ADHD Assessment in the UK
A thorough ADHD assessment is generally an extensive process. A psychiatrist will determine whether your symptoms are causing significant impairment, and rule out other conditions such as depression or thyroid. They may also request old school records and other supporting evidence.
It is essential that the person carrying out your assessment is a specialist in ADHD. This applies to psychiatrists and GPs alike.
Waiting at various times
In the UK adults who require an ADHD diagnosis are being left waiting for years to get an appointment with a psychiatrist. The condition is recognized as a serious mental disorder that can have an impact on people's daily lives. In some regions waiting times can last as long as four years. The charity ADHD UK has called for urgent actions to improve the situation.
The issue is amplified by the increasing awareness of the condition and a rise in the demand for treatments. NHS services are struggling with demand and many patients choose to seek treatment from private providers. The Right to Choose scheme has made it easier for patients to choose private healthcare providers.
One of these services is Psychiatry UK, which operates an online ADHD assessment and medication service for the NHS in parts of the country. The number of adults requesting an assessment has exploded, and is currently exceeding its capacity. Those who choose to go the private route are generally much better off, as private psychiatrists are accustomed to dealing with adults and are more knowledgeable about the specifics of the condition. They are also more likely to be experienced in managing co-morbidities such as depression and anxiety which are often present with ADHD.
Many people are worried about the quality of private assessments and the potential for them to overdiagnose the illness. The issue came to the public's attention after an BBC Panorama investigation exposed the way in which some private clinics were awarding diagnoses without proper procedure. Some have even accused the program of inciting stigma and stereotypes against those with ADHD.
The BBC should be commended however, for exposing this issue and highlighting the adults who require an ADHD diagnosis. It is a shame that some people who require this assistance are being forced to seek it privately and the NHS must come up with ways to deal with the issue. In the meantime, if you suspect you might be suffering from ADHD, you can try the free test offered by an organization, or pay for an assessment from a private psychiatrist. These are usually cheaper than the NHS however they don't include a prescription.
Second opinion
If you are struggling with symptoms of ADHD, it is important to be diagnosed. An accurate diagnosis will allow you to take the necessary steps to manage your symptoms, including medication. You could also be recommended to a psychiatrist additional therapy. There are many private clinics offering diagnosis and titration treatments. These clinics are typically familiar with the vast range of adults who may have ADHD which includes both genders. They are also able to screen for co-morbidities, like anxiety and depression.
Private ADHD assessments can be costly however they are typically significantly faster than NHS waiting times. You will typically pay for the initial assessment, and then arrange follow-up appointments if needed. These appointments are covered by your insurance if you have it. These appointments will be performed in a professional manner by nurses who are trained and have a particular interest in ADHD. The initial appointment will usually involve clinical interviews and rating scales. You may be asked to complete questionnaires and be referred to for further tests, for example, an MRI.
It is possible to pay between PS500 and PS1,200 at a private facility for an ADHD assessment. The price includes assessment time as well as titration costs. Some private ADHD assessments allow titration apart from diagnosis, and this may be less expensive. The process of titration takes longer and requires additional appointments.
The quality of private ADHD assessments has been questioned after the BBC's Panorama investigation revealed that one patient spent three years waiting for an NHS assessment before turning to an unofficial clinic in desperate need. The BBC investigation exposed a variety of cases where patients were diagnosed of ADHD which was later removed. This is a serious issue because it can be extremely stressful for patients to be wrongly diagnosed and prescribed medications with adverse consequences.
In Scotland the Scottish government, an ADHD assessment costs PS1,335 that includes the initial assessment as well as the adjustment. The majority of health insurance companies will cover these tests but it's worthwhile to inquire with your insurance company to determine if your policy does.
Referral to an expert clinic
If your GP refers you to a specialist clinic, the doctor will ask you questions and carry out a clinical assessment. They will determine if your symptoms are a sign of ADHD and determine if they meet the criteria for diagnosing the condition. They will also check for any co-morbidities (other mental health conditions) that may be present. Often, these will be anxiety and depression. The doctor will then discuss treatment options with you, including medication, if necessary.
During an assessment the psychiatrist will inquire you about your family history and current issues at work and home. They will also ask about any medications that you're taking. They will then conduct a formal interview, and you should bring an experienced family member or friend along to provide additional information. It typically takes a few sessions to determine an accurate diagnosis. Some clinics offer an entire evaluation, while others will only look at specific symptoms.
Panorama's investigation into the inadequate treatment of ADHD in the NHS has brought it to light. Undercover reporter for the programme was diagnosed with ADHD in three private clinics, while his GP said he didn't have it. The BBC claimed that the story was a case of "over-diagnosis" by private companies. However doctors are only permitted to refer patients to further investigation or prescribe medication when they adhere to strict guidelines.
Many doctors will not sign an agreement to share care with the NHS, which is the only way that they can transfer their patient's care to the service following a private diagnosis. They believe they aren't experts in ADHD or psychiatry. The GP should also be aware that many private psychiatrists will not prescribe medication, which may make it difficult for patients to get the treatment they need.
Ask your GP to refer you for an ADHD assessment in the event that they haven't yet. You can determine your estimated waiting time by calling the local mental health services or using the Right To Choose site. The site lets you choose an online ADHD assessment service that is provided by NHS.
Confirmation of diagnosis
Achieving an ADHD diagnosis can be life changing. It aids people in understanding their own behavior and that of their family and friends. It can also help them identify the right treatment plan. However, getting a diagnosis is not always easy. Particularly in the UK where patients have to wait for a long time for an assessment by the NHS. This can cause anxiety for many people who want to be diagnosed with ADHD.
If you're not able to wait, it is possible to self-refer for an appointment by a qualified specialist psychiatrist. This will help you save time and a trip to your GP. It is not an easy process and can take a long time, but it will provide you with a more accurate diagnosis than the NHS one. It is essential to ensure that the person conducting the test is a psychiatrist or psychologist since they are the only healthcare professionals who are qualified to determine ADHD in the UK.
A private evaluation will likely consist of a medical interview with a psychiatrist. This will include questions about your mental health and your childhood history. The doctor will utilize rating scales to inquire about your struggles at school, at work or in relationships. The doctor will also address other symptoms that could be indicative of ADHD.
The result will be a comprehensive ADHD assessment report, which the psychiatrist will provide to your GP with your permission. They will also offer medication if appropriate. They can also assist with other forms of support, including study skills and mentoring. They will also help you in applying for Disabled Student Allowance if you are a student at university.
It is how much for private adhd assessment not ideal to cut corners however, the NHS is overburdened and underfunded. Some people attempt to save money by 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.