ADHD Assessment in the UK
A thorough ADHD evaluation is usually 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 as well as other evidence.
It is crucial that the person assessing you is an ADHD specialist. This is true for GP's and consultant psychiatrists too.
Waiting times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to visit psychiatrists. This is despite the fact that ADHD is recognised as a serious mental health issue and has profound impacts on people's lives. The situation is even worse in certain regions, with waiting times up to 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 rising demand for treatment. NHS services are struggling with demand, and many patients opt to seek treatment from private clinics. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to choose 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 various parts of the country. The number of adults seeking an assessment has grown exponentially and is currently over its capacity. People who opt to take the private route are generally much better off, as private psychiatrists are accustomed to dealing with adults and are more familiar with the nuances of the condition. They are more likely to have experience in managing co-morbidities, such as depression and anxiousness that can be a result of ADHD.
However, many are still worried about the quality of private assessments and the risk of them over-diagnosing the disease. The issue was brought to the attention of the public when 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 stereotypes and stigmatizing people with ADHD.
The BBC deserves to be praised, however, for exposing the issue and highlighting the adults who require an ADHD diagnosis. It is a shame that some people who require assistance are forced to seek it privately, and the NHS needs to work out ways to address the issue. If you think you might be suffering from ADHD, try a free test with a charity or pay for a private psychiatrist to evaluate you. These are typically less expensive than the NHS however they don't include prescriptions.
Second opinion
If you are struggling with symptoms of ADHD It is crucial to receive a diagnosis. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, which includes medication. You may be referred to a psychiatrist as part of your treatment. There are numerous private clinics that provide diagnosis and titration services. These clinics are usually very familiar with the vast range of adults with ADHD which includes women and men. They can also test for co-morbidities, such as depression and anxiety.
Private ADHD assessments are costly however the waiting times for NHS services are more lengthy. You typically pay for the initial assessment, and then arrange subsequent appointments if required. If you have insurance that covers you, it is likely to cover these appointments. These appointments will be conducted by trained nurses with a particular interest in ADHD and are able to assess the condition. Initial appointments usually involve clinical interviews and rating systems. You will also be required to complete questionnaires, and you could be referred to further tests like an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost covers the assessment time and titration fees. Some private ADHD assessments offer titration apart from diagnosis and can be less expensive. However, the process of titration takes longer and requires a number of appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient had spent three years waiting for an NHS assessment before deciding to go to a private clinic to try and find. The BBC investigation revealed a variety of cases where patients received an assessment of ADHD but were later removed. This is a serious issue since it can be very distressing for patients to be wrongly diagnosed and prescribed medications with adverse consequences.
In Scotland, the cost of an ADHD assessment is PS1,335 and includes the initial assessment and titration. The majority of health insurance companies offer these tests but it's worth checking with your insurer to determine if the policy you have does.
Referral to specialist clinics
If your GP refers to an expert clinic, the physician will ask questions and conduct an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and if they meet the criteria for diagnosis. They will also check for any co-morbidities (other mental health conditions) that might be present. Most of the time, these are anxiety and depression. The doctor will then discuss treatment options with you, including medication if needed.
During an assessment the psychiatrist will ask you about your family history and current issues at home and work. They will also ask about any medications you're taking. They will then conduct a formal interview. You should bring an adult family member or friend along to provide additional information. The examination will typically require a few sessions to reach an accurate diagnosis. Some clinics offer an entire evaluation, while others will focus on specific symptoms.
Panorama's investigation into the inadequate provision of ADHD services in the NHS has brought the issue to the fore. The programme's undercover reporter 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 example of "over-diagnosing" by private firms, however GPs can only refer patients to further investigations or prescribe medication under strict guidelines.
Many GPs will refuse to sign a shared care agreement with the NHS as it is the only way that they can transfer their patient's care to the NHS after the patient has received a private diagnosis. They believe that they're not experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists will not prescribe medications, which could make it difficult for their patients to receive the treatment they require.
If your GP hasn't recommended you for an ADHD assessment, ask for it. You should be able to determine the estimated wait time by calling your local mental health clinic or by visiting the Right To Choose website. The site lets you choose an online ADHD assessment service which will be provided by NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can be life changing. It not only helps individuals understand themselves better as well as help them as well as their family and friends better support them. It can also help them determine the best treatment strategy. However, obtaining an accurate diagnosis isn't always easy. Especially in the UK where patients have to wait for a long time for an assessment by the NHS. This can be a problem for many who are seeking to be diagnosed as having ADHD.
If you cannot wait, you can refer yourself to psychiatrists who specialize in private evaluation. This will save you time and also a visit to your GP. This isn't a fast process and can take months but it will give you more precise diagnosis than the NHS one. It is crucial to make sure that the person running your assessment is a psychologist or psychiatrist, as these are the only healthcare professionals qualified to determine ADHD in the UK.
A private assessment may include an interview with a clinical psychologist or psychiatrists. Questions will be asked about your mental health, your childhood history and other aspects. The doctor will also employ ratings scales and inquire about your current struggles in school, work, and relationships. They will also address any other symptoms you experience which could be indicative of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your consent. If necessary, they'll prescribe medication. They can also assist you to get other types of assistance, like tutoring and support for your study skills. If you are students, they will assist you in applying for Disabled Students Allowance.
It is not ideal to cut corners however, the NHS is overwhelmed and underfunded. In the end, there are those who attempt to cut costs by using online assessments and private clinics that offer quick appointments but with click here any clinical expertise. These shortcuts should be avoided. However, those suffering from ADHD should be seeking a diagnosis even if they can afford it.