ADHD Assessment in the UK
An ADHD evaluation is typically a pretty thorough procedure. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other disorders like thyroid or depression. They may also request old school records as well as other evidence.
It is crucial that the person who is assessing you is an ADHD expert. This applies to GP's and consultant psychiatrists too.
Waiting several times
In the UK, adults who need an ADHD diagnosis are waiting for years for an appointment with psychiatrists. The condition is recognized as a serious mental disorder that has a significant impact on the daily lives of people. The situation is more difficult in certain regions, with waiting times up to four years. The charity ADHD UK called for urgent actions to improve the situation.
The issue is made worse by the growing awareness of the condition and the growing 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 choose for private health care from any provider.
Psychiatry UK is one such service that provides an online ADHD assessment and prescriptions for the NHS. The number of adults requesting an assessment has grown exponentially, and is currently exceeding its capacity. People who opt to take the private route are generally much better off, as private psychiatrists are used to dealing with adults and are more familiar with the nuances of the condition. They are also more likely to have experience in managing co-morbidities such as depression and anxiety, which can often be present in ADHD.
Many are still concerned about the quality of private assessments and the possibility for them to misdiagnose the condition. The issue was brought to the attention of the public when a BBC Panorama investigation exposed the method by which some private clinics were awarding diagnoses without proper process. Some have claimed that the program is perpetuating stereotypes and stigmas of people suffering from ADHD.
However, the BBC deserves praise for exposing this issue and highlighting the plight of adults who require an ADHD diagnosis. It's unfortunate that some of those who need this assistance are being forced to seek it privately and the NHS needs to work out ways to address the situation. In the meantime, if you suspect you might be suffering from ADHD You can take advantage of the free test offered by a charity or pay for an assessment from an individual psychiatrist. These are usually cheaper than the NHS but they do not come with prescriptions.
Second opinion
It is essential to seek a diagnosis if you're experiencing symptoms of ADHD. A proper diagnosis will assist you in managing your symptoms and take medications. You may be directed to a psychiatrist for additional therapy. There are numerous private clinics offering diagnosis and titration treatments. These clinics are usually very adept with the various types of adults with ADHD which includes women and men. They also can screen for co-morbidities such as anxiety and depression.
Private ADHD assessments are expensive however, waiting time for NHS services are more lengthy. Typically, you pay for an initial assessment, and then follow-up appointments if needed. If you have insurance, your coverage will likely cover these appointments. These appointments will be conducted by trained nurses with a particular interest in ADHD and are qualified to assess it. The initial appointment will typically include clinical interviews and rating scales. You may also be asked to complete questionnaires, and you could be referred for further tests such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes both assessment time and titration fees. Some private ADHD assessments offer titration separate from diagnosis and can be less expensive. Titration process takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years to receive an NHS evaluation, before going to a clinic in desperation. The BBC investigation revealed a variety of instances in which patients received a diagnosis of ADHD, which was later withdrawn. This is a serious issue, as it can be very distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse consequences.
In Scotland the cost of an ADHD assessment is PS1,335 and covers the initial assessment and titration. Most health insurance policies cover these tests. However, it is worth checking to see whether you're covered.
Referral to specialist clinics
If your GP refers you to an expert clinic, the clinician will ask you questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are a sign of ADHD and if they meet the criteria for diagnosing the condition. They will also check for co-morbidities, or other mental health issues. Most often, these are depression and anxiety. The clinician will then discuss possible treatment options with you including medication if needed.
During the assessment you will be asked about your family history and your current issues at home and work. They will also inquire about any medications you are taking. The interview will be planned and you can bring an adult or a relative to assist you with the information. The examination will typically take a few sessions to determine a diagnosis. Some clinics will provide an extensive evaluation, whereas others will only test specific symptoms.
Panorama's investigation into the inadequate service offered to patients with ADHD in the NHS has brought it to light. The undercover reporter of the show was diagnosed with ADHD at three private clinics - but his GP insisted that he was not suffering from the condition. The BBC argued that the report was an instance of "over-diagnosing" by private firms, however doctors can only recommend patients for further investigation or prescribe medication in accordance with strict guidelines.
Many GPs refuse to sign an agreement to share treatment with the NHS. This is the only way to transfer the care of their patients to the NHS after a private diagnoses. This is because they feel that they're not experts in ADHD or psychiatry. GPs should also note that many private psychiatrists do not prescribe medication, which may make it difficult for patients to get the care they require.
Request your GP to refer you for an ADHD evaluation if they haven't already. You can find out the estimated wait time by calling the local mental health clinic or by visiting the Right To Choose site. The site lets you select an online ADHD assessment service which is provided by NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can be life changing. It not only helps individuals understand themselves better as well as help them as well as their family and friends better assist them. It also helps them find the right treatment plan. It's not always easy to get a diagnosis. Especially in the UK, where people are waiting for long periods for an assessment from the NHS. This can be frustrating for many people who want to be diagnosed with ADHD.
If how to get a private adhd assessment cannot wait, you can refer yourself to psychiatrists who specialize in private assessment. This will help you save time and the hassle of visiting your GP. This is not a quick process and can take a long time but it will give you more precise diagnosis than the NHS one. You must ensure that the person performing your assessment is psychiatrist or psychologist, because they are the sole healthcare professionals in the UK who are qualified to determine ADHD.
A private assessment could include a clinical interview conducted by psychiatrists. The doctor will ask questions about your mental health, childhood experiences and other factors. The doctor will employ rating scales to inquire about your current struggles at work, in school or in relationships. The doctor will also talk about other symptoms that could indicate ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your permission. They will also recommend medications if they are needed. They can also assist you in obtaining other forms of help, like studying skills and mentoring. If you're students, they will assist you with applying for Disabled Students Allowance.
While it is not ideal to cut corners, the reality is that NHS services are overloaded and underfunded. Some people attempt to save money by using online assessments or private clinics with short appointments and lack of expert clinical knowledge. These shortcuts should be avoided, but there's no reason why people suffering from ADHD should not seek a diagnostic appointment when they can afford it.