How to Get an ADHD Diagnosis in the UK
People suffering from ADHD typically have to deal with a number of gatekeepers when seeking referral, assessment and support. It is evident that a number of these gatekeepers, notably in NHS CCGs, do not follow the national guidelines for treating patients and their legal obligations to stop health inequalities and discrimination.
Certain private ADHD clinics might not be adequately regulated as per reports from anecdotal sources. This could lead to inconsistent diagnostic thresholds and assessment reports, which can cause difficulties when trying to transfer to the NHS.
How can I get a medical diagnosis?
ADHD is a mental illness and is only diagnosed by a healthcare provider with specialist expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). People suffering from mental illness often report ADHD symptoms, particularly those who have struggled for a long period of time. This means that they feel trapped in their current situation and are in desperate need of help to improve their life. The NHS can be confusing for those who are seeking the diagnosis.
You can receive a diagnosis via the NHS by asking your GP to refer you to an expert. Your GP will be attentive to your concerns and could refer you to specialists for an evaluation. However, you might need to wait until the specialist is available.
When assessing for ADHD health specialists will review the family history of ADHD and any other mental health issues that you’ve had in the past. They will also observe you in various settings, including at the workplace, school or at home, to assess your behaviour. You will be asked to write about your symptoms, and how they affect your daily life. They may also ask about your relationships, social life and any other activities you engage in regularly.
A doctor will take into consideration all the evidence before making a diagnosis. They will consider criteria like being irritable and fidgety throughout the day and having a short-term memory, having difficulty staying focused and unable to keep up at school or at work, failing to complete tasks, and being extremely energetic. The diagnosis will be based on the presence of these characteristics in a variety of settings that affect your performance and if there’s a clear pattern that has persisted for at least six years.
In recent months, there has been an increase in the number of celebrities sharing their stories of being diagnosed with ADHD. This has resulted in an increase of people seeking an assessment. This can result in long wait for healthcare professionals. Patients and their families bypass the NHS in order to undergo assessments at private adhd diagnosis uk cost clinics. This is costly. It is crucial to select an healthcare provider you trust and be honest about the symptoms you are experiencing.
What happens during the assessment process?
The method of the process of assessing ADHD symptoms is the same regardless of whether you self-refer or get referred by your GP. The person doing the assessment will ask you questions about how your symptoms impact your daily life, like “What issues do you face at home?”, “How do your symptoms affect your work?”, and “Do you have any other symptoms that you think might be related to ADHD?”
You may need to fill out a variety of forms or questionnaires before your appointment, based on where you are going for your assessment. Complete these forms in a timely manner will ensure that you don’t have any delays during your appointment. It’s also worth familiarising yourself with the characteristics (symptoms) of ADHD to ensure that you recognise them and discuss the ways they affect your life in depth.
The evaluation will typically include an interview with a psychiatrist, specialist nurse or other appropriately qualified healthcare professional. The therapist will evaluate your mental health and ADHD symptoms to determine if they are caused by another condition or not (NICE guidelines). The clinician will discuss with you the treatment options, which may include medication.
It is important to keep in mind that nurses, GPs and psychologists may not be as familiar with adult adhd get diagnosed as specialist Psychiatrists and therefore it is essential to practice and prepare your symptoms before you go for an assessment. This will help you explain the impact that your symptoms are having in a way that they can understand. You’ll have to provide examples on how your symptoms affect your life in all aspects, from your work to your relationships, and over time.
As part of the examination, you could be required to take some tests, such as an allergy test. Your therapist could suggest additional tests to determine whether you have any other medical conditions.
If you self-refer, or going through the Right to Choose scheme, it is important to remember that although you pay for your private evaluation, you still have to wait for NHS scheduled appointments – and this may differ between NHS trusts and from one clinician to another.
What happens if I don’t have a diagnosis?
You can be diagnosed with ADHD when you have several things in your favor. Certain groups might have a harder time getting diagnosed. For instance that they are of color, were assigned female at birth or if they have other mental health diagnoses such as depression or bipolar disorder.
If you’re having a hard time getting a diagnosis, try speaking to your GP about the issue and ask for an appointment with a psychiatrist. You can also try to find a private doctor who is specialized in adult ADHD tests. They can provide a more rapid service than the NHS.
The psychiatrist will examine your symptoms to determine if they fit the Nice guidelines for ADHD. They’ll also try to rule out other causes of your issues, such as anxiety, depression, or thyroid issues. This can be a thorough procedure, and it’s not always easy for adults to present all the evidence needed (for instance, they might struggle to locate old school reports that are in the back of the cupboard).
It’s also possible that you won’t be diagnosed with ADHD, even when your GP is willing to refer you. A psychiatrist is able to diagnose ADHD if they believe that your ADHD symptoms are causing significant impairment. If they think you don’t meet the criteria, they’ll tell you the reason.
In the UK, it is legal to access treatment through the NHS in England, Wales and Northern Ireland in the event that you are diagnosed with ADHD. You could also get medication through an Individual Funding Request, but this depends on your local area. You may be referred to your local specialist to prescribe the medication of your choice. NHS specialists prefer Methylphenidate or Atomoxetine first, and don’t always plan long titration phases.
It can be helpful to join an adult support group with ADHD, both in person and on the internet. They can be a source of support and comforting. It can also help to share your experiences with others who can relate to.
How can I get adhd diagnosis treatment?
GPs can recommend adults to specialist adhd diagnosis private services for assessment and treatment. These services are usually found in NHS hospitals or NHS community health teams. For instance, the Maudsley Hospital, London, provides a national ADHD diagnostic service for adults. However there are many NHS healthcare providers don’t accept these reports, and patients are frequently denied receiving treatment. This is due to lengthy waiting periods or rejection of referrals.
Support groups at the consensus meeting reported that many ADHD patients seek out private assessments and diagnosis to circumvent the insufficient NHS funding in this area. Private clinics provide a faster and more professional and a more generalized diagnosis. They can also help screen for comorbidities such as anxiety and depression, which are common in ADHD. They can assist in titrating the final dose. Prices vary from PS500 to PS1,200, although sometimes a diagnosis and titration is priced separately.
The diagnosis and treatment of ADHD varies from person to person. The most popular treatment is medication, and it can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Non-drug interventions can be helpful for education and training for parents and families of children with ADHD. Some people suffering from ADHD discover that a change in diet can help, as well as trying to establish a relaxing sleep routine. Some people have found that psychotherapy and hypnotherapy may help their symptoms. However the evidence behind these therapies isn’t as strong.
It is unacceptable that so many adults suffering from adhd diagnosis for adults cannot access the treatment and care they need through the NHS. The UK government, clinical and regulatory authorities must act urgently to correct this situation. People with ADHD deserve to have access to treatment without discrimination and in line with their legal rights. To address this unmet need it is essential to create long-term plans for funding and commission health, social care, and judicial services together. The current situation cannot be sustained and has a negative effect on individuals, their families and society. It’s time to invest.