ADHD Assessment in the UK
An ADHD evaluation is typically a pretty thorough process. A psychiatrist will determine whether your symptoms cause significant impairment and will rule out other conditions such as depression or thyroid. They may also request old school records and other supporting evidence.
It is important that the person who is conducting your assessment is a specialist in ADHD. This is the case for both GPs and psychiatrists.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are left waiting years to consult a psychiatrist. The condition is acknowledged as a serious mental disorder with an enormous impact on the lives of people. In certain areas waiting times can be as long as four years. The charity ADHD UK called for urgent actions to improve the situation.
The issue is made worse by the increasing awareness of this condition and the growing demand for treatment. NHS services are struggling to meet demand and many patients choose to seek treatment from private clinics. 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 medications for the NHS. The service has seen a dramatic increase in the number of people seeking an assessment, which exceeds its capacity at present. Private psychiatrists are more experienced in dealing with adults and are better able to understand the nuances of ADHD. They are also more likely to have experience in managing co-morbidities, like anxiety and depression which are often associated with ADHD.
However, many are still concerned about the quality of private assessments and their potential to over-diagnose the condition. The issue was brought to the public's attention after an BBC Panorama investigation exposed the way in which some private clinics were awarding diagnoses without due process. Some have accused the program of spreading stigma and stereotyping about people suffering from ADHD.
The BBC should be commended however, for exposing the problem and highlighting adults who require an ADHD diagnosis. It is a shame that some of those who need this help are being required to seek it privately, and the NHS must come up with ways to deal with the issue. In the meantime, if you think you may have ADHD You can take advantage of a free screening with a charity, or pay for an assessment from private psychiatrists. These are typically less expensive than the NHS however they don't include prescriptions.
Second opinion
It is essential to seek a diagnosis when you're experiencing symptoms of ADHD. A correct diagnosis can help you manage your symptoms and take medications. private adhd assessment uk could be referred to a psychiatrist for additional treatment. Many private clinics offer diagnosis and titration. These clinics have plenty of experience with a wide range adults, including men and women, who may be suffering from ADHD. They can also look for co-morbidities, like anxiety and depression.
Private ADHD assessments can be expensive, but they are usually more efficient than NHS waiting times. You typically pay for the initial assessment, and then make follow-up appointments if necessary. If you are insured and coverage, it will cover these appointments. These appointments will be conducted in a professional manner by nurses who have been trained and have a specific interest in ADHD. The initial appointment will normally consist of clinical interviews and grading scales. You will also be required to answer questionnaires, and you could be referred to additional tests, such as an MRI or EEG.
A private clinic will cost you between PS500 and PS1,200 for an ADHD assessment. The price includes both the assessment time and the cost of titration. 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 had spent three years waiting for an NHS assessment before deciding to go to a private clinic to try and find. The BBC investigation exposed a variety of cases where patients were diagnosed of ADHD that was later withdrawn. This is a serious problem because it can be very distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse negative side effects.
In Scotland, an ADHD assessment costs PS1,335 and includes the initial assessment and the titration. Most health insurance policies cover these tests. However, it is important to check whether you're covered.
Referral to an expert clinic
If your GP refers you to an expert clinic, the clinician will ask you questions and perform an assessment. They will assess whether your symptoms are indicative of ADHD and determine if they meet the criteria for diagnosing the condition. They will also search for co-morbidities or other mental health issues. Most often, these are depression and anxiety. The doctor will go over with you the treatment options that are available, including medication if required.
During the test during the assessment, you will be asked about your family background and the current issues you face at home and at work. They will also inquire about any medications you're taking. They will then conduct an organized interview, and you must bring a trusted friend or relative with you to provide additional information. The examination will typically require a few sessions to determine a diagnosis. Some clinics offer an extensive evaluation, whereas others will only look at 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, but his GP said he didn't have it. The BBC claimed that the story was an example of "over-diagnosing" by private companies, while GPs are only able to refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many doctors will not sign an agreement for shared care with the NHS, which is the only way they can refer their patient's treatment to the service after an individual diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medications to their patients, which can make it difficult for patients to get the treatment they need.
Request your GP to refer you for an ADHD assessment in the event that they haven't yet. You can determine the estimated wait time by calling your local mental health service, or by using the Right To Choose website. The site lets you select an online ADHD assessment service which will be offered by NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can be life changing. Not only does it help individuals better understand themselves as well as help them and their friends and family better support them. It also assists them to find the right treatment strategy. It's not always easy to get an accurate diagnosis. Particularly in the UK, where people are facing long waiting times for an assessment from the NHS. This can be frustrating for many who wish to be diagnosed with ADHD.
If you cannot wait, you can self-refer to psychiatrists who specialize in private evaluation. This can save you time and also a visit to your GP. This is not a quick process and can take months but it will provide you with more precise diagnosis than the NHS one. You should make sure that the person who is conducting the assessment is a psychiatrist or psychologist because they are the sole healthcare professionals in the UK who are certified to diagnose ADHD.
A private assessment may include an interview with a clinical psychologist or psychiatrist. Questions will be asked about your mental health, your childhood history and other aspects. The doctor will also employ rating scales and ask questions about your current struggles with school, work, and relationships. They will also address any other signs you may have that might indicate the presence of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP with your consent. They may also prescribe medications if they are needed. They can also help with other forms of support, including studying skills and mentoring. They can also assist you in submitting for Disabled Student Allowance if you are a student at university.
It is not ideal to cut corners, but the NHS is overwhelmed and underfunded. As a result, there are people who try to cut costs by using online assessments and private clinics that provide quick appointments, but offer any clinical expertise. These shortcuts are to be avoided. However, people with ADHD should be seeking a diagnosis even when they can afford it.
