ADHD Assessment in the UK
An ADHD evaluation is typically an extremely thorough process. A psychiatrist will evaluate whether your symptoms cause significant impairment and rule out other medical conditions such as thyroid or depression. They may also request old school records and other evidence to support your claim.
It is crucial that the person assessing you is an ADHD specialist. This is true for GP's and consultants as well.
Waiting times
In the UK adults who require an ADHD diagnosis are being left waiting for years to get an appointment with a psychiatrist. This is despite the fact that the condition is recognised as a serious mental health disorder and has profound impact on the lives of people. In certain areas waiting time can be as long as four years. The charity ADHD UK called for urgent action 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 to keep pace with the demand, and a large number of patients are opting to seek treatment through private clinics. The Right to Choose scheme has made it easier for patients to choose private health providers.
Psychiatry UK is one such service, which provides an online ADHD assessment and medications for the NHS. The number of adults who want an assessment has exploded and is currently surpassing its capacity. People who opt to take the private route are usually much better off, as private psychiatrists are accustomed to dealing with adults and are more knowledgeable about the specifics of the condition. They are also more likely to have experience in managing co-morbidities such as depression and anxiety that are frequently associated with ADHD.
However, many are concerned about the assessment of private patients and the risk of them over-diagnosing the disease. The issue came to the public's attention when a BBC Panorama investigation exposed the way in which some 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 deserves to be praised, for exposing the issue and highlighting those who require an ADHD diagnosis. It's a shame some people are forced to seek help privately. The NHS should find a way to remedy this situation. In the meantime, if you suspect you may have ADHD You can try an assessment for free with a charity, or take advantage of an assessment by private psychiatrists. These are typically cheaper than the NHS, but will not give prescriptions for medication.
Second opinion
If you are struggling with symptoms of ADHD It is essential to get a diagnosis. An accurate diagnosis will allow you to make the appropriate steps to manage your symptoms, including medication. You may be directed to a psychiatrist for additional therapy. Many private clinics offer diagnosis and the ability to adjust. These clinics are generally adept with the various types of adults who may have ADHD, including women and men. They are also able to test for co-morbidities such as depression and anxiety.
Private ADHD assessments can be expensive however, they are generally significantly faster than NHS waiting times. Typically, you pay for an initial assessment and then have subsequent appointments as required. These appointments will be 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 assess the condition. The initial appointment will usually involve clinical interviews and rating scales. You may also be asked to complete questionnaires and you may be referred to additional tests, such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost covers the assessment time as well as titration costs. Some private ADHD assessments provide titration separate from diagnosis, and this may be less expensive. Titration process takes longer and requires additional appointments.
The quality of private ADHD assessments is under scrutiny following the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before turning to a private clinic in desperation. The BBC investigation exposed a variety of instances where patients were diagnosed of ADHD which was later cancelled. This is a problem since it can be extremely stressful for people to have their symptoms incorrectly diagnosed, and a few of them were prescribed medication that has adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 that includes the initial assessment and the adjustment. The majority of health insurance policies cover these assessments. However, it is important to check whether you are covered.
Referral to specialist clinics
If your GP suggests a specialist clinic, the doctor will ask questions and perform a clinical evaluation. They will determine whether your symptoms are indicative of ADHD and if they meet the diagnostic criteria. They will also assess for any co-morbidities (other mental health conditions) that may be present. Most often, these are depression and anxiety. The doctor will then discuss possible treatment options with you including medication if needed.
During an assessment the psychiatrist will inquire you about your family history and current issues at work and home. They will also ask about any medications that you're taking. They will then conduct an organized interview. You should bring a trusted family member or friend along to provide any additional information. The examination will typically require several sessions to reach a diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny after an Panorama investigation. The programme's undercover reporter was diagnosed with ADHD at three private clinics - while his GP claimed that he was not suffering from the condition. The BBC claimed that the story was an instance of "over-diagnosing" by private companies, but GPs are only able to refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many doctors are reluctant to sign an agreement for shared care with the NHS. This is the only way they can transfer the patient's care to the NHS following a private diagnosis. They feel they are not experts on ADHD or psychiatry. Many private psychiatrists do not prescribe medication for 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 and treatment, ask them to refer you. You can find out your estimated waiting time by calling the local mental health service or by visiting the Right To Choose site. The site lets you choose an online ADHD assessment service which will be offered by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. It not only helps individuals understand themselves better, but it here also helps them and their family and friends better help them. It also assists them to identify the right treatment strategy. It's not always easy to determine a diagnosis. Particularly in the UK where patients have to wait for a long time for an assessment by the NHS. This can be frustrating for many people who are looking to be diagnosed as having ADHD.
If you are unable to wait, it's possible to self-refer for an assessment in private with a specialist psychiatrist who is experienced. This will help you save time and the hassle of visiting your GP. This isn't a fast process and can take a long time but it will provide you with a more accurate diagnosis than the NHS one. You should ensure that the person performing your test is a psychiatrist or psychologist since they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private evaluation will likely include a consultation with a psychiatrist, which will include questions about your mental health and your childhood history. The doctor will use rating scales to ask about your current struggles at work, at school, or in relationships. The doctor will also address other signs that may be indicative of ADHD.
The result will be an extensive ADHD assessment report, which the psychiatrist will provide to your GP with your consent. They will also recommend medication if appropriate. They can also assist you to get other types of support, including mentorship and support for studying skills. If you're students, they will also help you apply for Disabled Students Allowance.
It's not a good idea to cut corners, but the NHS is overburdened and underfunded. Some people attempt to save money by using online assessments or private clinics that offer short appointments and lack of clinical expertise. These methods should be avoided. However, those suffering from ADHD should still seek out a diagnosis as long as they are able to afford it.