ADHD Diagnosis in the UK
In the UK you have the legal right to choose who will conduct your NHS mental health tests. Some healthcare professionals do not have the necessary qualifications to recognize ADHD.
Panorama has been informed by patients and whistleblowers that some private clinics diagnose ADHD and prescribing medications, often without proper checks. We went undercover to learn more.
What is private adhd assessment ?
A psychiatrist will meet with you to discuss the effects of ADHD on your life and if medication can assist. You'll be asked to provide details of your symptoms as well as any issues they cause. You will also be asked about your work and family life. Some patients find it useful to note down their symptoms prior to their appointment. This helps them remember their symptoms. An assessment usually includes a 45-90 minute discussion with the psychiatrist.
There are two ways to receive an adult ADHD assessment The other is through the NHS or private. GPs must take any concerns about ADHD seriously and are willing to refer you for an assessment. The system isn't without its flaws. The BBC's Panorama program raised concerns regarding the long-term use of powerful drugs being handed out by doctors as well as the lack of proper care and consideration given to patients' medical history.
If you are worried about the attitude of your doctor to ADHD, try another GP. There is a good site on Psychiatry-UK that gives tips about doing this, as well as templates for letters that you can use to present your request.
Private psychiatric treatment is more efficient and professional, particularly in London. The cost ranges from PS600 up to PS1,200. Private psychiatrists have experience the assessment of adults from diverse backgrounds and offer an individualized treatment plan especially if you are highly skilled or have a lucrative career. They can also screen and assist with co-morbidities like anxiety and depression, that are often associated with ADHD.
The Psychiatrist will examine your symptoms and use the DSM V criteria to determine whether you are eligible for an ADHD diagnosis. You will be required to show six characteristics (symptoms), which are present in your daily life and how they've affected your previous experiences.
The Psychiatrist will then inform you on your options and the next steps. You may decide to begin treatment, which may involve stimulants such as methylphenidate. Stimulants are a class B drug and therefore is controlled by the Misuse of Drugs Act. They must be prescribed only by a psychiatrist or a doctor registered with the General Medical Council.
What is a diagnostic?
A diagnosis is a medical term that means the identification of a condition, illness or injury. A diagnosis is provided by a physician and is usually supported by a treatment program. The diagnosis is an essential element of the curriculum for medical students, and it plays a significant role in the education of doctors in all areas of medicine. Medical journals often use the word "diagnosis" and is frequently included in periodicals about health care.
There are many ways to obtain an ADHD diagnosis in the UK. One way is to see your GP and request them to refer you to an adult ADHD specialist or a clinic. Another option is to seek an appointment with a private psychiatrist who will make a diagnosis. Private psychiatrists usually have a lot of experience in diagnosing adults with ADHD and can provide an accelerated, more competent and knowledgeable process. They are also aware of other conditions which can cause similar symptoms to ADHD like anxiety and depression.
Once you have received a diagnosis and have a treatment plan, you can discuss options with your psychiatrist. This may include medication or cognitive behavioral therapy (CBT), along with other non-medicated treatments such as mindfulness or relaxation techniques. You can decide which treatment option best suits your requirements.
A diagnosis of ADHD can also help you receive reasonable adjustments and Disability Living Allowance. This is particularly important in the case of DSA, as it helps people who suffer from disabilities and illnesses with their daily routine.
If you're thinking about stimulants such as methylphenidate for treating your ADHD Be aware that these are class B drugs that can cause addiction. If you're worried your psychiatrist may refer you to a GP who can prescribe a treatment without stimulants.
It can be frustrating and challenging to receive an ADHD diagnosis. There are a variety of factors to consider and the NHS system is often overwhelmed and under-funded and it is very easy for GPs or other health professionals to dismiss or downplay a potential diagnosis. It is a good idea to bring a list of your symptoms with you to the assessment and try to be as objective as possible when describing the symptoms.
How can I get an medical diagnosis?
If you are concerned that you or your child may have ADHD the first step in gaining control over symptoms that can disrupt life is getting a diagnosis. It is a psychological process, but it is essential to realize that the disorder is not a sign of laziness or lack of intelligence; it is simply a neurobiological condition. It is also essential to recognize that the proper treatment can help you control your ADHD symptoms and improve your quality of living.
To determine your condition, a professional will usually assess you through the combination of a thorough history and discussion about your current symptoms and also analyze the results of questionnaires and scales that have been developed to detect ADHD in adults. They will then apply the criteria set out by the Diagnostic and Statistical Manual of Mental Disorders (5th edition) to determine a reliable diagnose.
In private adhd assessment cost to interviewing you and people close to you, the person evaluating you may decide to conduct cognitive tests or medical examinations to determine the root reasons for your symptoms. This could include thyroid issues and seizure disorders, which often have the same symptoms as ADHD.
During the assessment it is crucial that you are honest about your issues, and how they affect your life at home, work or at school. This will help the evaluator to determine whether you have ADHD or a co-existing condition that is causing your symptoms.
Once the assessment is complete, your clinician will discuss your options regarding medication If you are thinking about them. The GP is not able to prescribe ADHD medication. However, they are able to offer other treatments for mental health such as CBT (cognitive behavior therapy). If you do decide to go for an appointment, your therapist will create a form for your GP called a Shared Care Agreement which outlines what treatment you will receive on the NHS and with whom.
Asking your family and friends for recommendations on experts with experience in ADHD assessments of adults is a good idea prior to taking an individual assessment. You can also look online for reviews of the providers in your area and read about the different methods they use. You can also use BetterHelp's simple service to be matched within 48 hours with a therapist who is experienced.
Can I get an appointment for a diagnosis through Right to Choose?
If you're an active member of the Armed Forces, you have the right to choose the mental health practitioner you're referred to for an ADHD assessment. You'll have to ensure that your GP will accept full care or a'shared care agreement' after your chosen provider discharges you and prescribes treatment (usually CBT therapy or medication). Contacting the provider directly will let you find out if they are covered by contracts with NHS. You can also check the waiting times of the providers on this site.
You will be asked about your symptoms, including the time they began when your GP refers to an ADHD specialist through the Right to Choose path. This will allow your doctor to better understand your symptoms and their impact on your life. It's important to answer these honestly and clearly.
On the NHS website you can find out more about how to exercise Your Right to Choose. The NHS does not currently offer a titration for medications via the Right to Choose path. Even if you're diagnosed using this pathway, you may not be able to access the medication that you require.
Private clinics are among the other ways to get an ADHD diagnosis. BBC's Panorama recently exposed private clinics which provide rapid and inexpensive diagnoses of ADHD. These shortcuts could have serious consequences for instance, if you are trying to claim benefits such as the Disabled Students Allowance or other reasonable accommodations at work.
It is important to remember that stimulants that are prescribed for ADHD are classified as Class B drugs and are subject to the restrictions of The Misuse of Drugs Act. If you are found guilty of committing a crime when using these drugs, you may face a large fine, or even a prison sentence.
If you are diagnosed with ADHD whether through the NHS or privately, you could be entitled to disability benefits, such as Income Support, Attendance Allowance, or both, based on the severity. You will need to supply an official letter from your doctor that proves this, along with an original copy of your medical records.