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ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will determine whether your symptoms cause significant impairment, and rule out other disorders like depression or thyroid. They may also request old school reports and other supporting evidence.
It is vital that the person who is assessing you is an ADHD expert. This is true for both GPs and psychiatrists.
Waiting at various times
Adults in the UK who require ADHD diagnosis are left waiting years to consult psychiatrists. The condition is acknowledged as a serious mental disorder that has an impact on the lives of people. The situation is worse in some regions, with waiting times as long as four years. The charity ADHD UK called for urgent action to help improve the situation.
The problem is being worsened by the growing awareness of the condition, as well as an increase in the demand for treatments. NHS services are struggling with demand and many patients choose to seek treatment from private clinics. This has been facilitated 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 across the country. The number of adults who want an assessment has exploded and is currently over the capacity of the service. Those who choose to go the private route are generally much better served, as private psychiatrists are used to dealing with adults and will be more familiar with the nuances of the condition. They are also more likely to have experience in managing co-morbidities like anxiety and depression that are frequently associated in ADHD.
However, many are still concerned about the quality of private assessments and the potential for them to over-diagnose the condition. The issue came to the public's attention after a BBC Panorama investigation exposed the ways in which private clinics were awarding diagnoses without proper process. Some have even accused the program of inciting stereotypes and stigmatizing people who suffer from ADHD.
The BBC should be commended however, for exposing the problem and highlighting adults who require an ADHD diagnosis. It is a shame that some of those who need this help are being forced to seek it privately, and the NHS should come up with ways to address the issue. If you think you might have ADHD Try a no-cost test with a charity or pay an appointment with a private psychiatrist who will assess you. They are usually less expensive than the NHS however they will not provide the prescription for medication.
Second opinion
If you're experiencing symptoms of ADHD, it is important to be diagnosed. A proper diagnosis will help you manage your symptoms and prescribe medications. You could be advised to see a psychiatrist as part of your treatment. Many private clinics provide diagnosis and titration. These clinics have a lot of experience dealing with a diverse range adults, including men and women, who may be suffering from ADHD. They can also test for co-morbidities like anxiety and depression.
Private ADHD assessments can be expensive however, they are generally significantly faster than NHS waiting times. Typically, you pay for an initial assessment, and then follow-up appointments as needed. If you have insurance that covers you, it is likely to cover these appointments. These appointments will be conducted by specially trained nurses who have a particular interest in ADHD and are certified to assess it. Initial appointments usually include clinical interviews and rating systems. You will also be asked to complete questionnaires, and you might be referred for further tests such as an MRI or EEG.
A private clinic will cost you between PS500 and PS1,200 for an ADHD assessment. The cost includes both assessment time as well as titration fees. Some 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 for three years for an NHS assessment before he went to a clinic in desperate need. The BBC investigation exposed a number of instances in which patients received the diagnosis of ADHD, which was later removed. This is a serious issue, as it can be extremely stressful for patients to be 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 as well as the titration. Most health insurers will cover these tests, but it's worth checking with your insurer to determine if your policy will cover it.
Referral to an expert clinic
If your GP refers you to an expert clinic, the doctor will ask you questions and conduct a clinical assessment. They will determine whether your symptoms are indicative of ADHD and if they are in line with the criteria for diagnosing. They will also check for co-morbidities, or any other mental health conditions. Often, these will be anxiety and depression. The clinician 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 at work. They will also ask you about any medications you are taking. The interview will be structured and you can bring your family member or friend to help you through the process. It typically requires a few sessions for the evaluation to establish the diagnosis. Some clinics offer a comprehensive evaluation, while others will focus on specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny in the wake of an Panorama investigation. The undercover reporter of the show was diagnosed with ADHD at three private clinics, but his GP insisted that he didn't have the condition. The BBC claimed that the story was an example of "over-diagnosing" by private firms, however GPs are only able to recommend patients for further investigation or prescribe medication in accordance with strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS and is the only way that they can transfer the patient's care to the NHS following the patient has received a private diagnosis. This is due to the fact that they believe that they are not experts in ADHD or psychiatry. Also, GPs should be aware that many private psychiatrists will not prescribe medications, which could make it difficult for patients to receive the treatment they need.
If your GP hasn't referred you for an ADHD assessment request for it. You should be able to find out the estimated wait time by calling your local mental health clinic or using the Right To Choose website. The site allows you select 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 helps people better understand themselves as well as their family and friends. It also helps them find the right treatment plan. It's not always easy to get an assessment. Especially in the UK where patients are waiting for long periods for an assessment from the NHS. This can be a major issue for those looking to be diagnosed as having ADHD.
If
adhd private assessment to wait, it's possible to self-refer for a private assessment with an experienced specialist psychiatrist. You'll save time and avoid a visit to your GP. It is not an easy procedure and could take months however, it will provide you with an accurate diagnosis than the NHS one. It is essential to ensure that the person who conducts your test is a psychologist or psychiatrist since they are the only healthcare professionals who are competent to diagnose ADHD in the UK.
A private assessment could include a clinical interview conducted by psychiatrists. There will be questions regarding your mental health, childhood history and other factors. The doctor will also employ rating scales and ask about your current struggles with work, school, and relationships. They will also talk about any other signs you may have that could indicate the presence of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. If needed, they may prescribe medication. They will also help you get other types of support, including mentoring and study skills support. They can also assist you in applying for Disabled Student Allowance if you are a student at university.
It's not a good idea to cut corners, but the NHS is overwhelmed and underfunded. Some people try to cut corners using online assessments or private clinics with quick appointments and little or no expert clinical knowledge. These shortcuts are to be avoided. However, those suffering from ADHD should still seek a diagnosis as long as they are able to afford it.