ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extensive process. A psychiatrist will determine whether your symptoms cause significant impairment and will rule out other conditions like thyroid or depression. They might also request old school records or other evidence.
It is essential that the person assessing you is an ADHD expert. This applies to GP's and consultant psychiatrists too.
Waiting times
In the UK adults who require an ADHD diagnosis are waiting for years to get an appointment with psychiatrists. This is despite the fact that the condition is recognised as an extremely serious mental health condition and that it has significant impacts on people's lives. In some areas, waiting times can last as long as four years. The charity ADHD UK has called for urgent actions 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 to meet demand, and many patients opt to seek treatment from private clinics. The Right to Choose scheme has made it easier for patients to select private health providers.
Psychiatry UK is one such service, which provides an online ADHD assessment and medication for the NHS. The number of adults seeking an assessment has increased dramatically and is currently over the capacity of the service. If you choose to go the private route are generally more successful, since private psychiatrists are more adept at dealing with adults and are more knowledgeable about the specifics of the condition. They are also more likely to be experienced in managing co-morbidities, such as depression and anxiety, which can often be associated in ADHD.
However, many are still concerned about the assessment of private patients and the potential for them to over-diagnose the condition. The issue was brought to the attention of the public when an BBC Panorama investigation exposed the method by which some private clinics were giving diagnoses without proper process. Some have accused the program of perpetuating stereotypes and stigmas of people suffering from ADHD.
However the BBC should be commended for exposing this issue and highlighting the dire situation of adults who need an ADHD diagnosis. It's a shame some people are forced to seek assistance privately. The NHS should find a way to address this issue. In the meantime, if you suspect you may have ADHD, you can try the free test offered by a charity, or request an assessment from an individual psychiatrist. These are typically less expensive than the NHS but they do not come with prescriptions.
Second opinion
If you're struggling with symptoms of ADHD It is essential to receive a diagnosis. An accurate diagnosis will allow you to make the appropriate steps to manage your symptoms, which includes medication. You may be referred to see a psychiatrist as part of your treatment. Private clinics often offer diagnosis and titration. These clinics are usually very experienced with the wide range of adults with ADHD which includes both genders. They can also screen for co-morbidities, such as anxiety and depression.
Private ADHD assessments are expensive however the wait times for NHS services are much longer. You typically pay for the initial assessment, and then schedule subsequent appointments if required. These appointments are covered by your insurance plan if you have it. These appointments will be performed in a professional manner by nurses who have been trained and have a particular interest in ADHD. Initial appointments usually include clinical interviews and rating systems. You will also be asked to answer questionnaires, and you may be referred for further tests like an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private clinic for an ADHD assessment. The cost covers the assessment time as well as titration costs. Some private ADHD assessments offer titration separate from diagnosis and are less expensive. However, the process of titration is longer and requires additional appointments.
The quality of private ADHD assessments is under scrutiny following the BBC's Panorama investigation revealed that one patient spent three years waiting for an NHS assessment before deciding to go to a private clinic in desperation. The BBC investigation exposed a variety of cases in which patients were given a diagnosis of ADHD which was later cancelled. This is problematic because it can be extremely distressing for people to have their symptoms wrongly diagnosed, and some patients have been prescribed medication that has adverse side effects.
In Scotland, an ADHD assessment costs PS1,335 and includes the initial assessment and the adjustment. The majority of health insurance policies cover these assessments. However, it is worthwhile to verify whether you're covered.
Referral to an expert clinic
If your GP refers to a specialist clinic, the doctor will ask questions and perform an evaluation of your clinical condition. They will assess whether your symptoms are indicative of ADHD and if they match the criteria for diagnosing the condition. They will also assess for any co-morbidities (other mental health issues) that may be present. They are typically depression and anxiety. The doctor will then discuss possible treatment options with you including medication, if necessary.
During an assessment the psychiatrist will inquire you about your family history as well as current issues at work and home. They will also inquire about any medications you're taking. The interview will be planned and you can bring your family member or friend to assist you with the information. It usually takes a few visits for the evaluation to arrive at the diagnosis. Some clinics offer an entire evaluation, while others will only test specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny in the wake of an Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, while his GP said that he didn't suffer from ADHD. The BBC argued that the report was an example of "over-diagnosing" by private companies, but GPs can only refer patients for further investigations or prescribe medication under strict guidelines.
Many GPs are unwilling to sign an agreement for shared care with the NHS. This is the only way to transfer the patient's care to the NHS after a private diagnoses. They feel they are not experts on ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication for their patients, which may make it difficult for them to more info get the treatment they require.
Request your GP to refer you for an ADHD assessment in the event that they haven't yet. You can determine the estimated wait time by calling your local mental health clinic or using the Right To Choose site. The site lets you choose an online ADHD assessment service that will be provided by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. Not only does it help individuals better understand themselves, but it also helps them and their friends and family better support them. It also assists them to identify the right treatment strategy. It's not always easy to get an accurate diagnosis. Particularly in the UK where people are waiting for long periods for an assessment by the NHS. This can cause anxiety for many people who want to be diagnosed with ADHD.
If you are unable to wait, you can refer yourself to psychiatrists who specialize in private assessment. This will save you time and a trip to your GP. It is not an easy process and can take months but it will give you more precise diagnosis than the NHS one. It is important to ensure that the person performing your test is either a psychiatrist or psychologist since they are the only healthcare professionals in the UK that are qualified to diagnose ADHD.
A private evaluation will likely include a clinical interview with a psychiatrist, including questions regarding your mental health and your childhood history. The doctor will also use rating scales and ask questions about your current struggles at school, work, and relationships. They will also talk about any other symptoms you experience that could indicate the presence of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP with your consent. If appropriate, they will also prescribe medication. They can also help with other forms of help, like study skills and mentoring. If you're students, they will assist you in applying for Disabled Students Allowance.
While it's not ideal to take short cuts, the reality is that NHS services are overloaded and underfunded. In the end, there are those who attempt to reduce costs by using online assessments or private clinics that offer short appointments, but offer no clinical expertise. These shortcuts should be avoided, but there's no reason why those suffering from ADHD shouldn't seek a diagnostic appointment if they are able to afford it.