ADHD Assessment in the UK
An ADHD evaluation is typically an extremely thorough procedure. A psychiatrist will determine whether your symptoms are causing significant impairment and will rule out other disorders like thyroid or depression. They may also request old school records and other evidence to support your claim.
It is crucial that the person assessing you is an ADHD expert. This is the case for GP's as well as consultant psychiatrists too.
Waiting 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 last as long as four years. The charity ADHD UK has called for urgent action to improve the situation.
The problem is made worse by the growing awareness of this condition and 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. The Right to Choose scheme has made it easier for patients to choose private healthcare providers.
Psychiatry UK is one such service that provides an online ADHD assessment and medications for the NHS. The number of adults requesting an assessment has grown exponentially and is currently over its capacity. Those who choose to go the private route are usually much better served, as private psychiatrists are accustomed to dealing with adults and will be more knowledgeable about the specifics of the condition. They are also more likely to have experience in managing co-morbidities, like anxiety and depression that are frequently associated in ADHD.
However, many people are still concerned about the quality of private assessments and their potential to over-diagnose the condition. BBC Panorama exposed how some private clinics have made diagnoses without following the proper process. Some have accused the program of spreading stigma and stereotyping about those with ADHD.
The BBC should be commended however, for exposing the problem and highlighting adults who require an ADHD diagnosis. It's a shame some people are forced to seek assistance privately. The NHS must find a way to address this issue. In the meantime, if you think you might be suffering from ADHD You can take advantage of an assessment for free with a charity, or take advantage of an assessment by a private psychiatrist. These are typically cheaper than the NHS however they will not issue prescriptions for medication.
Second opinion
It is essential to seek a diagnosis if you're experiencing symptoms of ADHD. A clear diagnosis will allow you to make the appropriate steps to manage your symptoms, including medication. You may be directed to a psychiatrist for additional therapy. There are a variety of private clinics offering diagnosis and titration services. These clinics have plenty of experience working with a broad range adults, including men and women, who might suffer from ADHD. They can also screen for co-morbidities such as depression and anxiety.
Private ADHD assessments are expensive however, wait times for NHS services are significantly longer. The typical cost is the initial assessment, and then make follow-up appointments if necessary. If you have insurance and coverage, it will cover these appointments. These appointments will be conducted by specially trained nurses with a particular interest in ADHD and are certified to assess it. Initial appointments usually include clinical interviews as well as rating systems. You will also be asked to answer questionnaires, and you may be referred to further tests like an MRI or EEG.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The cost includes the assessment time and titration fees. Some private ADHD assessments offer titration separate from diagnosis, and may be less expensive. However, adult adhd private assessment of titration takes longer and requires a number of appointments.
The BBC's Panorama investigation has revealed that a patient waited for three years for an NHS assessment, before turning to a clinic in desperate need. The BBC investigation highlighted a number of cases where patients were diagnosed of ADHD that was later withdrawn. This is a serious issue because it can be extremely distressing for patients to have their symptoms wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment and the titration. Most health insurance plans will cover these tests but it's worthwhile to inquire with your insurance company to see if your policy covers them.
Referral to specialist clinics
If your GP refers you to a specialist clinic, the specialist will ask you questions and perform a clinical assessment. They will determine if your symptoms are indicative of ADHD and if they match the diagnostic criteria. They will also assess for any co-morbidities (other mental health issues) that may be present. Often, these will be anxiety and depression. The doctor will discuss with you the treatment options that are available, including medication if required.
During the assessment, you will be asked about your family history and the current issues you face at home and at work. They will also inquire about any medications you are taking. They will then conduct a structured interview, and you must bring an experienced family member or friend along to provide collateral information. It usually takes a few sessions to arrive at the diagnosis. Some clinics offer a comprehensive examination, while others only test for specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny following a Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics while his GP said that he did not have it. The BBC said that the report was an instance of "over-diagnosing" by private firms, however doctors can only recommend patients for further investigation or prescribe medication under strict guidelines.
Many doctors will not sign an agreement to share care with the NHS, which is the only way that they can transfer the patient's care to the service after an individual diagnosis. They believe they aren't experts in ADHD or psychiatry. A lot of private psychiatrists do not prescribe medication for 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 for it. You can find out the estimated waiting time by calling the local mental health services or using the Right To Choose website. The site allows you select an online ADHD assessment service that will be provided by NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can be life changing. It helps people better understand their own behavior and that of their family and friends. In addition, it can help them find a good treatment strategy. However, getting a diagnosis is not always easy. Particularly in the UK where people have to wait for a long time for an assessment by the NHS. This can be a problem for those trying to determine if they are having ADHD.
If you are unable to wait, you can self-refer to a specialist psychiatrist for a private evaluation. It will help you reduce time and avoid a visit to your GP. It is not an easy process and can take months, but it will give you an accurate diagnosis than the NHS one. It is essential to make sure that the person running the test is a psychiatrist or psychologist, as these are the only healthcare professionals qualified to determine ADHD in the UK.
A private assessment will likely include a consultation with a psychiatrist, including questions about your mental health and childhood history. The doctor will utilize rating scales to inquire about your current struggles at work, in school or in relationships. They will also address any other symptoms you have which could be indicative of ADHD.
This will result in an extensive ADHD assessment report, which the psychiatrist will provide to your GP with your consent. They will also recommend medication if appropriate. They can also assist you to find other ways of support, including tutoring and support for your study skills. If you are an undergraduate student, they can assist you with applying for Disabled Students Allowance.
It is not ideal to cut corners however the NHS is overwhelmed and underfunded. Some people attempt to save money by using online assessments or private clinics that offer quick appointments and not having any clinical expertise. These shortcuts are not recommended, but there is no reason why people suffering from ADHD shouldn't seek a diagnostic appointment when they can afford it.