ADHD Assessment in the UK
A thorough ADHD assessment is generally a fairly comprehensive process. A psychiatrist will determine if your symptoms cause significant impairment and rule out other medical conditions like thyroid or depression. They may also request old school reports as well as other evidence.
It is crucial that the person carrying out your assessment is an expert in ADHD. This applies to GP's and consultant psychiatrists alike.
Waiting several times
In the UK, adults who need an ADHD diagnosis are left waiting for years for an appointment with a psychiatrist. The condition is recognized as a serious mental disorder that has a significant impact on the daily lives of people. In certain areas waiting times can be as long as four years. The charity ADHD UK called for urgent actions to improve the situation.
The issue is being amplified by the increasing awareness of the condition, as well as a rise in demand for treatments. NHS services are struggling with demand and many patients choose to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to select private healthcare providers.
Psychiatry UK is one such service that provides an online ADHD assessment and prescriptions for the NHS. It has seen an explosion in the number of adults who seek an assessment, and is currently exceeding its capacity. Private psychiatrists are more experienced in dealing with adults and are better equipped to comprehend the nuances of ADHD. They are more likely to have experience managing co-morbidities like anxiety and depression, which can often accompany ADHD.
However, many are still concerned about the quality of private assessments and their potential to over-diagnose the illness. The issue came to the public's attention when a BBC Panorama investigation exposed the method by which some private clinics were awarding diagnoses without due process. Some have accused the program of propagating stigma and stereotypes about people with ADHD.
The BBC should be commended, for exposing the issue and highlighting those who require an ADHD diagnosis. It's a shame that some of those who need assistance are forced to seek it privately, and the NHS must come up with ways to address the situation. In the meantime, if you suspect you may have ADHD You can try an assessment for free with a charity or request an assessment from an individual psychiatrist. These are usually cheaper than the NHS but do not include prescriptions.
Second opinion
It is crucial to seek a diagnosis when you're experiencing symptoms of ADHD. A correct diagnosis can help you manage your symptoms and prescribe medications. You may also be recommended to a psychiatrist additional treatment. Private clinics often offer diagnosis and the ability to adjust. These clinics have lots of experience with a wide spectrum of adults, including women and men who might suffer from ADHD. They can also screen for co-morbidities like depression and anxiety.
Private ADHD assessments can be costly, but they are usually more efficient than NHS waiting times. You typically pay for the initial assessment, and then make follow-up appointments if necessary. If you are insured that covers you, it is likely to cover these appointments. These appointments will be handled in a professional way by nurses who are trained and have a particular interest in ADHD. The initial appointment will normally consist of clinical interviews and grading scales. You might also be asked to fill out questionnaires and referred for additional tests, for example, an MRI.
A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost includes both the assessment time and the cost of titration. Some private ADHD assessments offer titration apart from diagnosis and are less expensive. The process of titration takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment before he went to a doctor in desperate need. The BBC investigation exposed a number of instances where patients were given a diagnosis of ADHD but were later taken off. This is problematic because it can be extremely depressing for people to have their symptoms wrongly identified, and some patients have been given medication that causes negative side effects.
In Scotland the cost for an ADHD assessment is PS1,335 and includes the initial assessment and the titration. Most health insurers will cover these tests but it's important to check with your insurance provider to determine if the policy you have will cover it.
Referral to an expert clinic
If your GP recommends you to an expert clinic, the clinician will ask you questions and perform an assessment. They will assess whether your symptoms are indicative of ADHD and if they meet the diagnostic criteria for the condition. They will also assess for any co-morbidities (other mental health issues) that may be present. Most of the time, these are depression and anxiety. The clinician will then discuss possible treatment options with you including medication if needed.
During an assessment the psychiatrist will inquire you about your family history and current issues at home and work. They will also inquire about any medications that you're taking. They will then conduct a structured interview, and you should bring a trusted family member or friend along to provide any additional information. The assessment will usually take a few sessions to reach a diagnosis. Some clinics will offer an entire evaluation, while others will focus on specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny in the wake of a Panorama investigation. The undercover reporter on the show was diagnosed with ADHD in three private clinics while his GP said he didn't have ADHD. The BBC said that the report was an instance of "over-diagnosing" by private companies, while doctors can only refer patients for further investigations or prescribe medication in accordance with strict guidelines.
Many GPs refuse to sign an agreement to share care with the NHS. This is the only way they can transfer the treatment of their patients to the NHS after a private diagnoses. They feel they are not experts in ADHD or psychiatry. Also, GPs should be aware that many private psychiatrists do not prescribe medications, which could make it difficult for patients to get the care they require.
Ask your GP to refer you for an ADHD assessment in the event that they haven't yet. You can find out the estimated waiting time by calling your local mental health clinic, or by using the Right To Choose website. The site lets you select an online ADHD assessment service which is provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. It helps people better understand themselves as well as their family and friends. In addition, it can help them find a good treatment strategy. However, getting a diagnosis is not always straightforward. In the UK people must wait for a long period of time for an NHS assessment. This can cause frustration for many who wish to be diagnosed with ADHD.
If you cannot wait, you can refer yourself to a specialist psychiatrist for a private evaluation. It will help you be able to save time and avoid having to go to your GP. This is a lengthy process that can take a few months. However it will provide you with an accurate diagnosis than the ones offered by the NHS. You should ensure that the person conducting the assessment is a psychologist or psychiatrist, as private add assessment they are the only healthcare professionals in the UK that are qualified to diagnose ADHD.
A private assessment may include a clinical interview conducted by a psychiatrist. The doctor will ask questions about your mental health, childhood history and other factors. The doctor will also use ratings scales and inquire about your current struggles in work, school, and relationships. The doctor will also address other signs that may indicate ADHD.
The result will be an extensive ADHD assessment report, which the psychiatrist will send to your GP with your consent. They may also prescribe medications if they are needed. They will also help you get other types of assistance, like mentorship and support for studying skills. They will also assist you in applying for Disabled Student Allowance if are a student at university.
While it's not ideal to cut corners however, the reality is that NHS services are overwhelmed and underfunded. Some people attempt to cut corners by using online assessments or private clinics that offer quick appointments and little or no medical expertise. These shortcuts are not recommended, but there's no reason to think that people with ADHD should not seek a diagnosis appointment when they can afford it.