ADHD Assessment in the UK
An ADHD assessment is usually a pretty thorough process. A psychiatrist will determine if your symptoms are causing significant impairment, and will rule out other conditions such as depression or thyroid. They can also request old school reports as well as other evidence.
It is vital that the person who is assessing you is an ADHD specialist. This is true for psychiatrists and GPs alike.
Waiting times
In the UK adults who require an ADHD diagnosis are waiting for years for an appointment with a psychiatrist. The condition is classified as a serious mental disorder that has an impact on the lives of people. The situation is even worse in some regions, with waiting times as long as four years. The charity ADHD UK called for urgent actions to improve the situation.
The problem is being amplified by the increasing awareness of the condition, as well as a rise in the 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 choose private healthcare providers.
One such service is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS across the country. It has seen an explosion in the number of adults seeking an assessment, which is currently outpacing its capacity. Private psychiatrists are more experienced in dealing with adults, and are better equipped to recognize the subtleties of ADHD. They are also more likely to have experience in managing co-morbidities such as depression and anxiety that are frequently associated with ADHD.
Many are still worried about the quality of private assessments, and the potential for them to overdiagnose a condition. The issue came to the public's attention when a BBC Panorama investigation exposed the way in which some private clinics were giving diagnoses without proper procedure. Some have claimed that the program is promoting stigma and stereotypes against those with ADHD.
The BBC should be commended, however, for exposing this issue and highlighting the adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek help privately. The NHS should find a way to fix this problem. In the meantime, if you might be suffering from ADHD You can try an assessment for free with a charity, or take advantage of an assessment by private psychiatrists. These are typically cheaper than the NHS, but will not give prescriptions for medication.
Second opinion
It is important to seek a diagnosis when you are suffering from symptoms of ADHD. A proper diagnosis will assist you in managing your symptoms and prescribe medication. You could be referred to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and titration. These clinics have lots of experience working with a broad range of adults, both men and women, who may suffer from ADHD. They also can screen for co-morbidities like anxiety and depression.
Private ADHD assessments can be expensive however, they are generally significantly faster than NHS waiting times. You will typically pay for the initial assessment, and then schedule subsequent appointments if required. If you have insurance, your coverage will likely cover these appointments. These appointments are conducted by trained nurses who have a particular interest in ADHD and are able to assess the condition. The initial appointment will typically consist of clinical interviews and grading scales. You might also be asked to fill out questionnaires and be referred to for further tests, such as an MRI.
You can expect to pay between PS500 and PS1,200 at 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 are less expensive. Titration process takes longer and requires more appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment, before turning to a doctor in desperate need. The BBC investigation exposed a number of cases where patients received a diagnosis of ADHD and then withdrawn. This is a serious problem because it can be extremely stressful for patients to be incorrectly diagnosed and prescribed medication that has adverse negative side effects.
In Scotland, the cost of an ADHD assessment is PS1,335 and covers the initial assessment and titration. The majority of health insurance policies cover these assessments. However, it is worthwhile to verify whether you are covered.
Referral to an expert clinic
If your GP refers you to a specialist clinic, the doctor will ask you questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and if they meet the criteria for diagnosing. They will also look for any co-morbidities (other mental health issues) that may be present. They are typically anxiety and depression. The clinician will then discuss treatment options with you, including medication if needed.
During the test during the assessment, you will be asked about your family background as well as current problems at home and work. They will also ask about any medications you are taking. They will then conduct a formal interview. You should bring a trusted friend or relative with you to provide any additional information. The examination will typically require a few sessions to determine a diagnosis. Some clinics offer a comprehensive evaluation, while others will only look at specific symptoms.
adhd private assessment of NHS ADHD services has come under scrutiny following an Panorama investigation. The undercover reporter on the show was diagnosed with ADHD in three private clinics, but his doctor said that he didn't suffer from ADHD. The BBC claimed that the report was an example of "over-diagnosis" by private firms. However doctors are only permitted to refer patients to further investigation or prescribe medication if they follow strict guidelines.
Many GPs refuse to sign an agreement to share care with the NHS. This is the only way for them to transfer the care of their patients to the NHS following a private diagnosis. This is because they feel that they're not experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication to their patients, which can make it difficult for them to get the treatment they need.
If your GP hasn't referred you for an ADHD assessment and treatment, ask them to do so. You can determine the estimated wait time by calling your local mental health services or by using the Right To Choose site. The site lets you choose an online ADHD assessment service, which will be provided by the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can change your life forever. Not only does it help people understand themselves better and their needs, but it also helps them and their family and friends better assist them. In addition, it could aid them in determining a suitable treatment plan. However, obtaining a diagnosis is not always easy. In the UK patients have to wait a long time for an NHS assessment. This can be frustrating for those who wish to be diagnosed with ADHD.
If you're unable to wait, it is possible to self-refer for an appointment with a specialist psychiatrist who is experienced. This will save you time and a trip to your GP. This isn't a fast process and can take months, but it will give you a more accurate diagnosis than the NHS one. You should ensure that the person performing the assessment is either a psychiatrist or psychologist because they are the sole healthcare professionals in the UK who are qualified to determine ADHD.
A private evaluation will likely include a clinical interview with a psychiatrist, including questions regarding your mental health and your childhood history. The doctor will also use ratings scales and inquire about your current struggles at work, school, and relationships. They will also address any other signs you may have that could indicate the presence of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your consent. If appropriate, they will also prescribe medication. They will also help you find other ways of assistance, like mentorship and support for studying skills. They will also assist you in submitting for Disabled Student Allowance if are a student at a university.
While it's not the best idea to cut corners but the reality is that NHS services are crowded and underfunded. This means that there are people who try to reduce costs by using online assessments and private clinics that offer quick appointments with little or any clinical expertise. These methods should be avoided, however there's no reason why people with ADHD should not seek a diagnostic appointment when they can afford it.