ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extensive process. A psychiatrist will determine whether your symptoms are causing significant impairment, and rule out other conditions such as thyroid or depression. They may also request old school records or other evidence.
It is crucial that the person who is conducting your assessment is a specialist in ADHD. This is the case for psychiatrists and GPs alike.
Waiting at various times
In the UK adults who require an ADHD diagnosis are left waiting for years for an appointment with psychiatrists. The condition is acknowledged as a serious mental disorder that has an enormous impact on the lives of people. The situation is even worse in some areas, with waiting times as long as four years. The charity ADHD UK called for urgent action to help improve the situation.
The problem is made worse by the increasing awareness of this condition and the increasing demand for treatment. NHS services are struggling with 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 select private healthcare providers.
Psychiatry UK is one such service that offers an online ADHD assessment and medication for the NHS. It has seen a surge in the number of people seeking an assessment, which exceeds its capacity at present. If you choose to go the private route are typically much better served, as private psychiatrists are more adept at dealing with adults and will be more knowledgeable about the specifics of the condition. They are more likely to be experienced in managing co-morbidities like depression and anxiousness that are often associated with ADHD.
Many people are still concerned about the accuracy of private assessments and the potential for them to overdiagnose the illness. The issue came to the attention of the public when a 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 deserves to be praised, however, for exposing this 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 suspect that you might have ADHD, try a free screening through a charity or pay for a private psychiatrist to evaluate your. These are typically cheaper than the NHS, but will not provide the prescription for medication.
Second opinion
If you're experiencing symptoms of ADHD, it is important to receive a diagnosis. A proper diagnosis will help you manage your symptoms and take medications. You may be referred to a psychiatrist as part of your treatment. Private clinics often offer diagnosis and the ability to adjust. These clinics are usually very adept with the various types of adults with ADHD as well as women and men. They can also screen for co-morbidities like depression and anxiety.
Private ADHD assessments can be costly however they are typically significantly faster than NHS waiting times. You will typically pay for the initial assessment, and then schedule subsequent appointments if required. These appointments will be covered by your insurance plan if you have it. These appointments will be conducted in a professional manner by nurses who have been trained and have a special interest ADHD. The initial appointment will usually include clinical interviews and rating scales. You will also be required to complete questionnaires and you may be referred to further tests such as an MRI or EEG.
You can expect to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost covers the assessment time and titration costs. Some private ADHD assessments provide titration that is separate from diagnosis and can be less expensive. However the process of titration is longer and requires more appointments.
The quality of private ADHD assessments is under scrutiny following the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before turning to a private clinic to try and find. The BBC investigation revealed a variety of instances where patients were given the diagnosis of ADHD but were later taken off. This is problematic because it can be extremely depressing for patients to have their symptoms wrongly diagnosed, and some of them have been given medication that causes negative side effects.
In Scotland the cost for an ADHD assessment is PS1,335 and includes the initial assessment and the titration. Most health insurance plans will cover these tests however it is worthwhile to inquire with your insurance company to see if your policy will cover it.
Referral to an expert clinic
If your GP suggests a specialist clinic the clinician will ask questions and conduct an assessment of your clinical needs. They will assess whether your symptoms are a sign of ADHD and if they match the criteria for diagnosing the condition. They will also check for any co-morbidities (other mental health issues) that may be present. Most often, these are anxiety and depression. The clinician will discuss with you the options for treatment and medications 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 ask you about any medications you are taking. They will then conduct an organized interview, and you must bring an adult friend or relative with you to provide any additional information. It typically takes a few visits for the evaluation to arrive at a diagnosis. Some clinics will offer an entire evaluation, while others will only test specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny following a Panorama investigation. The programme's undercover reporter was diagnosed with ADHD at three private clinics - while his doctor insisted that he was not suffering from the condition. The BBC said that the report was an instance of "over-diagnosing" by private companies, while GPs are only able to recommend patients for further investigation or prescribe medication in accordance with strict guidelines.
Many GPs will refuse to sign an agreement for shared care with the NHS and is the only way that they can refer their patient's treatment to the hospital after a private diagnosis. This is due to the fact that they believe that they're not experts in ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which can make it difficult for patients to receive the treatment they need.
Request your GP to refer you to an ADHD evaluation in the event that they haven't yet. You can find out your estimated waiting time either by calling the local mental health service or by using the Right To Choose site. The site allows you select an online ADHD assessment service that is provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. It helps people better understand themselves and also their family and friends. It also assists them website to identify the right treatment strategy. It's not always easy to obtain a diagnosis. Especially in the UK where patients have to wait for a long time for an assessment by the NHS. This can cause frustration for those who wish to be diagnosed with ADHD.
If you are unable to wait, it's possible to request an appointment by a qualified specialist psychiatrist. It will help you be able to save time and avoid having to go 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. You should make sure that the person who is conducting the assessment is a psychologist or psychiatrist, because they are the sole healthcare professionals in the UK who are qualified to determine ADHD.
A private assessment may include an interview with psychiatrists. There will be questions regarding your mental health, childhood history and other aspects. The doctor will utilize rating scales to inquire about your current challenges at work, in school or in relationships. They will also address any other symptoms you have which could be indicative of ADHD.
The psychiatrist will then send an extensive 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 help, like tutoring and study skills. They will also assist you in submitting for Disabled Student Allowance if are a university student.
While it's not the best idea to cut corners, the reality is that NHS services are overloaded and underfunded. As a result, there are people who try to cut the line through online assessments and private clinics that provide quick appointments, but offer no expertise in clinical practice. These shortcuts should be avoided. However, those suffering from ADHD should be seeking a diagnosis even when they can afford it.