ADHD Assessment in the UK
A thorough ADHD evaluation is usually an extensive process. A psychiatrist will assess whether your symptoms cause significant impairment, and also rule out other illnesses like thyroid issues or depression. They might also request older school reports or other evidence to back up their claims.
It is essential that the person assessing you is an ADHD expert. This applies to GP's and consultant psychiatrists alike.
Waiting times
In the UK adults who require an ADHD diagnosis are waiting for years to get an appointment with a psychiatrist. The condition is classified as a serious mental disorder that has a significant impact on people's daily lives. 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 issue is being exacerbated by a growing awareness of the condition, as well as an increase in the demand for treatment. NHS services are struggling to keep pace with the demand, and a large number of patients are opting to seek treatment from private healthcare providers. This has been facilitated by the recent introduction of the Right to Choose scheme, which allows patients to select for private healthcare from any provider.
One such service 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 people seeking an assessment, and is currently outpacing its capacity. Private psychiatrists are more adept in dealing with adults, and are better able to recognize the subtleties of ADHD. They are also more likely to be experienced in managing co-morbidities like anxiety and depression that are frequently associated with ADHD.
However, many people are still concerned about the quality of private assessments and the potential for them to over-diagnose the disease. BBC Panorama exposed how some private clinics were able to diagnose patients without following due process. Some have accused the programme of stoking stigma and stereotypes against those who suffer from ADHD.
The BBC should be commended, however, for exposing the issue and highlighting the adults who require an ADHD diagnosis. It is a shame that some people who need assistance are forced to seek it out privately and the NHS needs to work out ways to deal with the issue. If you suspect you may have ADHD, try a free screening with a charity or pay for an appointment with a private psychiatrist who will assess you. These are usually cheaper than the NHS but they do not come with a prescription.
Second opinion
It is important to seek a diagnosis if you're experiencing symptoms of ADHD. A correct diagnosis can aid in managing your symptoms and prescribe medication. You could be referred to a psychiatrist as part of your treatment. Many private clinics provide diagnosis and adjustment. These clinics are generally adept with the various types of adults who may have ADHD which includes women and men. They also can screen for co-morbidities such as depression and anxiety.
Private ADHD assessments are costly however the waiting times for NHS services are significantly longer. Typically, you'll pay for the initial assessment and then be able to schedule follow-up appointments as needed. These appointments will be covered by your insurance plan if you have it. These appointments will be performed in a professional manner by nurses who are certified and have a specific interest in ADHD. The initial appointment will normally involve clinical interviews and rating scales. You could be required to complete questionnaires and be referred to for further tests, such as an MRI.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The cost covers the assessment time and titration fees. Certain private ADHD assessments provide titration that is separate from diagnosis and can be cheaper. Titration process takes longer and requires appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient had spent three years waiting for an NHS assessment before deciding to go to a private clinic to try and find. The BBC investigation exposed a number of instances where patients were given an assessment of ADHD but were later taken off. This is a serious problem because it can be extremely stressful for patients to be incorrectly diagnosed and prescribed medication that has adverse 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 plans offer these tests but it's worth checking with your insurer to determine if your policy does.
Referral to an expert clinic
If your GP suggests you visit an expert clinic, the specialist will ask you questions and conduct an assessment of your clinical needs. They will assess whether your symptoms are indicative of ADHD and if they match the diagnostic criteria for the condition. They will also look for any co-morbidities (other mental health conditions) that might be present. They are typically anxiety and depression. The doctor will then discuss treatment options with you, including medication if appropriate.
During an assessment, the psychiatrist will ask you about your family history as well as current issues at work and home. They will also inquire about any medications you are taking. They will then conduct a structured interview, and you should bring an adult friend or relative with you to provide any additional information. It typically takes a few visits to determine a diagnosis. Some clinics will offer an entire evaluation, while others will only look at specific symptoms.
private adhd assessment uk into the poor treatment of ADHD in the NHS has brought the issue to the fore. The undercover reporter on the show was diagnosed with ADHD in three private clinics, while his GP claimed he didn't have it. The BBC claimed that the report was an instance of "over-diagnosis" by private firms. However, GPs are only allowed to refer patients for further examination or prescribe medications in accordance with strict guidelines.
Many GPs are unwilling to sign a contract for shared care with the NHS. This is the only way to transfer the treatment of their patients to the NHS following a private diagnosis. They feel they are not experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications to their patients, which may make it difficult for patients to get the treatment they need.
If your GP hasn't yet referred you to an ADHD assessment, ask them to refer you. You can find out the estimated waiting time by contacting your local mental health service or by visiting the Right To Choose website. The site allows you to choose an online ADHD assessment service that will be provided by the NHS.
Confirmation of diagnosis
Being diagnosed with an ADHD diagnosis can be life changing. It aids people in understanding their own behavior and that of their family and friends. In addition, it can aid them in determining a suitable treatment strategy. However, obtaining a diagnosis is not always easy. Especially in the UK, where people are waiting for long periods for an assessment from the NHS. This can be a problem for many who are looking to be diagnosed as having ADHD.
If you are unable to wait, it is possible to self-refer for an assessment in private with a specialist psychiatrist who is experienced. This will save you time and also a visit to your GP. This is a lengthy procedure that could take months. However, it will give you a more accurate diagnoses that those offered by the NHS. It is important to ensure that the person conducting your test is a psychologist or psychiatrist, as these are the only healthcare professionals qualified to diagnose ADHD in the UK.
A private assessment could include an interview with a clinical psychologist or a psychiatrist. The doctor will ask questions regarding your mental health, your childhood history and other factors. The doctor will also employ rating scales and ask about your current struggles with work, school, and relationships. The doctor will also talk about other symptoms that could be indicative of ADHD.
This will produce an extensive ADHD assessment report that the psychiatrist will provide to your GP with your permission. They will also recommend medication if appropriate. They will also help you access other forms of support, including mentoring and study skills support. They will also assist you in applying for Disabled Student Allowance if you are a student at a university.
While it is not ideal to cut corners however, the reality is that NHS services are overloaded and underfunded. Some people try to cut corners using online assessments or private clinics with quick appointments and lack of medical expertise. These methods should be avoided, however there's no reason to think that people with ADHD shouldn't seek a diagnostic appointment if they are able to afford it.