ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough procedure. A psychiatrist will assess whether your symptoms cause significant impairment and rule out other conditions like thyroid issues or depression. They may also request old school reports and other supporting evidence.
It is essential that the person who is assessing you is an ADHD expert. This applies to both GPs and psychiatrists.
Waiting at various times
In the UK, adults who need an ADHD diagnosis are 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 issue and that it has significant impacts on people's lives. In some areas waiting times can last as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is made worse by the increasing awareness of this condition and the growing demand for treatment. NHS services are struggling to keep pace with the demand, and many patients are choosing to seek treatment from private clinics. The Right to Choose scheme has made it easier for patients to pick private healthcare providers.
Psychiatry UK is one such service that provides an online ADHD assessment and medications for the NHS. The number of adults requesting an assessment has increased dramatically and is currently over the capacity of the service. People who opt to take the private route are typically 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 have experience managing co-morbidities such as anxiety and depression that can be a result of ADHD.
Many people are worried about the quality of private assessments and the possibility for them to misdiagnose the 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 accused the program of spreading stigma and stereotyping about people with ADHD.
However the BBC should be commended for exposing the issue and highlighting the suffering of 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 might be suffering from ADHD, try a free test with a 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 a diagnosis when you're experiencing symptoms of ADHD. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, which includes medication. 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 a lot of experience dealing with a diverse range of adults, both women and men, who might suffer from ADHD. They can also test for co-morbidities such as depression and anxiety.
Private ADHD assessments can be costly however, they are generally significantly faster than NHS waiting times. You typically pay for the initial assessment, and then schedule follow-up appointments if needed. These appointments are covered by your insurance plan if you have it. These appointments will be conducted in a professional manner by nurses who are trained and have a special interest ADHD. The initial appointment will usually involve clinical interviews and rating scales. You might also be asked to complete questionnaires and referred for additional tests, like an MRI.
A private clinic will charge you between PS500 and PS1,200 for an ADHD assessment. The cost includes the assessment time and titration costs. Certain private ADHD assessments allow titration apart from diagnosis, and this can be cheaper. Titration process takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years to receive an NHS evaluation, before going to a clinic in desperation. The BBC investigation highlighted a number of cases where patients were diagnosed of ADHD that was later withdrawn. This is a serious issue, as it can be extremely distressing for patients to be incorrectly diagnosed and prescribed medication that has adverse side effects.
In Scotland In Scotland, an ADHD assessment costs PS1,335 which includes the initial assessment and the titration. The majority of health insurance policies cover these assessments. However, it is worth checking to see whether you're covered.
Referral to specialist clinics
If your GP suggests you visit a specialist clinic, the specialist will ask you questions and carry out a clinical assessment. They will determine whether your symptoms are indicative of ADHD, and if they match the criteria for diagnosis. They will also look for co-morbidities or other mental health conditions. These are often anxiety and depression. The doctor will discuss with you the options for treatment, including medication if necessary.
During an assessment, the psychiatrist will ask you about your family history and current issues at home and work. They will also ask you about any medications that you are taking. They will then conduct a formal interview, and you should bring an experienced family member or friend along to provide any additional information. The test will typically require several sessions to establish the diagnosis. Some clinics will offer a comprehensive evaluation, while others will only test specific symptoms.
Panorama's investigation into the inadequate service offered to patients with ADHD in the NHS has brought the issue to the fore. The undercover reporter was diagnosed with ADHD in three private clinics, while his doctor said he didn't have it. The BBC argued that the report was an example of "over-diagnosing" by private companies, while GPs can only refer patients for further investigations or prescribe medication under strict guidelines.
Many doctors are reluctant to sign a contract for shared care with the NHS. This is the only way to transfer the care of their patients to the NHS following a private diagnosis. They feel they are not experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists do not prescribe medication, which may make it difficult for their patients to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask for it. You can find out your estimated waiting time by calling your local mental health services or by visiting the Right To Choose site. The site lets you select an online ADHD Assessment service that will be offered by NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can be life changing. It helps people better understand themselves and also their family and friends. It also helps them determine the best treatment strategy. However, getting an assessment isn't always easy. In the UK people must wait for a long period of time for an NHS assessment. This can be a problem for many who are trying to determine if they are having ADHD.
If you more info can't wait, you can self-refer to an expert psychiatrist for a private assessment. This will save you time and the hassle of visiting your GP. This is not a quick process and can take months but it will provide you with a more accurate diagnosis than the NHS one. It is important to make sure that the person conducting your assessment is a psychologist or psychiatrist, as these are the only healthcare professionals who are qualified to determine ADHD in the UK.
A private evaluation could involve an interview with a clinical psychologist or psychiatrist. Questions will be asked regarding your mental health, childhood experiences and other aspects. The doctor will employ rating scales to inquire about your current challenges 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. If necessary, they'll prescribe medication. They will also assist you in obtaining other types of support, including studying skills and mentoring. If you're an undergraduate student, they can assist you in applying for Disabled Students Allowance.
While it's not ideal to make shortcuts but the reality is that NHS services are crowded and underfunded. As a result, there are some who try to cut the line by using online assessments and private clinics that provide quick appointments with little or no expertise in clinical practice. These methods should be avoided. However, those with ADHD should be seeking a diagnosis even if they can afford it.