ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough procedure. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other conditions like depression or thyroid. They can also request old school records and other supporting evidence.
It is essential that the person assessing you is an ADHD expert. This is the case for GP's as well as consultants as well.
Waiting at various times
In the UK, adults who need an ADHD diagnosis are being left waiting for years for an appointment with psychiatrists. This is despite the fact that the condition is recognised as an extremely serious mental health condition and has profound effects on people's lives. The situation is worse in some areas, with waiting periods as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The issue is amplified by the increasing awareness of the condition, as well as a rise in the 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.
Psychiatry UK is one such service that offers an online ADHD assessment and medications for the NHS. The service has seen a dramatic increase in the number of adults seeking an assessment, and exceeds its capacity at present. People who opt to take the private route are usually much better off, as private psychiatrists are used to dealing with adults and are more knowledgeable about the specifics of the condition. They are also more likely to have experience in managing co-morbidities, like anxiety and depression that are frequently present with ADHD.
However, many people are still worried about the quality of private assessments and the risk of them over-diagnosing the disease. BBC Panorama exposed how some private clinics have made diagnoses without following due process. Some have even accused the program of inciting stigma and stereotypes against those who suffer from ADHD.
The BBC should be commended however, for exposing this issue and highlighting the adults who require an ADHD diagnosis. It's a shame that some people who need assistance are required to seek it privately, and the NHS needs to work out ways to deal with the issue. If you suspect you may have ADHD Try a no-cost screening through an organization or charity, or pay for an appointment with a private psychiatrist who will assess you. They're typically less expensive than the NHS but they do not give prescriptions for medication.
Second opinion
If you are struggling with symptoms of ADHD It is essential to receive a diagnosis. A correct diagnosis can help you manage your symptoms and also prescribe medications. You could also be directed to a psychiatrist for additional therapy. There are many private clinics that offer diagnoses and titration services. These clinics have a lot of experience working with a broad range of adults, both women and men who may be suffering from ADHD. They are also able to screen for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be expensive however they are typically more efficient than NHS waiting times. You will typically pay for the initial assessment, and then schedule follow-up appointments if needed. If you have insurance and coverage, it will cover these appointments. These appointments are conducted by trained nurses with a particular interest in ADHD and are certified to evaluate the condition. Initial appointments usually involve clinical interviews and rating systems. You may also be asked to answer questionnaires, and you could be referred for additional tests, such as an MRI or EEG.
A private clinic will cost you between PS500 and PS1,200 for an ADHD assessment. The price includes assessment time and titration fees. Some private ADHD assessments allow titration apart from diagnosis, and it can be less expensive. Titration process takes longer and requires additional 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 turning to an unofficial clinic in desperate need. The BBC investigation exposed a number of cases where patients received the diagnosis of private healthcare adhd assessment ADHD and then withdrawn. This is a problem since it can be extremely distressing for patients to have their symptoms incorrectly diagnosed, and some of them have been prescribed medication that has adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the titration. Most health insurance policies cover these assessments. However, it's important to check whether you are covered.
Referral to a specialist clinic
If your GP suggests a specialist clinic the clinician will ask you questions and perform an evaluation of your clinical condition. They will determine if your symptoms are indicative of ADHD, and if they match the diagnostic criteria. They will also search for co-morbidities, or any other mental health issues. Often, these will be anxiety and depression. The doctor will go over with you the options for treatment, including medication if necessary.
During the examination during the assessment, you will be asked questions about your family background as well as your current issues at home and work. They will also ask about any medications that you're 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 to determine an accurate diagnosis. Some clinics will provide a comprehensive evaluation, while others will only look at specific symptoms.
Panorama's investigation into the poor provision of ADHD services in the NHS has brought it to light. Undercover reporter for the programme was diagnosed with ADHD in three private clinics while his doctor said that he did not have it. The BBC argued that the report was an instance of "over-diagnosing" by private companies, but GPs can only refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many doctors are reluctant to sign a contract for shared care with the NHS. This is the only way they can transfer the care of their patients to the NHS after a private diagnosis. They feel they are not experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medication to their patients, which could make it difficult for patients to get the treatment they need.
If your GP hasn't referred you for an ADHD assessment, ask them to do so. You can find out the estimated wait time by calling your local mental health service or using the Right To Choose site. The site lets you choose an online ADHD assessment service which will be offered by NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can have a profound impact on your life. It helps people better understand themselves and also their family and friends. Additionally, it can help them find a good treatment strategy. It's not always easy to obtain an accurate diagnosis. In the UK, people have to wait for a long time to receive an NHS assessment. This can be frustrating for many who wish to be diagnosed with ADHD.
If you are unable to wait, you can self-refer to a specialist psychiatrist for a private evaluation. This can save you time and the hassle of visiting your GP. It is a long process that can take several months. However, it will give you an accurate diagnosis than those offered by the NHS. You must ensure that the person conducting your assessment is either a psychiatrist or psychologist because they are the sole healthcare professionals in the UK that are qualified to assess ADHD.
A private evaluation could involve an interview with a psychiatrist. Questions will be asked regarding your mental health, your childhood history and other aspects. The doctor will employ rating scales to inquire about your current struggles at school, at work, or in relationships. They will also discuss any other symptoms you experience that might indicate the presence of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP, with your permission. They will also recommend medication if needed. They can also assist you in obtaining other types of support, including tutoring and study skills. If you are students, they will also help you apply for Disabled Students Allowance.
While it's not the best idea to make shortcuts however, the reality is that NHS services are overloaded and underfunded. In the end, there are those who attempt to reduce costs by using online assessments or private clinics that offer quick appointments but with any clinical expertise. These methods should be avoided. However, people with ADHD should be seeking a diagnosis even if they can afford it.