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ADHD Assessment in the UK A thorough ADHD assessment is generally an extensive process. A psychiatrist will evaluate whether your symptoms are causing significant impairment and rule out other conditions, such as thyroid or depression. They may also request old school reports or other supporting evidence. It is crucial that the person carrying out your assessment is an expert in ADHD. This is the case for both GPs and psychiatrists. Waiting several times Adults in the UK who need an ADHD diagnosis are forced to wait for years to consult psychiatrists. This is despite the fact that ADHD is recognized as a serious mental health disorder and that it has significant impact on the lives of people. In some areas, waiting times can last as long as four years. The charity ADHD UK called for urgent actions to improve the situation. The issue is made worse by the increasing awareness of this condition as well as the increasing demand for treatment. NHS services are struggling to keep up with the demand, and a large number of patients are choosing to seek treatment through private healthcare providers. This has been made easier by the recent introduction of the Right to Choose scheme, which allows patients to select for private health care from any provider. Psychiatry UK is one such service that provides an online ADHD assessment and prescriptions for the NHS. The number of adults requesting an assessment has grown exponentially and is currently surpassing the capacity of the service. If you choose to go the private route are typically much better served, 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 have experience in managing co-morbidities, like anxiety and depression, which can often be associated with ADHD. Many are still concerned about the accuracy of private assessments, and the potential for them to misdiagnose the disease. The issue was brought to the public's attention when a BBC Panorama investigation exposed the method by which some private clinics were granting diagnoses without proper procedure. Some have even accused the programme of stoking stigma and stereotyping against people with ADHD. However the BBC should be commended for exposing this issue and highlighting the suffering of adults who require an ADHD diagnosis. It's unfortunate that some people are forced to seek help privately. The NHS should find a way to remedy this situation. In the meantime, if you suspect you might be suffering from ADHD, you can try an assessment for free with an organization, or pay for an assessment from a private psychiatrist. They are generally less expensive than the NHS but they do not come with prescriptions. Second opinion If you are struggling with symptoms of ADHD It is crucial to receive a diagnosis. A correct diagnosis can aid in managing your symptoms and also prescribe medication. You may be referred to a psychiatrist for additional treatment. There are a variety of private clinics offering diagnosis and titration services. These clinics have lots of experience working with a broad range of adults, both men and women, who might suffer from ADHD. They also test for co-morbidities like anxiety and depression. Private ADHD assessments can be costly however they are typically significantly faster than NHS waiting times. Typically, you'll pay for an initial assessment, and then follow-up appointments if needed. If you are insured, your coverage will likely cover these appointments. These appointments will be conducted by specially trained nurses who have a special interest in ADHD and are certified to assess the condition. The initial appointment will normally include clinical interviews and rating scales. You might be required to complete questionnaires and referred for additional tests, such as an MRI. A private clinic will cost you between PS500 and PS1,200 for an ADHD assessment. The cost includes both the assessment time as well as the titration fee. Certain private ADHD assessments provide titration that is separate from diagnosis and can be cheaper. However, the process of titration takes longer and requires additional appointments. The quality of private ADHD assessments has come under scrutiny after the BBC's Panorama investigation revealed that one patient sat for three years waiting for an NHS assessment before turning to a private clinic in desperation. The BBC investigation revealed a number instances where patients were given an assessment of ADHD and then removed. This is problematic because it can be extremely stressful for people to be incorrectly diagnosed, and a few patients have been given medication that causes negative side effects. In Scotland, an ADHD assessment costs PS1,335 which includes the initial assessment as well as the titration. Most health insurance plans offer these tests however it is important to check with your insurance provider to see if your policy covers them. Referral to specialist clinics If your GP suggests a specialist clinic the clinician will ask you questions and perform a clinical evaluation. They will determine if your symptoms are indicative of ADHD, and if they match the criteria for diagnosis. They will also look for any co-morbidities (other mental health conditions) that may be present. These are often anxiety and depression. The clinician will discuss with you the treatment options that are available, including medication if required. During an assessment the psychiatrist will inquire you about your family history as well as current issues at work and home. They will also ask you about any medications that you are taking. They will then conduct a formal interview, and you should bring an adult friend or relative with you to provide any additional information. The assessment will usually take a few sessions to determine a diagnosis. Some clinics will offer a comprehensive evaluation, while others will focus on specific symptoms. The Panorama investigation into the poor treatment of ADHD in the NHS has brought it to light. The undercover reporter of the show was diagnosed with ADHD at three private clinics, but his GP insisted that he was not suffering from the condition. The BBC claimed that the story was an instance of “over-diagnosis” by private companies. However, GPs are only allowed to refer patients for further investigation or prescribe medication when they adhere to strict guidelines. Many doctors are reluctant to sign an agreement to share treatment with the NHS. This is the only way they can transfer the care of their patients to the NHS after a private diagnosis. This is because they feel that they are not experts in ADHD or psychiatry. Also, GPs should be aware that many private psychiatrists will not prescribe medication, which could make it difficult for their patients to get the treatment they require. If your GP hasn't recommended you for an ADHD assessment and treatment, ask for it. You should be able to find out the estimated waiting time by contacting your local mental health service or by visiting the Right To Choose website. The site lets you select an online ADHD assessment service that will be offered by the NHS. Confirmation of diagnosis A diagnosis of ADHD can change your life. It helps people better understand their own behavior and that of their family and friends. It also assists them to find the right treatment plan. However, getting an accurate diagnosis isn't always straightforward. In the UK people must wait a long time for an NHS assessment. This can be a problem for many who are trying to determine if they are having ADHD. If you are unable to wait, it is possible to request a private assessment by a qualified specialist psychiatrist. This will help you save time and also a visit to your GP. This isn't a fast process and can take months, but it will provide you with more precise diagnosis than the NHS one. You should ensure that the person performing your assessment is either psychiatrist or psychologist, as they are the only healthcare professionals in the UK who are certified to diagnose ADHD. A private evaluation could involve a clinical interview conducted by psychiatrist. The doctor will ask questions regarding your mental health, childhood history and other aspects. The doctor will also employ rating scales and ask about your current struggles with school, work, and relationships. They will also address any other symptoms you 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 offer medication if needed. They can also help you in obtaining other forms of support, including tutoring and study skills. If you are an undergraduate student, they can also help you apply for Disabled Students Allowance. It's not ideal to cut corners however the NHS is overburdened and underfunded. Some people attempt to cut corners by using online assessments or private clinics that offer quick appointments and not having any medical expertise. These methods should be avoided. However, those with ADHD should still seek a diagnosis when they can afford it.