ADHD Assessment in the UK
An ADHD assessment is usually a pretty thorough procedure. A psychiatrist will assess whether your symptoms cause significant impairment and will rule out other illnesses like thyroid or depression. They can also request old school reports and other evidence to support your claim.
It is vital that the person assessing you is an ADHD specialist. This applies to GP's and consultants as well.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to visit psychiatrists for years. This is despite the fact that the condition is recognised as an extremely serious mental health condition and that it has significant impacts on people's lives. The situation is even worse in some regions, with waiting times as high as four years. The charity ADHD UK called for urgent actions to improve the situation.
The problem is made worse by the growing 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 providers. The Right to Choose scheme has made it easier for patients to select private healthcare 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 increased dramatically and is currently over its capacity. Private psychiatrists are more knowledgeable in dealing with adults and are better equipped to understand the nuances of ADHD. They are also more likely to be experienced in managing co-morbidities, like anxiety and depression, which can often be associated in ADHD.
However, many people are concerned about the quality of private assessments and the potential for them to over-diagnose the illness. The issue came to the attention of the public when a BBC Panorama investigation exposed the way in which some private clinics were awarding diagnoses without proper process. Some have claimed that the program is promoting stigma and stereotyping against people with ADHD.
However the BBC should be praised for exposing this issue and highlighting the plight of adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek assistance privately. The NHS should find a way to address this issue. In the meantime, if you suspect you might have ADHD You can take advantage of an assessment for free with a charity or take advantage of an assessment by a private psychiatrist. These are typically cheaper than the NHS however they will not issue the prescription for medication.
Second opinion
It is essential to seek out a diagnosis if you are experiencing symptoms of ADHD. A correct diagnosis can help you manage your symptoms and take medication. You could be advised to see a psychiatrist as part of your treatment. There are numerous private clinics offering diagnosis and titration services. These clinics have plenty of experience working with a broad range of adults, both men and women, who might suffer from ADHD. They can also screen for co-morbidities such as depression and anxiety.
Private ADHD assessments can be expensive however they are typically much quicker than NHS waiting times. Typically, you will pay for the initial assessment and then have follow-up appointments as needed. These appointments are covered by your insurance if you have it. These appointments will be performed in a professional manner by nurses who are certified and have a special interest ADHD. Initial appointments typically involve clinical interviews and rating systems. You could be asked to fill out questionnaires and referred for additional tests, such as an MRI.
You should expect to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost covers the assessment time and titration fees. Certain private ADHD assessments provide titration that is separate from diagnosis and are less expensive. The process of titration can take longer and requires more appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment before he went to a clinic in desperation. The BBC investigation revealed a number cases where patients received an assessment of ADHD, which was later removed. This is a serious issue because it can be extremely distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse consequences.
In Scotland the cost for an ADHD assessment is PS1,335 and includes the initial assessment and the titration. The majority of health insurance companies offer these tests however it is worthwhile to website inquire with your insurance company to see if your policy covers them.
Referral to an expert clinic
If your GP refers you to a specialist clinic, the specialist will ask you questions and perform a clinical assessment. They will determine whether your symptoms are indicative of ADHD and if they meet the diagnostic criteria for the condition. They will also look for co-morbidities, or other mental health conditions. Often, these will be anxiety and depression. The doctor will then discuss possible treatment options with you including medication, if necessary.
During the assessment you will be asked about your family background and the current issues you face at home and at work. They will also ask you about any medications you are taking. The interview will be structured and you can bring an adult or a relative to assist you through the process. It usually takes a few visits for the evaluation to arrive at a diagnosis. Some clinics will offer a comprehensive evaluation, while others will only test specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny after an Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics - while his doctor insisted that he did not have the condition. The BBC claimed that the report was an instance of "over-diagnosis" by private companies. However doctors are only permitted to refer patients for further examination or prescribe medications in accordance with strict guidelines.
Many GPs refuse to sign a contract for shared healthcare with the NHS. This is the only way for them to transfer the patient's care to the NHS after a private diagnosis. They believe they aren't experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which may make it difficult for patients to receive the treatment they need.
Ask your GP to refer you to an ADHD evaluation if they haven't already. You can determine your estimated waiting time either by calling the local mental health clinic or using the Right To Choose site. The site lets you choose an online ADHD assessment service that will be provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. It aids people in understanding their own behavior and that of their family and friends. It also assists them to determine the best treatment strategy. However, obtaining a diagnosis is not always straightforward. Particularly in the UK where patients have to wait for a long time for an assessment from the NHS. This can be frustrating for many who are looking to be diagnosed as having ADHD.
If you're not able to wait, it's possible to self-refer for an assessment in private with a specialist psychiatrist who is experienced. You will be able to save time and avoid a visit to your GP. It is a long process that can take several months. However, it will give you a more accurate diagnoses than the ones provided by the NHS. You should ensure that the person conducting your test is a psychiatrist or psychologist as they are the only healthcare professionals in the UK that are qualified to assess ADHD.
A private assessment is likely to include a clinical interview with a psychiatrist. This will include questions regarding your mental health and childhood experiences. The doctor will use rating scales to ask about your struggles at school, at work or in relationships. The doctor will also address other signs that may indicate ADHD.
This will result in an extensive ADHD assessment report, which the psychiatrist will send to your GP with your permission. If necessary, they'll also prescribe medication. They can also assist you in obtaining other types of support, including studying skills and mentoring. If you are a student, they will assist you in applying for Disabled Students Allowance.
It is not ideal to cut corners however, the NHS is overwhelmed and underfunded. As a result, there are some who try to reduce costs by using online assessments or private clinics that offer short appointments but with any clinical expertise. These shortcuts are to be avoided. However, those suffering from ADHD should be seeking a diagnosis even as long as they are able to afford it.