ADHD Assessment in the UK
A thorough ADHD evaluation is usually a fairly comprehensive procedure. A psychiatrist will assess whether your symptoms are causing significant impairment and will rule out other medical conditions, such as depression or thyroid problems. They may also request old school reports and other evidence to support your claim.
It is crucial that the person who is assessing you is an ADHD specialist. This is true for GP's and consultant psychiatrists too.
Waiting times
In the UK, adults who need an ADHD diagnosis are being left waiting for years to get an appointment with a psychiatrist. The condition is recognized as a serious mental disorder with an impact on the lives of people. In some regions waiting times can be as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is exacerbated by the growing awareness of this condition and the growing demand for treatment. NHS services are struggling to keep pace with the demand, and many patients are opting to seek treatment through private healthcare providers. This has been made easier by the recent introduction of the Right to Choose scheme, which allows patients to select for private healthcare from any provider.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in parts of the country. It has seen a surge in the number of adults seeking an assessment, and is currently outpacing its capacity. Private psychiatrists are more adept in dealing with adults, and are better equipped to recognize the subtleties of ADHD. They are more likely to have experience in managing co-morbidities, such as depression and anxiousness that are often associated with ADHD.
However, many people are still worried about the assessment of private patients and the potential for them to over-diagnose the illness. The issue came to the attention of the public when a BBC Panorama investigation exposed the way in which some private clinics were giving diagnoses without due process. Some have accused the program of spreading stigma and stereotyping about those with ADHD.
However the BBC should be praised for exposing this problem and highlighting the plight of adults who require an ADHD diagnosis. It's unfortunate that some of those who need assistance are forced to seek it privately and the NHS should come up with ways to deal with the issue. If you suspect you might be suffering from ADHD Consider a no-cost screening with a charity or pay for a private psychiatrist to assess you. These are usually cheaper than the NHS however they don't include a prescription.
Second opinion
It is important to seek a diagnosis when you are experiencing symptoms of ADHD. A clear diagnosis will allow you to take the necessary steps to manage your symptoms, including medication. You may also be recommended to a psychiatrist additional treatment. There are many private clinics that provide diagnosis and titration services. These clinics are usually very adept with the various types of adults who may have ADHD which includes both genders. They also look for co-morbidities, like anxiety and depression.
Private ADHD assessments can be expensive however they are typically much quicker than NHS waiting times. Typically, you pay for the initial assessment, and then follow-up appointments if needed. If you have insurance, your coverage will likely cover these appointments. These appointments will be conducted by trained nurses with a particular interest in ADHD and are able to evaluate it. Initial appointments usually involve clinical interviews and rating systems. You may also be asked to answer questionnaires, and you may be referred for further tests like an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost includes both the assessment time and titration fees. Certain private ADHD assessments offer titration separately from diagnosis, and it can be cheaper. Titration process takes longer and requires appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years for an NHS assessment, before turning to a clinic in desperate need. The BBC investigation revealed a number of instances where patients were diagnosed of ADHD which was later removed. This is a serious issue since it can be very distressing for patients to be misdiagnosed and prescribed medication with adverse side effects.
In Scotland, the cost of an ADHD assessment is PS1,335 and covers the initial assessment and titration. Most health insurers offer these tests however it is worthwhile to inquire with your insurance company to determine if the policy you have covers them.
Referral to an expert clinic
If your GP recommends you to a specialist clinic, the clinician will ask you questions and perform an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and if they meet the diagnostic criteria for the condition. They will also look for any co-morbidities (other mental health issues) that might be present. Most often, these are depression and anxiety. The clinician will discuss with you the treatment options that are available, including medication if required.
During the test you will be asked about your family background as well as the current issues you face at home and at work. They will also ask you about any medications that you are taking. The interview will be planned and you can bring along a friend or relative to help you understand the information. It usually requires a few sessions to establish an accurate diagnosis. Some clinics will provide an entire evaluation, while others will only test specific symptoms.
Panorama's investigation into the poor treatment of ADHD in the NHS has brought the issue to the fore. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, while his GP said he didn't have it. The BBC said that the report was an example of "over-diagnosing" by private companies, while doctors can only refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many doctors are reluctant to sign an agreement for shared care with the NHS, which is the only way that they can transfer their patient's care to the NHS after a private diagnosis. They feel that they are not experts on ADHD or psychiatry. Also, GPs should be aware that many private psychiatrists do not prescribe medications, which could make it difficult for their patients to get the care they require.
If your GP hasn't recommended you for an ADHD assessment request for it. You can determine the estimated wait time by calling the 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 offered 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 can help them find a good treatment strategy. It's not always easy to determine an assessment. Particularly in the UK where people are waiting for long periods for an assessment by the NHS. This can cause anxiety for many who wish to be diagnosed with ADHD.
If you are unable to wait, you can refer yourself here to a specialist psychiatrist for a private evaluation. This will help you save time and also a visit to your GP. This is a lengthy procedure that can take several months. However it will provide you with a more accurate diagnoses than the ones provided by the NHS. It is important to make sure that the person running your assessment is a psychiatrist or psychologist, as these are the only healthcare professionals who are qualified to diagnose ADHD in the UK.
A private assessment could include an interview with psychiatrist. Questions will be asked about your mental health, your childhood history and other aspects. The doctor will use rating scales to ask about your current struggles at work, in school, or in relationships. The doctor will also discuss other signs that may indicate ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP, with your permission. They will also recommend medications if they are needed. They can also assist you to find other ways of assistance, like mentorship and support for studying skills. If you're an undergraduate student, they can also help you apply for Disabled Students Allowance.
While it is not ideal to cut corners however, the reality is that NHS services are crowded and underfunded. Some people try to cut corners by using online assessments or private clinics that offer quick appointments and little or no expert clinical knowledge. These methods should be avoided. However, those suffering from ADHD should still seek a diagnosis when they can afford it.