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ADHD Assessment in the UK
A thorough ADHD evaluation is usually a fairly comprehensive procedure. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other conditions like thyroid or depression. They may also request old school records as well as other evidence.
It is essential that the person who is assessing you is an ADHD expert. This applies to GP's and consultant psychiatrists too.
Waiting times
Adults in the UK who need an ADHD diagnoses are left waiting years to consult psychiatrists for years. The condition is classified as a serious mental disorder with a significant impact on the lives of people. In some areas, waiting times can be as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is exacerbated by the increasing awareness of this condition and the rising demand for treatment. NHS services are struggling with the demand and many patients decide to take care of themselves through private providers. This has been facilitated by the recent introduction of the Right to Choose scheme, which allows patients to select for private healthcare 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.
IamPsychiatry of adults who want an assessment has increased dramatically and is currently over the capacity of the service. Private psychiatrists are more knowledgeable in dealing with adults, and are better able to recognize the subtleties of ADHD. They are more likely to have experience managing co-morbidities, such as anxiety and depression, which can often accompany ADHD.
However, many people are concerned about the quality of private assessments and the risk of them over-diagnosing the condition. The issue was brought to the attention of the public when an BBC Panorama investigation exposed the ways in which private clinics were awarding diagnoses without due process. Some have accused the program of propagating stigma and stereotypes about those with ADHD.
However the BBC should be praised for exposing this problem 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 fix this problem. In the meantime, if you think you may have ADHD You can try an assessment for free with an organization, or pay for an assessment from private psychiatrists. They are generally less expensive than the NHS but do not include a prescription.
Second opinion
It is essential to seek a diagnosis when you are suffering from symptoms of ADHD. A correct diagnosis will help you manage your symptoms and also prescribe medication. You may be referred to a psychiatrist as part of your treatment. There are a variety of private clinics that provide diagnosis and titration treatments. These clinics have plenty of experience working with a broad spectrum of adults, including women and men who may suffer from ADHD. They can also screen for co-morbidities such as anxiety and depression.
Private ADHD assessments are expensive however, wait time for NHS services are much longer. Typically, you pay for a first assessment and then be able to schedule follow-up appointments if needed. These appointments are covered by your insurance plan if you have it. These appointments will be handled in a professional way by nurses who are certified and have a particular interest in ADHD. The initial appointment will usually involve clinical interviews and rating scales. You might be required to complete questionnaires, and then referred for further tests, for example, an MRI.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost includes both assessment time and titration fees. Some private ADHD assessments provide titration that is separate from diagnosis, and may be cheaper. The process of titration can take longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years for an NHS evaluation, before going to a doctor in desperate need. The BBC investigation exposed a number of cases where patients received a diagnosis of ADHD but were later withdrawn. This is problematic because it can be extremely distressing for people to have their symptoms incorrectly diagnosed, and some of them have been given medication that causes negative side effects.
In Scotland the cost for an ADHD assessment is PS1,335 and includes the initial assessment as well as the titration. The majority of health insurance companies cover these assessments but it's worthwhile to inquire with your insurance company to determine if the policy you have does.
Referral to an expert clinic
If your GP refers to a specialist clinic the clinician will ask you questions and perform an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and determine if they meet the criteria for diagnosis of the condition. They will also assess for any co-morbidities (other mental health issues) that might be present. Often, these will be anxiety and depression. The doctor will then discuss the treatment options with you, including medication if needed.
During an assessment the psychiatrist will ask you about your family history as well as current issues at work and home. They will also inquire about any medications you are taking. The interview will be planned and you can bring your family member or friend to assist you through the process. The assessment will usually require several sessions to determine the diagnosis. Some clinics will offer an entire evaluation, while others will only test specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny in the wake of an Panorama investigation. 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-diagnosis" by private companies. However, GPs are only allowed to refer patients to further investigation or prescribe medication in accordance with strict guidelines.
Many doctors will not sign a shared care agreement with the NHS as it is the only way they can refer their patient's treatment to the hospital following an individual diagnosis. They believe that they are not experts in ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medications, 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 request for it. You should be able to determine the estimated waiting time by calling the local mental health services or by visiting the Right To Choose website. The site lets you choose an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can have a profound impact on your life. It not only helps people understand themselves better and their needs, but it also helps them as well as their family and friends better assist them. It can also help them identify the right treatment strategy. However, obtaining an assessment isn't always straightforward. In the UK, people have to wait a long time for an NHS assessment. This can cause frustration for many who wish to be diagnosed with ADHD.
If you're unable to wait, it's possible to request a private assessment with a specialist psychiatrist who is experienced. You will be able to save time and avoid a visit to your GP. This isn't a fast procedure and could take months, but it will give you a more accurate diagnosis than the NHS one. It is essential to ensure that the person conducting your test is a psychologist or psychiatrist, as these are the only healthcare professionals qualified to diagnose ADHD in the UK.
A private assessment is likely to consist of a medical interview with a psychiatrist, including questions about your mental health and childhood history. 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 may indicate ADHD.
The result will be an extensive ADHD assessment report that the psychiatrist will send to your GP with your consent. They will also recommend medication if needed. They will also help you get other types of support, such as mentorship and support for studying skills. If you're students, they will also help you apply for Disabled Students Allowance.
While it is not ideal to cut corners, the reality is that NHS services are overloaded and underfunded. Some people try to cut corners by using online assessments or private clinics with quick appointments and little or no clinical expertise. These shortcuts should be avoided, however there's no reason why people with ADHD shouldn't seek a diagnostic appointment if they are able to afford it.