ADHD Assessment in the UK
An ADHD evaluation is typically an extremely thorough process. A psychiatrist will assess whether your symptoms are causing significant impairment, and also rule out other illnesses, such as depression or thyroid problems. They may also request old school records as well as other evidence.
It is important that the person performing your assessment is a specialist in ADHD. This applies to GP's and consultants as well.
Waiting times
In the UK, adults who need an ADHD diagnosis are left waiting for years to get an appointment with a psychiatrist. This is despite the fact that the condition is recognised as a serious mental health disorder and that it has significant effects on people's lives. In some regions waiting times can last as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is made worse by the increasing awareness of this condition and the growing demand for treatment. NHS services are struggling to keep pace with the demand, and a lot of patients are choosing to seek treatment from private healthcare providers. This has been made easier by the recent introduction of the Right to Choose scheme, which allows patients to choose for private healthcare from any provider.
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 grown exponentially, and is currently exceeding its capacity. Private psychiatrists are more knowledgeable in dealing with adults, and are better able to recognize the subtleties of ADHD. They are more likely to have experience managing co-morbidities like anxiety and depression that can be a result of ADHD.
Many people are worried about the quality of private assessments and the potential for them to overdiagnose the disease. BBC Panorama exposed how some private clinics have made diagnoses without following the proper process. Some have claimed that the program is promoting stigma and stereotypes against those with ADHD.
The BBC should be commended however, for exposing the issue and highlighting the adults who require an ADHD diagnosis. It's a shame some people have to seek help privately. The NHS should find a way to fix this problem. In the meantime, if you suspect you may have ADHD You can take advantage of an assessment for free with a charity, or request an assessment from a private psychiatrist. These are typically less expensive than the NHS however they don't include prescriptions.
Second opinion
If you're experiencing symptoms of ADHD It is crucial to be diagnosed. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, including medication. You may also be recommended to a psychiatrist additional therapy. There are many private clinics that provide diagnosis and titration treatments. These clinics are usually very experienced with the wide range of adults who may have ADHD as well as both genders. They also screen for co-morbidities, like anxiety and depression.
Private ADHD assessments can be expensive however they are typically more efficient than NHS waiting times. You will typically pay for the initial assessment, and then make subsequent appointments if required. If you have insurance 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 the condition. The initial appointment will normally include clinical interviews and rating scales. You will also be required to complete questionnaires and you may be referred for additional tests, such as an MRI or EEG.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The cost covers the assessment time and titration fees. Certain private ADHD assessments offer titration separately from diagnosis, and this can be 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 had spent three years waiting for an NHS assessment before turning to a private clinic to try and find. The BBC investigation exposed a variety of cases in which patients were given a diagnosis of ADHD which was later removed. This is a serious issue, as it can be extremely distressing for patients to have their symptoms misdiagnosed and prescribed medication with adverse consequences.
In Scotland the cost for an ADHD assessment is PS1,335 and covers the initial assessment and titration. private adhd assessment of health insurance policies cover these tests. However, it's important to check whether you're covered.
Referral to a specialist clinic
If your GP recommends you to an expert clinic, the doctor will ask you questions and conduct an assessment. They will determine whether your symptoms are indicative of ADHD and if they meet the criteria for diagnosing the condition. They will also assess for any co-morbidities (other mental health conditions) that may be present. Most often, these are depression and anxiety. The clinician will then discuss the treatment options with you, including medication if needed.
During the examination during the assessment, you will be asked questions about your family history and the current issues you face at home and at work. They will also ask about any medications you're taking. They will then conduct a formal interview, and you should bring a trusted person or relative along to provide additional information. The test will typically take a few sessions to determine a diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny following a Panorama investigation. The reporter on the programme was diagnosed with ADHD at three private clinics - while his GP insisted that he was not suffering from the condition. The BBC argued that the report was an example of "over-diagnosing" by private firms, however GPs can only refer patients to further investigations or prescribe medication according to strict guidelines.
Many GPs will refuse to sign an agreement to share care with the NHS, which is the only way that they can transfer their patient's care to the service after a private diagnosis. They believe they aren't experts on ADHD or psychiatry. Many private psychiatrists do not prescribe medication for their patients, which could make it difficult for them to receive the treatment they need.
If your GP hasn't recommended you for an ADHD assessment, ask them to refer you. You can find out your estimated waiting time by calling the local mental health services or by visiting the Right To Choose site. The site lets you choose an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. Not only does it help individuals better understand themselves, but it also helps them as well as their family and friends better assist them. It can also help them determine the best treatment plan. It is not always simple to determine a diagnosis. Particularly in the UK where patients are facing long waiting times for an assessment from the NHS. This can be a major issue for many people who are looking to be diagnosed as having ADHD.
If you're not able to wait, it's possible to request an appointment with a specialist psychiatrist who is experienced. It will help you reduce time and avoid a visit to your GP. This is a lengthy procedure that can take a few months. However, it will give you more precise diagnoses than those offered by the NHS. You should make sure that the person who is conducting your assessment is a psychologist or psychiatrist, because they are the sole healthcare professionals in the UK who are certified to determine ADHD.
A private evaluation will likely consist of a medical interview with a psychiatrist, which will include questions regarding your mental health and childhood history. The doctor will employ rating scales to inquire about your current challenges at work, in school or in relationships. The doctor will also discuss other signs that might indicate ADHD.
The result will be an extensive ADHD assessment report that the psychiatrist will send to your GP with your consent. If necessary, they'll prescribe medication. They can also assist you in obtaining other types of support, including study skills and mentoring. If you're a student, they will also help you apply for Disabled Students Allowance.
While it's not the best idea to make shortcuts however, the reality is that NHS services are crowded and underfunded. As a result, there are those who attempt to cut costs through online assessments and private clinics that offer quick appointments with little or no clinical expertise. These methods are not recommended, but there is no reason why people with ADHD shouldn't seek a diagnostic appointment if they are able to afford it.