the local mental health services or using the Right To Choose site. The site lets you select an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. It can help people understand themselves and also their family and friends. In addition, it can assist them in finding a suitable treatment plan. It is not always simple to get an assessment. Particularly in the UK where people are facing long waiting times for an assessment from the NHS. This can cause anxiety for many who wish to be diagnosed with ADHD.
If you're unable to wait, it is possible to request an appointment by a qualified specialist psychiatrist. You'll be able to save time and avoid a trip to your GP. It is a long process that can take a few months. However, it will give you more precise diagnoses than the ones provided by the NHS. It is important to make sure that the person conducting the test is a psychiatrist or psychologist because they are the only healthcare professionals competent to determine ADHD in the UK.
A private assessment will likely include a clinical interview with a psychiatrist. This will include questions about your mental health and childhood experiences. The doctor will also utilize ratings scales and inquire about your current struggles in work, school, and relationships. They will also discuss any other signs you may have that could indicate the presence of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your consent. They will also offer medications if they are needed. They can also assist you in obtaining other types of support, including studying skills and mentoring. If you are an undergraduate student, they can assist you in applying for Disabled Students Allowance.
It's not ideal to cut corners however the NHS is overburdened and underfunded. In the end, there are those who attempt to cut the line by using online assessments or private clinics that provide quick appointments, but offer any clinical expertise. These shortcuts should be avoided. However, those suffering from ADHD should still seek out a diagnosis as long as they are able to afford it.