4 Dirty Little Secrets About The ADHD Diagnosis Industry How to Get an ADHD Diagnosis in the UK

When seeking advice, assessment or assistance for ADHD, people often encounter the network gatekeepers. It is clear that a few of these gatekeepers in NHS CCGs aren't adhering to the national guidelines for clinical practice or their legal obligation to stop discrimination and health inequality.

Anecdotal evidence suggests some private ADHD clinics are not sufficiently monitored. This can lead to inconsistent diagnostic thresholds, and assessment reporting that could cause issues when trying to transfer to the NHS.

How do I find out if I have a diagnosis?

ADHD is a mental health condition, meaning it can only be diagnosed by a healthcare professional who has expertise. This includes psychologists and psychiatrists (who are the only professionals certified to diagnose ADHD in the UK). Patients with mental health issues often report symptoms of ADHD particularly those who have been struggling for a long period. They may feel stuck in their current situation and are desperate for assistance. However the NHS isn't always easy to navigate for those seeking an assessment.

It is possible to obtain a diagnosis through the NHS by asking your GP for an appointment with a specialist. Your GP will take your concerns seriously and should be able to recommend you to an assessment however, you may have to wait while the specialist is in.

When evaluating for ADHD healthcare professionals will look at the family history of ADHD and any other mental health issues that you have had in the past. They will also observe you in different situations, such as at the workplace, school or at home to evaluate your behavior. They will ask you to explain your symptoms and how they affect your daily life. They may also inquire about your relationships with friends, social life and other activities you engage in regularly.

A specialist will examine all the evidence before deciding on a diagnose. They will make use of criteria, for example, being perpetually active and fidgety, possessing an insufficient amount of attention and having difficulty keeping up with work or school and having difficulty staying focused on work or tasks, not completing them and being a lot of active. The diagnosis will be made by examining the presence of these traits in multiple settings, affecting your performance and if there's a clear pattern that has been evident for at least six years.

In recent months, there has been a rise in high-profile people talking about their experiences of being diagnosed with ADHD. This has led to a spike in the number of people who are seeking an assessment, which could cause long wait times for healthcare professionals. Many patients and their families opt to avoid the NHS by undergoing assessments at private clinics which can be costly. It is crucial to locate a healthcare professional you can trust and answer questions honestly about your health issues.

What happens during the test?

The procedure of the process of assessing ADHD symptoms is the same regardless of whether you self-refer or are referred by your GP. The person who conducts the test will ask questions about your symptoms and how they impact your daily life. For example, "What problems do experience at home?" "How does your symptoms affect your work?" "Do you have other symptoms you think may be related to ADHD?"

You may have to fill out various questionnaires or forms prior your appointment, depending on where you are going for your examination. It is crucial to complete these as quickly as possible so that your appointment doesn't get delayed. You should also familiarise yourself with the signs of ADHD to be able to recognize them and discuss their impact on your life.

The test will usually involve an interview with a psychiatrist, specialist nursing staff or a qualified healthcare professional. adhd uk diagnosis will examine your mental health overall and the symptoms of ADHD to determine if they are being caused by any other condition, or are unrelated to any other medical condition (NICE guidelines). The clinician will then discuss possible treatment options with you which can involve medication.

It is important to keep in mind that GPs, nurses and psychologists may not be as well-versed in adult ADHD as Psychiatrists who specialize in it, so it is important to prepare and practice your symptoms before you go for the assessment. This will help you explain your symptoms in a way they can comprehend. You'll need to provide examples of how your symptoms have had an impact on all aspects of your life, from work to relationships, and how they have changed in time.

There may be tests taken as part of the assessment, such as an examination of your blood to look for any allergies. If you are suffering from any other medical issues Your therapist may suggest additional tests to test for these, too.

If you are self-referring, or enrolled in the Right to Choose scheme, it is important to understand that, even if you pay for your private examination however, you must wait for NHS approved appointments. And this can differ between NHS trusts and from one physician to another.


What is the outcome if I fail to receive an appointment?

You can be diagnosed with ADHD in the event that you have a number of factors in your favor. It can be more difficult for certain groups of people to get diagnosed, for example, those who are of color or a woman at birth or if you have other mental health conditions like depression or bipolar disorder.

If you're having trouble getting an assessment, speak to your GP and request a referral. You can also try to locate a private psychiatrist who is skilled in adult ADHD assessments. They often provide an earlier service than the NHS.

The psychiatrist will examine your symptoms and determine whether they meet the criteria for ADHD, using the Nice guidelines as a reference. They will also look for other possible reasons for your symptoms, such as depression, anxiety or thyroid problems. This can be a very extensive procedure, and it's not always easy for adults to present all the evidence required (for example they might be unable to locate old school reports that are in the back of the cupboard).

It's also possible that you will not be diagnosed with ADHD, even if your GP is willing to refer you. A psychiatrist is able to diagnose ADHD in the event that they believe your ADHD symptoms are causing significant impairment. If they believe you do not meet the criteria, they'll inform you the reason.

In the UK it is legal to access treatment through the NHS in England, Wales and Northern Ireland if you are diagnosed with ADHD. You may be able to get medication through an Individual funding request, but it is contingent on where you live. You may be referred to a specialist in your local area who will prescribe the medication you prefer. NHS specialists prefer Methylphenidate or Atomoxetine first and don't usually plan long titration phases.

Joining a support group whether in person or online, for adults with ADHD can be beneficial. They can be a source of support and comforting. It can also help to share your story with other people who understand.

How can I receive treatment?

Adults can be sent to ADHD specialist services for assessment and treatment. Typically, these are located in NHS hospitals and NHS community health teams, for instance, the Maudsley Hospital in London offers a nationwide ADHD adult diagnostic service. However there are many NHS healthcare providers don't accept these reports, and patients are often blocked from receiving treatment. This is due to long waiting times or the rejection of referrals.

Support groups have reported at the consensus meeting that many ADHD sufferers seek private assessment and diagnoses to circumvent the NHS's lack of funding in this area. Private clinics offer a more accurate, professional and faster diagnosis. They are also helpful in screening for comorbidities, such as depression and anxiety that are prevalent in ADHD and can assist in titrating to the final dose of the medication. Costs vary from PS500-PS1,200 however, sometimes a diagnosis and titration are charged separately.

The diagnosis and treatment for ADHD varies from person to person. Most people are treated with medication. This may be methylphenidates, like Ritalin or Concerta, or atomoxetine, like Strateva. Sometimes, non-drug interventions can be beneficial, like training and education for parents and families of people with ADHD. Certain people with ADHD find that a change in their diet can help, as does trying to establish a relaxing sleep routine. Others have found that hypnotherapy and psychotherapy can ease their symptoms, though the evidence on these isn't as strong.

It is inexcusable that so many people suffering from ADHD are not receiving the treatment and care they require through the NHS. The UK government, the clinical and regulatory authorities must take action urgently to rectify this issue. Patients with ADHD should have access to treatment without discrimination and in line with their rights under the law. Long-term planning of funding and a coordinated commissioning of social, health care and judicial services are essential to reduce this unmet need. The current situation can't be long-term and has a negative impact on the families of individuals and the society. It's time to invest.