ADHD Assessment in the UK
An ADHD evaluation is typically a fairly thorough process. A psychiatrist will evaluate whether your symptoms are causing significant impairment and will rule out other illnesses like depression or thyroid problems. They may also request old school reports and other supporting evidence.
It is essential that the person who is assessing you is an ADHD expert. This is true for psychiatrists and GPs alike.
Waiting times
In the UK adults who require an ADHD diagnosis are being left waiting for years to get an appointment with a psychiatrist. This is despite the fact that ADHD is recognized as an extremely serious mental health condition and that it has significant impacts on people's lives. In certain areas waiting time can be as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is being worsened by the growing awareness of the condition, as well as an increase in the demand for treatments. NHS services are struggling with the demand and many patients decide to seek treatment from 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. The number of adults seeking an assessment has grown exponentially, and is currently exceeding its capacity. Those who choose to go the private route are typically much better off, as private psychiatrists are used to dealing with adults and will be more knowledgeable about the specifics of the condition. They are more likely to have experience in managing co-morbidities like anxiety and depression that can be a result of 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 public's attention when a BBC Panorama investigation exposed the ways in which private clinics were giving diagnoses without due process. Some have even claimed that the program is promoting stereotypes and stigmatizing people who suffer from ADHD.
The BBC deserves to be praised, for exposing the issue and highlighting the adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek help privately. The NHS must find a way to remedy this situation. In the meantime, if you suspect you may have ADHD You can try an assessment for free with an organization, or request an assessment from private psychiatrists. They're typically less expensive than the NHS but they do not give the prescription for medication.
Second opinion
It is important to seek a diagnosis if you're experiencing symptoms of ADHD. A proper diagnosis will assist you in managing your symptoms and prescribe medications. You could be recommended to a psychiatrist additional treatment. Many private clinics provide diagnosis and adjustment. These clinics are usually very experienced with the wide range of adults with ADHD as well as both genders. They also test for co-morbidities such as depression and anxiety.
Private ADHD assessments can be expensive however the waiting times for NHS services are significantly longer. You will typically pay for the initial assessment, and then arrange follow-up appointments if necessary. These appointments are covered by your insurance if you have it. These appointments are conducted by trained nurses who have a particular interest in ADHD and are qualified to evaluate the condition. Initial appointments typically include clinical interviews and rating systems. You will also be required to answer questionnaires, and you might be referred for further tests like an MRI or EEG.
You can expect to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost includes both the assessment time as well as the titration fee. Some private ADHD assessments offer titration separate from diagnosis and are less expensive. However the process of titration takes longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment before he went to a clinic in desperate need. The BBC investigation revealed a variety of instances in which patients received a diagnosis of ADHD and then taken off. This is a serious problem because it can be very distressing for patients to have their symptoms wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment and the adjustment. The majority of health insurance policies cover these tests. However, it's important to check whether you are covered.
Referral to an expert clinic
If your GP recommends an expert clinic, the physician will ask questions and conduct an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and if they meet the criteria for diagnosing. They will also look for co-morbidities or other mental health issues. These include anxiety and depression. The clinician will discuss with you the treatment options, including medication if necessary.
During the examination you will be asked questions about your family background as well as your current issues at home and work. They will also ask about any medications you are taking. They will then conduct a formal interview, and you should bring an adult person or relative along to provide collateral information. It typically takes a few sessions for the evaluation to arrive at a diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms.
Panorama's investigation into the inadequate treatment of ADHD in the NHS has brought it to the fore. The undercover reporter on the show was diagnosed with ADHD in three private clinics, while his GP claimed that he did not have ADHD. The BBC claimed that the report was an instance of "over-diagnosis" by private firms. 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 for shared care with the NHS, which is the only way that they can transfer the patient's care to the hospital following a private diagnosis. They believe they aren't experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists will not prescribe medications, which could make it difficult for patients to get the treatment they require.
Ask your GP to refer you to an ADHD evaluation if they haven't already. You can find out your estimated waiting time by calling the local mental health services or by using the Right To Choose site. The site allows you to choose an online ADHD assessment service, which will be provided by the NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can change your life forever. It helps people better understand themselves and also their family and friends. In addition, it could aid them in determining a suitable treatment plan. However, getting an accurate diagnosis isn't always easy. Particularly 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 with a specialist psychiatrist who is experienced. You will save time and avoid a trip to your GP. It is a long process that could take months. However, it will give you a more accurate diagnoses that those offered by the NHS. You should ensure that the person conducting the assessment is either psychiatrist or psychologist, as they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private evaluation could involve an interview with a clinical psychologist or a psychiatrist. The doctor will ask questions about your mental health, childhood history and other aspects. The doctor will also utilize rating scales and ask about your current struggles in work, school, and 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 appropriate, they will also prescribe medication. They can also assist with other forms of support, including studying skills and mentoring. If you are an undergraduate student, they can assist you in applying for Disabled Students Allowance.
While it's not the best idea to take short cuts however, the reality is that NHS services are crowded and underfunded. As a result, there are people who try to reduce costs by using online assessments and private clinics that offer short appointments but with any clinical expertise. These methods should be avoided. However, people with ADHD should website be seeking a diagnosis even if they can afford it.