ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough process. A psychiatrist will assess whether your symptoms are causing significant impairment, and also rule out other medical conditions like thyroid issues or depression. They may also ask for old school records or other supporting evidence.
It is crucial that the person performing your assessment is an expert in ADHD. This is true for GP's and consultants as well.
Waiting several times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to see psychiatrists for years. The condition is classified as a serious mental disorder with an impact on people's daily lives. The situation is more difficult in some areas, with waiting periods 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 growing awareness of this condition and the increasing demand for treatment. NHS services are struggling to keep up with the demand, and a large number of patients are choosing to seek treatment from private clinics. This has been made easier by the recent introduction of the Right to Choose scheme, which allows patients to choose for private healthcare from any provider.
Psychiatry UK is one such service, which provides an online ADHD assessment and prescriptions for the NHS. The number of adults who want an assessment has increased dramatically and is currently surpassing its capacity. If you choose to go the private route are generally much better served, as private psychiatrists are accustomed to dealing with adults and are more knowledgeable about the specifics of the condition. They are more likely to have experience in managing co-morbidities like depression and anxiousness, which can often accompany ADHD.
However, many people are concerned about the quality of private assessments and their potential to over-diagnose the disease. BBC Panorama exposed how some private clinics have made diagnoses without following the proper process. Some have accused the program of spreading stigma and stereotyping about those with 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 people are forced to seek assistance privately. The NHS should come up with a solution to address this issue. If you suspect that you might have ADHD, try a free screening with a charity or pay for a private psychiatrist to assess your. They're typically less expensive than the NHS, but will not provide a prescription for medication.
Second opinion
If you're experiencing symptoms of ADHD, it is important to get a diagnosis. A correct diagnosis will aid in managing your symptoms and take medication. You could be advised to a psychiatrist as part of your treatment. There are private adult adhd assessment uk that provide diagnosis and titration treatments. These clinics are usually very adept with the various types of adults with ADHD as well as women and men. They also can screen for co-morbidities, such as anxiety and depression.
Private ADHD assessments can be costly however, they are generally much quicker than NHS waiting times. The typical cost is the initial assessment, and then make subsequent appointments if required. If you are insured, your coverage will likely cover these appointments. These appointments will be conducted by trained nurses with a particular interest in ADHD and are certified to assess it. Initial appointments typically involve clinical interviews and rating systems. You will also be required to answer questionnaires, and you might be referred to additional tests, such as an MRI or EEG.
You should expect to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The price includes both the assessment time and the cost of titration. Some private ADHD assessments offer titration separate from diagnosis and are less expensive. However the process of titration is longer and requires more appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years for an NHS evaluation, before going to a doctor in desperate need. The BBC investigation exposed a variety of cases in which patients were given a diagnosis of ADHD which was later cancelled. This is a serious problem because it can be very distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse consequences.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the titration. Most health insurers will cover these tests, but it's important to check with your insurance provider to determine if your policy covers them.
Referral to specialist clinics
If your GP refers to a specialist clinic the clinician will ask questions and perform a clinical evaluation. They will determine whether your symptoms are indicative of ADHD and determine if they meet the criteria for diagnosing the condition. They will also assess for any co-morbidities (other mental health issues) that might be present. Often, these will be depression and anxiety. The clinician will discuss with you the treatment options and medications if needed.
During an assessment the psychiatrist will inquire you about your family history as well as current issues at home and work. They will also inquire 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 collateral information. It usually requires a few sessions for the assessment to establish a diagnosis. Some clinics provide a full assessment, while others only test for specific symptoms.
The Panorama investigation into the poor treatment of ADHD in the NHS has brought it to light. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, but his GP claimed he didn't have ADHD. 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 in accordance with strict guidelines.
Many doctors are reluctant to sign an agreement to share care with the NHS and is the only way that they can refer their patient's treatment to the hospital following an individual diagnosis. They believe that they are not experts in ADHD or psychiatry. The GP should also be aware that a lot of private psychiatrists will not prescribe medications, which could make it difficult for their patients to get the care they require.
Request your GP to refer you to an ADHD evaluation in the event that they haven't yet. You can find out the estimated wait time by calling the local mental health services or by using the Right To Choose site. The site lets you choose 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 not only helps people understand themselves better and their needs, but it also helps them as well as their family and friends better support them. It also helps them identify the right treatment strategy. However, getting a diagnosis is not always straightforward. Particularly in the UK, where people are facing long waiting times for an assessment from the NHS. This can be frustrating for those who wish to be diagnosed with ADHD.
If you cannot wait, you can self-refer to psychiatrists who specialize in private assessment. You'll reduce time and avoid a visit to your GP. It is not an easy process and can take months, but it will give you an accurate diagnosis than the NHS one. You should make sure that the person who is conducting your assessment is either a psychiatrist or psychologist as they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private assessment will likely include a clinical interview with a psychiatrist, including questions regarding your mental health and childhood history. The doctor will use rating scales to ask about your current challenges at work, at school, or in relationships. They will also talk about any other signs you may have that might indicate the presence of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. They may also prescribe medications if they are needed. They can also assist you to get other types of support, including tutoring and support for your study skills. If you are a student, they will assist you with applying for Disabled Students Allowance.
It's not ideal to cut corners however the NHS is overwhelmed and underfunded. Some people try to save money by using online assessments or private clinics with quick appointments and lack of clinical expertise. These shortcuts are not recommended, but there's no reason to think that people suffering from ADHD should not seek a diagnosis appointment when they can afford it.