ADHD Assessment in the UK
An ADHD evaluation is typically a fairly thorough process. A psychiatrist will determine whether your symptoms cause significant impairment, and will rule out other conditions such as thyroid or depression. They may also request old school records as well as other evidence.
It is essential that the person carrying out your assessment is an expert in ADHD. This is true for psychiatrists and GPs alike.
Waiting times
In the UK, adults who need an ADHD diagnosis are waiting for years for an appointment with a psychiatrist. This is despite the fact that ADHD is recognised as an extremely serious mental health condition and that it has significant impacts on people's lives. In some regions waiting time can be as long as four years. The charity ADHD UK called for urgent action to improve the situation.
The problem is being worsened by the growing awareness of the condition and a rise in the demand for treatment. NHS services are struggling to meet demand and many patients choose to take care of themselves through private providers. The Right to Choose scheme has made it easier for patients to choose private health providers.
Psychiatry UK is one such service that offers an online ADHD assessment and medications for the NHS. It has seen a surge in the number of adults seeking an assessment, and is currently outpacing its capacity. If you choose to go the private route are typically more successful, since private psychiatrists are more adept at dealing with adults and will be more knowledgeable about the specifics of the condition. They are also more likely to be experienced in managing co-morbidities, like anxiety and depression which are often present with ADHD.
However, many are still concerned about the assessment of private patients and their potential to over-diagnose the condition. BBC Panorama exposed how some private clinics have made diagnoses without following the correct procedure. Some have accused the program of propagating stigma and stereotypes about people suffering from ADHD.
However, the BBC should be commended for exposing this problem and highlighting the plight of adults who require an ADHD diagnosis. It's a shame some people are forced to seek help privately. The NHS must find a way to fix this problem. In the meantime, if you suspect you might have ADHD You can take advantage of a free screening with an organization, or take advantage of an assessment by private psychiatrists. These are usually cheaper than the NHS but do not include prescriptions.
Second opinion
It is important to seek a diagnosis if you are experiencing symptoms of ADHD. A correct diagnosis can aid in managing your symptoms and also prescribe medication. You could be recommended to a psychiatrist additional treatment. There are many private clinics that offer diagnoses and titration treatments. These clinics are generally adept with the various types of adults who may have ADHD as well as both genders. They can also screen for co-morbidities, such as depression and anxiety.
Private ADHD assessments are costly however, waiting times for NHS services are significantly longer. The typical cost is the initial assessment, and then arrange follow-up appointments if needed. If you have insurance that covers you, it is likely to cover these appointments. These appointments will be performed in a professional manner by nurses who are certified and have a special interest ADHD. Initial appointments typically involve clinical interviews and rating systems. You may be asked to fill out questionnaires and be referred to for further tests, for example, an MRI.
A private clinic will charge you between PS500 to PS1,200 for an ADHD assessment. The cost includes both the assessment time as well as titration fees. Certain private ADHD assessments provide titration that is separate from diagnosis, and may be less expensive. The process of titration 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 an unofficial clinic in desperate need. The BBC investigation highlighted a number of cases in which patients were diagnosed of ADHD which was later removed. This is a serious problem since it can be very 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 as well as the titration. Most health insurers will cover these tests, but it's worthwhile to inquire with your insurance company to determine if your policy does.
Referral to a specialist clinic
If your GP refers you to a specialist clinic, the doctor will ask you questions and conduct an assessment of your clinical needs. They will determine if your symptoms are indicative of ADHD and if they meet the criteria for diagnosis of the condition. They will also look for any co-morbidities (other mental health conditions) that may be present. Most of the time, these are anxiety and depression. The clinician will discuss with you the options for treatment and medications if needed.
During the test you will be asked questions about your family background and current problems at home and work. They will also ask you about any medications that you are taking. The interview will be organized and you may bring your family member or friend to help you understand the information. The assessment will usually require several sessions to reach a diagnosis. Some clinics will provide an entire evaluation, while others will only test specific symptoms.
The ineffectiveness of NHS ADHD services has come under scrutiny following an Panorama investigation. The undercover reporter was diagnosed with ADHD in three private clinics while his GP claimed that he did not have ADHD. The BBC argued that the report was an example 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 care with the NHS. This is the only way they can transfer the care of their patients to the NHS following 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 medications, which could make it difficult for their patients to receive the treatment they need.
If your GP hasn't referred you for an ADHD assessment request them to do so. You can find out the estimated wait time by calling the local mental health service or using the Right To Choose site. The site allows you select an online ADHD assessment service that is provided by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. It aids people in understanding themselves and also their family and friends. It can also help them determine the best treatment plan. However, getting an assessment isn't always straightforward. Especially in the UK where patients have to wait for a long time for an assessment from the NHS. This can be a problem for many people who are trying to determine if they are having ADHD.
If you're not able 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 is a lengthy process that can take a few months. However, it will give you a more accurate diagnoses that those offered by the NHS. It is essential to ensure that the person running your assessment is a psychiatrist or psychologist since they are the only healthcare professionals qualified to assess ADHD in the UK.
A private assessment may include an interview with a clinical psychologist or psychiatrists. Questions will be asked regarding your mental health, childhood history and other aspects. The doctor will also use rating scales and ask about your current struggles in school, at work, and in relationships. They will also address any other signs you may have which could be indicative of ADHD.
The psychiatrist will then send a comprehensive ADHD report to your GP with your permission. They will also recommend medication if appropriate. They can also assist you to get other types of assistance, like mentoring and study skills support. private adhd assessment cost will also assist with applying for Disabled Student Allowance if are a student at a university.
While it's not ideal to cut corners but the reality is that NHS services are overwhelmed and underfunded. As a result, there are those who attempt to cut the line by using online assessments and private clinics that offer quick appointments with little or no clinical expertise. These methods should be avoided, but there's no reason why people with ADHD should not seek a diagnostic appointment when they can afford it.