ADHD Assessment in the UK
A thorough ADHD assessment is generally an extremely thorough procedure. A psychiatrist will evaluate whether your symptoms are causing significant impairment, and also rule out other conditions, such as depression or thyroid problems. They might also request old school records or other evidence to back up their claims.
It is essential that the person assessing you is an ADHD specialist. This is the case for GP's as well as consultant psychiatrists too.
Waiting times
In the UK adults who require an ADHD diagnosis are being left waiting for years to get an appointment with psychiatrists. The condition is acknowledged as a serious mental disorder that has an impact on the daily lives of people. The situation is worse in some areas, with waiting times as high as four years. The charity ADHD UK called for urgent action to help improve the situation.
The problem is made worse by the growing awareness of this condition as well as the growing demand for treatment. NHS services are struggling to keep up with the demand, and many patients are choosing 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 choose for private health care from any provider.
Psychiatry UK is one such service that offers an online ADHD assessment and medication for the NHS. It has seen a surge in the number of adults who seek an assessment, which exceeds its capacity at present. Private psychiatrists are more knowledgeable in dealing with adults, and are better equipped to recognize the subtleties of ADHD. They are also more likely to have experience in managing co-morbidities like anxiety and depression which are often associated in ADHD.
However, many people are still concerned about the assessment of private patients and the potential for them to over-diagnose the illness. BBC Panorama exposed how some private clinics have made diagnoses without following the proper process. Some have accused the programme of stoking stigma and stereotypes against those with ADHD.
The BBC should be commended, however, for exposing this problem and highlighting adults who require an ADHD diagnosis. It's a shame some people are forced to seek help privately. The NHS should find a way to remedy this situation. If you think you may have ADHD Consider a no-cost screening through an organization or charity, or pay for a private psychiatrist to evaluate you. These are typically less expensive than the NHS but do not include prescriptions.
Second opinion
If you are struggling with symptoms of ADHD, it is important to be diagnosed. A proper diagnosis will aid in managing your symptoms and prescribe medications. You could be referred to a psychiatrist as part of your treatment. There are adhd private assessment offering diagnosis and titration treatments. These clinics are generally experienced with the wide range of adults who may have ADHD, including women and men. They also look for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be expensive, but they are usually more efficient than NHS waiting times. Typically, you pay for an initial assessment, and then follow-up appointments as needed. If you are insured, your coverage will likely cover these appointments. These appointments are conducted by trained nurses who have a special interest in ADHD and are able to assess it. The initial appointment will normally consist of clinical interviews and grading scales. You might also be asked to fill out questionnaires and be referred to for further tests, for example, an MRI.
A private clinic will charge you between PS500 and PS1,200 for an ADHD assessment. The cost includes the assessment time and titration fees. Certain private ADHD assessments offer titration separately from diagnosis, and this may be less expensive. The process of titration can take longer and requires appointments.
The quality of private ADHD assessments has come under scrutiny after the BBC's Panorama investigation revealed that one patient had spent three years waiting for an NHS assessment before deciding to go to a private clinic in desperation. The BBC investigation revealed a number of cases where patients were given a diagnosis of ADHD that was later withdrawn. This is problematic because it can be extremely stressful for people to be incorrectly diagnosed, and some patients have been prescribed medication that has adverse side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment as well as titration. The majority of health insurance policies cover these tests. However, it's important to check whether you're covered.
Referral to an expert clinic
If your GP suggests an expert clinic, the physician will ask questions and perform an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD, and if they are in line with the diagnostic criteria. They will also check for any co-morbidities (other mental health issues) that might be present. They are typically depression and anxiety. The clinician will then discuss treatment options with you, including medication if needed.
During the examination, you will be asked about your family history and the current issues you face at home and at work. They will also ask about any medications you're taking. They will then conduct a structured interview, and you must bring a trusted friend or relative with you to provide additional information. The assessment will usually take a few sessions to determine the diagnosis. Some clinics offer an extensive evaluation, whereas others will only look at specific symptoms.
Panorama's investigation into the inadequate provision of ADHD services 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 claimed that he was not suffering from the condition. The BBC argued that the report was an example of "over-diagnosing" by private firms, however GPs can only refer patients to further investigations or prescribe medication under strict guidelines.
Many doctors will not sign an agreement to share care with the NHS as it is the only way they can refer their patient's treatment to the service after a private diagnosis. They feel that they are not experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medication to their patients, which could make it difficult for patients to get the treatment they need.
If your GP hasn't yet referred you to an ADHD assessment, ask them to do so. You can determine your estimated waiting time either by calling your local mental health service or by visiting the Right To Choose site. The site lets you select an online ADHD assessment service which will be offered by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. Not only does it help people understand themselves better, but it also helps them as well as their family and friends better support them. It also helps them determine the best treatment plan. However, getting an accurate diagnosis isn't always easy. Particularly in the UK, where people are facing long waiting times for an assessment by the NHS. This can be frustrating for those who wish to be diagnosed with ADHD.
If you can't wait, you can refer yourself to an expert psychiatrist for a private assessment. You will save time and avoid a trip 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 provided by the NHS. You should ensure that the person conducting the assessment is either psychiatrist or psychologist, because they are the sole healthcare professionals in the UK who are certified to assess ADHD.
A private assessment may include an interview with a clinical psychologist or psychiatrist. The doctor will ask questions regarding your mental health, childhood experiences and other factors. The doctor will employ rating scales to inquire about your current challenges at work, at school, or in relationships. The doctor will also address other signs that may be indicative of ADHD.
The psychiatrist will then provide a thorough ADHD report to your GP with your consent. They will also offer medication if appropriate. They can also assist you in obtaining other types of support, including study skills and mentoring. If you're a student, they will assist you in applying for Disabled Students Allowance.
It's not ideal to cut corners however the NHS is overburdened and underfunded. As a result, there are those who attempt to reduce costs through online assessments and private clinics that offer quick appointments with little or no expertise in clinical practice. These shortcuts should be avoided. However, people with ADHD should still seek a diagnosis if they can afford it.