ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extremely thorough process. A psychiatrist will determine if your symptoms are causing significant impairment and rule out other conditions like thyroid issues or depression. They may also request old school records as well as other evidence.
It is crucial that the person carrying out your assessment is an expert in ADHD. This is true for GP's and consultant psychiatrists alike.
Waiting several times
In the UK adults who require an ADHD diagnosis are waiting for years to get an appointment with psychiatrists. This is despite the fact that ADHD is recognized as a serious mental health issue and that it has major impact on the lives of people. In some areas waiting time can be as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The issue is worsened by the growing awareness of the condition and a rise in the demand for treatments. NHS services are struggling to meet demand and many patients choose to seek treatment from private providers. 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 medication for the NHS. The number of adults seeking an assessment has increased dramatically, and is currently exceeding the capacity of the service. People who opt to take the private route are generally more successful, since private psychiatrists are accustomed to dealing with adults and are more knowledgeable about the specifics of the condition. They are also more likely to be experienced in managing co-morbidities like anxiety and depression which are often present in ADHD.
Many are still concerned 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 a BBC Panorama investigation exposed the ways in which private clinics were granting diagnoses without proper process. Some have accused the program of propagating stigma and stereotypes about people with ADHD.
The BBC should be commended, however, for exposing the issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some have to seek help privately. The NHS should find a way to fix this problem. If you suspect you may have 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 they do not come with prescriptions.
Second opinion
If you are struggling with symptoms of ADHD It is crucial to get a diagnosis. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, including medication. You could be advised to a psychiatrist as part of your treatment. Private clinics often offer diagnosis and titration. These clinics have lots of experience working with a broad range adults, including women and men who might suffer from ADHD. They are also able to test for co-morbidities like anxiety and depression.
Private ADHD assessments can be expensive however, they are generally much quicker than NHS waiting times. You typically pay for the initial assessment, and then make follow-up appointments if necessary. If you are insured, your coverage will likely cover these appointments. These appointments are conducted by trained nurses who have a special interest in ADHD and are certified to assess the condition. private adhd assessments include clinical interviews as well as rating systems. You could also be required to complete questionnaires and referred for additional tests, like an MRI.
You should expect to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes the assessment time and titration fees. Certain private ADHD assessments offer titration apart from diagnosis and can be cheaper. However the process of titration takes longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that a patient waited three years for an NHS assessment, before turning to a clinic in desperate need. The BBC investigation revealed a variety of cases where patients received an assessment of ADHD but were later removed. This is problematic because it can be extremely distressing for people to be incorrectly diagnosed, and a few of them have been prescribed medication that has adverse side effects.
In Scotland In Scotland, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the titration. Most health insurance plans offer these tests, but it's important to check with your insurance provider to determine if the policy you have covers them.
Referral to a specialist clinic
If your GP recommends you to a specialist clinic, the doctor will ask you questions and perform a clinical assessment. They will determine whether 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 may be present. These are often depression and anxiety. The doctor will discuss with you the treatment options, including medication if necessary.
During the assessment during the assessment, you will be asked about your family background as well as your current issues at home and work. They will also inquire about any medications you're taking. The interview will be structured and you can bring along a friend or relative to assist you understand the information. It usually requires a few sessions to arrive at a diagnosis. Some clinics offer a comprehensive examination, while others only test for specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny in the wake of a Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics - but his doctor insisted that he was not suffering from the condition. The BBC argued that the report was an instance of "over-diagnosing" by private companies, while GPs can only refer patients for further investigations or prescribe medication under strict guidelines.
Many GPs will refuse to sign an agreement to share care with the NHS as it is the only way that they can transfer the patient's care to the NHS after an individual diagnosis. This is due to the fact that they believe that they're not experts in ADHD or psychiatry. Many private psychiatrists do not prescribe medications to their patients, which may make it difficult for patients to get the treatment they require.
If your GP hasn't recommended you for an ADHD assessment, ask for it. You can determine your estimated waiting time either by calling the 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 the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can be life changing. It can help people understand their own behavior and that of their family and friends. It also helps them identify the right treatment plan. It is not always simple to get an assessment. In the UK people must wait for a long period of time for an NHS assessment. This can cause anxiety for many people who want to be diagnosed with ADHD.
If you can't wait, you can refer yourself to an expert psychiatrist for a private evaluation. This will help you save time and the hassle of visiting your GP. This is a lengthy process that can take several months. However, it will give you a more accurate diagnoses that those offered by the NHS. It is important to make sure that the person running your assessment is a psychiatrist or psychologist, as these are the only healthcare professionals who are qualified to diagnose ADHD in the UK.
A private evaluation could involve a clinical interview conducted by a psychiatrist. There will be questions regarding your mental health, childhood experiences and other aspects. 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 might indicate ADHD.
The psychiatrist will then send an extensive ADHD report to your GP, with your permission. They will also recommend medications if they are needed. They can also help you in obtaining other types of help, like study skills and mentoring. They will also assist with applying for Disabled Student Allowance if you are a student at university.
While it is not ideal to cut corners but the reality is that NHS services are overwhelmed and underfunded. This means that there are those who attempt to cut the line through online assessments and private clinics that offer quick appointments, but offer any clinical expertise. These methods should be avoided. However, people with ADHD should be seeking a diagnosis even if they can afford it.