The 10 Scariest Things About ADHD Diagnosis
How to Get an ADHD Diagnosis in the UK
People suffering from ADHD are often confronted with a network of gatekeepers when seeking referral, assessment and support. It is evident that some of these gatekeepers in NHS CCGs are not following national guidelines for treating patients or their legal duty to avoid discrimination and health inequalities.
Anecdotal evidence also suggests that certain private ADHD clinics are not sufficiently regulated. This may result in an inconsistency in diagnostic thresholds and assessment reporting which could create difficulties when trying to transfer to the NHS.
How can I get an official medical diagnosis?
ADHD is a mental health issue, meaning it can only be diagnosed by a healthcare professional who has expertise. This includes psychologists and psychiatrists (who are the only qualified to diagnose ADHD in the UK). People suffering from mental illness often have ADHD symptoms, especially those who have been struggling for a long period of time. They may feel stuck in their current situation, and desperate for assistance. The NHS can be difficult for those seeking an answer to a medical condition.
You can get an assessment through the NHS if you ask your GP to refer you to an expert. Your GP will take your concerns seriously and should be able to recommend you to an assessment however, you may have to wait until the specialist is available.
When assessing for ADHD, healthcare professionals will look at your family history of ADHD and any other mental health issues that you have experienced in the past. They will also observe you in various settings, including at home and school or work, to assess your behaviour. You will be asked to describe your symptoms, and how they affect your daily life. They might inquire about your social life, your relationships, and other activities you participate in often.
A doctor will take into consideration all of the evidence before making an assessment. They will apply criteria such as being persistently restless and fidgety, having an insufficient attention span or difficulty focusing at school or work, having trouble staying focused on work or tasks, not completing them and being a lot of active. The diagnosis will be based on the presence of these characteristics in multiple settings, affecting your performance, and if there is a distinct pattern that has been evident for at least six years.
In recent months, there has been a rise in the number of high-profile individuals who have spoken out about their experiences of being diagnosed with adhd as an adult diagnosed with ADHD. This has resulted in an increase in people seeking an assessment. This can lead to long waiting times for healthcare professionals. Patients and their families bypass the NHS in order to undergo assessments at private clinics. This could be costly. It is important to find a healthcare provider you can trust and answer honestly about your medical conditions.
What happens during the assessment?
The method of conducting an assessment of ADHD symptoms is the same 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 life, such as "What difficulties do you encounter at home?", "How do your symptoms affect your work?", and "Do you experience other symptoms that you think could be related to ADHD?"
Depending on where to diagnose adhd you go for your assessment There may be different forms or questionnaires available for you to complete before your appointment. Complete these forms as quickly as you can will prevent any delays during your appointment. It is also important to familiarize yourself with the traits (symptoms) of ADHD so that you can identify the signs and how to be diagnosed with adhd in adults they affect your life in detail.
The assessment will typically include an interview with a psychiatrist or specialist nursing staff or a healthcare professional. The therapist will examine your mental health and ADHD symptoms to determine if they're caused by a different condition or not (NICE guidelines). The clinician will discuss with you the options for treatment that could include medication.
Be aware that nurses and GPs aren't as well-versed in adult ADHD as Psychiatrists. Therefore, it is important to plan your symptoms and practice them prior to when you go to the assessment. This will allow you to explain the impact that your symptoms are having in a manner that is easily understood by them. You'll need to provide examples of how your symptoms have impacted on all aspects of your life from work to relationships and how they have changed in time.
As part of the assessment you might be required to take certain tests, like an allergy test. Your therapist may suggest additional tests to determine whether you have any other medical problems.
If you self-refer, or enrolled in the Right to Choose scheme, it is crucial to know that even though you pay for your private evaluation but you will still need to wait for NHS scheduled appointments - and this can vary between NHS trusts and also from one doctor to another.
What is the outcome if I don't receive an answer to my question?
You could be diagnosed with ADHD in the event that you have a number of factors that favor you. It can be more difficult for certain groups of people to get diagnosed, for instance when you are of colour or assigned female at birth, or if you have other mental health diagnoses like bipolar disorder or depression.
If you're having difficulty getting an answer, consult your GP and ask for a referral. It is also a good idea to locate a private psychiatric clinic that specializes in adult ADHD assessments. They can offer a faster service than the NHS.
The psychiatrist will evaluate your symptoms to determine if they fit the Nice guidelines for ADHD. They will also try to rule out other causes of your problems including anxiety, depression or thyroid issues. It's a long process and adults may not have all the information they need.
It's also possible that you will not be diagnosed with ADHD even the GP is willing to refer you. A psychiatrist is able to diagnose ADHD when they believe your ADHD symptoms are causing significant impairment. If they believe that you don't meet the criteria, they'll inform you why.
In the UK, it is legal in the UK to get treatment through the NHS in England, Wales and Northern Ireland if you have a diagnosis of adhd adults diagnosis uk. You may be able to receive medication through an individual funding request, however it will depend on the location you reside in. You could be referred to the right specialist in your area who will prescribe the medicine of your choice. NHS specialists tend to prefer Methylphenidate, Atomoxetine or Straterra first, and they don't always plan for lengthy intervals of titration.
Joining a support group either in person or online for adults with ADHD can be beneficial. They can be helpful and comforting. It can also help to share your story with other people who understand.
How can I get treatment?
Adults are sent to ADHD specialist services for assessment and treatment. 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 health providers aren't able to accept these reports and patients are often denied accessing care. This is due to lengthy waiting times or rejection of referrals.
Support groups at the consensus meeting reported that many ADHD patients seek out private assessments and diagnosis to circumvent the lack of NHS funding in this area. Private clinics provide a more accurate, professional and speedier diagnosis. They can also be helpful in screening for comorbidities, such as depression and anxiety that are prevalent in ADHD and also in helping with titration to the final dose of the medication. Prices vary from PS500 to PS1,200, although often a diagnosis and titration are priced separately.
The treatment and diagnosis for ADHD will differ from one person to another. The most popular treatment is medication, which can be in the form of methylphenidates (Ritalin, Concerta) or atomoxetine (Strateva). Non-drug interventions can be beneficial, such as education and training for parents and families of those with ADHD. Certain people with ADHD find that a change in their diet helps, as well as trying to develop a sleep-friendly routine. Others find that hypnotherapy or psychotherapy can help ease their symptoms, although the evidence on these isn't as strong.
It is inexcusable that so many people suffering from ADHD cannot get the medical and treatment they require through the NHS. The UK government, clinical and regulatory authorities must take action urgently to rectify this issue. People suffering from ADHD must have access to treatment that is free of discrimination and in line with their legal rights. The long-term planning of financing, and a coordinated commissioning of social, health care and judicial services are crucial to address this need that is not being met. The current situation is not sustainable and the impact on families, individuals and society is hugely damaging. It's time to invest.