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ADHD Assessment in the UK An ADHD assessment is usually a fairly thorough procedure. A psychiatrist will assess whether your symptoms are causing significant impairment and will rule out other illnesses such as thyroid or depression. They can also request old school records as well as other evidence. It is crucial that the person carrying out your assessment is an expert in ADHD. This is true for both GPs and psychiatrists. Waiting times Adults in the UK who need an ADHD diagnoses are left waiting years to visit a psychiatrist. The condition is classified as a serious mental disorder that can have a significant impact on the lives of people. The situation is worse in certain areas, with waiting periods as high as four years. The charity ADHD UK called for urgent action to improve the situation. The issue is exacerbated by a growing awareness of the condition, as well as an increase in demand for treatments. NHS services are struggling to meet the demand and many patients decide to take care of themselves through private providers. This has been facilitated by the recent introduction of the Right to Choose scheme, which allows patients to choose for private healthcare from any provider. Psychiatry UK is one such service, which provides an online ADHD assessment and medication for the NHS. The number of adults seeking an assessment has grown exponentially and is currently surpassing its capacity. If you choose to go the private route are typically more successful, since private psychiatrists are accustomed to dealing with adults and are more familiar with the nuances of the condition. They are more likely to have experience managing co-morbidities like depression and anxiousness, which can often accompany ADHD. However, many people are concerned about the assessment of private patients and the potential for them to over-diagnose the condition. The issue came to the public's attention when a BBC Panorama investigation exposed the ways in which private clinics were awarding diagnoses without proper process. Some have even accused the program of inciting stereotypes and stigmatizing people with ADHD. The BBC deserves to be praised, however, for exposing this issue and highlighting those who require an ADHD diagnosis. It's unfortunate that some of those who need assistance are required to seek it privately and the NHS must come up with ways to address the issue. In the meantime, if you might be suffering from ADHD You can try a free screening with an organization, or take advantage of an assessment by private psychiatrists. They are usually less expensive than the NHS however they will not provide the prescription for medication. Second opinion If you're struggling with symptoms of ADHD, it is important to receive a diagnosis. A correct diagnosis will aid in managing your symptoms and prescribe medication. You could be referred to see a psychiatrist as part of your treatment. Many private clinics offer diagnosis and titration. These clinics have a lot of experience with a wide range of adults, both men and women, who may suffer from ADHD. They also look for co-morbidities, like anxiety and depression. Private ADHD assessments are expensive, but the wait time for NHS services are significantly longer. Typically, you will pay for an initial assessment and then have subsequent appointments as required. These appointments are covered by your insurance if you have it. These appointments will be conducted in a professional manner by nurses who have been trained and have a particular interest in ADHD. The initial appointment will usually consist of clinical interviews and grading scales. You will also be asked to complete questionnaires, and you could be referred to further tests such as an MRI or EEG. A private clinic will cost you between PS500 to PS1,200 for an ADHD assessment. The cost includes the assessment time as well as titration costs. Some private ADHD assessments allow titration apart from diagnosis, and this can be cheaper. Titration process 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 deciding to go to a private clinic in desperation. The BBC investigation revealed a number of instances where patients were diagnosed of ADHD that was later withdrawn. This is a serious issue because it can be extremely distressing for patients to be incorrectly diagnosed and prescribed medication that has adverse negative side effects. In Scotland, an ADHD assessment costs PS1,335 which includes the initial assessment and the adjustment. Most health insurance policies cover these assessments. However, it's important to check whether you're covered. Referral to a specialist clinic If your GP refers to a specialist clinic the clinician will ask questions and conduct an assessment of your clinical needs. They will determine whether your symptoms are indicative of ADHD and determine if they meet the diagnostic criteria for the condition. They will also assess for any co-morbidities (other mental health issues) that may be present. Most often, these are depression and anxiety. The doctor will go over with you the treatment options that are available, including medication if required. During the test you will be asked questions about your family history and your current issues at home and work. They will also ask about any medications you are taking. They will then conduct a structured interview. You should bring a trusted family member or friend along to provide collateral information. It typically requires a few sessions to determine an accurate diagnosis. Some clinics will provide an extensive evaluation, whereas others will only look at specific symptoms. Panorama's investigation into the inadequate service offered to patients with ADHD in the NHS has brought the issue to the fore. The undercover reporter was diagnosed with ADHD in three private clinics, but his doctor said that he did not have ADHD. The BBC claimed that the report was an instance of “over-diagnosis” by private firms. However, GPs are only allowed to refer patients to further investigation or prescribe medication if they follow strict guidelines. Many doctors are reluctant to sign a shared care agreement with the NHS and is the only way they can refer their patient's treatment to the service following an individual diagnosis. This is due to the fact that they believe that they're not experts in ADHD or psychiatry. GPs should also note that many private psychiatrists do not prescribe medication, which may make it difficult for their patients to receive the care they require. Ask your GP to refer you to an ADHD assessment if they haven't already. You can find out your estimated waiting time by calling your local mental health services or by visiting the Right To Choose site. The site lets you select an online ADHD assessment service which is provided by NHS. Confirmation of diagnosis A diagnosis of ADHD can transform your life. It aids people in understanding themselves and also their family and friends. It can also help them determine the best treatment strategy. It is not always simple to obtain a diagnosis. Particularly in the UK where patients are waiting for long periods for an assessment by the NHS. This can cause frustration for those who wish to be diagnosed with ADHD. If you cannot wait, you can self-refer to psychiatrists who specialize in private evaluation. private adhd assessment adults will help you reduce time and avoid a trip to your GP. It is a long process that can take several months. However it will provide you with an accurate diagnosis than the ones offered by the NHS. You should ensure that the person conducting your test is either a psychologist or psychiatrist, as they are the only healthcare professionals in the UK that are qualified to assess ADHD. A private assessment is likely to consist of a medical interview with a psychiatrist, including questions regarding your mental health and your childhood history. The doctor will also utilize ratings scales and inquire about your current struggles at school, work, and relationships. They will also discuss any other symptoms you experience which could be indicative of ADHD. The result will be a comprehensive ADHD assessment report, which the psychiatrist will forward to your GP with your consent. If appropriate, they will also prescribe medication. They will also help you get other types of assistance, like mentoring and study skills support. If you're students, they will also help you apply for Disabled Students Allowance. It is not ideal to cut corners however, the NHS is overburdened and underfunded. In the end, there are those who attempt to cut costs by using online assessments or private clinics that offer quick appointments, but offer any clinical expertise. These shortcuts should be avoided. However, those suffering from ADHD should be seeking a diagnosis even when they can afford it.