ADHD Assessment in the UK
A thorough ADHD assessment is generally a fairly comprehensive process. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other illnesses, such as depression or thyroid problems. They may also request old school reports or other supporting evidence.
It is essential that the person carrying out your assessment is a specialist in ADHD. This applies to psychiatrists as well as GPs.
Waiting at various times
Adults in the UK who require ADHD diagnosis are left waiting years to consult psychiatrists for years. This is despite the fact that ADHD is recognized as a serious mental health issue and that it has major effects on people's lives. In some regions, waiting times can last as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is being exacerbated by a growing awareness of the condition and a rise in the demand for treatment. NHS services are struggling with demand, and many patients opt to take care of themselves through private providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to opt for private health care from any provider.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in parts of the country. The number of adults seeking an assessment has grown exponentially and is currently over its capacity. Those who choose to go the private route are typically much better off, as private psychiatrists are more adept at dealing with adults and will be more familiar with the nuances of the condition. They are also more likely to be experienced in managing co-morbidities like anxiety and depression that are frequently associated with ADHD.
Many are still concerned about the quality of private assessments and the potential for them to misdiagnose the disease. The issue was brought to the public's attention after a BBC Panorama investigation exposed the method by which some private clinics were awarding diagnoses without proper process. Some have claimed that the program is propagating stigma and stereotypes about people suffering from ADHD.
However, the BBC should be praised for exposing this issue and highlighting the dire situation of adults who need an ADHD diagnosis. It's a shame some people have to seek help privately. The NHS should come up with a solution to fix this problem. In the meantime, if you think you might have ADHD You can take advantage of the free test offered by an organization, or pay for an assessment from an individual psychiatrist. They are generally less expensive than the NHS however they don't include prescriptions.
Second opinion
If you are struggling with symptoms of ADHD, it is important to get a diagnosis. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, including medication. You may also be directed to a psychiatrist for additional therapy. There are a variety of 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 also test for co-morbidities such as depression and anxiety.
Private ADHD assessments are expensive however the waiting time for NHS services are significantly longer. Typically, you pay for a first assessment and then be able to schedule follow-up appointments if needed. These appointments will be covered by your insurance plan if you have it. These appointments will be handled in a professional way by nurses who are trained and have a particular interest in ADHD. Initial appointments usually involve clinical interviews and rating systems. You might also be asked to complete questionnaires, and then referred for further tests, like an MRI.
It is possible to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost covers the assessment time as well as titration costs. Certain private ADHD assessments allow titration apart from diagnosis, and this may be less expensive. The process of titration can take longer and requires more 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 desperate need. The BBC investigation revealed a number of cases in which patients were diagnosed of ADHD which was later cancelled. This is a serious problem since it can be extremely distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse negative side effects.
In Scotland the cost for an ADHD assessment is PS1,335 and includes the initial assessment and the titration. Most health insurance plans will cover these tests but it's worthwhile to inquire with your insurance company to determine if the policy you have covers them.
Referral to a specialist click here clinic
If your GP suggests a specialist clinic, the doctor will ask questions and conduct a clinical evaluation. They will determine whether your symptoms are indicative of ADHD, and if they match the criteria for diagnosis. They will also check for co-morbidities, or other mental health issues. Most of the time, these are anxiety and depression. The doctor will discuss with you the treatment options, including medication if necessary.
During an assessment the psychiatrist will inquire you about your family history as well as current issues at home and at work. They will also inquire about any medications you are taking. They will then conduct a formal interview. You should bring a trusted family member or friend along to provide any additional information. It typically takes a few visits to arrive at the diagnosis. Some clinics offer an entire evaluation, while others will only look at specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny after a Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, but his GP claimed that he did not have it. The BBC said that the report was an example of "over-diagnosing" by private firms, however GPs can only recommend patients for further investigation or prescribe medication according to strict guidelines.
Many doctors will not sign a shared care agreement with the NHS as it is the only way that they can refer their patient's treatment to the hospital after the patient has received a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. GPs should also note that many private psychiatrists will not prescribe medication, which could make it difficult for patients to receive the treatment they need.
If your GP hasn't yet referred you to an ADHD assessment and treatment, ask for it. You can determine your estimated waiting time by calling the local mental health services or by visiting the Right To Choose site. The site allows you to 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 not only helps individuals better understand themselves as well as help them and their friends and family better help them. In addition, it can help them find a good treatment strategy. It is not always simple to determine an assessment. Particularly in the UK where people are facing long waiting times for an assessment from the NHS. This can be frustrating for many who wish to be diagnosed with ADHD.
If you are unable to wait, it is possible to self-refer for an appointment with a specialist psychiatrist who is experienced. You will save time and avoid having to go to your GP. This isn't a fast process and can take months however, it will give you more precise diagnosis than the NHS one. You must ensure that the person conducting your assessment is a psychiatrist or psychologist because they are the sole healthcare professionals in the UK who are certified to assess ADHD.
A private evaluation will likely include a clinical interview with a psychiatrist. This will include questions about your mental health and your childhood history. The doctor will employ rating scales to inquire about your current challenges at work, in school or in relationships. They will also discuss any other symptoms you experience that might indicate the presence of ADHD.
This will result in an extensive ADHD assessment report, which the psychiatrist will forward to your GP with your permission. They will also recommend medications if they are needed. They can also assist you to find other ways of support, such as mentorship and support for studying skills. They will also help you in applying for Disabled Student Allowance if are a student at a university.
While it's not the best idea to make shortcuts, the reality is that NHS services are crowded and underfunded. Some people try to save money by using online assessments or private clinics with quick appointments and not having any clinical expertise. These methods should be avoided. However, those suffering from ADHD should still seek a diagnosis when they can afford it.