Your Worst Nightmare About ADHD Diagnosis Relived
How to Get an ADHD Diagnosis in the UK Patients with ADHD typically have to deal with a number of gatekeepers when seeking referrals, assessment and support. It is clear that many of these gatekeepers, notably in NHS CCGs, do not follow national clinical guidelines and their legal obligations to avoid health inequality and discrimination. Anecdotal evidence also suggests that some private ADHD clinics aren't adequately monitored. This could lead to inconsistent diagnostic thresholds and assessment reports, which can cause difficulties when trying to transfer back to the NHS. How do I find out if I have an appointment for a diagnosis? ADHD is a mental health condition that means it must be diagnosed by a healthcare professional with expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). People suffering from mental health issues often report symptoms of ADHD, especially those who have been struggling for a long period. This means that they feel stuck in their current circumstances and are in desperate need of assistance to improve their lives. The NHS can be confusing for those seeking a diagnosis. You can get an appointment with the NHS by asking your GP to refer you to an expert. Your GP will take your concerns seriously and should be able refer you for an assessment, but you may need to wait until the specialist is available. In assessing you for ADHD, healthcare experts will examine your family history of ADHD and any other mental health issues that you've had in the past. To evaluate your behavior, they will observe you in different situations, including at school, home, or work. They will ask you to describe your symptoms and how they impact your daily life. They may also ask about your relationships, social life and other activities you engage in regularly. A doctor will take into consideration all the evidence prior to making an appropriate diagnosis. They will make use of criteria, such as being persistently restless and fidgety, having a short attention span or difficulty focusing at work or at school, having trouble staying focused on work that are not completed, and being overly active. The diagnosis is dependent on a pattern of traits that are present in multiple situations and impact your performance. In recent months, there has been a rise in the number of celebrities talking about their experiences of being diagnosed with ADHD. This has led to a spike in the number of people seeking an assessment, which could cause long wait times for healthcare professionals. Many patients and their families opt to bypass the NHS by undergoing assessments at private clinics that can be expensive. It is important to locate a healthcare professional you trust and be prepared to answer honestly about your symptoms. What happens during the assessment process? The process of assessing ADHD symptoms is the same regardless of whether you self-refer or get referred by your GP. The person conducting the test will ask questions about your symptoms and how they impact your life. For instance, “What problems do experience at home?” “How does your symptoms affect your work?” “Do you have other symptoms you think may be related to ADHD?” Depending on the location you visit to get your assessment, there may be different forms or questionnaires for you to fill out prior to your appointment. It is crucial to fill these out in the shortest time possible to ensure that your appointment won't be delayed. You should also familiarise yourself with the signs of ADHD to be able to recognise them and discuss their impact on your life. The evaluation will usually include an interview with a psychiatrist or specialist nursing staff, or a healthcare professional. The therapist will assess your mental health in general, and the specific symptoms of ADHD to see if they are being caused by any other condition, or are unrelated to any other conditions (NICE guidelines). The therapist will then go over possible treatment options with you which may involve medication. Be aware that nurses and GPs will not be as knowledgeable about adult ADHD as psychiatrists. Therefore, it is important to prepare your symptoms and practice them prior to when you attend the examination. This will help you explain the impact your symptoms are having in a manner that they can understand. You'll need to provide examples of how your symptoms have impacted on every aspect of your life from work to relationships and how they've changed in time. As part of the evaluation, you may have to undergo certain tests, like an allergy test. If you suffer from any other medical issues, your therapist might suggest additional tests to look for these, too. If you self-refer, or enrolled in the Right to Choose scheme, it is crucial to know that although you pay for your private examination, you still have to wait for NHS scheduled appointments – and this can vary between NHS trusts and from one physician to another. What happens if I don't have an answer to my question? You can be diagnosed with ADHD in the event that you have several factors in your favor. It is more difficult for some groups of people to be diagnosed, such as when you are of color or assigned a female at birth or if you suffer from other mental health diagnoses like bipolar disorder or depression. If you're having difficulty getting an answer, you can talk to your GP about it and asking for the referral to a psychiatrist. It is also a good idea to find a private psychiatric provider that specialises in adult ADHD assessments. They often provide an earlier service than the NHS. The psychiatrist will look at your symptoms to determine if they are in line with the Nice guidelines for ADHD. They will also try to rule out other causes of your problems including anxiety, depression, or thyroid issues. It can be a lengthy process and adults may not have all the information they require. You may not be diagnosed with ADHD even when your GP agrees. A psychiatrist is able to diagnose ADHD if they believe that your ADHD symptoms cause significant impairment. If they believe you do not meet the criteria, they'll inform you the reason. In the UK, it is legal in the UK to get treatment through the NHS in England, Wales and Northern Ireland in the event that you are diagnosed with ADHD. You could be able obtain medication through an individual funding request, but it is contingent on where you live. You may be referred the right specialist in your area who will prescribe the medication of your choice. NHS specialists are more likely to prescribe Methylphenidate, Atomoxetine or Straterra first. They don't always plan for lengthy titration periods. It is beneficial to join a support group for adults with ADHD in person and online. They can be extremely positive and reassuring and can assist to discuss your experiences with other people who can relate to your experience. How can I receive treatment? Adults can be sent to ADHD specialist services to be assessed and treated. Typically, these are located in NHS hospitals and NHS community health teams, for example the Maudsley Hospital in London offers a nationwide ADHD adult diagnostic service. However, many NHS healthcare providers do not accept these reports and patients are frequently denied getting care. This is due to lengthy waiting times or rejection of referrals. Support groups at the consensus meeting revealed that many ADHD patients seek private assessment and diagnosis to circumvent the lack of NHS investment in this area. Private clinics can provide a speedier and more professional and a more generalized diagnosis. They can also assist in screening for comorbidities like anxiety and depression which are common in ADHD. They can assist with titration of the final dosage. The cost is ranging from PS500 to PS1,200. Sometimes the diagnosis and dosage are priced separately. The treatment and diagnosis of ADHD varies from person to person. The most commonly used treatment is medication, and this may be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Sometimes, non-drug interventions can be beneficial, like education and training for parents and the families of those with ADHD. Some people suffering from ADHD find that a change in diet can help, as does trying to develop a sleep-friendly routine. Some people find that psychotherapy and hypnotherapy may aid in reducing symptoms. However adhd diagnosis adult uk www.iampsychiatry.uk supporting these therapies isn't as strong. It is inexcusable that so many adults suffering from ADHD are not receiving the medical and treatment they require through the NHS. The UK government, clinical and regulatory authorities must take action urgently to correct this situation. People suffering from ADHD need access to treatment that is devoid of discrimination and consistent with their rights under the law. To address this unmet need, it is vital to plan long-term funding and create health, social, and judicial services together. The current situation isn't sustainable and the impact on families, individuals and the entire society is devastating. It's time to invest.