ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will determine whether your symptoms are causing significant impairment, and will rule out other conditions like depression or thyroid. They might also request old school reports or other evidence.
It is essential that the person assessing you is an ADHD expert. This is true for GP's and consultant psychiatrists alike.
Waiting times
Adults in the UK who need an ADHD diagnosis are left waiting years to consult psychiatrists for years. The condition is recognized as a serious mental disorder that has an impact on the daily lives of people. In some areas, waiting times can last as long as four years. The charity ADHD UK called for urgent action to help improve the situation.
The problem is exacerbated by the growing awareness of the condition and the rising demand for treatment. NHS services are struggling to keep up with the demand, and many patients are choosing to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to pick private health providers.
Psychiatry UK is one such service, which provides an online ADHD assessment and prescriptions for the NHS. The number of adults requesting an assessment has increased dramatically, and is currently exceeding its capacity. Private psychiatrists are more adept in dealing with adults, and are better able to understand the nuances of ADHD. They are also more likely to be experienced in managing co-morbidities such as depression and anxiety that are frequently present with ADHD.
Many people are concerned about the accuracy of private assessments and the possibility for them to misdiagnose the illness. The issue came to the public's attention when a BBC Panorama investigation exposed the method by which some private clinics were giving diagnoses without proper process. Some have claimed that the program is promoting stigma and stereotyping against people who suffer from ADHD.
However the BBC deserves praise for exposing this problem and highlighting the dire situation of adults who need an ADHD diagnosis. It is a shame that some people who require this help are being forced to seek it privately and the NHS must come up with ways to deal with the issue. In the meantime, if you think you might have ADHD You can try an assessment for free with a charity or request an assessment from a private psychiatrist. These are typically less expensive than the NHS but they do not come with a prescription.
Second opinion
It is important to seek a diagnosis when you are suffering from symptoms of ADHD. A clear diagnosis will allow you to make the appropriate steps to manage your symptoms, which includes medication. You could also be referred to a psychiatrist for additional treatment. There are a variety of private clinics offering diagnosis and titration treatments. These clinics have a lot of experience dealing with a diverse range of adults, both women and men who might suffer from ADHD. They can also screen for co-morbidities, such as anxiety and depression.
Private ADHD assessments can be expensive however, they are generally significantly faster than NHS waiting times. The typical cost is the initial assessment, and then schedule follow-up appointments if needed. These appointments will be covered by your insurance plan if you have it. These appointments will be conducted by specially trained nurses with a particular interest in ADHD and are able to assess the condition. The initial appointment will usually involve clinical interviews and rating scales. You may also be asked to complete questionnaires and you may be referred for further tests like an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost covers the assessment time and titration fees. Some private ADHD assessments offer titration separate from diagnosis and are cheaper. The process of titration takes longer and requires appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before deciding to go to a private clinic in desperation. The BBC investigation highlighted a number of instances where patients were diagnosed of ADHD that was later withdrawn. This is a serious problem since it can be extremely stressful for patients to have their symptoms wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment and the titration. The majority of health insurance companies offer these tests, but it's important to check with your insurance provider to determine if the policy you have will cover it.
Referral to an expert clinic
If your GP refers to a specialist clinic the clinician will ask questions and conduct an evaluation of your clinical condition. They will determine if your symptoms are a sign of ADHD and if they meet the criteria for diagnosing the condition. They will also look for co-morbidities or other mental health issues. Often, these will be anxiety and depression. The clinician will then discuss treatment options with you, including medication if needed.
During an assessment, the psychiatrist will ask you about your family history as well as current issues at work and home. They will also inquire about any medications you are taking. The interview will be structured and you can bring along a friend or relative to help you with the information. It typically takes a few visits to establish an accurate diagnosis. Some clinics offer an extensive evaluation, whereas others will focus on specific symptoms.
Panorama's investigation into the poor service offered to patients with ADHD in the NHS has brought the issue to light. The reporter on the programme was diagnosed with ADHD at three private clinics, but his GP claimed that he did not have the condition. The BBC claimed that the story was a case of "over-diagnosis" by private firms. However doctors are only permitted to refer patients to further examination or prescribe medications if they follow strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS, which is the only way that they can transfer their patient's care to the service following the patient has received a private diagnosis. They feel that they are not experts on ADHD or psychiatry. GPs should also note that a lot click here of private psychiatrists will not prescribe medications, which could make it difficult for patients to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask them to refer you. You can find out your estimated waiting time by calling your local mental health clinic or by using the Right To Choose site. The site lets you select an online ADHD assessment service, which will be offered by the NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can have a profound impact on your life. It not only helps individuals better understand themselves, but it also helps them and their friends and family better help them. It also helps them identify the right treatment plan. It's not always easy to get a diagnosis. In the UK patients have to wait for a long period of time for an NHS assessment. This can cause frustration for many people who want to be diagnosed with ADHD.
If you're not able to wait, it's possible to self-refer for a private assessment with a specialist psychiatrist who is experienced. It will help you be able to save time and avoid a visit to your GP. It is a long process that can take several months. However it will provide you with an accurate diagnosis that those offered by the NHS. It is important to make sure that the person who is conducting your assessment is a psychologist or psychiatrist, since they are the only healthcare professionals in the UK who are qualified to assess ADHD.
A private evaluation could involve an interview with a clinical psychologist or psychiatrist. The doctor will ask questions regarding your mental health, childhood history and other aspects. The doctor will use rating scales to ask about your current struggles at work, in school, or in relationships. The doctor will also talk about other symptoms that could indicate ADHD.
The result will be an extensive ADHD assessment report, which the psychiatrist will send to your GP with your permission. If needed, they may also prescribe medication. They can also assist you to find other ways of support, such as mentoring and study skills support. If you're students, they will also help you apply for Disabled Students Allowance.
It's not ideal to cut corners, but the NHS is overwhelmed and underfunded. In the end, there are some who try to cut costs by using online assessments or private clinics that provide quick appointments, but offer no clinical expertise. These shortcuts should be avoided. However, people with ADHD should still seek out a diagnosis as long as they are able to afford it.