ADHD Assessment in the UK
An ADHD assessment is usually an extremely thorough procedure. A psychiatrist will determine if your symptoms are causing significant impairment and will rule out other conditions like depression or thyroid. They might also request older school reports or other supporting evidence.
It is essential that the person performing your assessment is a specialist in ADHD. This is true for GP's and consultant psychiatrists alike.
Waiting at various times
Adults in the UK who need an ADHD diagnosis are left waiting years to see psychiatrists. This is despite the fact that the condition is recognised as a serious mental health issue and has profound impact on the lives of people. In certain areas waiting times can last 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, as well as a rise in the demand for treatment. NHS services are struggling to meet demand and many patients choose to seek treatment from private providers. This has been made easier 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 that offers an online ADHD assessment and medications for the NHS. The number of adults seeking an assessment has increased dramatically and is currently over its capacity. People who opt to take the private route are generally much better off, as 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 that are frequently associated with ADHD.
However, many are still worried about the assessment of private patients and their potential to over-diagnose the illness. 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 stereotyping against people who suffer from ADHD.
However, the BBC deserves praise for exposing the issue and highlighting the suffering of adults who require an ADHD diagnosis. It's unfortunate that some of those who need this assistance are being required to seek it privately and the NHS needs to work out ways to address the situation. If you think you might be suffering from ADHD, try a free test with a charity or pay for a private psychiatrist to evaluate you. They are usually less expensive than the NHS, but will not issue prescriptions for medication.
Second opinion
If you are struggling with symptoms of ADHD It is essential to be diagnosed. A correct diagnosis will enable you to take the necessary steps to manage your symptoms, including medication. You may be referred to a psychiatrist as part of your treatment. Private clinics often offer diagnosis and titration. These clinics have a lot of experience with a wide range of adults, both women and men, who might suffer from ADHD. They can also test for co-morbidities like depression and anxiety.
Private ADHD assessments are costly however, wait time for NHS services are more lengthy. The typical cost is the initial assessment, and then schedule subsequent appointments if required. These appointments are covered by your insurance plan if you have it. These appointments are conducted by trained nurses who have a special interest in ADHD and are certified to evaluate it. Initial appointments usually include clinical interviews and rating systems. You may also be asked to fill out 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 as well as titration costs. Some private ADHD assessments offer titration separately from diagnosis, and this can be less expensive. However the process of titration takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited three years for an NHS assessment, before turning to a clinic in desperate need. The BBC investigation highlighted a number of cases where patients were diagnosed of ADHD that was later withdrawn. This is a serious issue, as it can be very distressing for patients to be wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 which includes the initial assessment and the adjustment. The majority of health insurance companies will cover these tests however it is worthwhile to inquire with your insurance company to determine if your policy does.
Referral to a specialist clinic
If your GP refers to a specialist clinic, the doctor will ask questions and perform an evaluation of your clinical condition. They will determine whether your symptoms are indicative of ADHD, and if they are in line with the diagnostic criteria. They will also search for co-morbidities, or any other mental health issues. They are typically anxiety and depression. The clinician will then discuss possible 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 home and work. They will also inquire about any medications that you are taking. The interview will be planned and you can bring your family member or friend to assist you understand the information. The assessment will usually require a few sessions to determine the diagnosis. Some clinics offer an entire evaluation, while others will only look at specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny following a Panorama investigation. The undercover reporter on the show was diagnosed with ADHD in three private clinics while his GP claimed he didn't have ADHD. The BBC claimed that the story was an instance of "over-diagnosis" by private companies. However doctors are only permitted to refer patients to further examination or prescribe medication when they adhere to strict guidelines.
Many GPs refuse 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. cost of private adhd assessment feel they are not experts on ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medications for their patients, which may make it difficult for patients to get the treatment they require.
Request your GP to refer you for an ADHD evaluation If they haven't done so already. You can determine the estimated wait time by calling your local mental health services or by visiting the Right To Choose site. The site allows you to choose an online ADHD assessment service that will be offered by the NHS.
Confirmation of diagnosis
A diagnosis of ADHD can change your life. It can help people understand their own behavior and that of their family and friends. It also helps them identify the right treatment plan. It's not always easy to determine a diagnosis. Particularly in the UK, where people have to wait for a long time for an assessment by the NHS. This can be frustrating for those who wish to be diagnosed with ADHD.
If you are unable to wait, you can self-refer to a specialist psychiatrist for a private evaluation. It will help you be able to save time and avoid having to go to your GP. This is a lengthy process that could take months. However it will provide you with an accurate diagnosis that those offered by the NHS. It is crucial to ensure that the person who conducts the test is a psychologist or psychiatrist because they are the only healthcare professionals qualified 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 childhood history. The doctor will also employ rating scales and ask about your current struggles in work, school, and relationships. The doctor will also address other symptoms that could indicate ADHD.
This will result in an extensive ADHD assessment report, which the psychiatrist will forward to your GP with your consent. They may also prescribe medication if needed. They can also help with other forms of help, like study skills and mentoring. They will also help you in applying for Disabled Student Allowance if you are a student at university.
It is not ideal to cut corners however the NHS is overwhelmed and underfunded. Some people try to cut corners using online assessments or private clinics with quick appointments and lack of medical expertise. These shortcuts should be avoided. However, those suffering from ADHD should still seek a diagnosis when they can afford it.