ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extremely thorough process. A psychiatrist will determine if your symptoms cause significant impairment and rule out other medical conditions, such as depression or thyroid problems. They may also request old school reports as well as other evidence.
It is vital that the person who is assessing you is an ADHD expert. This is true for GP's and consultant psychiatrists alike.
Waiting at various times
In the UK, adults who need an ADHD diagnosis are waiting for years to get an appointment with psychiatrists. The condition is classified as a serious mental disorder with an impact on the daily lives of people. The situation is more difficult in some areas, with waiting times as high 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 rising demand for treatment. NHS services are struggling with the demand and many patients decide to take care of themselves through private providers. The Right to Choose scheme has made it easier for patients to select private health providers.
One such service 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, which is currently exceeding its capacity. Private psychiatrists are more adept in dealing with adults, and are better able to understand the nuances of ADHD. They are more likely to have experience in managing co-morbidities, such as anxiety and depression that can be a result of ADHD.
However, many are still worried about the assessment of private patients and their potential to over-diagnose the illness. The issue came to the public's attention after an BBC Panorama investigation exposed the method by which some private clinics were awarding diagnoses without due process. Some have accused the programme of stoking stereotypes and stigmatizing people with ADHD.
The BBC should be commended however, for exposing the issue and highlighting those who require an ADHD diagnosis. It is a shame that some people who require this assistance are being forced to seek it out privately, and the NHS should come up with ways to address the issue. In the meantime, if you suspect you may have ADHD You can try a free screening with a charity, or take advantage of an assessment by a private psychiatrist. These are typically less expensive than the NHS but they do not come with prescriptions.
Second opinion
It is important to seek a diagnosis if you are suffering from symptoms of ADHD. An accurate diagnosis will allow you to make the appropriate steps to manage your symptoms, including medication. You could be recommended to a psychiatrist additional treatment. Many private clinics offer diagnosis and titration. These clinics have lots of experience with a wide range of adults, both men and women, who may be suffering from ADHD. They are also able to test for co-morbidities such as depression and anxiety.
Private ADHD assessments are expensive however, waiting time for NHS services are much longer. Typically, you'll pay for the initial assessment, and then follow-up appointments if needed. These appointments are covered by your insurance if you have it. These appointments will be conducted in a professional manner by nurses who have been trained and have a special interest ADHD. The initial appointment will typically involve clinical interviews and rating scales. You will also be required to answer questionnaires, and you may be referred for additional tests, such as an MRI or EEG.
You should expect to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost includes the assessment time and titration costs. Certain private ADHD assessments offer titration separate from diagnosis, and may be less expensive. However the process of titration is longer and requires additional appointments.
The BBC's Panorama investigation has revealed that a patient waited three years for an NHS assessment, before turning to a clinic in desperate need. The BBC investigation highlighted a number of instances where patients were diagnosed of ADHD which was later removed. This is a serious issue, as it can be extremely stressful 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 and includes the initial assessment as well as the titration. Most health insurers will cover these tests but it's important to check with your insurance provider to determine if your policy does.
Referral to specialist clinics
If your GP refers you more info to an expert clinic, the doctor will ask you questions and carry out an assessment of your clinical needs. They will determine whether your symptoms are a sign of ADHD and if they match the diagnostic criteria for the condition. They will also check for co-morbidities or other mental health conditions. Most often, these are depression and anxiety. The doctor will then discuss possible treatment options with you including medication, if necessary.
During an assessment, the psychiatrist will ask you about your family history as well as current issues at home and work. They will also inquire about any medications you are taking. The interview will be organized and you may bring your family member or friend to help you with the information. It typically requires a few sessions for the assessment to arrive at a diagnosis. Some clinics offer a comprehensive assessment, and others will only look for specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny following an Panorama investigation. The reporter on the programme was diagnosed with ADHD at three private clinics - while his GP insisted that he was not suffering from the condition. The BBC said that the report was an example of "over-diagnosing" by private firms, however GPs can only refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many GPs will refuse to sign a shared care agreement with the NHS and is the only way they can transfer the patient's care to the hospital after a private diagnosis. They feel they are not experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists do not prescribe medication, which could make it difficult for 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 contacting your local mental health service or by visiting the Right To Choose website. The site lets you select an online ADHD assessment service that will be provided by NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can have a profound impact on your life. Not only does it help individuals better understand themselves as well as help them and their family and friends better assist them. It also assists them to find the right treatment plan. It is not always simple to get a diagnosis. Especially in the UK, where people are waiting for long periods for an assessment from the NHS. This can be a problem for those looking to be diagnosed as having ADHD.
If you are unable to wait, it is possible to self-refer for an assessment in private with a specialist psychiatrist who is experienced. You'll reduce time and avoid 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 conducting your test is either a psychologist or psychiatrist, as they are the only healthcare professionals in the UK that are qualified to determine ADHD.
A private assessment will likely include a consultation with a psychiatrist, including questions about your mental health and your childhood history. The doctor will also use ratings scales and inquire about your current struggles with work, school, and relationships. They will also talk about any other signs you may have that might indicate the presence of ADHD.
This will result in an extensive ADHD assessment report that the psychiatrist will provide to your GP with your permission. They may also prescribe medication if needed. They will also help you access other forms of assistance, like mentoring and study skills support. If you're a student, they will assist you in applying for Disabled Students Allowance.
While it's not the best idea to make shortcuts but the reality is that NHS services are crowded and underfunded. Some people attempt to cut corners by using online assessments or private clinics with quick appointments and not having any clinical expertise. These shortcuts are to be avoided. However, those suffering from ADHD should still seek a diagnosis when they can afford it.