ADHD Assessment in the UK
An ADHD assessment is usually a fairly thorough procedure. A psychiatrist will evaluate whether your symptoms cause significant impairment and rule out other conditions such as depression or thyroid problems. They may also request old school records as well as other evidence.
It is important that the person performing your assessment is an expert in ADHD. This applies to GP's and consultants as well.
Waiting times
Adults in the UK who need an ADHD diagnosis are forced to wait for years to see psychiatrists for years. The condition is acknowledged as a serious mental disorder that has an enormous impact on the daily 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 issue is being amplified by the increasing awareness of the condition, as well as a rise in demand for treatments. NHS services are struggling to keep up with the demand, and a lot of patients are choosing to seek treatment from private healthcare providers. This is made easier by the recent introduction of the Right to Choose scheme, which allows patients to opt for private healthcare from any provider.
Psychiatry UK is one such service that provides an online ADHD assessment and prescriptions for the NHS. The service has seen a dramatic increase in the number of adults seeking an assessment, which is currently outpacing its capacity. Private psychiatrists are more experienced in dealing with adults, and are better able to comprehend the nuances of ADHD. They are more likely to have experience managing co-morbidities, such as anxiety and depression that can be a result of ADHD.
Many people are still worried about the quality of private assessments and the possibility for them to misdiagnose the disease. The issue was brought to the public's attention when an BBC Panorama investigation exposed the ways in which private clinics were giving diagnoses without due process. Some have even claimed that the program is promoting stigma and stereotypes against those with ADHD.
However the BBC deserves praise for exposing the issue and highlighting the dire situation of adults who require an ADHD diagnosis. It's a shame that some people who need this help are being forced to seek it out privately and the NHS needs to work out ways to deal with the issue. In the meantime, if you think you may have ADHD You can try a free screening with a charity or pay for an assessment from a private psychiatrist. These are usually cheaper than the NHS however they don't include prescriptions.
Second opinion
If you're experiencing symptoms of ADHD It is crucial to get a diagnosis. A correct diagnosis will aid in managing your symptoms and prescribe medications. You may be referred to see a psychiatrist as part of your treatment. There are a variety of private clinics offering diagnosis and titration treatments. These clinics are usually very familiar with the vast range of adults with ADHD, including men and women. They also look for co-morbidities, such as depression and anxiety.
Private ADHD assessments can be expensive however, they are generally significantly faster than NHS waiting times. Typically, you pay for the initial assessment, and then 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 trained and have a special interest ADHD. Initial appointments usually involve clinical interviews and rating systems. You will also be asked to complete questionnaires, and you could be referred to further tests such as an MRI or EEG.
It is possible to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The cost includes both the assessment time as well as the cost of titration. Certain private ADHD assessments offer titration separate from diagnosis and are less expensive. The process of titration takes longer and requires additional appointments.
The BBC's Panorama investigation has revealed that one patient waited for three years to receive an NHS evaluation, before going to a clinic in desperate need. The BBC investigation revealed a number cases where patients received a diagnosis of ADHD and then taken off. This is a serious issue since it can be very distressing for patients to be wrongly diagnosed and prescribed medications with adverse side effects.
In Scotland, an ADHD assessment costs PS1,335 that includes the initial assessment and the titration. The majority of health insurance policies cover these tests. However, it's worthwhile to verify whether you're covered.
Referral to an expert clinic
If your GP refers you to a specialist clinic, the clinician will ask you questions and perform a clinical assessment. They will determine if your symptoms are indicative of ADHD and if they match the criteria for diagnosing. They will also assess for any co-morbidities (other mental health issues) that might be present. Most often, these are depression and anxiety. The doctor will then discuss treatment options with you, including medication if appropriate.
During an assessment the psychiatrist will inquire you about your family history and current issues 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. It usually takes a few sessions to arrive at an accurate diagnosis. Some clinics offer a comprehensive assessment, and others will only test for specific symptoms.
The poor quality of NHS ADHD services has come under scrutiny following an Panorama investigation. The reporter on the programme was diagnosed with ADHD at three private clinics - while his GP claimed that he did not have the condition. The BBC claimed that the story was an example of "over-diagnosis" by private firms. However doctors are only able to refer patients to further investigation or prescribe medication in accordance with strict guidelines.
Many doctors will not sign an agreement to share care with the NHS, which is the only way they can transfer their patient's care to the service after an individual diagnosis. They how much is an adhd assessment believe they aren't experts in ADHD or psychiatry. Private psychiatrists are not the only ones who do not prescribe medication 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 do so. You can determine your estimated waiting time by calling your local mental health clinic or by using the Right To Choose site. The site lets you select an online ADHD Assessment service that will be offered by NHS.
Confirmation of diagnosis
A diagnosis of ADHD can alter your life. It not only helps individuals better understand themselves and their needs, but it also helps them as well as their family and friends better assist them. It can also help them identify the right treatment plan. However, obtaining a diagnosis is not always straightforward. 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 trying to determine if they are having ADHD.
If you are unable to wait, you can refer yourself to an expert psychiatrist for a private evaluation. This can save you time and also a visit to your GP. It is not an easy procedure and could take months however, it will give you more precise diagnosis than the NHS one. It is crucial to make sure that the person running the test is a psychiatrist or psychologist, as these are the only healthcare professionals competent to assess ADHD in the UK.
A private assessment could include an interview with a psychiatrist. There will be questions about your mental health, childhood history and other aspects. The doctor will use rating scales to ask about your struggles at work, in school, or in relationships. The doctor will also discuss other symptoms that could be indicative of ADHD.
The result will be an extensive ADHD assessment report that the psychiatrist will send to your GP with your permission. If necessary, they'll also prescribe medication. They will also help you find other ways of support, including mentoring and study skills support. If you are a student, they will assist you in applying for Disabled Students Allowance.
While it is not ideal to cut corners, the reality is that NHS services are overwhelmed and underfunded. In the end, there are people who try to cut the line by using online assessments and private clinics that provide quick appointments with little or any clinical expertise. These shortcuts are to be avoided. However, those with ADHD should still seek out a diagnosis when they can afford it.