ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough process. A psychiatrist will determine if your symptoms are causing significant impairment and rule out other illnesses like depression or thyroid problems. They might also request old school reports or other supporting evidence.
It is essential that the person assessing you is an ADHD specialist. This is the case for psychiatrists and GPs alike.
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 recognized as a serious mental disorder that can have a significant impact on people's daily lives. The situation is more difficult in certain areas, with waiting times up to 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 the condition and the increasing demand for treatment. NHS services are struggling with the demand and many patients decide to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to pick private healthcare providers.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS across the country. It has seen an explosion in the number of people seeking an assessment, which exceeds its capacity at present. Private psychiatrists are more experienced in dealing with adults, and are better able to understand the nuances of ADHD. They are also more likely to have experience in managing co-morbidities such as depression and anxiety which are often present in ADHD.
However, many people are still concerned about the assessment of private patients and the risk of them over-diagnosing the condition. BBC Panorama exposed how some private clinics were able to diagnose patients without following the correct procedure. Some have even accused the programme of stoking stigma and stereotypes against those with ADHD.
However, the BBC deserves praise for exposing this problem and highlighting the dire situation of adults who require an ADHD diagnosis. It's a shame that some of those who need this assistance are being required to seek it privately and the NHS needs to work out ways to address the situation. In the meantime, if you suspect you may have ADHD You can take advantage of a free screening with a charity or pay for an assessment from private psychiatrists. These are usually cheaper than the NHS but they do not come with prescriptions.
Second opinion
It is essential to seek a diagnosis when you are experiencing symptoms of ADHD. An accurate diagnosis will allow you to take steps to manage your symptoms, including medication. You may be referred to see a psychiatrist as part of your treatment. Many private clinics provide diagnosis and the ability to adjust. These clinics are generally familiar with the vast range of adults with ADHD as well as men and women. They also test for co-morbidities such as depression and anxiety.
Private ADHD assessments can be costly, but they are usually more efficient than NHS waiting times. The typical cost is the initial assessment, and then schedule follow-up appointments if necessary. If you have insurance that covers you, it is likely to cover these appointments. These appointments will be conducted in a professional manner by nurses who are certified and have a specific interest in ADHD. Initial appointments typically include clinical interviews as well as rating systems. You may also be asked to complete questionnaires and you may be referred for further tests like an MRI or EEG.
You should expect to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The price includes both the assessment time as well as the titration fee. Certain private ADHD assessments allow titration apart from diagnosis, and this may be cheaper. The process of titration can take longer and requires appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS evaluation, before going to a clinic in desperation. The BBC investigation revealed a number cases where patients received a diagnosis of ADHD, which was later removed. This is problematic because it can be extremely stressful for patients to have their symptoms wrongly diagnosed, and some of them have been given medication that causes negative side effects.
In Scotland the cost for an ADHD assessment is PS1,335 and covers the initial assessment and the titration. The majority of health insurance policies cover these tests. However, it is important to check whether you're covered.
Referral to a specialist clinic
If your GP suggests you visit an expert clinic, the doctor will ask you questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and if they match the diagnostic criteria. They will also assess for any co-morbidities (other mental health conditions) that might be present. Most of the time, these are anxiety and depression. The doctor will go over with you the treatment options and medications 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 you are taking. The interview will be organized and you may bring an adult or a relative to assist you with the information. The test will typically require a few sessions to determine an accurate diagnosis. Some clinics offer a comprehensive examination, while others only test for specific symptoms.
Panorama's investigation into the inadequate treatment of ADHD in the NHS has brought it to light. The undercover reporter was diagnosed with ADHD in three private clinics, while his GP said that he did not have ADHD. The BBC claimed that the report was an example of "over-diagnosis" by private companies. However, GPs are only allowed to refer patients for further investigation or prescribe medication if they follow strict guidelines.
Many GPs refuse to sign a contract for shared healthcare with the NHS. This is the only way they can transfer the patient's care to the NHS after a private diagnoses. They believe that they're not experts in ADHD or psychiatry. GPs should also note that many private psychiatrists do not prescribe medication, which could make it difficult for their patients to receive the care they require.
If your GP hasn't referred you for an ADHD assessment, ask them to do so. You can find out your estimated waiting time by calling your local mental health clinic or by using the Right To Choose site. The site allows you select an online ADHD assessment service which is provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. Not only does it help individuals understand themselves better, but it also helps them as well as their family and friends better support them. Additionally, it can aid them in determining a suitable treatment plan. However, getting an assessment isn't always easy. Particularly in the UK where patients have to wait for a long time for an assessment by the here NHS. This can be frustrating for many people who are trying to determine if they are having ADHD.
If you are unable to wait, you can refer yourself to psychiatrists who specialize in private evaluation. It will help you reduce time and avoid a trip to your GP. This is a lengthy procedure that can take several months. However, it will give you a more accurate diagnoses that those offered by the NHS. It is essential to make sure that the person running your assessment is a psychologist or psychiatrist, as these are the only healthcare professionals competent to assess ADHD in the UK.
A private assessment could include a clinical interview conducted by a psychiatrist. The doctor will ask questions regarding your mental health, your childhood history and other factors. The doctor will also utilize rating scales and ask questions about your current struggles with school, at work, and in relationships. The doctor will also discuss other signs that may indicate ADHD.
The result will be a comprehensive ADHD assessment report, which the psychiatrist will forward to your GP with your permission. If needed, they may also prescribe medication. They will also help you get other types of support, including mentorship and support for studying skills. If you're a student, they will also help you apply for Disabled Students Allowance.
While it's not ideal to make shortcuts but the reality is that NHS services are overwhelmed and underfunded. In the end, there are those who attempt to cut the line through online assessments and private clinics that provide quick appointments with little or any clinical expertise. These shortcuts should be avoided. However, those with ADHD should be seeking a diagnosis even as long as they are able to afford it.