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 also rule out other illnesses such as thyroid or depression. They can also request old school reports and other supporting evidence.
It is crucial that the person assessing you is an ADHD expert. This applies to GP's and consultant psychiatrists too.
Waiting at various times
In the UK, adults who need an ADHD diagnosis are waiting for years for an appointment with psychiatrists. The condition is classified as a serious mental disorder that has an enormous impact on the daily lives of people. The situation is even worse in some regions, with waiting times up to four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is made worse by the increasing awareness of the condition and the growing demand for treatment. NHS services are struggling to keep up with the demand, and a large number of patients are opting to seek treatment from private providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to opt for private health care from any provider.
Psychiatry UK is one such service, which provides an online ADHD assessment and prescriptions for the NHS. The number of adults who want an assessment has increased dramatically, and is currently exceeding its capacity. Those who choose to go the private route are typically more successful, since private psychiatrists are more adept at dealing with adults and will be more familiar with the nuances of the condition. They are also more likely to have experience in managing co-morbidities, such as depression and anxiety, which can often be present with ADHD.
However, many people are concerned about the assessment of private patients and the risk of them over-diagnosing the illness. The issue was brought to the public's attention when a BBC Panorama investigation exposed the ways in which private clinics were granting diagnoses without proper process. Some have claimed that the program is propagating stigma and stereotypes about people suffering from ADHD.
However the BBC should be praised for exposing the issue and highlighting the plight of adults who need an ADHD diagnosis. It's a shame that some of those who need this assistance are being forced to seek it privately, and the NHS should come up with ways to deal with the issue. If you suspect you may have ADHD, try a free screening with an organization or charity, or pay for an appointment with a private psychiatrist who will assess your. They are usually less expensive than the NHS, but will not give a prescription for medication.
Second opinion
It is important to seek out a diagnosis if you're experiencing symptoms of ADHD. A correct diagnosis will enable you to take the necessary steps to manage your symptoms, which includes medication. You could also be directed to a psychiatrist for additional treatment. Private clinics often offer diagnosis and adjustment. These clinics have lots of experience with a wide range adults, including women and men who may be suffering from ADHD. They also screen for co-morbidities, like anxiety and depression.
Private ADHD assessments can be costly, but they are usually significantly faster than NHS waiting times. You typically pay for the initial assessment, and then arrange follow-up appointments if needed. If you are insured that covers you, it is likely to cover these appointments. These appointments will be performed in a professional manner by nurses who are certified and have a special interest ADHD. Initial appointments typically involve clinical interviews and rating systems. You will also be asked to complete questionnaires, and you might be referred for further tests such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost includes both the assessment time and the titration fee. Some private ADHD assessments offer titration separate from diagnosis and can be cheaper. However, private adhd assessments of titration is longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years for an NHS evaluation, before going to a doctor in desperate need. The BBC investigation revealed a number of cases in which patients were diagnosed of ADHD which was later cancelled. This is a serious issue, as it can be extremely distressing for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse consequences.
In Scotland the cost of an ADHD assessment is PS1,335 and covers the initial assessment and titration. Most health insurance policies cover these tests. However, it is worthwhile to verify if you have coverage.
Referral to specialist clinics
If your GP refers to a specialist clinic, the doctor will ask questions and perform an assessment of your clinical needs. They will determine whether your symptoms are a sign of ADHD and if they meet the criteria for diagnosis of the condition. They will also check for any co-morbidities (other mental health issues) that might be present. Most of the time, these are depression and anxiety. The clinician will then discuss treatment options with you, including medication if needed.
During an assessment the psychiatrist will ask you about your family history as well as current issues at work and home. They will also inquire about any medications you are taking. They will then conduct an organized interview, and you must bring a trusted friend or relative with you to provide collateral information. It typically takes a few visits for the assessment to establish an accurate diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms.
The Panorama investigation into the poor treatment of ADHD in the NHS has brought the issue to light. The programme's undercover reporter was diagnosed with ADHD at three private clinics - but his GP insisted that he was not suffering from the condition. The BBC claimed that the story was an example of "over-diagnosis" by private companies. However, GPs are only allowed to refer patients to further investigation or prescribe medication if they follow strict guidelines.
Many doctors are reluctant to sign an agreement for shared healthcare with the NHS. This is the only way to transfer the treatment of their patients to the NHS after a private diagnosis. They believe they aren't experts on ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medications, which could make it difficult for patients to get the treatment they require.
Request your GP to refer you for an ADHD evaluation if they haven't already. You should be able to determine the estimated waiting time by calling your local mental health service, or by using the Right To Choose website. The site allows you to choose an online ADHD assessment service, which will be provided by the NHS.
Confirmation of diagnosis
Having an ADHD diagnosis can be life changing. It not only helps individuals better understand themselves as well as help them as well as their family and friends better support them. It can also help them determine the best treatment plan. However, getting an assessment isn't always easy. In the UK, people have to wait for a long period of time for an NHS assessment. This can be a problem for those trying to determine if they are having ADHD.
If you can't wait, you can refer yourself to psychiatrists who specialize in private assessment. You will save time and avoid a visit to your GP. This is a lengthy procedure that can take a few months. However it will provide you with more precise diagnoses than the ones offered by the NHS. You must make sure that the person who is conducting your assessment is psychiatrist or psychologist, since they are the only healthcare professionals in the UK who are certified to diagnose ADHD.
A private evaluation will likely include a consultation with a psychiatrist, including questions regarding your mental health and childhood history. The doctor will also utilize rating scales and ask questions about your current struggles at school, at work, and in relationships. The doctor will also address other symptoms that could indicate ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your consent. They will also recommend medication if appropriate. They will also help you get other types of support, including mentoring and study skills support. They will also assist with applying for Disabled Student Allowance if are a university student.
It's not a good idea to cut corners, but the NHS is overburdened and underfunded. This means that there are those who attempt to cut costs by using online assessments or private clinics that provide quick appointments, but offer no clinical expertise. These shortcuts should be avoided. However, those with ADHD should be seeking a diagnosis even when they can afford it.