ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will assess whether your symptoms are causing significant impairment, and also rule out other medical conditions, such as thyroid or depression. They may also request old school records and other evidence to support your claim.
It is crucial that the person who is conducting 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 forced to wait for years to see a psychiatrist. The condition is acknowledged as a serious mental disorder with an enormous impact on people's daily lives. The situation is worse in some areas, with waiting periods as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is made worse by the growing awareness of the condition and the growing demand for treatment. NHS services are struggling to meet the demand and many patients decide to take care of themselves through private providers. The Right to Choose scheme has made it easier for patients to pick private healthcare providers.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in various parts of the country. The service has seen a dramatic increase in the number of people seeking an assessment, and is currently exceeding its capacity. People who opt to take the private route are typically much better off, as private psychiatrists are used to dealing with adults and will be more knowledgeable about the specifics of the condition. They are more likely to have experience managing co-morbidities like anxiety and depression that can be a result of ADHD.
However, many people are concerned about the assessment of private patients and the risk of them over-diagnosing the illness. The issue was brought to the public's attention when an BBC Panorama investigation exposed the ways in which private clinics were granting diagnoses without proper process. Some have accused the programme of stoking stigma and stereotypes against those with ADHD.
The BBC deserves to be praised, for exposing the problem and highlighting adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek help privately. The NHS should find a way to address this issue. In the meantime, if you suspect you might be suffering from ADHD You can try a free screening with a charity or pay for an assessment from a private psychiatrist. These are typically less expensive than the NHS but do not include prescriptions.
Second opinion
If you're struggling with symptoms of ADHD, it is important to be diagnosed. A correct diagnosis will help you manage your symptoms and also prescribe medication. You could be advised to see a psychiatrist as part of your treatment. There are a variety of private clinics that offer diagnoses and titration treatments. These clinics have a lot of experience dealing with a diverse range of adults, both men and women, who may suffer from ADHD. They can also test for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be costly however, they are generally more efficient than NHS waiting times. Typically, you'll pay for an initial assessment and then have subsequent appointments as required. These appointments will be covered by your insurance plan if you have it. These appointments will be performed in a professional manner by nurses who are certified and have a special interest ADHD. Initial appointments usually involve clinical interviews and rating systems. You may also be asked to fill out questionnaires and be referred to for further tests, like an MRI.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost covers the assessment time and titration costs. Certain private ADHD assessments allow titration apart from diagnosis, and it can be cheaper. However, the process of titration is longer and requires more appointments.
The quality of private ADHD assessments has been questioned after 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 exposed a variety of instances where patients were diagnosed of ADHD which was later cancelled. This is a serious problem since it can be very distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse consequences.
In Scotland the cost for an ADHD assessment is PS1,335 and covers the initial assessment and titration. The majority of health insurance companies offer 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 clinic
If your GP refers you to a specialist clinic, the doctor will ask you questions and conduct an assessment. They will determine whether your symptoms are indicative of ADHD, and if they match the diagnostic criteria. They will also look for co-morbidities, or any other mental health issues. Most often, these are anxiety and depression. The doctor will then discuss treatment options with you, including medication, if necessary.
During the assessment you will be asked about private add assessment your family background and current problems at home and work. They will also ask you about any medications that you are taking. The interview will be planned and you can bring your family member or friend to assist you understand the information. The assessment will usually require a few sessions to reach the diagnosis. Some clinics offer a comprehensive assessment, and others will only test for specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny in the wake of a Panorama investigation. The reporter on the programme was diagnosed with ADHD at three private clinics - while his GP insisted that he didn't have the condition. The BBC claimed that the story was an instance of "over-diagnosis" by private firms. However doctors are only permitted to refer patients for further examination or prescribe medication in accordance with strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS as it is the only way they can transfer their patient's care to the service after a private diagnosis. They believe they aren't experts in ADHD or psychiatry. Many private psychiatrists do not prescribe medications for their patients, which could make it difficult for patients to receive the treatment they require.
If your GP hasn't referred you for an ADHD assessment and treatment, ask them to refer you. You can determine the estimated wait time by calling your local mental health service 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
A diagnosis of ADHD can alter your life. It can help people understand themselves and also their family and friends. It also helps them determine the best treatment plan. However, obtaining a diagnosis is not always easy. Particularly in the UK where patients are waiting for long periods for an assessment by the NHS. This can cause frustration for many people who want to be diagnosed with ADHD.
If you're not able to wait, it is possible to request an assessment in private with an experienced specialist psychiatrist. You will save time and avoid a visit to your GP. This is a lengthy procedure that could take months. However, it will give you more precise diagnoses that those provided by the NHS. It is crucial to ensure that the person who conducts the test is a psychiatrist or psychologist since they are the only healthcare professionals qualified to assess ADHD in the UK.
A private assessment is likely to 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 struggles at work, in school, or in relationships. They will also address any other symptoms you experience that could indicate the presence of ADHD.
The result will be a comprehensive ADHD assessment report, which the psychiatrist will forward to your GP with your permission. If necessary, they'll prescribe medication. They will also help you find other ways of assistance, like mentorship and support for studying skills. They will also help you in submitting for Disabled Student Allowance if you are a university student.
It's not ideal to cut corners however the NHS is overburdened and underfunded. Some people attempt to cut corners using online assessments or private clinics that offer fast appointments but with not having any expert clinical knowledge. These methods are not recommended, but there's no reason to think that people suffering from ADHD should not seek a diagnosis appointment when they can afford it.