ADHD Assessment in the UK
A thorough ADHD assessment is generally a fairly comprehensive procedure. A psychiatrist will determine whether your symptoms cause significant impairment, and will rule out other conditions such as thyroid or depression. They can also request old school records and other evidence to support your claim.
It is crucial that the person assessing you is an ADHD specialist. This is the case for psychiatrists and GPs alike.
Waiting at various times
In the UK, adults who need an ADHD diagnosis are left waiting for years to get an appointment with psychiatrists. This is despite the fact that ADHD is recognized as a serious mental health issue and that it has significant effects on people's lives. The situation is more difficult in certain areas, with waiting times up to four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is exacerbated by the growing awareness of the condition and the growing demand for treatment. NHS services are struggling to meet demand and many patients choose to take care of themselves through private providers. The Right to Choose scheme has made it easier for patients to select private health providers.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS across the country. The service has seen a dramatic increase in the number of adults who seek an assessment, and is currently exceeding its capacity. Private psychiatrists are more experienced in dealing with adults, and are better equipped to understand the nuances of ADHD. They are also more likely to be experienced in managing co-morbidities, such as depression and anxiety, which can often be present with ADHD.
Many people are concerned about the accuracy of private assessments and the potential for them to overdiagnose the condition. BBC Panorama exposed how some private clinics made diagnoses without following the correct procedure. Some have accused the program of perpetuating stereotypes and stigmas of people with ADHD.
However the BBC deserves praise for exposing this problem and highlighting the plight of adults who need an ADHD diagnosis. It's unfortunate that some people who need this assistance are being forced to seek it privately and the NHS should come up with ways to address the situation. In the meantime, if you suspect you might be suffering from ADHD, you can try a free screening with a charity, or take advantage of an assessment by an individual psychiatrist. They are generally less expensive than the NHS however they don't include prescriptions.
Second opinion
If you are struggling with symptoms of ADHD It is essential to receive a diagnosis. An accurate diagnosis will allow you to make the appropriate steps to manage your symptoms, which includes medication. You may be referred to a psychiatrist as part of your treatment. Private clinics often offer diagnosis and adjustment. These clinics have plenty of experience dealing with a diverse spectrum of adults, including women and men who might suffer from ADHD. They also can screen for co-morbidities, such as anxiety and depression.
Private ADHD assessments can be expensive however they are typically more efficient than NHS waiting times. You typically pay for the initial assessment, and then schedule follow-up appointments if needed. If you are insured and coverage, it will cover these appointments. 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 normally consist of clinical interviews and grading scales. You will also be asked to complete questionnaires, and you might be referred to further tests like an MRI or EEG.
You can expect to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes both assessment time and titration fees. Certain private ADHD assessments allow titration apart from diagnosis, and this may check here be less expensive. 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 sat for three years waiting for an NHS assessment before deciding to go to a private clinic to try and find. The BBC investigation exposed a number of cases where patients received a diagnosis of ADHD and then withdrawn. This is a problem because it can be extremely depressing for patients to have their symptoms incorrectly identified, and some of them were prescribed medication that has adverse side effects.
In Scotland In Scotland, an ADHD assessment costs PS1,335 that includes the initial assessment as well as the adjustment. Most health insurance plans will cover these tests however it is worthwhile to inquire with your insurance company to determine if the policy you have does.
Referral to specialist clinics
If your GP suggests you visit an expert clinic, the specialist will ask you questions and carry out a clinical assessment. They will determine whether your symptoms are indicative of ADHD, and if they meet the criteria for diagnosis. They will also search for co-morbidities or other mental health issues. Often, these will be anxiety and depression. The clinician will then discuss possible treatment options with you including medication if needed.
During the test, you will be asked about your family history and your current issues at home and work. They will also ask you about any medications you are taking. They will then conduct a structured interview, and you should bring an experienced family member or friend along to provide collateral information. The assessment will usually require a few sessions to reach the diagnosis. Some clinics offer an extensive evaluation, whereas others will only look at specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny following a Panorama investigation. The undercover reporter was diagnosed with ADHD in three private clinics, but his GP claimed 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 to further investigations or prescribe medication according to strict guidelines.
Many doctors will not sign a shared care agreement with the NHS as it is the only way they can refer their patient's treatment to the NHS after a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medications, which could make it difficult for their patients to get the care they require.
If your GP hasn't referred you for an ADHD assessment and treatment, ask for it. You should be able to find out the estimated waiting time by calling the local mental health services, or by using the Right To Choose website. The site lets you choose an online ADHD Assessment service that is provided by NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can change your life forever. It aids people in understanding themselves and also their family and friends. It can also help them determine the best treatment strategy. However, obtaining an assessment isn't always easy. Particularly in the UK where patients have to wait for a long time for an assessment from the NHS. This can be frustrating for those who wish to be diagnosed with ADHD.
If you are unable to wait, you can self-refer to an expert psychiatrist for a private assessment. This will help you save time and a trip to your GP. This is not a quick procedure and could take months but it will give you an accurate diagnosis than the NHS one. It is important to make sure that the person running the test is a psychologist or psychiatrist because they are the only healthcare professionals qualified to determine ADHD in the UK.
A private evaluation could involve an interview with a clinical psychologist or psychiatrists. There will be questions about your mental health, childhood experiences and other aspects. The doctor will also use rating scales and ask about your current struggles with school, work, and relationships. The doctor will also talk about other signs that might be indicative of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP with your consent. If appropriate, they will prescribe medication. They can also assist you to access other forms of assistance, like mentoring and study skills support. They will also assist with applying for Disabled Student Allowance if you are a student at a university.
While it's not the best idea to make shortcuts but the reality is that NHS services are overwhelmed and underfunded. As a result, there are those who attempt to cut costs through online assessments and private clinics that offer quick appointments but with no clinical expertise. These methods should be avoided, however there is no reason why people with ADHD shouldn't seek a diagnostic appointment when they can afford it.