ADHD Assessment in the UK
An ADHD evaluation is typically a fairly thorough procedure. A psychiatrist will evaluate whether your symptoms are causing significant impairment and rule out other medical conditions like thyroid issues or depression. They might also request old school records or other evidence.
It is vital that the person who is assessing you is an ADHD expert. This is the case for both GPs and psychiatrists.
Waiting times
Adults in the UK who need an ADHD diagnoses are left waiting years to visit psychiatrists for years. This is despite the fact that ADHD is recognized as a serious mental health issue and that it has significant impact on the lives of people. In some areas, waiting times can be as long as four years. The charity ADHD UK called for urgent actions to improve the situation.
The problem is being exacerbated by a growing awareness of the condition and a rise in the demand for treatments. NHS services are struggling to keep pace with the demand, and a large number of patients are choosing to seek treatment through private healthcare providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to select for private health care from any provider.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in parts of the country. The service has seen a dramatic increase in the number of adults who seek an assessment, which is currently exceeding its capacity. Those who choose to go the private route are typically more successful, since private psychiatrists are more adept at dealing with adults and are more familiar with the nuances of the condition. They are also more likely to have experience in managing co-morbidities, like anxiety and depression, which can often be associated in ADHD.
However, many are still concerned about the quality of private assessments and their potential to over-diagnose the condition. The issue was brought to the attention of the public when a BBC Panorama investigation exposed the ways in which private clinics were awarding diagnoses without due process. Some have even accused the programme of stoking stigma and stereotyping against people with 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 unfortunate that some people who require assistance are forced to seek it out privately and the NHS must come up with ways to deal with the issue. In the meantime, if you think you might have ADHD, you can try the free test offered by a charity or pay for an assessment from a private psychiatrist. These are typically cheaper than the NHS, but will not provide the prescription for medication.
Second opinion
It is crucial to seek out a diagnosis if you are suffering from symptoms of ADHD. A clear diagnosis will allow you to take steps to manage your symptoms, which includes medication. You may also be directed to a psychiatrist for additional therapy. There are numerous private clinics that provide diagnosis and titration services. These clinics are usually very experienced with the wide range of adults with ADHD, including both genders. They also can screen for co-morbidities like anxiety and depression.
Private ADHD assessments can be costly however, they are generally much quicker than NHS waiting times. Typically, you will pay for a first assessment and then have follow-up appointments as needed. If you are insured that covers you, it is likely to cover these appointments. These appointments are conducted by trained nurses with a particular interest in ADHD and are able to assess it. The initial appointment will normally consist of clinical interviews and grading scales. You will also be required to complete questionnaires and you could be referred to additional tests, such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost includes both assessment time and the titration fee. Certain private ADHD assessments offer titration apart from diagnosis and are less expensive. However the process of titration takes longer and requires more appointments.
The quality of private ADHD assessments has come under scrutiny after the BBC's Panorama investigation revealed that one patient spent three years waiting for an NHS assessment before turning to an unofficial clinic in desperate need. The BBC investigation revealed a variety of instances in which patients received the diagnosis of ADHD and then taken off. This is a serious problem because it can be extremely stressful for patients to be wrongly diagnosed and prescribed medications with adverse negative side effects.
In Scotland the cost of an ADHD assessment is PS1,335 and includes the initial assessment as well as titration. Most health insurance policies cover these assessments. However, it is important to check whether you're covered.
Referral to a specialist clinic
If your GP refers to a specialist clinic, the doctor will ask you questions and perform an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and if they match the criteria for diagnosis. They will also look for any co-morbidities (other mental health conditions) that might be present. These include depression and anxiety. The clinician will then discuss the treatment options with you, including medication if needed.
During an assessment the psychiatrist will ask you about your family history and current issues at home and work. They will also ask you about any medications you are taking. The interview will be structured and you can bring an adult or a relative to help you with the information. The examination will typically require several sessions to reach a diagnosis. Some clinics offer a comprehensive evaluation, while others will only test specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny after a Panorama investigation. Undercover reporter for the programme was diagnosed with ADHD in three private clinics while his doctor said he didn't have ADHD. The BBC claimed that the report was an example of "over-diagnosis" by private firms. However doctors are only able to refer patients for further examination or prescribe medication when they adhere to strict guidelines.
Many doctors will not sign a shared care agreement with the NHS, which is the only way they can transfer the patient's care to the NHS after a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. GPs should also note that a lot of private psychiatrists will not prescribe medication, which may make it difficult for patients to receive the treatment they require.
Ask your GP to refer you for an ADHD assessment If they haven't done so already. You should be able to find out the estimated wait time by contacting your local mental health clinic or using the Right To Choose website. The site lets you choose an online ADHD assessment service which will be provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can transform your life. It not only helps individuals understand themselves better, but it also helps them and their family and friends better support them. In addition, it could aid them in determining a suitable treatment strategy. However, getting a diagnosis is not always easy. Especially in the UK where people are facing long waiting times for an assessment from the NHS. This can be a problem for many people who are looking to be diagnosed as having ADHD.
If you are unable to wait, it is possible to request a private assessment with an experienced specialist psychiatrist. This will save you time and also a visit to your GP. This isn't a fast process and can take months however, it will give you more precise diagnosis than the NHS one. You should ensure that the person performing your assessment is 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 consultation with a psychiatrist, including questions regarding your mental health and childhood experiences. private adhd assessment uk will employ rating scales to inquire about your struggles at school, at work or in relationships. The doctor will also discuss other symptoms that could be indicative of ADHD.
The psychiatrist will then send an extensive ADHD report to your GP with your consent. If necessary, they'll prescribe medication. They can also assist you to get other types of assistance, like mentorship and support for studying skills. If you are a student, they will assist you with applying for Disabled Students Allowance.
It's not a good idea to cut corners however, the NHS is overwhelmed and underfunded. Some people try to cut corners by using online assessments or private clinics that offer fast appointments but with not having any expert clinical knowledge. These methods should be avoided. However, those with ADHD should still seek a diagnosis as long as they are able to afford it.