ADHD Assessment in the UK
An ADHD evaluation is typically a pretty thorough process. A psychiatrist will determine if your symptoms are causing significant impairment, and rule out other conditions like thyroid or depression. They may also ask for old school records or other evidence to back up their claims.
It is crucial that the person who is conducting your assessment is a specialist in ADHD. This is true for both GPs and psychiatrists.
Waiting several times
In the UK adults who require an ADHD diagnosis are left waiting for years to get an appointment with psychiatrists. The condition is recognized as a serious mental disorder with an enormous impact on the lives of people. In certain areas, waiting times can be as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The issue is made worse by the growing awareness of this condition and the increasing demand for treatment. NHS services are struggling to keep pace with the demand, and many patients are opting to seek treatment from private healthcare providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to select 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 exploded, and is currently exceeding its capacity. If you choose to go the private route are usually much better served, as private psychiatrists are accustomed to dealing with adults and are more knowledgeable about the specifics of the condition. They are more likely to have experience managing co-morbidities such as anxiety and depression, which can often accompany ADHD.
However, many are concerned about the quality of private assessments and their potential to over-diagnose the condition. BBC Panorama exposed how some private clinics have made diagnoses without following due process. Some have accused the program of spreading stigma and stereotyping about people suffering from ADHD.
The BBC should be commended, however, for exposing this problem and highlighting adults who require an ADHD diagnosis. It is a shame that some people who require assistance are forced to seek it out privately, and the NHS must come up with ways to address the issue. In the meantime, if you think you may have ADHD, you can try an assessment for free with a charity, or take advantage of an assessment by an individual psychiatrist. These are typically less expensive than the NHS but they do not come with a prescription.
Second opinion
It is essential to seek a diagnosis when you're experiencing symptoms of ADHD. A proper diagnosis will assist you in managing your symptoms and prescribe medications. private adhd assessment uk may be referred to see a psychiatrist as part of your treatment. Many private clinics offer diagnosis and adjustment. These clinics are generally experienced with the wide range of adults who may have ADHD as well as women and men. They also look for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be expensive however, they are generally much quicker than NHS waiting times. The typical cost is the initial assessment, and then arrange follow-up appointments if needed. These appointments are covered by your insurance if you have it. These appointments will be conducted by specially trained nurses with a particular interest in ADHD and are qualified to assess the condition. The initial appointment will usually involve clinical interviews and rating scales. You may also be required to complete questionnaires and be referred to for further tests, for example, an MRI.
You should expect to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost covers the assessment time as well as titration costs. Some private ADHD assessments offer titration separate from diagnosis and are cheaper. The process of titration can take longer and requires additional appointments.
The quality of private ADHD assessments is under scrutiny following the BBC's Panorama investigation revealed that one patient spent three years waiting for an NHS assessment before deciding to go to an unofficial 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 issue because it can be extremely distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment as well as the adjustment. Most health insurance policies cover these assessments. However, it is worth checking to see if you have coverage.
Referral to specialist clinics
If your GP suggests an expert clinic, the physician will ask questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD, and if they meet the diagnostic criteria. They will also assess for any co-morbidities (other mental health conditions) that may be present. They are typically anxiety and depression. The clinician will discuss with you the treatment options, including medication if necessary.
During the assessment, you will be asked questions about your family background as well as your current issues at home and work. private adhd assessment london will also inquire about any medications that you are taking. They will then conduct an organized interview, and you should bring a trusted family member or friend along to provide collateral information. The examination will typically take a few sessions to determine 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 following an Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, but his GP said he didn't have ADHD. The BBC said that the report was an instance of "over-diagnosing" by private firms, however GPs can only refer patients for further investigations or prescribe medication according to strict guidelines.
Many doctors are reluctant to sign an agreement for shared care with the NHS and is the only way they can transfer their patient's care to the NHS following an individual diagnosis. They believe that they're not experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medications for their patients, which can make it difficult for patients to receive the treatment they require.
If your GP hasn't yet referred you to an ADHD assessment request them to refer you. You can determine your estimated waiting time either by calling the local mental health service or by visiting the Right To Choose site. The site allows you select an online ADHD assessment service which will be offered by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. It not only helps individuals better understand themselves and their needs, but it also helps them and their family and friends better support them. Additionally, it can help them find a good treatment plan. However, obtaining an accurate diagnosis isn't always easy. Particularly in the UK where patients are facing long waiting times for an assessment from the NHS. This can be frustrating for those who wish to be diagnosed with ADHD.
If you're not able to wait, it is possible to request a private assessment with a specialist psychiatrist who is experienced. It will help you reduce time and avoid having to go to your GP. This isn't a fast process and can take a long time but it will provide you with a more accurate diagnosis than the NHS one. You should ensure that the person conducting your assessment is either a psychologist or psychiatrist, because they are the sole healthcare professionals in the UK that are qualified to determine ADHD.
A private evaluation could involve a clinical interview conducted by a psychiatrist. There will be questions about your mental health, childhood history and other aspects. The doctor will also employ rating scales and ask questions about your current struggles at work, school, and relationships. They will also discuss any other symptoms you have that might indicate the presence of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP, with your permission. If needed, they may prescribe medication. They can also assist you to access other forms of assistance, like mentorship and support for studying skills. They will also assist you in submitting for Disabled Student Allowance if you are a student at a university.
While it is not ideal to cut corners however, the reality is that NHS services are crowded and underfunded. In the end, there are those who attempt to reduce costs through online assessments and private clinics that offer quick appointments, but offer no clinical expertise. These shortcuts are not recommended, but there's no reason why people with ADHD should not seek a diagnostic appointment if they are able to afford it.