ADHD Assessment in the UK
An ADHD evaluation is typically a pretty thorough process. A psychiatrist will assess whether your symptoms cause significant impairment and will rule out other illnesses such as thyroid issues or depression. They might also request older school reports or other supporting evidence.
It is crucial that the person performing your assessment is an expert in ADHD. This is the case for both GPs and psychiatrists.
Waiting times
In the UK, adults who need an ADHD diagnosis are waiting for years for an appointment with psychiatrists. The condition is classified as a serious mental disorder with a significant impact on the lives of people. The situation is more difficult in some areas, with waiting periods up to four years. The charity ADHD UK has called for urgent action to improve the situation.
The issue is made worse by the growing awareness of the condition and the rising demand for treatment. NHS services are struggling to meet the demand and many patients decide to take care of themselves through private 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.
Psychiatry UK is one such service, which provides an online ADHD assessment and medication for the NHS. The number of adults who want an assessment has exploded and is currently over its capacity. Those who choose to go the private route are usually much better off, as 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 be experienced in managing co-morbidities, like anxiety and depression which are often associated with ADHD.
However, many are concerned about the assessment of private patients and the risk of them over-diagnosing the condition. The issue was brought to the public's attention when an BBC Panorama investigation exposed the ways in which private clinics were granting diagnoses without proper procedure. Some have claimed that the program is perpetuating stereotypes and stigmas of people with ADHD.
The BBC should be commended, however, for exposing this issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some are forced to seek help privately. The NHS should find a way to fix this problem. If you think you may have ADHD Consider a no-cost screening with an organization or charity, or pay for an appointment with a private psychiatrist who will assess you. These are typically cheaper than the NHS but they do not give the prescription for medication.
Second opinion
If you're struggling with symptoms of ADHD It is essential to receive a diagnosis. A correct diagnosis will help you manage your symptoms and prescribe medications. You could be advised to see a psychiatrist as part of your treatment. Many private clinics provide diagnosis and titration. These clinics are typically familiar with the vast range of adults who may have ADHD, including both genders. They are also able to look for co-morbidities, like anxiety and depression.
Private ADHD assessments can be costly however they are typically much quicker than NHS waiting times. You typically pay for the initial assessment, and then schedule follow-up appointments if needed. If you are insured and coverage, it will 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 typically involve clinical interviews and rating scales. You could also be asked to complete questionnaires and referred for additional tests, for example, an MRI.
You can expect to pay between PS500 and PS1,200 in a private clinic for an ADHD assessment. The cost covers the assessment time as well as titration costs. Certain private ADHD assessments offer titration apart from diagnosis and can be cheaper. However the process of titration takes longer and requires more appointments.
The quality of private ADHD assessments is under scrutiny following 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. The BBC investigation exposed a variety of cases in which patients were diagnosed of ADHD that was later withdrawn. This is a serious issue because it can be extremely stressful for patients to have their symptoms incorrectly diagnosed and prescribed medication that has adverse side effects.
In Scotland, an ADHD assessment costs PS1,335 which includes the initial assessment and the adjustment. Most health insurers offer these tests, but it's important to check with your insurance provider to determine if the policy you have covers them.
Referral to an expert clinic
If your GP refers to an expert clinic, the physician will ask questions and perform an evaluation of your clinical condition. They will assess whether your symptoms are a sign of ADHD and if they match the criteria for diagnosis of the condition. They will also search for co-morbidities, or other mental health issues. They are typically depression and anxiety. The clinician will discuss with you the treatment options that are available, including medication if required.
During the assessment you will be asked questions about your family background and current problems at home and work. They will also inquire about any medications you are taking. The interview will be organized and you may bring along a friend or relative to help you understand the information. The examination will typically require several sessions to establish an accurate diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms.
Poor provision of NHS ADHD services has come under scrutiny in the wake of a Panorama investigation. The undercover reporter was diagnosed with ADHD in three private clinics while his doctor said he didn't have it. The BBC claimed that the story was an instance of "over-diagnosing" by private companies, but GPs are only able to refer patients for further investigations or prescribe medication according to strict guidelines.
Many doctors are reluctant to sign a contract for shared treatment with the NHS. This is the only way for them to transfer the patient's care to the NHS after a private diagnosis. They feel they are not experts on ADHD or psychiatry. Many private psychiatrists do not prescribe medication for their patients, which can make it difficult for patients to get the treatment they need.
Ask your GP to refer you for an ADHD evaluation in the event that they haven't yet. You can determine the estimated wait time by contacting the local mental health services, or by using the Right To Choose website. The site allows you to select an online ADHD assessment service, which will be offered by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. It can help people understand themselves and also their family and friends. In addition, it can assist them in finding a suitable treatment plan. However, obtaining a diagnosis is not always easy. Particularly in the UK where people have to wait for a long time for an assessment from the NHS. This can be a major issue for those seeking to be diagnosed as having ADHD.
If you're unable to wait, it's possible to self-refer for an assessment in private by a qualified specialist psychiatrist. This will help you save time and a trip to your GP. This isn't a fast process and can take months however, it will provide you with more precise diagnosis than the NHS more info one. It is important to ensure that the person running your assessment is a psychiatrist or psychologist, as these are the only healthcare professionals who are qualified to diagnose ADHD in the UK.
A private evaluation could involve a clinical interview conducted by psychiatrists. Questions will be asked about your mental health, childhood history and other aspects. The doctor will utilize rating scales to inquire about your struggles at school, at work or in relationships. The doctor will also talk about other symptoms that could be indicative of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. If necessary, they'll prescribe medication. They can also assist you to find other ways of support, including tutoring and support for your study skills. If you're a student, they will assist you with applying for Disabled Students Allowance.
It's not ideal to cut corners however, the NHS is overwhelmed and underfunded. Some people attempt to cut corners by using online assessments or private clinics that offer short appointments and lack of expert clinical knowledge. These methods should be avoided, however there's no reason to think that those suffering from ADHD should not seek a diagnosis appointment when they can afford it.