ADHD Assessment in the UK
An ADHD evaluation is typically a pretty thorough process. A psychiatrist will assess whether your symptoms cause significant impairment, and also rule out other conditions, such as depression or thyroid problems. They may also request old school records as well as other evidence.
It is crucial that the person who is assessing you is an ADHD expert. This applies to GP's and consultants as well.
Waiting several 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 classified as a serious mental disorder with an enormous impact on people's daily lives. The situation is worse in certain regions, with waiting times as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is being amplified by the increasing awareness of the condition, as well as an increase in demand for treatments. NHS services are struggling with demand and many patients choose to seek treatment from private 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 various parts of the country. The service has seen a dramatic increase in the number of adults seeking an assessment, which is currently outpacing its capacity. If you choose to go the private route are typically much better served, as private psychiatrists are used to dealing with adults and are more familiar with the nuances of the condition. They are also more likely to be experienced in managing co-morbidities like anxiety and depression that are frequently associated with ADHD.
Many people are concerned about the quality of private assessments and the possibility for them to overdiagnose the 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 perpetuating stereotypes and stigmas of people with ADHD.
However the BBC should be praised for exposing this issue and highlighting the dire situation of adults who need an ADHD diagnosis. It's unfortunate that some people who need assistance are forced to seek it out privately and the NHS needs to work out ways to deal with the issue. In the meantime, if you think you might be suffering from ADHD You can take advantage of a free screening with a charity or request an assessment from a private psychiatrist. They are usually less expensive than the NHS, but will not issue the prescription for medication.
Second opinion
If you're experiencing symptoms of ADHD It is crucial to get a diagnosis. A correct diagnosis can assist you in managing your symptoms and also prescribe medications. You could also be directed to a psychiatrist for additional therapy. Private clinics often offer diagnosis and the ability to adjust. These clinics are usually very familiar with the vast range of adults who may have ADHD which includes women and men. They are also able to screen for co-morbidities, like anxiety and depression.
Private ADHD assessments can be expensive however they are typically significantly faster than NHS waiting times. The typical cost is the initial assessment, and then schedule follow-up appointments if needed. If you are insured that covers you, it is likely to cover these appointments. These appointments are conducted by trained nurses who have a particular interest in ADHD and are qualified to assess the condition. Initial appointments typically include clinical interviews as well as rating systems. You may also be asked to complete questionnaires, and then referred for further tests, for example, an MRI.
A private clinic will cost you between PS500 and PS1,200 for an ADHD assessment. The cost includes both the assessment time as well as the cost of titration. Some private ADHD assessments provide titration that is separate from diagnosis and can be cheaper. Titration process takes longer and requires more appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS evaluation, before going to a clinic in desperate need. The BBC investigation revealed a number cases where patients received an assessment of ADHD, which was later withdrawn. This is a problem because it can be extremely distressing for people to be incorrectly diagnosed, and a few of them were given medication that causes negative side effects.
In Scotland, an ADHD assessment costs PS1,335 which includes the initial assessment and the titration. Most health insurers cover these assessments, but it's worthwhile to inquire with your insurance company to determine if your policy does.
Referral to specialist clinics
If your GP refers to a specialist clinic the clinician will ask you questions and perform an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and if they match the criteria for diagnosis. 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 options for treatment, including medication if necessary.
During the assessment you will be asked questions 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 structured and you can bring an adult or a relative to assist you understand the information. The examination will typically take a few sessions to reach an accurate diagnosis. Some clinics offer a complete assessment, while others only test for specific symptoms.
Panorama's investigation into the inadequate treatment of ADHD in the NHS has brought the issue to the fore. The reporter on the programme was diagnosed with ADHD at three private clinics, but his GP insisted that he didn't have the condition. The BBC claimed that the report was an instance of "over-diagnosis" by private firms. However doctors are only able to refer patients for further examination or prescribe medication in accordance with strict guidelines.
Many doctors are reluctant to sign a shared care agreement with the NHS as it is the only way that they can refer their patient's treatment to the hospital after the patient has received a private diagnosis. They feel they are not experts on ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication to their patients, which could make it difficult for them to receive the treatment they require.
If your GP hasn't yet referred you to an ADHD assessment request them to refer you. You can determine the estimated wait time by calling your local mental health service or by visiting the Right To Choose site. The site lets adhd assessment private you select an online ADHD assessment service that will be offered by NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can be life changing. It not only helps people understand themselves better and their needs, but it also helps them as well as their family and friends better help them. In addition, it can help them find a good treatment plan. However, getting a diagnosis is not always straightforward. In the UK, people have to wait for a long period of time for an NHS assessment. This can cause anxiety for those who wish to be diagnosed with ADHD.
If you cannot wait, you can self-refer to psychiatrists who specialize in private evaluation. This will help you save time and also a visit to your GP. This is not a quick procedure and could take months however, it will provide you with a more accurate diagnosis than the NHS one. It is important to make sure that the person who is conducting your assessment is psychiatrist or psychologist, as they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private assessment is likely to consist of a medical interview with a psychiatrist, which will include questions about your mental health and your childhood history. The doctor will employ rating scales to inquire about your current challenges at school, at work or in relationships. They will also address any other signs you may have that could indicate the presence of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP, with your permission. If necessary, they'll also prescribe medication. They will also help you find other ways of support, such as mentorship and support for studying skills. They will also help you in submitting for Disabled Student Allowance if you are a student at university.
While it's not the best idea to take short cuts but the reality is that NHS services are crowded and underfunded. Some people try to cut corners using online assessments or private clinics that offer fast appointments but with little or no medical expertise. These methods should be avoided. However, those with ADHD should still seek out a diagnosis if they can afford it.