ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive procedure. A psychiatrist will assess whether your symptoms cause significant impairment and will rule out other illnesses such as depression or thyroid problems. They may also request old school records or other evidence to back up their claims.
It is essential that the person carrying out your assessment is a specialist in ADHD. This applies to GP's and consultant psychiatrists alike.
Waiting at various times
Adults in the UK who require ADHD diagnoses are left waiting years to visit psychiatrists for years. The condition is classified as a serious mental disorder that can have an impact on the lives of people. The situation is even worse in certain areas, with waiting periods as high as four years. The charity ADHD UK has called for urgent actions to improve the situation.
The issue is made worse by the increasing awareness of this condition as well as the rising demand for treatment. NHS services are struggling to keep up with the demand, and a lot of patients are opting to seek treatment from private clinics. The Right to Choose scheme has made it easier for patients to choose private healthcare providers.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in various parts of the country. The number of adults seeking an assessment has exploded, and is currently exceeding its capacity. Private psychiatrists are more knowledgeable in dealing with adults and are better equipped to understand the nuances of ADHD. They are also more likely to be experienced in managing co-morbidities like anxiety and depression, which can often be associated with ADHD.
However, many are still concerned about the quality of private assessments and their potential to over-diagnose the illness. BBC Panorama exposed how some private clinics have made diagnoses without following the proper process. Some have accused the program of propagating stigma and stereotypes about those with ADHD.
The BBC deserves to be praised, for exposing the issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some are forced to seek help privately. The NHS should come up with a solution to remedy this situation. If you suspect you might be suffering from ADHD, try a free screening with a charity or pay a private psychiatrist to evaluate you. These are typically less expensive than the NHS however they don't include a prescription.
Second opinion
If you're experiencing symptoms of ADHD It is essential to be diagnosed. A correct diagnosis will enable you to take steps to manage your symptoms, including medication. You may be directed to a psychiatrist for additional treatment. Private clinics often offer diagnosis and the ability to adjust. These clinics are generally familiar with the vast range of adults who may have ADHD which includes women and men. They can also screen for co-morbidities like anxiety and depression.
Private ADHD assessments are costly, but the waiting time for NHS services are much longer. Typically, you'll pay for the initial assessment and then be able to schedule follow-up appointments as needed. If you are insured that covers you, it is likely to cover these appointments. These appointments will be conducted in a professional manner by nurses who are trained and have a particular interest in ADHD. The initial appointment will usually consist of clinical interviews and grading scales. You might also be asked to complete questionnaires, and then referred 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 as well as titration costs. Certain private ADHD assessments offer titration separately from diagnosis, and it can be cheaper. However the process of titration takes longer and requires a number of appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient spent three years waiting for an NHS assessment before deciding to go to an unofficial clinic in desperate need. adhd private assessment uk of cases where patients were diagnosed of ADHD that was later withdrawn. This is problematic because it can be extremely depressing for people to be incorrectly diagnosed, and some patients have been prescribed medications that have negative side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 and includes the initial assessment as well as the titration. The majority of health insurance policies cover these tests. However, it's worthwhile to verify if you have coverage.
Referral to a specialist clinic
If your GP recommends a specialist clinic the clinician will ask you questions and perform a clinical evaluation. They will determine whether your symptoms are indicative of ADHD and if they are in line with the criteria for diagnosis. They will also check for co-morbidities, or any other mental health issues. Often, these will be depression and anxiety. The doctor will then discuss treatment options with you, including medication if needed.
During the examination during the assessment, you will be asked about your family background and the current issues you face at home and at work. They will also ask about any medications you're taking. The interview will be planned and you can bring an adult or a relative to help you through the process. The assessment will usually take a few sessions to establish a diagnosis. Some clinics offer a comprehensive assessment, and others will only test for specific symptoms.
The Panorama investigation into the poor provision of ADHD services in the NHS has brought the issue to light. The undercover reporter on the show was diagnosed with ADHD in three private clinics, but his GP claimed he didn't have it. The BBC said that the report was an instance of "over-diagnosing" by private firms, however GPs can only refer patients to further investigations or prescribe medication under strict guidelines.
Many GPs are unwilling to sign a contract for shared healthcare with the NHS. This is the only way to transfer the treatment of their patients to the NHS following a private diagnosis. They feel that they are not experts on ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medication, which could make it difficult for their patients to get the treatment they need.
If your GP hasn't recommended you for an ADHD assessment and treatment, ask them to refer you. You can find out your estimated waiting time by calling your local mental health service or using the Right To Choose site. The site allows you to select an online ADHD assessment service that will be provided by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. It aids people in understanding their own behavior and that of their family and friends. It also helps them determine the best treatment plan. However, getting an accurate diagnosis isn't always straightforward. Especially in the UK where patients are waiting for long periods for an assessment by the NHS. This can cause frustration for many who wish to be diagnosed with ADHD.
If you're not able to wait, it is possible to self-refer for a private assessment with an experienced specialist psychiatrist. You will save time and avoid having to go to your GP. This is a lengthy procedure that could take months. However it will provide you with an accurate diagnosis than those offered by the NHS. It is important to make sure that the person who conducts your assessment is a psychiatrist or psychologist, as these are the only healthcare professionals competent to assess ADHD in the UK.
A private assessment will likely include a clinical interview with a psychiatrist, including questions about your mental health and your childhood history. The doctor will employ rating scales to inquire about your current struggles 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 permission. If necessary, they'll also prescribe medication. They can also assist with other forms of assistance, such as study skills and mentoring. If you're a student, they will also help you apply for Disabled Students Allowance.
It's not a good idea to cut corners however, the NHS is overwhelmed and underfunded. In the end, there are those who attempt to cut costs through online assessments and private clinics that provide quick appointments with little or any clinical expertise. These shortcuts should be avoided. However, people with ADHD should be seeking a diagnosis even if they can afford it.