ADHD Assessment in the UK
A thorough ADHD evaluation is usually a fairly comprehensive process. A psychiatrist will determine whether your symptoms cause significant impairment and will rule out other disorders like thyroid or depression. They might also request older school reports or other supporting evidence.
It is essential that the person performing your assessment is a specialist in ADHD. This is the case for GP's as well as consultants as well.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to see psychiatrists. This is despite the fact that the condition is recognized as a serious mental health disorder and has profound impacts on people's lives. The situation is even worse in certain areas, with waiting periods up to 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 rising demand for treatment. NHS services are struggling to meet demand, and many patients opt to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to pick private health providers.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in parts of the country. It has seen an explosion in the number of adults who seek an assessment, and is currently outpacing 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, which can often be associated in ADHD.
Many are still concerned about the quality of private assessments, and the potential for them to overdiagnose a condition. The issue was brought to the attention of the public when an BBC Panorama investigation exposed the ways in which private clinics were awarding diagnoses without proper procedure. Some have accused the program of spreading stigma and stereotyping about people with ADHD.
The BBC should be commended, however, for exposing the problem and highlighting adults who require an ADHD diagnosis. It's unfortunate that some people have to seek help privately. The NHS should find a way to remedy this situation. If you think you might be suffering from ADHD Try a no-cost screening with a charity or pay for an appointment with a private psychiatrist who will assess you. These are usually cheaper than the NHS but they do not come with a prescription.
Second opinion
If you're experiencing symptoms of ADHD, it is important to be diagnosed. A proper diagnosis will aid in managing your symptoms and take medications. You could also be referred to a psychiatrist for additional therapy. There are many private clinics that provide diagnosis and titration services. These clinics are usually very experienced with the wide range of adults who may have ADHD as well as both genders. They can also screen for co-morbidities such as anxiety and depression.
private adhd assessment are expensive, but the wait time for NHS services are significantly longer. You will typically pay for the initial assessment, and then make follow-up appointments if needed. If you are insured that covers you, it is likely to cover these appointments. These appointments will be conducted by trained nurses who have a particular interest in ADHD and are able to evaluate it. Initial appointments typically involve clinical interviews and rating systems. You might also be asked to fill out questionnaires, and then referred for further tests, for example, an MRI.
You can expect to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes both the assessment time as well as titration fees. Some private ADHD assessments offer titration separately from diagnosis, and this may be cheaper. Titration process takes longer and requires more appointments.
The quality of private ADHD assessments has come under scrutiny after the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before turning to a private clinic in desperation. The BBC investigation exposed a variety of cases where patients were given a diagnosis of ADHD which was later cancelled. This is problematic because it can be extremely stressful for patients to be incorrectly diagnosed, and some of them were prescribed medications that have negative side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment and the titration. The majority of health insurance companies offer these tests however it is important to check with your insurance provider to determine if your policy covers them.
Referral to a specialist clinic
If your GP suggests you visit a specialist clinic, the specialist will ask you questions and carry out an assessment. They will determine if your symptoms are indicative of ADHD and if they meet the diagnostic criteria for the condition. They will also look for co-morbidities, or any other mental health conditions. Often, these will be anxiety and depression. The doctor will discuss with you the options for treatment and medications if needed.
During an assessment the psychiatrist will inquire you about your family history and 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 an adult or a relative to assist you through the process. The test will typically require a few sessions to reach the diagnosis. Some clinics will offer an extensive evaluation, whereas others will focus on specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny following a Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics while his GP said he didn't have it. The BBC claimed that the story was an instance of "over-diagnosis" by private companies. However doctors are only permitted to refer patients to further examination or prescribe medication if they follow strict guidelines.
Many GPs will refuse to sign an agreement to share care with the NHS as it is the only way that they can transfer the patient's care to the hospital following an individual diagnosis. They believe they aren't experts in ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which may make it difficult for them to receive the treatment they require.
If your GP hasn't recommended you for an ADHD assessment, ask them to refer you. You can determine the estimated waiting time by contacting your local mental health clinic, or by using the Right To Choose website. The site allows you select an online ADHD assessment service that is provided by NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can have a profound impact on your life. It aids people in understanding themselves and also their family and friends. In addition, it can help them find a good treatment strategy. However, getting an assessment isn't always straightforward. Particularly in the UK where people are waiting for long periods for an assessment by the NHS. This can be a major issue for those seeking to be diagnosed as having ADHD.
If you can't wait, you can self-refer to a specialist psychiatrist for a private assessment. You will reduce time and avoid a visit to your GP. This is a lengthy process that can take several months. However, it will give you an accurate diagnosis that those offered by the NHS. You should ensure that the person performing your assessment is a psychologist or psychiatrist, as they are the only healthcare professionals in the UK who are qualified to assess ADHD.
A private evaluation could involve a clinical interview conducted by psychiatrist. The doctor will ask questions about your mental health, your childhood history and other aspects. The doctor will also utilize ratings scales and inquire about your current struggles with school, at work, and in relationships. The doctor will also address other symptoms that could be indicative of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP with your permission. If necessary, they'll also prescribe medication. They can also assist you in obtaining other forms of assistance, such as tutoring and study skills. If you are a student, they will also help you apply for Disabled Students Allowance.
It's not a good idea to cut corners however the NHS is overwhelmed and underfunded. Some people try to cut corners by using online assessments or private clinics with short appointments and not having any clinical expertise. These methods should be avoided, but there's no reason why people suffering from ADHD shouldn't seek a diagnostic appointment when they can afford it.